ST. JOSEPH'S HOSPITAL - HIGHLAND - 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 ," ESSENCE, L.L.P. ", FIRST HEALTH NETWORK , HEALTH ALLIANCE MEDICAL PLAN EXCHANGE ," HEALTH ALLIANCE MEDICAL PLANS, INC. ", HEALTH ALLIANCE MEDICARE , HEALTH ALLIANCE PPO , HEALTHLINK , HEALTHLINK CASINO QUEEN , HEALTHLINK PPO , HEARTLAND HOSPICE , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE , ILLINOIS BREAST AND CERVICAL CANCER PROGRAM , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MERIDIAN HMO MCD , MOLINA MEDICAID , MOLINA MEDICARE , MULTIPLAN , NAPHCARE , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , QTC MEDICAL GROUP OF ILLINOIS , SAE MEMORIAL HOSPICE , ST CLAIR COUNTY HOUSING AUTHORITY , UHC CATERPILLAR , UHC MEDICAID , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$43,572.74 ","$2,495.41 ","$60,517.70 ","$19,943.80 ","$38,126.15 ","$36,310.62 ","$26,543.35 ","$16,944.96 ","$48,763.57 ","$29,317.39 ","$51,330.07 ","$36,457.03 ","$46,197.06 ","$46,197.06 ","$34,630.85 ","$46,197.06 ","$54,711.80 ","$60,517.70 ", N/A ,"$29,317.39 ","$26,543.35 ","$45,388.28 ","$30,258.85 ","$30,258.85 ","$29,317.39 ","$30,258.85 ","$43,572.74 ","$43,572.74 ","$43,572.74 ", N/A ,"$54,465.93 ","$19,943.80 ","$51,440.05 ","$26,543.35 ", N/A ,"$33,950.43 ","$26,543.35 ","$25,054.33 ","$2,744.95 ","$2,495.41 ","$29,317.39 ","$51,440.05 ","$55,703.03 ","$46,197.06 ","$16,944.96 ","$54,465.93 ", N/A ,"$26,543.35 ","$43,572.74 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$7,222.68 ","$39,336.51 " ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$11,020.10 ","$2,495.41 ","$15,305.70 ","$9,971.90 ","$9,642.59 ","$9,183.42 ","$3,539.11 ","$4,285.60 ","$12,689.57 ","$3,908.98 ","$13,357.44 ","$4,860.94 ","$12,021.70 ","$12,021.70 ","$4,617.45 ","$12,021.70 ","$7,294.91 ","$15,305.70 ", N/A ,"$3,908.98 ","$3,539.11 ","$11,479.28 ","$7,652.85 ","$7,652.85 ","$3,908.98 ","$7,652.85 ","$15,305.70 ","$15,305.70 ","$15,305.70 ", N/A ,"$13,775.13 ","$9,971.90 ","$13,009.85 ","$3,539.11 ", N/A ,"$8,586.50 ","$3,539.11 ","$6,336.56 ","$2,744.95 ","$2,495.41 ","$3,908.98 ","$13,009.85 ","$7,427.07 ","$12,021.70 ","$4,285.60 ","$13,775.13 ", N/A ,"$3,539.11 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$3,611.34 ","$9,948.71 " ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$8,247.72 ","$2,495.41 ","$11,455.16 ","$9,971.90 ","$7,216.75 ","$6,873.10 ","$3,539.11 ","$3,207.44 ","$9,570.11 ","$3,908.98 ","$10,073.80 ","$4,860.94 ","$9,066.42 ","$9,066.42 ","$4,617.45 ","$9,066.42 ","$7,294.91 ","$11,455.16 ", N/A ,"$3,908.98 ","$3,539.11 ","$8,591.37 ","$5,727.58 ","$5,727.58 ","$3,908.98 ","$5,727.58 ","$11,455.16 ","$11,455.16 ","$11,455.16 ", N/A ,"$10,309.64 ","$9,971.90 ","$9,736.89 ","$3,539.11 ", N/A ,"$6,426.34 ","$3,539.11 ","$4,742.44 ","$2,744.95 ","$2,495.41 ","$3,908.98 ","$9,736.89 ","$7,427.07 ","$9,066.42 ","$3,207.44 ","$10,309.64 ", N/A ,"$3,539.11 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$3,611.34 ","$7,445.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$17,060.09 ","$2,495.41 ","$23,694.57 ","$19,943.80 ","$14,927.58 ","$14,216.74 ","$7,078.23 ","$6,634.48 ","$18,850.90 ","$7,817.97 ","$19,843.05 ","$9,721.87 ","$17,858.75 ","$17,858.75 ","$9,234.89 ","$17,858.75 ","$14,589.81 ","$23,694.57 ", N/A ,"$7,817.97 ","$7,078.23 ","$17,770.93 ","$11,847.29 ","$11,847.29 ","$7,817.97 ","$11,847.29 ","$23,694.57 ","$23,694.57 ","$23,694.57 ", N/A ,"$21,325.11 ","$19,943.80 ","$20,140.38 ","$7,078.23 ", N/A ,"$13,292.65 ","$7,078.23 ","$9,809.55 ","$2,744.95 ","$2,495.41 ","$7,817.97 ","$20,140.38 ","$14,854.14 ","$17,858.75 ","$6,634.48 ","$21,325.11 ", N/A ,"$7,078.23 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$7,222.68 ","$15,401.47 " ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,916.60 ","$1,912.01 ","$9,971.90 ","$9,971.90 ","$4,302.02 ","$4,097.17 ","$3,539.11 ","$1,912.01 ","$5,859.50 ","$3,908.98 ","$6,167.89 ","$4,860.94 ","$5,551.10 ","$5,551.10 ","$4,617.45 ","$5,551.10 ","$7,294.91 ","$6,828.61 ", N/A ,"$3,908.98 ","$3,539.11 ","$5,121.46 ","$3,414.31 ","$3,414.31 ","$3,908.98 ","$3,414.31 ","$6,828.61 ","$6,828.61 ","$6,828.61 ", N/A ,"$6,145.75 ","$9,971.90 ","$5,804.32 ","$3,539.11 ", N/A ,"$3,830.85 ","$3,539.11 ","$2,827.04 ","$2,744.95 ","$2,495.41 ","$3,908.98 ","$5,804.32 ","$7,427.07 ","$5,551.10 ","$1,912.01 ","$6,145.75 ", N/A ,"$3,539.11 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$3,611.34 ","$4,438.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,12000002,N/A,HC DAILY SERVICE SWING BED,120,1 ,$457.00 ,$329.04 ,$127.96 ,$457.00 , Inpatient Medicare +150% ,$287.91 ,$274.20 , Inpatient Medicare ,$127.96 ,"$5,005.55 ", Inpatient Medicare ,"$5,269.00 ", Inpatient Medicare ,"$4,742.10 ","$4,742.10 ", Inpatient Medicare ,$250.89 , Inpatient Medicare +150% ,"$10,700.00 ", Inpatient Medicare +150% , Inpatient Medicare , Inpatient Medicare ,$342.75 ,$228.50 ,$228.50 , Inpatient Medicare ,$228.50 ,"$9,566.00 ","$9,566.00 ","$9,566.00 ", N/A ,$411.30 , Inpatient Medicare +150% ,$388.45 , Inpatient Medicare , N/A ,$256.38 , Inpatient Medicare ,$189.20 , Inpatient Medicaid +10% , Inpatient Medicaid , Inpatient Medicare ,$388.45 , Inpatient Medicare +90% ,"$4,742.10 ",$127.96 ,$411.30 , N/A , Inpatient Medicare ,"$9,566.00 ","$9,316.00 ",$457.00 ,"$9,316.00 ","$1,805.67 ",$297.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$1,600.00 ","$1,152.00 ",$448.00 ,"$1,600.00 ", Inpatient Medicare +150% ,"$1,008.00 ",$960.00 , Inpatient Medicare ,$448.00 ,"$5,005.55 ", Inpatient Medicare ,"$5,269.00 ", Inpatient Medicare ,"$4,742.10 ","$4,742.10 ", Inpatient Medicare ,$878.40 , Inpatient Medicare +150% ,"$10,700.00 ", Inpatient Medicare +150% , Inpatient Medicare , Inpatient Medicare ,"$1,200.00 ",$800.00 ,$800.00 , Inpatient Medicare ,$800.00 ,"$9,566.00 ","$9,566.00 ","$9,566.00 ", N/A ,"$1,440.00 ", Inpatient Medicare +150% ,"$1,360.00 ", Inpatient Medicare , N/A ,$897.60 , Inpatient Medicare ,$662.40 , Inpatient Medicaid +10% , Inpatient Medicaid , Inpatient Medicare ,"$1,360.00 ", Inpatient Medicare +90% ,"$4,742.10 ",$448.00 ,"$1,440.00 ", N/A , Inpatient Medicare ,"$9,566.00 ","$9,316.00 ","$1,600.00 ","$9,316.00 ","$1,805.67 ","$1,040.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,12100001,N/A,HC DAILY SERVICE,121,1 ,$915.00 ,$658.80 ,$256.20 ,$915.00 , Inpatient Medicare +150% ,$576.45 ,$549.00 , Inpatient Medicare ,$256.20 ,"$5,005.55 ", Inpatient Medicare ,"$5,269.00 ", Inpatient Medicare ,"$4,742.10 ","$4,742.10 ", Inpatient Medicare ,$502.34 , Inpatient Medicare +150% ,"$10,700.00 ", Inpatient Medicare +150% , Inpatient Medicare , Inpatient Medicare ,$686.25 ,$457.50 ,$457.50 , Inpatient Medicare ,$457.50 ,"$9,566.00 ","$9,566.00 ","$9,566.00 ", N/A ,$823.50 , Inpatient Medicare +150% ,$777.75 , Inpatient Medicare , N/A ,$513.32 , Inpatient Medicare ,$378.81 , Inpatient Medicaid +10% , Inpatient Medicaid , Inpatient Medicare ,$777.75 , Inpatient Medicare +90% ,"$4,742.10 ",$256.20 ,$823.50 , N/A , Inpatient Medicare ,"$9,566.00 ","$9,316.00 ",$915.00 ,"$9,316.00 ","$1,805.67 ",$594.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,12300001,N/A,HC DAILY PEDIATRIC,123,1 ,$915.00 ,$658.80 ,$256.20 ,$915.00 , Inpatient Medicare +150% ,$576.45 ,$549.00 , Inpatient Medicare ,$256.20 ,"$5,005.55 ", Inpatient Medicare ,"$5,269.00 ", Inpatient Medicare ,"$4,742.10 ","$4,742.10 ", Inpatient Medicare ,$502.34 , Inpatient Medicare +150% ,"$10,700.00 ", Inpatient Medicare +150% , Inpatient Medicare , Inpatient Medicare ,$686.25 ,$457.50 ,$457.50 , Inpatient Medicare ,$457.50 ,"$9,566.00 ","$9,566.00 ","$9,566.00 ", N/A ,$823.50 , Inpatient Medicare +150% ,$777.75 , Inpatient Medicare , N/A ,$513.32 , Inpatient Medicare ,$378.81 , Inpatient Medicaid +10% , Inpatient Medicaid , Inpatient Medicare ,$777.75 , Inpatient Medicare +90% ,"$4,742.10 ",$256.20 ,$823.50 , N/A , Inpatient Medicare ,"$9,566.00 ","$9,316.00 ",$915.00 ,"$9,316.00 ","$1,805.67 ",$594.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$915.00 ,$658.80 ,$256.20 ,$915.00 , Inpatient Medicare +150% ,$576.45 ,$549.00 , Inpatient Medicare ,$256.20 ,"$5,005.55 ", Inpatient Medicare ,"$5,269.00 ", Inpatient Medicare ,"$4,742.10 ","$4,742.10 ", Inpatient Medicare ,$502.34 , Inpatient Medicare +150% ,"$10,700.00 ", Inpatient Medicare +150% , Inpatient Medicare , Inpatient Medicare ,$686.25 ,$457.50 ,$457.50 , Inpatient Medicare ,$457.50 ,"$9,566.00 ","$9,566.00 ","$9,566.00 ", N/A ,$823.50 , Inpatient Medicare +150% ,$777.75 , Inpatient Medicare , N/A ,$513.32 , Inpatient Medicare ,$378.81 , Inpatient Medicaid +10% , Inpatient Medicaid , Inpatient Medicare ,$777.75 , Inpatient Medicare +90% ,"$4,742.10 ",$256.20 ,$823.50 , N/A , Inpatient Medicare ,"$9,566.00 ","$1,065.00 ",$915.00 ,"$1,065.00 ","$1,805.67 ",$594.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,20600002,N/A,HC DAILY SERVICE IMCU,206,1 ,"$1,664.00 ","$1,198.08 ",$465.92 ,"$1,664.00 ", Inpatient Medicare +150% ,"$1,048.32 ",$998.40 , Inpatient Medicare ,$465.92 ,"$5,005.55 ", Inpatient Medicare ,"$5,269.00 ", Inpatient Medicare ,"$4,742.10 ","$4,742.10 ", Inpatient Medicare ,$913.54 , Inpatient Medicare +150% ,"$10,700.00 ", Inpatient Medicare +150% , Inpatient Medicare , Inpatient Medicare ,"$1,248.00 ",$832.00 ,$832.00 , Inpatient Medicare ,$832.00 ,"$9,566.00 ","$9,566.00 ","$9,566.00 ", N/A ,"$1,497.60 ", Inpatient Medicare +150% ,"$1,414.40 ", Inpatient Medicare , N/A ,$933.50 , Inpatient Medicare ,$688.90 , Inpatient Medicaid +10% , Inpatient Medicaid , Inpatient Medicare ,"$1,414.40 ", Inpatient Medicare +90% ,"$4,742.10 ",$465.92 ,"$1,497.60 ", N/A , Inpatient Medicare ,"$9,566.00 ","$9,316.00 ","$1,664.00 ","$9,316.00 ","$1,805.67 ","$1,081.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ACETYLCYSTEINE 20 % SOLN,250,1 ,$23.05 ,$16.60 ,$4.97 ,$23.05 ,$13.25 ,$14.52 ,$13.83 ,$4.97 ,$6.45 ,$13.37 ,$5.19 ,$14.06 ,$5.64 ,$12.65 ,$12.65 ,$5.87 ,$14.98 ,$10.24 ,$16.14 , N/A ,$5.19 ,$4.97 ,$17.29 ,$16.37 ,$16.37 ,$5.19 ,$16.37 ,$20.05 ,$20.05 ,$20.05 , N/A ,$20.75 ,$13.25 ,$19.59 ,$4.97 ,$23.05 ,$12.93 ,$4.97 ,$9.54 , N/A , N/A ,$5.19 ,$19.59 ,$9.87 ,$12.65 ,$6.45 ,$20.75 ,$23.05 ,$4.97 ,$20.05 ,$17.29 ,$23.05 ,$17.29 ,$5.30 ,$14.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,APRACLONIDINE 0.5 % SOLN 5 ML BOTTLE,250,1 ,$173.55 ,$124.96 ,$37.42 ,$173.55 ,$99.80 ,$109.34 ,$104.13 ,$37.42 ,$48.59 ,$100.66 ,$39.12 ,$105.87 ,$42.52 ,$95.28 ,$95.28 ,$44.22 ,$112.81 ,$77.12 ,$121.49 , N/A ,$39.12 ,$37.42 ,$130.16 ,$123.22 ,$123.22 ,$39.12 ,$123.22 ,$150.99 ,$150.99 ,$150.99 , N/A ,$156.20 ,$99.80 ,$147.52 ,$37.42 ,$173.55 ,$97.36 ,$37.42 ,$71.85 , N/A , N/A ,$39.12 ,$147.52 ,$74.33 ,$95.28 ,$48.59 ,$156.20 ,$173.55 ,$37.42 ,$150.99 ,$130.16 ,$173.55 ,$130.16 ,$39.92 ,$112.81 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ATROPINE 1 % SOLN 5 ML BOTTLE,250,1 ,$121.85 ,$87.73 ,$26.27 ,$121.85 ,$70.08 ,$76.77 ,$73.11 ,$26.27 ,$34.12 ,$70.67 ,$27.47 ,$74.33 ,$29.85 ,$66.90 ,$66.90 ,$31.05 ,$79.20 ,$54.16 ,$85.30 , N/A ,$27.47 ,$26.27 ,$91.39 ,$86.51 ,$86.51 ,$27.47 ,$86.51 ,$106.01 ,$106.01 ,$106.01 , N/A ,$109.67 ,$70.08 ,$103.57 ,$26.27 ,$121.85 ,$68.36 ,$26.27 ,$50.45 , N/A , N/A ,$27.47 ,$103.57 ,$52.19 ,$66.90 ,$34.12 ,$109.67 ,$121.85 ,$26.27 ,$106.01 ,$91.39 ,$121.85 ,$91.39 ,$28.03 ,$79.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,AZTREONAM 1 G SOLR 1 EACH VIAL,250,1 ,$173.20 ,$124.70 ,$37.34 ,$173.20 ,$99.60 ,$109.12 ,$103.92 ,$37.34 ,$48.50 ,$100.46 ,$39.04 ,$105.65 ,$42.43 ,$95.09 ,$95.09 ,$44.13 ,$112.58 ,$76.96 ,$121.24 , N/A ,$39.04 ,$37.34 ,$129.90 ,$122.97 ,$122.97 ,$39.04 ,$122.97 ,$150.68 ,$150.68 ,$150.68 , N/A ,$155.88 ,$99.60 ,$147.22 ,$37.34 ,$173.20 ,$97.17 ,$37.34 ,$71.70 , N/A , N/A ,$39.04 ,$147.22 ,$74.19 ,$95.09 ,$48.50 ,$155.88 ,$173.20 ,$37.34 ,$150.68 ,$129.90 ,$173.20 ,$129.90 ,$39.84 ,$112.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,AZTREONAM 2 G SOLR 1 EACH VIAL,250,1 ,$175.95 ,$126.68 ,$37.94 ,$175.95 ,$101.18 ,$110.85 ,$105.57 ,$37.94 ,$49.27 ,$102.05 ,$39.66 ,$107.33 ,$43.11 ,$96.60 ,$96.60 ,$44.83 ,$114.37 ,$78.19 ,$123.17 , N/A ,$39.66 ,$37.94 ,$131.96 ,$124.92 ,$124.92 ,$39.66 ,$124.92 ,$153.08 ,$153.08 ,$153.08 , N/A ,$158.36 ,$101.18 ,$149.56 ,$37.94 ,$175.95 ,$98.71 ,$37.94 ,$72.84 , N/A , N/A ,$39.66 ,$149.56 ,$75.35 ,$96.60 ,$49.27 ,$158.36 ,$175.95 ,$37.94 ,$153.08 ,$131.96 ,$175.95 ,$131.96 ,$40.47 ,$114.37 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BALANCED SALTS SOLN 500 ML FLEX CONT,250,1 ,$71.00 ,$51.12 ,$15.31 ,$71.00 ,$40.83 ,$44.73 ,$42.60 ,$15.31 ,$19.88 ,$41.18 ,$16.00 ,$43.31 ,$17.39 ,$38.98 ,$38.98 ,$18.09 ,$46.15 ,$31.55 ,$49.70 , N/A ,$16.00 ,$15.31 ,$53.25 ,$50.41 ,$50.41 ,$16.00 ,$50.41 ,$61.77 ,$61.77 ,$61.77 , N/A ,$63.90 ,$40.83 ,$60.35 ,$15.31 ,$71.00 ,$39.83 ,$15.31 ,$29.39 , N/A , N/A ,$16.00 ,$60.35 ,$30.41 ,$38.98 ,$19.88 ,$63.90 ,$71.00 ,$15.31 ,$61.77 ,$53.25 ,$71.00 ,$53.25 ,$16.33 ,$46.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BESIFLOXACIN 0.6 % SUSP 5 ML BOTTLE,250,1 ,$484.10 ,$348.55 ,$104.37 ,$484.10 ,$278.35 ,$304.98 ,$290.46 ,$104.37 ,$135.55 ,$280.78 ,$109.11 ,$295.30 ,$118.61 ,$265.77 ,$265.77 ,$123.35 ,$314.67 ,$215.13 ,$338.87 , N/A ,$109.11 ,$104.37 ,$363.08 ,$343.71 ,$343.71 ,$109.11 ,$343.71 ,$421.17 ,$421.17 ,$421.17 , N/A ,$435.69 ,$278.35 ,$411.49 ,$104.37 ,$484.10 ,$271.58 ,$104.37 ,$200.42 , N/A , N/A ,$109.11 ,$411.49 ,$207.32 ,$265.77 ,$135.55 ,$435.69 ,$484.10 ,$104.37 ,$421.17 ,$363.08 ,$484.10 ,$363.08 ,$111.34 ,$314.67 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE,250,1 ,$65.30 ,$47.02 ,$14.08 ,$65.30 ,$37.55 ,$41.14 ,$39.18 ,$14.08 ,$18.28 ,$37.87 ,$14.72 ,$39.83 ,$16.00 ,$35.85 ,$35.85 ,$16.64 ,$42.45 ,$29.03 ,$45.71 , N/A ,$14.72 ,$14.08 ,$48.98 ,$46.36 ,$46.36 ,$14.72 ,$46.36 ,$56.81 ,$56.81 ,$56.81 , N/A ,$58.77 ,$37.55 ,$55.51 ,$14.08 ,$65.30 ,$36.63 ,$14.08 ,$27.03 , N/A , N/A ,$14.72 ,$55.51 ,$27.97 ,$35.85 ,$18.28 ,$58.77 ,$65.30 ,$14.08 ,$56.81 ,$48.98 ,$65.30 ,$48.98 ,$15.02 ,$42.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE (PF) 0.25 % SOLN 30 ML VIAL,250,1 ,$28.82 ,$20.75 ,$6.21 ,$28.82 ,$16.58 ,$18.16 ,$17.29 ,$6.21 ,$8.07 ,$16.72 ,$6.50 ,$17.58 ,$7.07 ,$15.82 ,$15.82 ,$7.34 ,$18.73 ,$12.81 ,$20.17 , N/A ,$6.50 ,$6.21 ,$21.62 ,$20.46 ,$20.46 ,$6.50 ,$20.46 ,$25.07 ,$25.07 ,$25.07 , N/A ,$25.94 ,$16.58 ,$24.50 ,$6.21 ,$28.82 ,$16.17 ,$6.21 ,$11.93 , N/A , N/A ,$6.50 ,$24.50 ,$12.35 ,$15.82 ,$8.07 ,$25.94 ,$28.82 ,$6.21 ,$25.07 ,$21.62 ,$28.82 ,$21.62 ,$6.63 ,$18.73 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE (PF) 0.75 % SOLN 10 ML VIAL,250,1 ,$13.14 ,$9.46 ,$2.83 ,$13.14 ,$7.55 ,$8.28 ,$7.88 ,$2.83 ,$3.68 ,$7.62 ,$2.96 ,$8.02 ,$3.22 ,$7.21 ,$7.21 ,$3.35 ,$8.54 ,$5.84 ,$9.20 , N/A ,$2.96 ,$2.83 ,$9.86 ,$9.33 ,$9.33 ,$2.96 ,$9.33 ,$11.43 ,$11.43 ,$11.43 , N/A ,$11.83 ,$7.55 ,$11.17 ,$2.83 ,$13.14 ,$7.37 ,$2.83 ,$5.44 , N/A , N/A ,$2.96 ,$11.17 ,$5.63 ,$7.21 ,$3.68 ,$11.83 ,$13.14 ,$2.83 ,$11.43 ,$9.86 ,$13.14 ,$9.86 ,$3.02 ,$8.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE (PF) 0.75 % SOLN 30 ML VIAL,250,1 ,$24.04 ,$17.31 ,$5.18 ,$24.04 ,$13.83 ,$15.15 ,$14.42 ,$5.18 ,$6.73 ,$13.94 ,$5.42 ,$14.66 ,$5.89 ,$13.20 ,$13.20 ,$6.12 ,$15.63 ,$10.69 ,$16.83 , N/A ,$5.42 ,$5.18 ,$18.03 ,$17.07 ,$17.07 ,$5.42 ,$17.07 ,$20.91 ,$20.91 ,$20.91 , N/A ,$21.64 ,$13.83 ,$20.43 ,$5.18 ,$24.04 ,$13.49 ,$5.18 ,$9.95 , N/A , N/A ,$5.42 ,$20.43 ,$10.30 ,$13.20 ,$6.73 ,$21.64 ,$24.04 ,$5.18 ,$20.91 ,$18.03 ,$24.04 ,$18.03 ,$5.53 ,$15.63 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE 0.5 % 0.5 % SOLN,250,1 ,$21.55 ,$15.52 ,$4.65 ,$21.55 ,$12.40 ,$13.58 ,$12.93 ,$4.65 ,$6.03 ,$12.50 ,$4.86 ,$13.15 ,$5.28 ,$11.83 ,$11.83 ,$5.49 ,$14.01 ,$9.57 ,$15.09 , N/A ,$4.86 ,$4.65 ,$16.16 ,$15.30 ,$15.30 ,$4.86 ,$15.30 ,$18.75 ,$18.75 ,$18.75 , N/A ,$19.40 ,$12.40 ,$18.32 ,$4.65 ,$21.55 ,$12.09 ,$4.65 ,$8.92 , N/A , N/A ,$4.86 ,$18.32 ,$9.23 ,$11.83 ,$6.03 ,$19.40 ,$21.55 ,$4.65 ,$18.75 ,$16.16 ,$21.55 ,$16.16 ,$4.96 ,$14.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 SOLN,250,1 ,$44.20 ,$31.82 ,$9.53 ,$44.20 ,$25.43 ,$27.85 ,$26.52 ,$9.53 ,$12.38 ,$25.64 ,$9.97 ,$26.96 ,$10.83 ,$24.27 ,$24.27 ,$11.26 ,$28.73 ,$19.63 ,$30.94 , N/A ,$9.97 ,$9.53 ,$33.15 ,$31.38 ,$31.38 ,$9.97 ,$31.38 ,$38.45 ,$38.45 ,$38.45 , N/A ,$39.78 ,$25.43 ,$37.57 ,$9.53 ,$44.20 ,$24.80 ,$9.53 ,$18.30 , N/A , N/A ,$9.97 ,$37.57 ,$18.93 ,$24.27 ,$12.38 ,$39.78 ,$44.20 ,$9.53 ,$38.45 ,$33.15 ,$44.20 ,$33.15 ,$10.17 ,$28.73 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CALCIUM CHLORIDE 10 % SOLN,250,1 ,$56.05 ,$40.36 ,$12.08 ,$56.05 ,$32.23 ,$35.31 ,$33.63 ,$12.08 ,$15.69 ,$32.51 ,$12.63 ,$34.19 ,$13.73 ,$30.77 ,$30.77 ,$14.28 ,$36.43 ,$24.91 ,$39.24 , N/A ,$12.63 ,$12.08 ,$42.04 ,$39.80 ,$39.80 ,$12.63 ,$39.80 ,$48.76 ,$48.76 ,$48.76 , N/A ,$50.45 ,$32.23 ,$47.64 ,$12.08 ,$56.05 ,$31.44 ,$12.08 ,$23.20 , N/A , N/A ,$12.63 ,$47.64 ,$24.00 ,$30.77 ,$15.69 ,$50.45 ,$56.05 ,$12.08 ,$48.76 ,$42.04 ,$56.05 ,$42.04 ,$12.89 ,$36.43 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CARBACHOL 0.01 % SOLN 1.5 ML VIAL,250,1 ,$94.55 ,$68.08 ,$20.38 ,$94.55 ,$54.38 ,$59.57 ,$56.73 ,$20.38 ,$26.47 ,$54.84 ,$21.31 ,$57.68 ,$23.17 ,$51.91 ,$51.91 ,$24.09 ,$61.46 ,$42.02 ,$66.19 , N/A ,$21.31 ,$20.38 ,$70.91 ,$67.13 ,$67.13 ,$21.31 ,$67.13 ,$82.26 ,$82.26 ,$82.26 , N/A ,$85.10 ,$54.38 ,$80.37 ,$20.38 ,$94.55 ,$53.04 ,$20.38 ,$39.14 , N/A , N/A ,$21.31 ,$80.37 ,$40.50 ,$51.91 ,$26.47 ,$85.10 ,$94.55 ,$20.38 ,$82.26 ,$70.91 ,$94.55 ,$70.91 ,$21.75 ,$61.46 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CHARCOAL ACTIVATED LIQD 240 ML BOTTLE,250,1 ,$81.15 ,$58.43 ,$17.49 ,$81.15 ,$46.65 ,$51.12 ,$48.69 ,$17.49 ,$22.72 ,$47.07 ,$18.29 ,$49.50 ,$19.88 ,$44.55 ,$44.55 ,$20.68 ,$52.75 ,$36.06 ,$56.81 , N/A ,$18.29 ,$17.49 ,$60.86 ,$57.62 ,$57.62 ,$18.29 ,$57.62 ,$70.60 ,$70.60 ,$70.60 , N/A ,$73.04 ,$46.65 ,$68.98 ,$17.49 ,$81.15 ,$45.53 ,$17.49 ,$33.60 , N/A , N/A ,$18.29 ,$68.98 ,$34.74 ,$44.55 ,$22.72 ,$73.04 ,$81.15 ,$17.49 ,$70.60 ,$60.86 ,$81.15 ,$60.86 ,$18.66 ,$52.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CHARCOAL ACTIVATED LIQD 240 ML TUBE,250,1 ,$47.55 ,$34.24 ,$10.25 ,$47.55 ,$27.35 ,$29.96 ,$28.53 ,$10.25 ,$13.31 ,$27.58 ,$10.72 ,$29.01 ,$11.65 ,$26.11 ,$26.11 ,$12.11 ,$30.91 ,$21.13 ,$33.29 , N/A ,$10.72 ,$10.25 ,$35.66 ,$33.76 ,$33.76 ,$10.72 ,$33.76 ,$41.37 ,$41.37 ,$41.37 , N/A ,$42.80 ,$27.35 ,$40.42 ,$10.25 ,$47.55 ,$26.68 ,$10.25 ,$19.69 , N/A , N/A ,$10.72 ,$40.42 ,$20.37 ,$26.11 ,$13.31 ,$42.80 ,$47.55 ,$10.25 ,$41.37 ,$35.66 ,$47.55 ,$35.66 ,$10.94 ,$30.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE-EPINEPHRINE PF 0.5% -1:200000 SOLN,250,1 ,$47.55 ,$34.24 ,$10.25 ,$47.55 ,$27.35 ,$29.96 ,$28.53 ,$10.25 ,$13.31 ,$27.58 ,$10.72 ,$29.01 ,$11.65 ,$26.11 ,$26.11 ,$12.11 ,$30.91 ,$21.13 ,$33.29 , N/A ,$10.72 ,$10.25 ,$35.66 ,$33.76 ,$33.76 ,$10.72 ,$33.76 ,$41.37 ,$41.37 ,$41.37 , N/A ,$42.80 ,$27.35 ,$40.42 ,$10.25 ,$47.55 ,$26.68 ,$10.25 ,$19.69 , N/A , N/A ,$10.72 ,$40.42 ,$20.37 ,$26.11 ,$13.31 ,$42.80 ,$47.55 ,$10.25 ,$41.37 ,$35.66 ,$47.55 ,$35.66 ,$10.94 ,$30.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CIPROFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$94.65 ,$68.15 ,$20.40 ,$94.65 ,$54.43 ,$59.63 ,$56.79 ,$20.40 ,$26.50 ,$54.90 ,$21.33 ,$57.74 ,$23.19 ,$51.96 ,$51.96 ,$24.12 ,$61.52 ,$42.06 ,$66.26 , N/A ,$21.33 ,$20.40 ,$70.99 ,$67.20 ,$67.20 ,$21.33 ,$67.20 ,$82.35 ,$82.35 ,$82.35 , N/A ,$85.19 ,$54.43 ,$80.45 ,$20.40 ,$94.65 ,$53.10 ,$20.40 ,$39.19 , N/A , N/A ,$21.33 ,$80.45 ,$40.53 ,$51.96 ,$26.50 ,$85.19 ,$94.65 ,$20.40 ,$82.35 ,$70.99 ,$94.65 ,$70.99 ,$21.77 ,$61.52 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % SUSP,250,1 ,$71.75 ,$51.66 ,$15.47 ,$71.75 ,$41.25 ,$45.20 ,$43.05 ,$15.47 ,$20.09 ,$41.62 ,$16.17 ,$43.77 ,$17.58 ,$39.39 ,$39.39 ,$18.29 ,$46.64 ,$31.90 ,$50.23 , N/A ,$16.17 ,$15.47 ,$53.81 ,$50.94 ,$50.94 ,$16.17 ,$50.94 ,$62.42 ,$62.42 ,$62.42 , N/A ,$64.58 ,$41.25 ,$60.99 ,$15.47 ,$71.75 ,$40.25 ,$15.47 ,$29.70 , N/A , N/A ,$16.17 ,$60.99 ,$30.72 ,$39.39 ,$20.09 ,$64.58 ,$71.75 ,$15.47 ,$62.42 ,$53.81 ,$71.75 ,$53.81 ,$16.50 ,$46.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CLINDAMYCIN 900 MG/6ML SOLN 6 ML VIAL,250,1 ,$22.80 ,$16.42 ,$4.92 ,$22.80 ,$13.10 ,$14.36 ,$13.68 ,$4.92 ,$6.38 ,$13.22 ,$5.14 ,$13.91 ,$5.59 ,$12.52 ,$12.52 ,$5.81 ,$14.82 ,$10.14 ,$15.96 , N/A ,$5.14 ,$4.92 ,$17.10 ,$16.19 ,$16.19 ,$5.14 ,$16.19 ,$19.84 ,$19.84 ,$19.84 , N/A ,$20.52 ,$13.10 ,$19.38 ,$4.92 ,$22.80 ,$12.79 ,$4.92 ,$9.44 , N/A , N/A ,$5.14 ,$19.38 ,$9.76 ,$12.52 ,$6.38 ,$20.52 ,$22.80 ,$4.92 ,$19.84 ,$17.10 ,$22.80 ,$17.10 ,$5.24 ,$14.82 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,250,1 ,$43.90 ,$31.61 ,$9.47 ,$43.90 ,$25.25 ,$27.66 ,$26.34 ,$9.47 ,$12.29 ,$25.46 ,$9.90 ,$26.78 ,$10.76 ,$24.10 ,$24.10 ,$11.18 ,$28.54 ,$19.51 ,$30.73 , N/A ,$9.90 ,$9.47 ,$32.93 ,$31.17 ,$31.17 ,$9.90 ,$31.17 ,$38.19 ,$38.19 ,$38.19 , N/A ,$39.51 ,$25.25 ,$37.32 ,$9.47 ,$43.90 ,$24.63 ,$9.47 ,$18.17 , N/A , N/A ,$9.90 ,$37.32 ,$18.81 ,$24.10 ,$12.29 ,$39.51 ,$43.90 ,$9.47 ,$38.19 ,$32.93 ,$43.90 ,$32.93 ,$10.10 ,$28.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CYCLOPENTOLATE 2 % SOLN 2 ML BOTTLE,250,1 ,$86.60 ,$62.35 ,$18.67 ,$86.60 ,$49.80 ,$54.56 ,$51.96 ,$18.67 ,$24.25 ,$50.23 ,$19.52 ,$52.83 ,$21.22 ,$47.54 ,$47.54 ,$22.07 ,$56.29 ,$38.48 ,$60.62 , N/A ,$19.52 ,$18.67 ,$64.95 ,$61.49 ,$61.49 ,$19.52 ,$61.49 ,$75.34 ,$75.34 ,$75.34 , N/A ,$77.94 ,$49.80 ,$73.61 ,$18.67 ,$86.60 ,$48.58 ,$18.67 ,$35.85 , N/A , N/A ,$19.52 ,$73.61 ,$37.09 ,$47.54 ,$24.25 ,$77.94 ,$86.60 ,$18.67 ,$75.34 ,$64.95 ,$86.60 ,$64.95 ,$19.92 ,$56.29 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DEXMEDETOMIDINE 200 MCG/2ML SOLN 2 ML VIAL,250,1 ,$25.95 ,$18.68 ,$5.60 ,$25.95 ,$14.93 ,$16.35 ,$15.57 ,$5.60 ,$7.27 ,$15.05 ,$5.85 ,$15.83 ,$6.36 ,$14.25 ,$14.25 ,$6.61 ,$16.87 ,$11.53 ,$18.17 , N/A ,$5.85 ,$5.60 ,$19.46 ,$18.42 ,$18.42 ,$5.85 ,$18.42 ,$22.58 ,$22.58 ,$22.58 , N/A ,$23.36 ,$14.93 ,$22.06 ,$5.60 ,$25.95 ,$14.56 ,$5.60 ,$10.74 , N/A , N/A ,$5.85 ,$22.06 ,$11.11 ,$14.25 ,$7.27 ,$23.36 ,$25.95 ,$5.60 ,$22.58 ,$19.46 ,$25.95 ,$19.46 ,$5.97 ,$16.87 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,"DIPHENHYDRAMINE 12.5 MG/5ML 60 ML, LIDOCAINE VISCOUS 2 % 60 ML, PREDNISOLONE 15 MG/5ML 180 MG SUSPENSION",250,1 ,$7.20 ,$5.18 ,$1.55 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$4.68 ,$3.19 ,$5.04 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$5.40 ,$7.20 ,$5.40 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DOXYCYCLINE HYCLATE 100 MG SOLR 1 EACH VIAL,250,1 ,$126.40 ,$91.01 ,$27.25 ,$126.40 ,$72.68 ,$79.63 ,$75.84 ,$27.25 ,$35.39 ,$73.31 ,$28.49 ,$77.10 ,$30.97 ,$69.39 ,$69.39 ,$32.20 ,$82.16 ,$56.18 ,$88.48 , N/A ,$28.49 ,$27.25 ,$94.80 ,$89.74 ,$89.74 ,$28.49 ,$89.74 ,$109.97 ,$109.97 ,$109.97 , N/A ,$113.76 ,$72.68 ,$107.44 ,$27.25 ,$126.40 ,$70.91 ,$27.25 ,$52.33 , N/A , N/A ,$28.49 ,$107.44 ,$54.13 ,$69.39 ,$35.39 ,$113.76 ,$126.40 ,$27.25 ,$109.97 ,$94.80 ,$126.40 ,$94.80 ,$29.07 ,$82.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ENALAPRILAT 1.25 MG/ML INJ,250,1 ,$23.20 ,$16.70 ,$5.00 ,$23.20 ,$13.35 ,$14.62 ,$13.92 ,$5.00 ,$6.50 ,$13.46 ,$5.23 ,$14.15 ,$5.68 ,$12.74 ,$12.74 ,$5.91 ,$15.08 ,$10.30 ,$16.24 , N/A ,$5.23 ,$5.00 ,$17.40 ,$16.47 ,$16.47 ,$5.23 ,$16.47 ,$20.18 ,$20.18 ,$20.18 , N/A ,$20.88 ,$13.35 ,$19.72 ,$5.00 ,$23.20 ,$13.02 ,$5.00 ,$9.60 , N/A , N/A ,$5.23 ,$19.72 ,$9.95 ,$12.74 ,$6.50 ,$20.88 ,$23.20 ,$5.00 ,$20.18 ,$17.40 ,$23.20 ,$17.40 ,$5.34 ,$15.08 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ESMOLOL 2500 MG/250ML SOLN,250,1 ,$574.00 ,$413.28 ,$123.75 ,$574.00 ,$330.05 ,$361.62 ,$344.40 ,$123.75 ,$160.72 ,$332.92 ,$129.38 ,$350.14 ,$140.63 ,$315.13 ,$315.13 ,$146.26 ,$373.10 ,$255.09 ,$401.80 , N/A ,$129.38 ,$123.75 ,$430.50 ,$407.54 ,$407.54 ,$129.38 ,$407.54 ,$499.38 ,$499.38 ,$499.38 , N/A ,$516.60 ,$330.05 ,$487.90 ,$123.75 ,$574.00 ,$322.01 ,$123.75 ,$237.64 , N/A , N/A ,$129.38 ,$487.90 ,$245.82 ,$315.13 ,$160.72 ,$516.60 ,$574.00 ,$123.75 ,$499.38 ,$430.50 ,$574.00 ,$430.50 ,$132.02 ,$373.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ETOMIDATE 2 MG/ML SOLN,250,1 ,$27.75 ,$19.98 ,$5.99 ,$27.75 ,$15.95 ,$17.48 ,$16.65 ,$5.99 ,$7.77 ,$16.10 ,$6.25 ,$16.93 ,$6.80 ,$15.23 ,$15.23 ,$7.08 ,$18.04 ,$12.34 ,$19.43 , N/A ,$6.25 ,$5.99 ,$20.81 ,$19.70 ,$19.70 ,$6.25 ,$19.70 ,$24.14 ,$24.14 ,$24.14 , N/A ,$24.98 ,$15.95 ,$23.59 ,$5.99 ,$27.75 ,$15.57 ,$5.99 ,$11.49 , N/A , N/A ,$6.25 ,$23.59 ,$11.88 ,$15.23 ,$7.77 ,$24.98 ,$27.75 ,$5.99 ,$24.14 ,$20.81 ,$27.75 ,$20.81 ,$6.38 ,$18.04 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,FAT EMULSION 20 % EMUL,250,1 ,$226.00 ,$162.72 ,$48.73 ,$226.00 ,$129.95 ,$142.38 ,$135.60 ,$48.73 ,$63.28 ,$131.08 ,$50.94 ,$137.86 ,$55.37 ,$124.07 ,$124.07 ,$57.58 ,$146.90 ,$100.43 ,$158.20 , N/A ,$50.94 ,$48.73 ,$169.50 ,$160.46 ,$160.46 ,$50.94 ,$160.46 ,$196.62 ,$196.62 ,$196.62 , N/A ,$203.40 ,$129.95 ,$192.10 ,$48.73 ,$226.00 ,$126.79 ,$48.73 ,$93.56 , N/A , N/A ,$50.94 ,$192.10 ,$96.78 ,$124.07 ,$63.28 ,$203.40 ,$226.00 ,$48.73 ,$196.62 ,$169.50 ,$226.00 ,$169.50 ,$51.98 ,$146.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,FLURBIPROFEN 0.03 % SOLN 2.5 ML BOTTLE,250,1 ,$86.40 ,$62.21 ,$18.63 ,$86.40 ,$49.68 ,$54.43 ,$51.84 ,$18.63 ,$24.19 ,$50.11 ,$19.47 ,$52.70 ,$21.17 ,$47.43 ,$47.43 ,$22.01 ,$56.16 ,$38.40 ,$60.48 , N/A ,$19.47 ,$18.63 ,$64.80 ,$61.34 ,$61.34 ,$19.47 ,$61.34 ,$75.17 ,$75.17 ,$75.17 , N/A ,$77.76 ,$49.68 ,$73.44 ,$18.63 ,$86.40 ,$48.47 ,$18.63 ,$35.77 , N/A , N/A ,$19.47 ,$73.44 ,$36.99 ,$47.43 ,$24.19 ,$77.76 ,$86.40 ,$18.63 ,$75.17 ,$64.80 ,$86.40 ,$64.80 ,$19.87 ,$56.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,250,1 ,$23.65 ,$17.03 ,$5.10 ,$23.65 ,$13.60 ,$14.90 ,$14.19 ,$5.10 ,$6.62 ,$13.72 ,$5.33 ,$14.43 ,$5.79 ,$12.98 ,$12.98 ,$6.03 ,$15.37 ,$10.50 ,$16.56 , N/A ,$5.33 ,$5.10 ,$17.74 ,$16.79 ,$16.79 ,$5.33 ,$16.79 ,$20.58 ,$20.58 ,$20.58 , N/A ,$21.29 ,$13.60 ,$20.10 ,$5.10 ,$23.65 ,$13.27 ,$5.10 ,$9.79 , N/A , N/A ,$5.33 ,$20.10 ,$10.13 ,$12.98 ,$6.62 ,$21.29 ,$23.65 ,$5.10 ,$20.58 ,$17.74 ,$23.65 ,$17.74 ,$5.44 ,$15.37 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,GLYCOPYRROLATE 0.2 MG/ML SOLN,250,1 ,$65.00 ,$46.80 ,$14.01 ,$65.00 ,$37.38 ,$40.95 ,$39.00 ,$14.01 ,$18.20 ,$37.70 ,$14.65 ,$39.65 ,$15.92 ,$35.69 ,$35.69 ,$16.56 ,$42.25 ,$28.89 ,$45.50 , N/A ,$14.65 ,$14.01 ,$48.75 ,$46.15 ,$46.15 ,$14.65 ,$46.15 ,$56.55 ,$56.55 ,$56.55 , N/A ,$58.50 ,$37.38 ,$55.25 ,$14.01 ,$65.00 ,$36.47 ,$14.01 ,$26.91 , N/A , N/A ,$14.65 ,$55.25 ,$27.84 ,$35.69 ,$18.20 ,$58.50 ,$65.00 ,$14.01 ,$56.55 ,$48.75 ,$65.00 ,$48.75 ,$14.95 ,$42.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,INDOCYANINE GREEN 25 MG SOLR,250,1 ,$54.70 ,$39.38 ,$11.79 ,$54.70 ,$31.45 ,$34.46 ,$32.82 ,$11.79 ,$15.32 ,$31.73 ,$12.33 ,$33.37 ,$13.41 ,$30.03 ,$30.03 ,$13.94 ,$35.56 ,$24.30 ,$38.29 , N/A ,$12.33 ,$11.79 ,$41.03 ,$38.84 ,$38.84 ,$12.33 ,$38.84 ,$47.59 ,$47.59 ,$47.59 , N/A ,$49.23 ,$31.45 ,$46.50 ,$11.79 ,$54.70 ,$30.69 ,$11.79 ,$22.65 , N/A , N/A ,$12.33 ,$46.50 ,$23.42 ,$30.03 ,$15.32 ,$49.23 ,$54.70 ,$11.79 ,$47.59 ,$41.03 ,$54.70 ,$41.03 ,$12.58 ,$35.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,INSULIN REGULAR 100 UNITS/100 ML NS SOLN,250,1 ,$168.00 ,$120.96 ,$36.22 ,$168.00 ,$96.60 ,$105.84 ,$100.80 ,$36.22 ,$47.04 ,$97.44 ,$37.87 ,$102.48 ,$41.16 ,$92.23 ,$92.23 ,$42.81 ,$109.20 ,$74.66 ,$117.60 , N/A ,$37.87 ,$36.22 ,$126.00 ,$119.28 ,$119.28 ,$37.87 ,$119.28 ,$146.16 ,$146.16 ,$146.16 , N/A ,$151.20 ,$96.60 ,$142.80 ,$36.22 ,$168.00 ,$94.25 ,$36.22 ,$69.55 , N/A , N/A ,$37.87 ,$142.80 ,$71.95 ,$92.23 ,$47.04 ,$151.20 ,$168.00 ,$36.22 ,$146.16 ,$126.00 ,$168.00 ,$126.00 ,$38.64 ,$109.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,IPRATROPIUM 0.03 % SOLN 30 ML BOTTLE,250,1 ,$223.35 ,$160.81 ,$48.16 ,$223.35 ,$128.43 ,$140.71 ,$134.01 ,$48.16 ,$62.54 ,$129.54 ,$50.34 ,$136.24 ,$54.72 ,$122.62 ,$122.62 ,$56.91 ,$145.18 ,$99.26 ,$156.35 , N/A ,$50.34 ,$48.16 ,$167.51 ,$158.58 ,$158.58 ,$50.34 ,$158.58 ,$194.31 ,$194.31 ,$194.31 , N/A ,$201.02 ,$128.43 ,$189.85 ,$48.16 ,$223.35 ,$125.30 ,$48.16 ,$92.47 , N/A , N/A ,$50.34 ,$189.85 ,$95.65 ,$122.62 ,$62.54 ,$201.02 ,$223.35 ,$48.16 ,$194.31 ,$167.51 ,$223.35 ,$167.51 ,$51.37 ,$145.18 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,KETAMINE 10 MG/ML SOLN,250,1 ,$61.75 ,$44.46 ,$13.32 ,$61.75 ,$35.50 ,$38.90 ,$37.05 ,$13.32 ,$17.29 ,$35.82 ,$13.92 ,$37.67 ,$15.13 ,$33.90 ,$33.90 ,$15.74 ,$40.14 ,$27.45 ,$43.23 , N/A ,$13.92 ,$13.32 ,$46.31 ,$43.84 ,$43.84 ,$13.92 ,$43.84 ,$53.72 ,$53.72 ,$53.72 , N/A ,$55.58 ,$35.50 ,$52.49 ,$13.32 ,$61.75 ,$34.64 ,$13.32 ,$25.56 , N/A , N/A ,$13.92 ,$52.49 ,$26.44 ,$33.90 ,$17.29 ,$55.58 ,$61.75 ,$13.32 ,$53.72 ,$46.31 ,$61.75 ,$46.31 ,$14.20 ,$40.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LEVOTHYROXINE 100 MCG SOLR,250,1 ,$506.80 ,$364.90 ,$109.27 ,$506.80 ,$291.40 ,$319.28 ,$304.08 ,$109.27 ,$141.90 ,$293.94 ,$114.23 ,$309.15 ,$124.17 ,$278.23 ,$278.23 ,$129.13 ,$329.42 ,$225.23 ,$354.76 , N/A ,$114.23 ,$109.27 ,$380.10 ,$359.83 ,$359.83 ,$114.23 ,$359.83 ,$440.92 ,$440.92 ,$440.92 , N/A ,$456.12 ,$291.40 ,$430.78 ,$109.27 ,$506.80 ,$284.31 ,$109.27 ,$209.82 , N/A , N/A ,$114.23 ,$430.78 ,$217.03 ,$278.23 ,$141.90 ,$456.12 ,$506.80 ,$109.27 ,$440.92 ,$380.10 ,$506.80 ,$380.10 ,$116.56 ,$329.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE (PF) 1 % SOLN,250,1 ,$11.80 ,$8.50 ,$2.55 ,$11.80 ,$6.78 ,$7.43 ,$7.08 ,$2.55 ,$3.30 ,$6.84 ,$2.66 ,$7.20 ,$2.89 ,$6.48 ,$6.48 ,$3.01 ,$7.67 ,$5.25 ,$8.26 , N/A ,$2.66 ,$2.55 ,$8.85 ,$8.38 ,$8.38 ,$2.66 ,$8.38 ,$10.27 ,$10.27 ,$10.27 , N/A ,$10.62 ,$6.78 ,$10.03 ,$2.55 ,$11.80 ,$6.62 ,$2.55 ,$4.89 , N/A , N/A ,$2.66 ,$10.03 ,$5.05 ,$6.48 ,$3.30 ,$10.62 ,$11.80 ,$2.55 ,$10.27 ,$8.85 ,$11.80 ,$8.85 ,$2.71 ,$7.67 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 0.5 % SOLN,250,1 ,$48.35 ,$34.81 ,$10.43 ,$48.35 ,$27.80 ,$30.46 ,$29.01 ,$10.43 ,$13.54 ,$28.04 ,$10.90 ,$29.49 ,$11.85 ,$26.54 ,$26.54 ,$12.32 ,$31.43 ,$21.49 ,$33.85 , N/A ,$10.90 ,$10.43 ,$36.26 ,$34.33 ,$34.33 ,$10.90 ,$34.33 ,$42.06 ,$42.06 ,$42.06 , N/A ,$43.52 ,$27.80 ,$41.10 ,$10.43 ,$48.35 ,$27.12 ,$10.43 ,$20.02 , N/A , N/A ,$10.90 ,$41.10 ,$20.71 ,$26.54 ,$13.54 ,$43.52 ,$48.35 ,$10.43 ,$42.06 ,$36.26 ,$48.35 ,$36.26 ,$11.12 ,$31.43 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 1%-PHENYLEPHRINE 1.5% IN BSS SOLN,250,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$33.60 , N/A ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 , N/A , N/A ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$36.00 ,$48.00 ,$36.00 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 2 % GEL 5 ML TUBE,250,1 ,$16.80 ,$12.10 ,$3.63 ,$16.80 ,$9.65 ,$10.58 ,$10.08 ,$3.63 ,$4.70 ,$9.74 ,$3.78 ,$10.25 ,$4.12 ,$9.22 ,$9.22 ,$4.28 ,$10.92 ,$7.47 ,$11.76 , N/A ,$3.78 ,$3.63 ,$12.60 ,$11.93 ,$11.93 ,$3.78 ,$11.93 ,$14.62 ,$14.62 ,$14.62 , N/A ,$15.12 ,$9.65 ,$14.28 ,$3.63 ,$16.80 ,$9.42 ,$3.63 ,$6.96 , N/A , N/A ,$3.78 ,$14.28 ,$7.18 ,$9.22 ,$4.70 ,$15.12 ,$16.80 ,$3.63 ,$14.62 ,$12.60 ,$16.80 ,$12.60 ,$3.86 ,$10.92 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 2 % PRSY 10 ML SYRINGE,250,1 ,$15.40 ,$11.09 ,$3.32 ,$15.40 ,$8.85 ,$9.70 ,$9.24 ,$3.32 ,$4.31 ,$8.93 ,$3.47 ,$9.39 ,$3.77 ,$8.45 ,$8.45 ,$3.92 ,$10.01 ,$6.85 ,$10.78 , N/A ,$3.47 ,$3.32 ,$11.55 ,$10.93 ,$10.93 ,$3.47 ,$10.93 ,$13.40 ,$13.40 ,$13.40 , N/A ,$13.86 ,$8.85 ,$13.09 ,$3.32 ,$15.40 ,$8.64 ,$3.32 ,$6.38 , N/A , N/A ,$3.47 ,$13.09 ,$6.60 ,$8.45 ,$4.31 ,$13.86 ,$15.40 ,$3.32 ,$13.40 ,$11.55 ,$15.40 ,$11.55 ,$3.54 ,$10.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 2 % PRSY 5 ML SYRINGE,250,1 ,$13.80 ,$9.94 ,$2.98 ,$13.80 ,$7.93 ,$8.69 ,$8.28 ,$2.98 ,$3.86 ,$8.00 ,$3.11 ,$8.42 ,$3.38 ,$7.58 ,$7.58 ,$3.52 ,$8.97 ,$6.14 ,$9.66 , N/A ,$3.11 ,$2.98 ,$10.35 ,$9.80 ,$9.80 ,$3.11 ,$9.80 ,$12.01 ,$12.01 ,$12.01 , N/A ,$12.42 ,$7.93 ,$11.73 ,$2.98 ,$13.80 ,$7.74 ,$2.98 ,$5.71 , N/A , N/A ,$3.11 ,$11.73 ,$5.90 ,$7.58 ,$3.86 ,$12.42 ,$13.80 ,$2.98 ,$12.01 ,$10.35 ,$13.80 ,$10.35 ,$3.17 ,$8.97 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 2 % PRSY 6 ML SYRINGE,250,1 ,$14.30 ,$10.30 ,$3.09 ,$14.30 ,$8.23 ,$9.01 ,$8.58 ,$3.09 ,$4.00 ,$8.29 ,$3.22 ,$8.72 ,$3.51 ,$7.85 ,$7.85 ,$3.65 ,$9.30 ,$6.36 ,$10.01 , N/A ,$3.22 ,$3.09 ,$10.73 ,$10.15 ,$10.15 ,$3.22 ,$10.15 ,$12.44 ,$12.44 ,$12.44 , N/A ,$12.87 ,$8.23 ,$12.16 ,$3.09 ,$14.30 ,$8.02 ,$3.09 ,$5.92 , N/A , N/A ,$3.22 ,$12.16 ,$6.12 ,$7.85 ,$4.00 ,$12.87 ,$14.30 ,$3.09 ,$12.44 ,$10.73 ,$14.30 ,$10.73 ,$3.29 ,$9.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 4 % SOLN 50 ML BOTTLE,250,1 ,$129.30 ,$93.10 ,$27.88 ,$129.30 ,$74.35 ,$81.46 ,$77.58 ,$27.88 ,$36.20 ,$74.99 ,$29.15 ,$78.87 ,$31.68 ,$70.99 ,$70.99 ,$32.95 ,$84.05 ,$57.47 ,$90.51 , N/A ,$29.15 ,$27.88 ,$96.98 ,$91.80 ,$91.80 ,$29.15 ,$91.80 ,$112.49 ,$112.49 ,$112.49 , N/A ,$116.37 ,$74.35 ,$109.91 ,$27.88 ,$129.30 ,$72.54 ,$27.88 ,$53.53 , N/A , N/A ,$29.15 ,$109.91 ,$55.38 ,$70.99 ,$36.20 ,$116.37 ,$129.30 ,$27.88 ,$112.49 ,$96.98 ,$129.30 ,$96.98 ,$29.74 ,$84.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA 5 G TUBE,250,1 ,$19.85 ,$14.29 ,$4.28 ,$19.85 ,$11.43 ,$12.51 ,$11.91 ,$4.28 ,$5.56 ,$11.51 ,$4.48 ,$12.11 ,$4.86 ,$10.90 ,$10.90 ,$5.06 ,$12.90 ,$8.83 ,$13.90 , N/A ,$4.48 ,$4.28 ,$14.89 ,$14.09 ,$14.09 ,$4.48 ,$14.09 ,$17.27 ,$17.27 ,$17.27 , N/A ,$17.87 ,$11.43 ,$16.87 ,$4.28 ,$19.85 ,$11.14 ,$4.28 ,$8.22 , N/A , N/A ,$4.48 ,$16.87 ,$8.51 ,$10.90 ,$5.56 ,$17.87 ,$19.85 ,$4.28 ,$17.27 ,$14.89 ,$19.85 ,$14.89 ,$4.57 ,$12.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,MANNITOL 20 % SOLN,250,1 ,$63.05 ,$45.40 ,$13.59 ,$63.05 ,$36.25 ,$39.72 ,$37.83 ,$13.59 ,$17.65 ,$36.57 ,$14.21 ,$38.46 ,$15.44 ,$34.61 ,$34.61 ,$16.06 ,$40.98 ,$28.02 ,$44.14 , N/A ,$14.21 ,$13.59 ,$47.29 ,$44.77 ,$44.77 ,$14.21 ,$44.77 ,$54.85 ,$54.85 ,$54.85 , N/A ,$56.75 ,$36.25 ,$53.59 ,$13.59 ,$63.05 ,$35.37 ,$13.59 ,$26.10 , N/A , N/A ,$14.21 ,$53.59 ,$27.00 ,$34.61 ,$17.65 ,$56.75 ,$63.05 ,$13.59 ,$54.85 ,$47.29 ,$63.05 ,$47.29 ,$14.50 ,$40.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,METRONIDAZOLE 500 MG/100ML SOLN,250,1 ,$91.00 ,$65.52 ,$19.62 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$59.15 ,$40.44 ,$63.70 , N/A ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 , N/A , N/A ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$68.25 ,$91.00 ,$68.25 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CLINDAMYCIN 600 MG/50ML SOLN,250,1 ,$91.00 ,$65.52 ,$19.62 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$59.15 ,$40.44 ,$63.70 , N/A ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 , N/A , N/A ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$68.25 ,$91.00 ,$68.25 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CLINDAMYCIN 900 MG/50ML SOLN,250,1 ,$91.00 ,$65.52 ,$19.62 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$59.15 ,$40.44 ,$63.70 , N/A ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 , N/A , N/A ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$68.25 ,$91.00 ,$68.25 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,MOXIFLOXACIN 0.5 % SOLN 3 ML BOTTLE,250,1 ,$334.70 ,$240.98 ,$72.16 ,$334.70 ,$192.45 ,$210.86 ,$200.82 ,$72.16 ,$93.72 ,$194.13 ,$75.44 ,$204.17 ,$82.01 ,$183.75 ,$183.75 ,$85.28 ,$217.56 ,$148.73 ,$234.29 , N/A ,$75.44 ,$72.16 ,$251.03 ,$237.64 ,$237.64 ,$75.44 ,$237.64 ,$291.19 ,$291.19 ,$291.19 , N/A ,$301.23 ,$192.45 ,$284.50 ,$72.16 ,$334.70 ,$187.77 ,$72.16 ,$138.57 , N/A , N/A ,$75.44 ,$284.50 ,$143.33 ,$183.75 ,$93.72 ,$301.23 ,$334.70 ,$72.16 ,$291.19 ,$251.03 ,$334.70 ,$251.03 ,$76.98 ,$217.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,MULTIVITAMIN (ADULT MVI) INJ 10 ML VIAL,250,1 ,$55.85 ,$40.21 ,$12.04 ,$55.85 ,$32.13 ,$35.19 ,$33.51 ,$12.04 ,$15.64 ,$32.39 ,$12.59 ,$34.07 ,$13.68 ,$30.66 ,$30.66 ,$14.23 ,$36.30 ,$24.83 ,$39.10 , N/A ,$12.59 ,$12.04 ,$41.89 ,$39.65 ,$39.65 ,$12.59 ,$39.65 ,$48.59 ,$48.59 ,$48.59 , N/A ,$50.27 ,$32.13 ,$47.47 ,$12.04 ,$55.85 ,$31.33 ,$12.04 ,$23.12 , N/A , N/A ,$12.59 ,$47.47 ,$23.93 ,$30.66 ,$15.64 ,$50.27 ,$55.85 ,$12.04 ,$48.59 ,$41.89 ,$55.85 ,$41.89 ,$12.85 ,$36.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 5-400-10000 OINT 3.5 G TUBE,250,1 ,$113.90 ,$82.01 ,$24.56 ,$113.90 ,$65.50 ,$71.76 ,$68.34 ,$24.56 ,$31.89 ,$66.06 ,$25.68 ,$69.48 ,$27.91 ,$62.53 ,$62.53 ,$29.02 ,$74.04 ,$50.62 ,$79.73 , N/A ,$25.68 ,$24.56 ,$85.43 ,$80.87 ,$80.87 ,$25.68 ,$80.87 ,$99.09 ,$99.09 ,$99.09 , N/A ,$102.51 ,$65.50 ,$96.82 ,$24.56 ,$113.90 ,$63.90 ,$24.56 ,$47.15 , N/A , N/A ,$25.68 ,$96.82 ,$48.78 ,$62.53 ,$31.89 ,$102.51 ,$113.90 ,$24.56 ,$99.09 ,$85.43 ,$113.90 ,$85.43 ,$26.20 ,$74.04 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5-10000-0.1 OINT 3.5 G TUBE,250,1 ,$88.00 ,$63.36 ,$18.97 ,$88.00 ,$50.60 ,$55.44 ,$52.80 ,$18.97 ,$24.64 ,$51.04 ,$19.84 ,$53.68 ,$21.56 ,$48.31 ,$48.31 ,$22.42 ,$57.20 ,$39.11 ,$61.60 , N/A ,$19.84 ,$18.97 ,$66.00 ,$62.48 ,$62.48 ,$19.84 ,$62.48 ,$76.56 ,$76.56 ,$76.56 , N/A ,$79.20 ,$50.60 ,$74.80 ,$18.97 ,$88.00 ,$49.37 ,$18.97 ,$36.43 , N/A , N/A ,$19.84 ,$74.80 ,$37.69 ,$48.31 ,$24.64 ,$79.20 ,$88.00 ,$18.97 ,$76.56 ,$66.00 ,$88.00 ,$66.00 ,$20.24 ,$57.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NEOMYCIN-POLYMYXIN-DEXAMETHASONE 3.5-10000-0.1 SUSP 5 ML BOTTLE,250,1 ,$39.75 ,$28.62 ,$8.57 ,$39.75 ,$22.85 ,$25.04 ,$23.85 ,$8.57 ,$11.13 ,$23.06 ,$8.96 ,$24.25 ,$9.74 ,$21.82 ,$21.82 ,$10.13 ,$25.84 ,$17.68 ,$27.83 , N/A ,$8.96 ,$8.57 ,$29.81 ,$28.22 ,$28.22 ,$8.96 ,$28.22 ,$34.58 ,$34.58 ,$34.58 , N/A ,$35.78 ,$22.85 ,$33.79 ,$8.57 ,$39.75 ,$22.30 ,$8.57 ,$16.46 , N/A , N/A ,$8.96 ,$33.79 ,$17.02 ,$21.82 ,$11.13 ,$35.78 ,$39.75 ,$8.57 ,$34.58 ,$29.81 ,$39.75 ,$29.81 ,$9.14 ,$25.84 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% SOLN,250,1 ,$488.00 ,$351.36 ,$105.21 ,$488.00 ,$280.60 ,$307.44 ,$292.80 ,$105.21 ,$136.64 ,$283.04 ,$110.00 ,$297.68 ,$119.56 ,$267.91 ,$267.91 ,$124.34 ,$317.20 ,$216.87 ,$341.60 , N/A ,$110.00 ,$105.21 ,$366.00 ,$346.48 ,$346.48 ,$110.00 ,$346.48 ,$424.56 ,$424.56 ,$424.56 , N/A ,$439.20 ,$280.60 ,$414.80 ,$105.21 ,$488.00 ,$273.77 ,$105.21 ,$202.03 , N/A , N/A ,$110.00 ,$414.80 ,$208.99 ,$267.91 ,$136.64 ,$439.20 ,$488.00 ,$105.21 ,$424.56 ,$366.00 ,$488.00 ,$366.00 ,$112.24 ,$317.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NITROGLYCERIN 200-5 MCG/ML-% SOLN,250,1 ,$108.00 ,$77.76 ,$23.28 ,$108.00 ,$62.10 ,$68.04 ,$64.80 ,$23.28 ,$30.24 ,$62.64 ,$24.34 ,$65.88 ,$26.46 ,$59.29 ,$59.29 ,$27.52 ,$70.20 ,$48.00 ,$75.60 , N/A ,$24.34 ,$23.28 ,$81.00 ,$76.68 ,$76.68 ,$24.34 ,$76.68 ,$93.96 ,$93.96 ,$93.96 , N/A ,$97.20 ,$62.10 ,$91.80 ,$23.28 ,$108.00 ,$60.59 ,$23.28 ,$44.71 , N/A , N/A ,$24.34 ,$91.80 ,$46.26 ,$59.29 ,$30.24 ,$97.20 ,$108.00 ,$23.28 ,$93.96 ,$81.00 ,$108.00 ,$81.00 ,$24.84 ,$70.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL,250,1 ,$98.10 ,$70.63 ,$21.15 ,$98.10 ,$56.40 ,$61.80 ,$58.86 ,$21.15 ,$27.47 ,$56.90 ,$22.11 ,$59.84 ,$24.04 ,$53.86 ,$53.86 ,$25.00 ,$63.77 ,$43.59 ,$68.67 , N/A ,$22.11 ,$21.15 ,$73.58 ,$69.65 ,$69.65 ,$22.11 ,$69.65 ,$85.35 ,$85.35 ,$85.35 , N/A ,$88.29 ,$56.40 ,$83.39 ,$21.15 ,$98.10 ,$55.03 ,$21.15 ,$40.61 , N/A , N/A ,$22.11 ,$83.39 ,$42.00 ,$53.86 ,$27.47 ,$88.29 ,$98.10 ,$21.15 ,$85.35 ,$73.58 ,$98.10 ,$73.58 ,$22.56 ,$63.77 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,OLANZAPINE 10 MG SOLR,250,1 ,$90.45 ,$65.12 ,$19.50 ,$90.45 ,$52.00 ,$56.98 ,$54.27 ,$19.50 ,$25.33 ,$52.46 ,$20.38 ,$55.17 ,$22.16 ,$49.66 ,$49.66 ,$23.05 ,$58.79 ,$40.20 ,$63.32 , N/A ,$20.38 ,$19.50 ,$67.84 ,$64.22 ,$64.22 ,$20.38 ,$64.22 ,$78.69 ,$78.69 ,$78.69 , N/A ,$81.41 ,$52.00 ,$76.88 ,$19.50 ,$90.45 ,$50.74 ,$19.50 ,$37.45 , N/A , N/A ,$20.38 ,$76.88 ,$38.73 ,$49.66 ,$25.33 ,$81.41 ,$90.45 ,$19.50 ,$78.69 ,$67.84 ,$90.45 ,$67.84 ,$20.80 ,$58.79 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,OPHTHALMIC IRRIGATION SOLN 118 ML BOTTLE,250,1 ,$7.35 ,$5.29 ,$1.59 ,$7.35 ,$4.23 ,$4.63 ,$4.41 ,$1.59 ,$2.06 ,$4.26 ,$1.66 ,$4.48 ,$1.80 ,$4.04 ,$4.04 ,$1.87 ,$4.78 ,$3.27 ,$5.15 , N/A ,$1.66 ,$1.59 ,$5.51 ,$5.22 ,$5.22 ,$1.66 ,$5.22 ,$6.39 ,$6.39 ,$6.39 , N/A ,$6.62 ,$4.23 ,$6.25 ,$1.59 ,$7.35 ,$4.12 ,$1.59 ,$3.04 , N/A , N/A ,$1.66 ,$6.25 ,$3.15 ,$4.04 ,$2.06 ,$6.62 ,$7.35 ,$1.59 ,$6.39 ,$5.51 ,$7.35 ,$5.51 ,$1.69 ,$4.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,PENTAMIDINE 300 MG SOLR 1 EACH VIAL,250,1 ,$801.10 ,$576.79 ,$172.72 ,$801.10 ,$460.63 ,$504.69 ,$480.66 ,$172.72 ,$224.31 ,$464.64 ,$180.56 ,$488.67 ,$196.27 ,$439.80 ,$439.80 ,$204.12 ,$520.72 ,$356.00 ,$560.77 , N/A ,$180.56 ,$172.72 ,$600.83 ,$568.78 ,$568.78 ,$180.56 ,$568.78 ,$696.96 ,$696.96 ,$696.96 , N/A ,$720.99 ,$460.63 ,$680.94 ,$172.72 ,$801.10 ,$449.42 ,$172.72 ,$331.66 , N/A , N/A ,$180.56 ,$680.94 ,$343.08 ,$439.80 ,$224.31 ,$720.99 ,$801.10 ,$172.72 ,$696.96 ,$600.83 ,$801.10 ,$600.83 ,$184.25 ,$520.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,PHENYLEPHRINE 2.5 % SOLN 15 ML BOTTLE,250,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,PILOCARPINE 1 % SOLN 15 ML BOTTLE,250,1 ,$197.15 ,$141.95 ,$42.50 ,$197.15 ,$113.35 ,$124.20 ,$118.29 ,$42.50 ,$55.20 ,$114.35 ,$44.43 ,$120.26 ,$48.30 ,$108.24 ,$108.24 ,$50.23 ,$128.15 ,$87.61 ,$138.01 , N/A ,$44.43 ,$42.50 ,$147.86 ,$139.98 ,$139.98 ,$44.43 ,$139.98 ,$171.52 ,$171.52 ,$171.52 , N/A ,$177.44 ,$113.35 ,$167.58 ,$42.50 ,$197.15 ,$110.60 ,$42.50 ,$81.62 , N/A , N/A ,$44.43 ,$167.58 ,$84.43 ,$108.24 ,$55.20 ,$177.44 ,$197.15 ,$42.50 ,$171.52 ,$147.86 ,$197.15 ,$147.86 ,$45.34 ,$128.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,"POLYETHYLENE GLYCOL 236 G SOLR 4,000 ML BOTTLE",250,1 ,$56.00 ,$40.32 ,$12.07 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$32.48 ,$12.62 ,$34.16 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$39.20 , N/A ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 , N/A , N/A ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$42.00 ,$56.00 ,$42.00 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,250,1 ,$47.35 ,$34.09 ,$10.21 ,$47.35 ,$27.23 ,$29.83 ,$28.41 ,$10.21 ,$13.26 ,$27.46 ,$10.67 ,$28.88 ,$11.60 ,$26.00 ,$26.00 ,$12.06 ,$30.78 ,$21.05 ,$33.15 , N/A ,$10.67 ,$10.21 ,$35.51 ,$33.62 ,$33.62 ,$10.67 ,$33.62 ,$41.19 ,$41.19 ,$41.19 , N/A ,$42.62 ,$27.23 ,$40.25 ,$10.21 ,$47.35 ,$26.56 ,$10.21 ,$19.60 , N/A , N/A ,$10.67 ,$40.25 ,$20.28 ,$26.00 ,$13.26 ,$42.62 ,$47.35 ,$10.21 ,$41.19 ,$35.51 ,$47.35 ,$35.51 ,$10.89 ,$30.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,POVIDONE-IODINE 5 % SOLN 30 ML BOTTLE,250,1 ,$36.15 ,$26.03 ,$7.79 ,$36.15 ,$20.78 ,$22.77 ,$21.69 ,$7.79 ,$10.12 ,$20.97 ,$8.14 ,$22.05 ,$8.86 ,$19.85 ,$19.85 ,$9.21 ,$23.50 ,$16.06 ,$25.31 , N/A ,$8.14 ,$7.79 ,$27.11 ,$25.67 ,$25.67 ,$8.14 ,$25.67 ,$31.45 ,$31.45 ,$31.45 , N/A ,$32.54 ,$20.78 ,$30.73 ,$7.79 ,$36.15 ,$20.28 ,$7.79 ,$14.97 , N/A , N/A ,$8.14 ,$30.73 ,$15.47 ,$19.85 ,$10.12 ,$32.54 ,$36.15 ,$7.79 ,$31.45 ,$27.11 ,$36.15 ,$27.11 ,$8.31 ,$23.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$87.75 ,$63.18 ,$18.92 ,$87.75 ,$50.45 ,$55.28 ,$52.65 ,$18.92 ,$24.57 ,$50.90 ,$19.78 ,$53.53 ,$21.50 ,$48.17 ,$48.17 ,$22.36 ,$57.04 ,$39.01 ,$61.43 , N/A ,$19.78 ,$18.92 ,$65.81 ,$62.30 ,$62.30 ,$19.78 ,$62.30 ,$76.34 ,$76.34 ,$76.34 , N/A ,$78.98 ,$50.45 ,$74.59 ,$18.92 ,$87.75 ,$49.23 ,$18.92 ,$36.33 , N/A , N/A ,$19.78 ,$74.59 ,$37.57 ,$48.17 ,$24.57 ,$78.98 ,$87.75 ,$18.92 ,$76.34 ,$65.81 ,$87.75 ,$65.81 ,$20.18 ,$57.04 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,J0248,REMDESIVIR 100 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$24.96 ,$17.97 ,$5.38 ,$569.48 ,$14.35 ,$15.72 ,$14.98 ,$5.38 ,$6.99 ,$14.48 ,$5.63 ,$15.23 ,$6.12 ,$13.70 ,$13.70 ,$6.36 ,$13.70 ,$11.09 ,$11.02 ,$13.78 ,$5.63 ,$5.38 ,$18.72 ,$17.72 ,$17.72 ,$5.63 ,$17.72 ,$21.72 ,$21.72 ,$21.72 , N/A ,$22.46 ,$14.35 ,$21.22 ,$5.38 ,$24.96 ,$14.00 ,$5.38 ,$10.33 ,$569.48 ,$517.71 ,$5.63 ,$21.22 ,$10.69 ,$13.70 ,$6.99 ,$22.46 ,$24.96 ,$5.38 ,$21.72 ,$9.09 ,$24.96 ,$9.09 ,$5.74 ,$16.22 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ROCURONIUM 50 MG/5ML SOLN,250,1 ,$80.40 ,$57.89 ,$17.34 ,$80.40 ,$46.23 ,$50.65 ,$48.24 ,$17.34 ,$22.51 ,$46.63 ,$18.12 ,$49.04 ,$19.70 ,$44.14 ,$44.14 ,$20.48 ,$52.26 ,$35.73 ,$56.28 , N/A ,$18.12 ,$17.34 ,$60.30 ,$57.08 ,$57.08 ,$18.12 ,$57.08 ,$69.95 ,$69.95 ,$69.95 , N/A ,$72.36 ,$46.23 ,$68.34 ,$17.34 ,$80.40 ,$45.10 ,$17.34 ,$33.29 , N/A , N/A ,$18.12 ,$68.34 ,$34.43 ,$44.14 ,$22.51 ,$72.36 ,$80.40 ,$17.34 ,$69.95 ,$60.30 ,$80.40 ,$60.30 ,$18.49 ,$52.26 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SCOPOLAMINE 1 MG/3DAYS PT72,250,1 ,$46.00 ,$33.12 ,$9.92 ,$46.00 ,$26.45 ,$28.98 ,$27.60 ,$9.92 ,$12.88 ,$26.68 ,$10.37 ,$28.06 ,$11.27 ,$25.25 ,$25.25 ,$11.72 ,$29.90 ,$20.44 ,$32.20 , N/A ,$10.37 ,$9.92 ,$34.50 ,$32.66 ,$32.66 ,$10.37 ,$32.66 ,$40.02 ,$40.02 ,$40.02 , N/A ,$41.40 ,$26.45 ,$39.10 ,$9.92 ,$46.00 ,$25.81 ,$9.92 ,$19.04 , N/A , N/A ,$10.37 ,$39.10 ,$19.70 ,$25.25 ,$12.88 ,$41.40 ,$46.00 ,$9.92 ,$40.02 ,$34.50 ,$46.00 ,$34.50 ,$10.58 ,$29.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN 50 ML SYRINGE,250,1 ,$62.80 ,$45.22 ,$13.54 ,$62.80 ,$36.10 ,$39.56 ,$37.68 ,$13.54 ,$17.58 ,$36.42 ,$14.15 ,$38.31 ,$15.39 ,$34.48 ,$34.48 ,$16.00 ,$40.82 ,$27.92 ,$43.96 , N/A ,$14.15 ,$13.54 ,$47.10 ,$44.59 ,$44.59 ,$14.15 ,$44.59 ,$54.64 ,$54.64 ,$54.64 , N/A ,$56.52 ,$36.10 ,$53.38 ,$13.54 ,$62.80 ,$35.23 ,$13.54 ,$26.00 , N/A , N/A ,$14.15 ,$53.38 ,$26.89 ,$34.48 ,$17.58 ,$56.52 ,$62.80 ,$13.54 ,$54.64 ,$47.10 ,$62.80 ,$47.10 ,$14.44 ,$40.82 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,250,1 ,$46.80 ,$33.70 ,$10.09 ,$46.80 ,$26.90 ,$29.48 ,$28.08 ,$10.09 ,$13.10 ,$27.14 ,$10.54 ,$28.55 ,$11.47 ,$25.69 ,$25.69 ,$11.93 ,$30.42 ,$20.81 ,$32.76 , N/A ,$10.54 ,$10.09 ,$35.10 ,$33.23 ,$33.23 ,$10.54 ,$33.23 ,$40.72 ,$40.72 ,$40.72 , N/A ,$42.12 ,$26.90 ,$39.78 ,$10.09 ,$46.80 ,$26.25 ,$10.09 ,$19.38 , N/A , N/A ,$10.54 ,$39.78 ,$20.03 ,$25.69 ,$13.10 ,$42.12 ,$46.80 ,$10.09 ,$40.72 ,$35.10 ,$46.80 ,$35.10 ,$10.76 ,$30.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DILTIAZEM 125 MG/25ML SOLN 25 ML VIAL,250,1 ,$46.80 ,$33.70 ,$10.09 ,$46.80 ,$26.90 ,$29.48 ,$28.08 ,$10.09 ,$13.10 ,$27.14 ,$10.54 ,$28.55 ,$11.47 ,$25.69 ,$25.69 ,$11.93 ,$30.42 ,$20.81 ,$32.76 , N/A ,$10.54 ,$10.09 ,$35.10 ,$33.23 ,$33.23 ,$10.54 ,$33.23 ,$40.72 ,$40.72 ,$40.72 , N/A ,$42.12 ,$26.90 ,$39.78 ,$10.09 ,$46.80 ,$26.25 ,$10.09 ,$19.38 , N/A , N/A ,$10.54 ,$39.78 ,$20.03 ,$25.69 ,$13.10 ,$42.12 ,$46.80 ,$10.09 ,$40.72 ,$35.10 ,$46.80 ,$35.10 ,$10.76 ,$30.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,"SODIUM CHLORIDE 0.45 % SOLN 1,000 ML FLEX CONT",250,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BARIUM SULFATE 98 % SUSR,250,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DEXTROSE 10 % BOLUS,250,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DEXTROSE 5 % LACTATED RINGERS BOLUS,250,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM CHLORIDE 0.45 % SOLN,250,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM CHLORIDE 0.9 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ALBUTEROL (2.5 MG/3ML) 0.083% NEBU,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BALANCED SALTS SOLN 15 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BENZOCAINE 20 % 20 % AERO,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DEXAMETHASONE 4 MG/ML SOLN,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,FLUORESCEIN 1 MG STRP,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,IPRATROPIUM 0.02 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML SOLN,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LEVALBUTEROL 1.25 MG/3ML NEBU,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SILVER-POTASSIUM NITRATE 75-25 % MISC,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SIMETHICONE 40 MG/0.6ML SUSP,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 4 % PTCH,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE VISCOUS 2 % SOLN 15 ML CUP,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,POVIDONE-IODINE 10 % SOLN 118 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,RACEPINEPHRINE 2.25 % 2.25 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 1,000 ML PLAS CONT",250,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,250,1 ,$24.40 ,$17.57 ,$5.26 ,$24.40 ,$14.03 ,$15.37 ,$14.64 ,$5.26 ,$6.83 ,$14.15 ,$5.50 ,$14.88 ,$5.98 ,$13.40 ,$13.40 ,$6.21 ,$15.86 ,$10.85 ,$17.08 , N/A ,$5.50 ,$5.26 ,$18.30 ,$17.32 ,$17.32 ,$5.50 ,$17.32 ,$21.23 ,$21.23 ,$21.23 , N/A ,$21.96 ,$14.03 ,$20.74 ,$5.26 ,$24.40 ,$13.69 ,$5.26 ,$10.10 , N/A , N/A ,$5.50 ,$20.74 ,$10.45 ,$13.40 ,$6.83 ,$21.96 ,$24.40 ,$5.26 ,$21.23 ,$18.30 ,$24.40 ,$18.30 ,$5.61 ,$15.86 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM THIOSULFATE 250 MG/ML SOLN,250,1 ,$428.00 ,$308.16 ,$92.28 ,$428.00 ,$246.10 ,$269.64 ,$256.80 ,$92.28 ,$119.84 ,$248.24 ,$96.47 ,$261.08 ,$104.86 ,$234.97 ,$234.97 ,$109.05 ,$278.20 ,$190.20 ,$299.60 , N/A ,$96.47 ,$92.28 ,$321.00 ,$303.88 ,$303.88 ,$96.47 ,$303.88 ,$372.36 ,$372.36 ,$372.36 , N/A ,$385.20 ,$246.10 ,$363.80 ,$92.28 ,$428.00 ,$240.11 ,$92.28 ,$177.19 , N/A , N/A ,$96.47 ,$363.80 ,$183.30 ,$234.97 ,$119.84 ,$385.20 ,$428.00 ,$92.28 ,$372.36 ,$321.00 ,$428.00 ,$321.00 ,$98.44 ,$278.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,"STERILE WATER SOLN 1,000 ML FLEX CONT",250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN 10 ML VIAL,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE 0.25 % SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,BUPIVACAINE 0.75% IN DEXTROSE 8.25% (INTRATHECAL) 0.75-8.25 % SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CLINDAMYCIN 600 MG/4ML SOLN 4 ML VIAL,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,CLINDAMYCIN 900 MG/6ML SOLN 4 ML VIAL,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DEXMEDETOMIDINE 200 MCG/2ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,DILTIAZEM 25 MG/5ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,ESMOLOL 100 MG/10ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,FAMOTIDINE 20 MG/2ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,FLUMAZENIL 0.5 MG/5ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,KETAMINE 50 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LABETALOL 5 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE (PF) 2 % SOLN 5 ML VIAL,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 1 % SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE 2 % SOLN 20 ML VIAL,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN 20 ML VIAL,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:200000 SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,METOPROLOL TARTRATE 5 MG/5ML SOLN,250,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,STERILE WATER SOLN 10 ML VIAL,250,1 ,$18.35 ,$13.21 ,$3.96 ,$18.35 ,$10.55 ,$11.56 ,$11.01 ,$3.96 ,$5.14 ,$10.64 ,$4.14 ,$11.19 ,$4.50 ,$10.07 ,$10.07 ,$4.67 ,$11.93 ,$8.16 ,$12.85 , N/A ,$4.14 ,$3.96 ,$13.76 ,$13.03 ,$13.03 ,$4.14 ,$13.03 ,$15.96 ,$15.96 ,$15.96 , N/A ,$16.52 ,$10.55 ,$15.60 ,$3.96 ,$18.35 ,$10.29 ,$3.96 ,$7.60 , N/A , N/A ,$4.14 ,$15.60 ,$7.86 ,$10.07 ,$5.14 ,$16.52 ,$18.35 ,$3.96 ,$15.96 ,$13.76 ,$18.35 ,$13.76 ,$4.22 ,$11.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,STERILE WATER SOLN 20 ML VIAL,250,1 ,$23.95 ,$17.24 ,$5.16 ,$23.95 ,$13.78 ,$15.09 ,$14.37 ,$5.16 ,$6.71 ,$13.89 ,$5.40 ,$14.61 ,$5.87 ,$13.15 ,$13.15 ,$6.11 ,$15.57 ,$10.65 ,$16.77 , N/A ,$5.40 ,$5.16 ,$17.96 ,$17.00 ,$17.00 ,$5.40 ,$17.00 ,$20.84 ,$20.84 ,$20.84 , N/A ,$21.56 ,$13.78 ,$20.36 ,$5.16 ,$23.95 ,$13.44 ,$5.16 ,$9.92 , N/A , N/A ,$5.40 ,$20.36 ,$10.26 ,$13.15 ,$6.71 ,$21.56 ,$23.95 ,$5.16 ,$20.84 ,$17.96 ,$23.95 ,$17.96 ,$5.51 ,$15.57 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SUGAMMADEX 200 MG/2ML SOLN,250,1 ,$554.05 ,$398.92 ,$119.45 ,$554.05 ,$318.58 ,$349.05 ,$332.43 ,$119.45 ,$155.13 ,$321.35 ,$124.88 ,$337.97 ,$135.74 ,$304.17 ,$304.17 ,$141.17 ,$360.13 ,$246.22 ,$387.84 , N/A ,$124.88 ,$119.45 ,$415.54 ,$393.38 ,$393.38 ,$124.88 ,$393.38 ,$482.02 ,$482.02 ,$482.02 , N/A ,$498.65 ,$318.58 ,$470.94 ,$119.45 ,$554.05 ,$310.82 ,$119.45 ,$229.38 , N/A , N/A ,$124.88 ,$470.94 ,$237.28 ,$304.17 ,$155.13 ,$498.65 ,$554.05 ,$119.45 ,$482.02 ,$415.54 ,$554.05 ,$415.54 ,$127.43 ,$360.13 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,SUGAMMADEX 500 MG/5ML SOLN,250,1 ,"$1,014.75 ",$730.62 ,$218.78 ,"$1,014.75 ",$583.48 ,$639.29 ,$608.85 ,$218.78 ,$284.13 ,$588.56 ,$228.72 ,$619.00 ,$248.62 ,$557.10 ,$557.10 ,$258.56 ,$659.59 ,$450.97 ,$710.33 , N/A ,$228.72 ,$218.78 ,$761.06 ,$720.47 ,$720.47 ,$228.72 ,$720.47 ,$882.83 ,$882.83 ,$882.83 , N/A ,$913.28 ,$583.48 ,$862.54 ,$218.78 ,"$1,014.75 ",$569.27 ,$218.78 ,$420.11 , N/A , N/A ,$228.72 ,$862.54 ,$434.57 ,$557.10 ,$284.13 ,$913.28 ,"$1,014.75 ",$218.78 ,$882.83 ,$761.06 ,"$1,014.75 ",$761.06 ,$233.39 ,$659.59 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,TETRACAINE 0.5 % SOLN 4 ML PLAS CONT,250,1 ,$28.00 ,$20.16 ,$6.04 ,$28.00 ,$16.10 ,$17.64 ,$16.80 ,$6.04 ,$7.84 ,$16.24 ,$6.31 ,$17.08 ,$6.86 ,$15.37 ,$15.37 ,$7.13 ,$18.20 ,$12.44 ,$19.60 , N/A ,$6.31 ,$6.04 ,$21.00 ,$19.88 ,$19.88 ,$6.31 ,$19.88 ,$24.36 ,$24.36 ,$24.36 , N/A ,$25.20 ,$16.10 ,$23.80 ,$6.04 ,$28.00 ,$15.71 ,$6.04 ,$11.59 , N/A , N/A ,$6.31 ,$23.80 ,$12.00 ,$15.37 ,$7.84 ,$25.20 ,$28.00 ,$6.04 ,$24.36 ,$21.00 ,$28.00 ,$21.00 ,$6.44 ,$18.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,TPN-CLINIMIX 4.25/5 (STANDARD ELECTROLYTES),250,1 ,$996.15 ,$717.23 ,$214.77 ,$996.15 ,$572.78 ,$627.57 ,$597.69 ,$214.77 ,$278.92 ,$577.77 ,$224.53 ,$607.65 ,$244.06 ,$546.89 ,$546.89 ,$253.82 ,$647.50 ,$442.68 ,$697.31 , N/A ,$224.53 ,$214.77 ,$747.11 ,$707.27 ,$707.27 ,$224.53 ,$707.27 ,$866.65 ,$866.65 ,$866.65 , N/A ,$896.54 ,$572.78 ,$846.73 ,$214.77 ,$996.15 ,$558.84 ,$214.77 ,$412.41 , N/A , N/A ,$224.53 ,$846.73 ,$426.60 ,$546.89 ,$278.92 ,$896.54 ,$996.15 ,$214.77 ,$866.65 ,$747.11 ,$996.15 ,$747.11 ,$229.11 ,$647.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,250,1 ,$240.00 ,$172.80 ,$51.74 ,$240.00 ,$138.00 ,$151.20 ,$144.00 ,$51.74 ,$67.20 ,$139.20 ,$54.10 ,$146.40 ,$58.80 ,$131.76 ,$131.76 ,$61.15 ,$156.00 ,$106.66 ,$168.00 , N/A ,$54.10 ,$51.74 ,$180.00 ,$170.40 ,$170.40 ,$54.10 ,$170.40 ,$208.80 ,$208.80 ,$208.80 , N/A ,$216.00 ,$138.00 ,$204.00 ,$51.74 ,$240.00 ,$134.64 ,$51.74 ,$99.36 , N/A , N/A ,$54.10 ,$204.00 ,$102.78 ,$131.76 ,$67.20 ,$216.00 ,$240.00 ,$51.74 ,$208.80 ,$180.00 ,$240.00 ,$180.00 ,$55.20 ,$156.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,TROPICAMIDE 1 % SOLN 15 ML BOTTLE,250,1 ,$71.25 ,$51.30 ,$15.37 ,$71.25 ,$40.98 ,$44.89 ,$42.75 ,$15.37 ,$19.95 ,$41.33 ,$16.06 ,$43.46 ,$17.45 ,$39.12 ,$39.12 ,$18.16 ,$46.31 ,$31.67 ,$49.88 , N/A ,$16.06 ,$15.37 ,$53.44 ,$50.59 ,$50.59 ,$16.06 ,$50.59 ,$61.99 ,$61.99 ,$61.99 , N/A ,$64.13 ,$40.98 ,$60.56 ,$15.37 ,$71.25 ,$39.97 ,$15.37 ,$29.50 , N/A , N/A ,$16.06 ,$60.56 ,$30.52 ,$39.12 ,$19.95 ,$64.13 ,$71.25 ,$15.37 ,$61.99 ,$53.44 ,$71.25 ,$53.44 ,$16.39 ,$46.31 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,TROPICAMIDE 1%-CYCLOPENTOLATE 1%-PHENYLEPHRINE 2.5%-KETOROLAC 0.5% 1-1-2.5-0.5 % SOSY 1 EACH SYRINGE,250,1 ,$12.00 ,$8.64 ,$2.59 ,$12.00 ,$6.90 ,$7.56 ,$7.20 ,$2.59 ,$3.36 ,$6.96 ,$2.70 ,$7.32 ,$2.94 ,$6.59 ,$6.59 ,$3.06 ,$7.80 ,$5.33 ,$8.40 , N/A ,$2.70 ,$2.59 ,$9.00 ,$8.52 ,$8.52 ,$2.70 ,$8.52 ,$10.44 ,$10.44 ,$10.44 , N/A ,$10.80 ,$6.90 ,$10.20 ,$2.59 ,$12.00 ,$6.73 ,$2.59 ,$4.97 , N/A , N/A ,$2.70 ,$10.20 ,$5.14 ,$6.59 ,$3.36 ,$10.80 ,$12.00 ,$2.59 ,$10.44 ,$9.00 ,$12.00 ,$9.00 ,$2.76 ,$7.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,TRYPAN BLUE 0.06 % SOSY 0.5 ML SYRINGE,250,1 ,$177.85 ,$128.05 ,$38.35 ,$177.85 ,$102.28 ,$112.05 ,$106.71 ,$38.35 ,$49.80 ,$103.15 ,$40.09 ,$108.49 ,$43.57 ,$97.64 ,$97.64 ,$45.32 ,$115.60 ,$79.04 ,$124.50 , N/A ,$40.09 ,$38.35 ,$133.39 ,$126.27 ,$126.27 ,$40.09 ,$126.27 ,$154.73 ,$154.73 ,$154.73 , N/A ,$160.07 ,$102.28 ,$151.17 ,$38.35 ,$177.85 ,$99.77 ,$38.35 ,$73.63 , N/A , N/A ,$40.09 ,$151.17 ,$76.18 ,$97.64 ,$49.80 ,$160.07 ,$177.85 ,$38.35 ,$154.73 ,$133.39 ,$177.85 ,$133.39 ,$40.91 ,$115.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,VALPROATE 100 MG/ML SOLN 5 ML VIAL,250,1 ,$32.20 ,$23.18 ,$6.94 ,$32.20 ,$18.53 ,$20.29 ,$19.32 ,$6.94 ,$9.02 ,$18.68 ,$7.26 ,$19.64 ,$7.89 ,$17.68 ,$17.68 ,$8.20 ,$20.93 ,$14.30 ,$22.54 , N/A ,$7.26 ,$6.94 ,$24.15 ,$22.86 ,$22.86 ,$7.26 ,$22.86 ,$28.01 ,$28.01 ,$28.01 , N/A ,$28.98 ,$18.53 ,$27.37 ,$6.94 ,$32.20 ,$18.06 ,$6.94 ,$13.33 , N/A , N/A ,$7.26 ,$27.37 ,$13.80 ,$17.68 ,$9.02 ,$28.98 ,$32.20 ,$6.94 ,$28.01 ,$24.15 ,$32.20 ,$24.15 ,$7.41 ,$20.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,25000003,N/A,VECURONIUM 10 MG SOLR,250,1 ,$26.40 ,$19.01 ,$5.69 ,$26.40 ,$15.18 ,$16.63 ,$15.84 ,$5.69 ,$7.39 ,$15.31 ,$5.95 ,$16.10 ,$6.47 ,$14.49 ,$14.49 ,$6.72 ,$17.16 ,$11.74 ,$18.48 , N/A ,$5.95 ,$5.69 ,$19.80 ,$18.74 ,$18.74 ,$5.95 ,$18.74 ,$22.97 ,$22.97 ,$22.97 , N/A ,$23.76 ,$15.18 ,$22.44 ,$5.69 ,$26.40 ,$14.81 ,$5.69 ,$10.93 , N/A , N/A ,$5.95 ,$22.44 ,$11.30 ,$14.49 ,$7.39 ,$23.76 ,$26.40 ,$5.69 ,$22.97 ,$19.80 ,$26.40 ,$19.80 ,$6.07 ,$17.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,25800000,N/A,DEXTROSE 50 % SOLN,258,1 ,$53.40 ,$38.45 ,$11.51 ,$53.40 ,$30.70 ,$33.64 ,$32.04 ,$11.51 ,$14.95 ,$30.97 ,$12.03 ,$32.57 ,$13.08 ,$29.32 ,$29.32 ,$13.60 ,$34.71 ,$23.74 ,$37.38 , N/A ,$12.03 ,$11.51 ,$40.05 ,$37.91 ,$37.91 ,$12.03 ,$37.91 ,$46.46 ,$46.46 ,$46.46 , N/A ,$48.06 ,$30.70 ,$45.39 ,$11.51 ,$53.40 ,$29.96 ,$11.51 ,$22.11 , N/A , N/A ,$12.03 ,$45.39 ,$22.86 ,$29.32 ,$14.95 ,$48.06 ,$53.40 ,$11.51 ,$46.46 ,$40.05 ,$53.40 ,$40.05 ,$12.28 ,$34.71 ST. JOSEPH'S HOSPITAL - HIGHLAND,25800000,N/A,TPN-CLINIMIX 5/15 (STANDARD ELECTROLYTES),258,1 ,$996.15 ,$717.23 ,$214.77 ,$996.15 ,$572.78 ,$627.57 ,$597.69 ,$214.77 ,$278.92 ,$577.77 ,$224.53 ,$607.65 ,$244.06 ,$546.89 ,$546.89 ,$253.82 ,$647.50 ,$442.68 ,$697.31 , N/A ,$224.53 ,$214.77 ,$747.11 ,$707.27 ,$707.27 ,$224.53 ,$707.27 ,$866.65 ,$866.65 ,$866.65 , N/A ,$896.54 ,$572.78 ,$846.73 ,$214.77 ,$996.15 ,$558.84 ,$214.77 ,$412.41 , N/A , N/A ,$224.53 ,$846.73 ,$426.60 ,$546.89 ,$278.92 ,$896.54 ,$996.15 ,$214.77 ,$866.65 ,$747.11 ,$996.15 ,$747.11 ,$229.11 ,$647.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$514.00 ,$370.08 ,$31.24 ,$531.21 ,$295.55 ,$323.82 ,$308.40 ,$110.82 ,$143.92 ,$298.12 ,$115.86 ,$313.54 ,$125.93 ,$282.19 ,$282.19 ,$130.97 ,$31.24 ,$228.42 , N/A ,$516.43 ,$115.86 ,$110.82 ,$385.50 ,$364.94 ,$364.94 ,$115.86 ,$364.94 ,$447.18 ,$447.18 ,$447.18 , N/A ,$462.60 ,$295.55 ,$436.90 ,$110.82 ,$514.00 ,$288.35 ,$110.82 ,$212.80 ,$531.21 ,$482.92 ,$115.86 ,$436.90 ,$220.13 ,$282.19 ,$143.92 ,$462.60 ,$514.00 ,$110.82 ,$447.18 ,$385.50 ,$514.00 ,$385.50 ,$118.22 ,$334.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$189.00 ,$136.08 ,$12.46 ,$830.46 ,$108.68 ,$119.07 ,$113.40 ,$40.75 ,$52.92 ,$109.62 ,$42.60 ,$115.29 ,$46.30 ,$103.76 ,$103.76 ,$48.16 ,$12.46 ,$83.99 , N/A ,$105.93 ,$42.60 ,$40.75 ,$141.75 ,$134.19 ,$134.19 ,$42.60 ,$134.19 ,$164.43 ,$164.43 ,$164.43 , N/A ,$170.10 ,$108.68 ,$160.65 ,$40.75 ,$189.00 ,$106.03 ,$40.75 ,$78.25 ,$830.46 ,$754.96 ,$42.60 ,$160.65 ,$80.94 ,$103.76 ,$52.92 ,$170.10 ,$189.00 ,$40.75 ,$164.43 ,$141.75 ,$189.00 ,$141.75 ,$43.47 ,$122.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$629.00 ,$452.88 ,$61.77 ,$629.00 ,$361.68 ,$396.27 ,$377.40 ,$135.61 ,$176.12 ,$364.82 ,$141.78 ,$383.69 ,$154.10 ,$345.32 ,$345.32 ,$160.27 ,$61.77 ,$279.53 , N/A ,$516.43 ,$141.78 ,$135.61 ,$471.75 ,$446.59 ,$446.59 ,$141.78 ,$446.59 ,$547.23 ,$547.23 ,$547.23 , N/A ,$566.10 ,$361.68 ,$534.65 ,$135.61 ,$629.00 ,$352.87 ,$135.61 ,$260.41 ,$531.21 ,$482.92 ,$141.78 ,$534.65 ,$269.37 ,$345.32 ,$176.12 ,$566.10 ,$629.00 ,$135.61 ,$547.23 ,$471.75 ,$629.00 ,$471.75 ,$144.67 ,$408.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$201.00 ,$144.72 ,$19.92 ,$830.46 ,$115.58 ,$126.63 ,$120.60 ,$43.34 ,$56.28 ,$116.58 ,$45.31 ,$122.61 ,$49.24 ,$110.35 ,$110.35 ,$51.21 ,$19.92 ,$89.32 , N/A ,$105.93 ,$45.31 ,$43.34 ,$150.75 ,$142.71 ,$142.71 ,$45.31 ,$142.71 ,$174.87 ,$174.87 ,$174.87 , N/A ,$180.90 ,$115.58 ,$170.85 ,$43.34 ,$201.00 ,$112.76 ,$43.34 ,$83.21 ,$830.46 ,$754.96 ,$45.31 ,$170.85 ,$86.08 ,$110.35 ,$56.28 ,$180.90 ,$201.00 ,$43.34 ,$174.87 ,$150.75 ,$201.00 ,$150.75 ,$46.23 ,$130.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$216.00 ,$155.52 ,$27.82 ,$531.21 ,$124.20 ,$136.08 ,$129.60 ,$46.57 ,$60.48 ,$125.28 ,$48.69 ,$131.76 ,$52.92 ,$118.58 ,$118.58 ,$55.04 ,$27.82 ,$95.99 , N/A ,$168.68 ,$48.69 ,$46.57 ,$162.00 ,$153.36 ,$153.36 ,$48.69 ,$153.36 ,$187.92 ,$187.92 ,$187.92 , N/A ,$194.40 ,$124.20 ,$183.60 ,$46.57 ,$216.00 ,$121.18 ,$46.57 ,$89.42 ,$531.21 ,$482.92 ,$48.69 ,$183.60 ,$92.50 ,$118.58 ,$60.48 ,$194.40 ,$216.00 ,$46.57 ,$187.92 ,$162.00 ,$216.00 ,$162.00 ,$49.68 ,$140.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000005,96368,HC INFUS CONCURRENT,260,1 ,$206.00 ,$148.32 ,$19.27 ,$531.21 ,$118.45 ,$129.78 ,$123.60 ,$44.41 ,$57.68 ,$119.48 ,$46.43 ,$125.66 ,$50.47 ,$113.09 ,$113.09 ,$52.49 ,$19.27 ,$91.55 , N/A , N/A ,$46.43 ,$44.41 ,$154.50 ,$146.26 ,$146.26 ,$46.43 ,$146.26 ,$179.22 ,$179.22 ,$179.22 , N/A ,$185.40 ,$118.45 ,$175.10 ,$44.41 ,$206.00 ,$115.57 ,$44.41 ,$85.28 ,$531.21 ,$482.92 ,$46.43 ,$175.10 ,$88.22 ,$113.09 ,$57.68 ,$185.40 ,$206.00 ,$44.41 ,$179.22 ,$154.50 ,$206.00 ,$154.50 ,$47.38 ,$133.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000016,M0245,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB ADMINISTRATION",260,1 ,$932.00 ,$671.04 ,$200.94 ,"$1,126.25 ",$535.90 ,$587.16 ,$559.20 ,$200.94 ,$260.96 ,$540.56 ,$210.07 ,$568.52 ,$228.34 ,$511.67 ,$511.67 ,$237.47 ,$605.80 ,$414.18 ,$652.40 ,"$1,126.25 ",$210.07 ,$200.94 ,$699.00 ,$661.72 ,$661.72 ,$210.07 ,$661.72 ,$810.84 ,$810.84 ,$810.84 , N/A ,$838.80 ,$535.90 ,$792.20 ,$200.94 ,$932.00 ,$522.85 ,$200.94 ,$385.85 ,$531.21 ,$482.92 ,$210.07 ,$792.20 ,$399.13 ,$511.67 ,$260.96 ,$838.80 ,$932.00 ,$200.94 ,$810.84 ,$699.00 ,$932.00 ,$699.00 ,$214.36 ,$605.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,26000017,M0247,"HC INTRAVENOUS INFUSION, SOTROVIMAB ADMINISTRATION",260,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 ,"$1,126.25 ",$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 ,$531.21 ,$482.92 ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000014,N/A,HC SET CYSTO IRRIGATION TUBING,270,1 ,$33.00 ,$23.76 ,$7.11 ,$33.00 ,$18.98 ,$20.79 ,$19.80 ,$7.11 ,$9.24 ,$19.14 ,$7.44 ,$20.13 ,$8.08 ,$18.12 ,$18.12 ,$8.41 ,$21.45 ,$14.67 ,$23.10 , N/A ,$7.44 ,$7.11 ,$24.75 ,$23.43 ,$23.43 ,$7.44 ,$23.43 ,$28.71 ,$28.71 ,$28.71 , N/A ,$29.70 ,$18.98 ,$28.05 ,$7.11 ,$33.00 ,$18.51 ,$7.11 ,$13.66 , N/A , N/A ,$7.44 ,$28.05 ,$14.13 ,$18.12 ,$9.24 ,$29.70 ,$33.00 ,$7.11 ,$28.71 ,$24.75 ,$33.00 ,$24.75 ,$7.59 ,$21.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000021,N/A,HC TRAY ARTHROGRAM,270,1 ,$32.00 ,$23.04 ,$6.90 ,$32.00 ,$18.40 ,$20.16 ,$19.20 ,$6.90 ,$8.96 ,$18.56 ,$7.21 ,$19.52 ,$7.84 ,$17.57 ,$17.57 ,$8.15 ,$20.80 ,$14.22 ,$22.40 , N/A ,$7.21 ,$6.90 ,$24.00 ,$22.72 ,$22.72 ,$7.21 ,$22.72 ,$27.84 ,$27.84 ,$27.84 , N/A ,$28.80 ,$18.40 ,$27.20 ,$6.90 ,$32.00 ,$17.95 ,$6.90 ,$13.25 , N/A , N/A ,$7.21 ,$27.20 ,$13.70 ,$17.57 ,$8.96 ,$28.80 ,$32.00 ,$6.90 ,$27.84 ,$24.00 ,$32.00 ,$24.00 ,$7.36 ,$20.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000026,N/A,HC TRAY DRAINAGE CATHETER,270,1 ,$542.00 ,$390.24 ,$116.86 ,$542.00 ,$311.65 ,$341.46 ,$325.20 ,$116.86 ,$151.76 ,$314.36 ,$122.17 ,$330.62 ,$132.79 ,$297.56 ,$297.56 ,$138.10 ,$352.30 ,$240.86 ,$379.40 , N/A ,$122.17 ,$116.86 ,$406.50 ,$384.82 ,$384.82 ,$122.17 ,$384.82 ,$471.54 ,$471.54 ,$471.54 , N/A ,$487.80 ,$311.65 ,$460.70 ,$116.86 ,$542.00 ,$304.06 ,$116.86 ,$224.39 , N/A , N/A ,$122.17 ,$460.70 ,$232.11 ,$297.56 ,$151.76 ,$487.80 ,$542.00 ,$116.86 ,$471.54 ,$406.50 ,$542.00 ,$406.50 ,$124.66 ,$352.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000074,N/A,HC TAPE ADHESIVE,270,1 ,$44.00 ,$31.68 ,$9.49 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 ,$25.52 ,$9.92 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$30.80 , N/A ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 , N/A , N/A ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 ,$33.00 ,$44.00 ,$33.00 ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000077,N/A,HC TUBING CONNECTING,270,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000113,N/A,HC SHOE ORTHOTIC,270,1 ,$77.00 ,$55.44 ,$16.60 ,$77.00 ,$44.28 ,$48.51 ,$46.20 ,$16.60 ,$21.56 ,$44.66 ,$17.36 ,$46.97 ,$18.86 ,$42.27 ,$42.27 ,$19.62 ,$50.05 ,$34.22 ,$53.90 , N/A ,$17.36 ,$16.60 ,$57.75 ,$54.67 ,$54.67 ,$17.36 ,$54.67 ,$66.99 ,$66.99 ,$66.99 , N/A ,$69.30 ,$44.28 ,$65.45 ,$16.60 ,$77.00 ,$43.20 ,$16.60 ,$31.88 , N/A , N/A ,$17.36 ,$65.45 ,$32.98 ,$42.27 ,$21.56 ,$69.30 ,$77.00 ,$16.60 ,$66.99 ,$57.75 ,$77.00 ,$57.75 ,$17.71 ,$50.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000120,N/A,HC FOAM LIMB HOLDER,270,1 ,$21.00 ,$15.12 ,$4.53 ,$21.00 ,$12.08 ,$13.23 ,$12.60 ,$4.53 ,$5.88 ,$12.18 ,$4.73 ,$12.81 ,$5.14 ,$11.53 ,$11.53 ,$5.35 ,$13.65 ,$9.33 ,$14.70 , N/A ,$4.73 ,$4.53 ,$15.75 ,$14.91 ,$14.91 ,$4.73 ,$14.91 ,$18.27 ,$18.27 ,$18.27 , N/A ,$18.90 ,$12.08 ,$17.85 ,$4.53 ,$21.00 ,$11.78 ,$4.53 ,$8.69 , N/A , N/A ,$4.73 ,$17.85 ,$9.00 ,$11.53 ,$5.88 ,$18.90 ,$21.00 ,$4.53 ,$18.27 ,$15.75 ,$21.00 ,$15.75 ,$4.83 ,$13.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27000132,A6010,HC COLLAGEN BASED WOUND FILLER,270,1 ,$60.00 ,$43.20 ,$12.94 ,$60.00 ,$34.50 ,$37.80 ,$36.00 ,$12.94 ,$16.80 ,$34.80 ,$13.52 ,$36.60 ,$14.70 ,$32.94 ,$32.94 ,$15.29 ,$39.00 ,$26.66 , N/A , N/A ,$13.52 ,$12.94 ,$45.00 ,$42.60 ,$42.60 ,$13.52 ,$42.60 ,$52.20 ,$52.20 ,$52.20 , N/A ,$54.00 ,$34.50 ,$51.00 ,$12.94 ,$60.00 ,$33.66 ,$12.94 ,$24.84 , N/A , N/A ,$13.52 ,$51.00 ,$25.70 ,$32.94 ,$16.80 ,$54.00 ,$60.00 ,$12.94 ,$52.20 ,$45.00 ,$60.00 ,$45.00 ,$13.80 ,$39.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100038,N/A,HC CPAP MASK,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100054,N/A,HC FOAM BLOCK,271,1 ,$85.00 ,$61.20 ,$18.33 ,$85.00 ,$48.88 ,$53.55 ,$51.00 ,$18.33 ,$23.80 ,$49.30 ,$19.16 ,$51.85 ,$20.82 ,$46.67 ,$46.67 ,$21.66 ,$55.25 ,$37.77 ,$59.50 , N/A ,$19.16 ,$18.33 ,$63.75 ,$60.35 ,$60.35 ,$19.16 ,$60.35 ,$73.95 ,$73.95 ,$73.95 , N/A ,$76.50 ,$48.88 ,$72.25 ,$18.33 ,$85.00 ,$47.69 ,$18.33 ,$35.19 , N/A , N/A ,$19.16 ,$72.25 ,$36.41 ,$46.67 ,$23.80 ,$76.50 ,$85.00 ,$18.33 ,$73.95 ,$63.75 ,$85.00 ,$63.75 ,$19.55 ,$55.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$65.00 ,$46.80 ,$14.01 ,$65.00 ,$37.38 ,$40.95 ,$39.00 ,$14.01 ,$18.20 ,$37.70 ,$14.65 ,$39.65 ,$15.92 ,$35.69 ,$35.69 ,$16.56 ,$42.25 ,$28.89 ,$45.50 , N/A ,$14.65 ,$14.01 ,$48.75 ,$46.15 ,$46.15 ,$14.65 ,$46.15 ,$56.55 ,$56.55 ,$56.55 , N/A ,$58.50 ,$37.38 ,$55.25 ,$14.01 ,$65.00 ,$36.47 ,$14.01 ,$26.91 , N/A , N/A ,$14.65 ,$55.25 ,$27.84 ,$35.69 ,$18.20 ,$58.50 ,$65.00 ,$14.01 ,$56.55 ,$48.75 ,$65.00 ,$48.75 ,$14.95 ,$42.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100096,N/A,HC NASAL PHANYNGEAL AIRWAY,271,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100106,N/A,HC OXYGEN DAILY,271,1 ,$511.14 ,$368.02 ,$110.20 ,$511.14 ,$293.90 ,$322.02 ,$306.68 ,$110.20 ,$143.12 ,$296.46 ,$115.21 ,$311.80 ,$125.23 ,$280.62 ,$280.62 ,$130.24 ,$332.24 ,$227.15 ,$357.80 , N/A ,$115.21 ,$110.20 ,$383.36 ,$362.91 ,$362.91 ,$115.21 ,$362.91 ,$444.69 ,$444.69 ,$444.69 , N/A ,$460.03 ,$293.90 ,$434.47 ,$110.20 ,$511.14 ,$286.75 ,$110.20 ,$211.61 , N/A , N/A ,$115.21 ,$434.47 ,$218.89 ,$280.62 ,$143.12 ,$460.03 ,$511.14 ,$110.20 ,$444.69 ,$383.36 ,$511.14 ,$383.36 ,$117.56 ,$332.24 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100107,N/A,HC OXYGEN HOURLY,271,1 ,$23.00 ,$16.56 ,$4.96 ,$23.00 ,$13.23 ,$14.49 ,$13.80 ,$4.96 ,$6.44 ,$13.34 ,$5.18 ,$14.03 ,$5.63 ,$12.63 ,$12.63 ,$5.86 ,$14.95 ,$10.22 ,$16.10 , N/A ,$5.18 ,$4.96 ,$17.25 ,$16.33 ,$16.33 ,$5.18 ,$16.33 ,$20.01 ,$20.01 ,$20.01 , N/A ,$20.70 ,$13.23 ,$19.55 ,$4.96 ,$23.00 ,$12.90 ,$4.96 ,$9.52 , N/A , N/A ,$5.18 ,$19.55 ,$9.85 ,$12.63 ,$6.44 ,$20.70 ,$23.00 ,$4.96 ,$20.01 ,$17.25 ,$23.00 ,$17.25 ,$5.29 ,$14.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$50.00 ,$36.00 ,$10.78 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$35.00 , N/A ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 , N/A , N/A ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$37.50 ,$50.00 ,$37.50 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100167,N/A,HC WARMING BLANKET DISPOSABLE,271,1 ,$47.00 ,$33.84 ,$10.13 ,$47.00 ,$27.03 ,$29.61 ,$28.20 ,$10.13 ,$13.16 ,$27.26 ,$10.59 ,$28.67 ,$11.51 ,$25.80 ,$25.80 ,$11.98 ,$30.55 ,$20.89 ,$32.90 , N/A ,$10.59 ,$10.13 ,$35.25 ,$33.37 ,$33.37 ,$10.59 ,$33.37 ,$40.89 ,$40.89 ,$40.89 , N/A ,$42.30 ,$27.03 ,$39.95 ,$10.13 ,$47.00 ,$26.37 ,$10.13 ,$19.46 , N/A , N/A ,$10.59 ,$39.95 ,$20.13 ,$25.80 ,$13.16 ,$42.30 ,$47.00 ,$10.13 ,$40.89 ,$35.25 ,$47.00 ,$35.25 ,$10.81 ,$30.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100187,N/A,HC BAG DRAINAGE,271,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100198,N/A,HC BAG FEEDING,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100201,N/A,HC CANNULA NASAL OXYGEN,271,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$31.00 ,$22.32 ,$6.68 ,$31.00 ,$17.83 ,$19.53 ,$18.60 ,$6.68 ,$8.68 ,$17.98 ,$6.99 ,$18.91 ,$7.59 ,$17.02 ,$17.02 ,$7.90 ,$20.15 ,$13.78 ,$21.70 , N/A ,$6.99 ,$6.68 ,$23.25 ,$22.01 ,$22.01 ,$6.99 ,$22.01 ,$26.97 ,$26.97 ,$26.97 , N/A ,$27.90 ,$17.83 ,$26.35 ,$6.68 ,$31.00 ,$17.39 ,$6.68 ,$12.83 , N/A , N/A ,$6.99 ,$26.35 ,$13.28 ,$17.02 ,$8.68 ,$27.90 ,$31.00 ,$6.68 ,$26.97 ,$23.25 ,$31.00 ,$23.25 ,$7.13 ,$20.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100206,N/A,HC CUSHION CHAIR,271,1 ,$87.00 ,$62.64 ,$18.76 ,$87.00 ,$50.03 ,$54.81 ,$52.20 ,$18.76 ,$24.36 ,$50.46 ,$19.61 ,$53.07 ,$21.31 ,$47.76 ,$47.76 ,$22.17 ,$56.55 ,$38.66 ,$60.90 , N/A ,$19.61 ,$18.76 ,$65.25 ,$61.77 ,$61.77 ,$19.61 ,$61.77 ,$75.69 ,$75.69 ,$75.69 , N/A ,$78.30 ,$50.03 ,$73.95 ,$18.76 ,$87.00 ,$48.81 ,$18.76 ,$36.02 , N/A , N/A ,$19.61 ,$73.95 ,$37.26 ,$47.76 ,$24.36 ,$78.30 ,$87.00 ,$18.76 ,$75.69 ,$65.25 ,$87.00 ,$65.25 ,$20.01 ,$56.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100208,N/A,HC DRESSING MEDICOPASTE,271,1 ,$21.00 ,$15.12 ,$4.53 ,$21.00 ,$12.08 ,$13.23 ,$12.60 ,$4.53 ,$5.88 ,$12.18 ,$4.73 ,$12.81 ,$5.14 ,$11.53 ,$11.53 ,$5.35 ,$13.65 ,$9.33 ,$14.70 , N/A ,$4.73 ,$4.53 ,$15.75 ,$14.91 ,$14.91 ,$4.73 ,$14.91 ,$18.27 ,$18.27 ,$18.27 , N/A ,$18.90 ,$12.08 ,$17.85 ,$4.53 ,$21.00 ,$11.78 ,$4.53 ,$8.69 , N/A , N/A ,$4.73 ,$17.85 ,$9.00 ,$11.53 ,$5.88 ,$18.90 ,$21.00 ,$4.53 ,$18.27 ,$15.75 ,$21.00 ,$15.75 ,$4.83 ,$13.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100210,N/A,HC KIT CANISTER SUCTION,271,1 ,"$1,247.00 ",$897.84 ,$268.85 ,"$1,247.00 ",$717.03 ,$785.61 ,$748.20 ,$268.85 ,$349.16 ,$723.26 ,$281.07 ,$760.67 ,$305.51 ,$684.60 ,$684.60 ,$317.74 ,$810.55 ,$554.17 ,$872.90 , N/A ,$281.07 ,$268.85 ,$935.25 ,$885.37 ,$885.37 ,$281.07 ,$885.37 ,"$1,084.89 ","$1,084.89 ","$1,084.89 ", N/A ,"$1,122.30 ",$717.03 ,"$1,059.95 ",$268.85 ,"$1,247.00 ",$699.57 ,$268.85 ,$516.26 , N/A , N/A ,$281.07 ,"$1,059.95 ",$534.04 ,$684.60 ,$349.16 ,"$1,122.30 ","$1,247.00 ",$268.85 ,"$1,084.89 ",$935.25 ,"$1,247.00 ",$935.25 ,$286.81 ,$810.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$184.00 ,$132.48 ,$39.67 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$128.80 , N/A ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 , N/A , N/A ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$138.00 ,$184.00 ,$138.00 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$37.00 ,$26.64 ,$7.98 ,$37.00 ,$21.28 ,$23.31 ,$22.20 ,$7.98 ,$10.36 ,$21.46 ,$8.34 ,$22.57 ,$9.06 ,$20.31 ,$20.31 ,$9.43 ,$24.05 ,$16.44 ,$25.90 , N/A ,$8.34 ,$7.98 ,$27.75 ,$26.27 ,$26.27 ,$8.34 ,$26.27 ,$32.19 ,$32.19 ,$32.19 , N/A ,$33.30 ,$21.28 ,$31.45 ,$7.98 ,$37.00 ,$20.76 ,$7.98 ,$15.32 , N/A , N/A ,$8.34 ,$31.45 ,$15.85 ,$20.31 ,$10.36 ,$33.30 ,$37.00 ,$7.98 ,$32.19 ,$27.75 ,$37.00 ,$27.75 ,$8.51 ,$24.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100221,N/A,HC SET IV PCA,271,1 ,$17.00 ,$12.24 ,$3.67 ,$17.00 ,$9.78 ,$10.71 ,$10.20 ,$3.67 ,$4.76 ,$9.86 ,$3.83 ,$10.37 ,$4.16 ,$9.33 ,$9.33 ,$4.33 ,$11.05 ,$7.55 ,$11.90 , N/A ,$3.83 ,$3.67 ,$12.75 ,$12.07 ,$12.07 ,$3.83 ,$12.07 ,$14.79 ,$14.79 ,$14.79 , N/A ,$15.30 ,$9.78 ,$14.45 ,$3.67 ,$17.00 ,$9.54 ,$3.67 ,$7.04 , N/A , N/A ,$3.83 ,$14.45 ,$7.28 ,$9.33 ,$4.76 ,$15.30 ,$17.00 ,$3.67 ,$14.79 ,$12.75 ,$17.00 ,$12.75 ,$3.91 ,$11.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100222,N/A,HC SET OSTOMY IRRIGATION,271,1 ,$147.00 ,$105.84 ,$31.69 ,$147.00 ,$84.53 ,$92.61 ,$88.20 ,$31.69 ,$41.16 ,$85.26 ,$33.13 ,$89.67 ,$36.01 ,$80.70 ,$80.70 ,$37.46 ,$95.55 ,$65.33 ,$102.90 , N/A ,$33.13 ,$31.69 ,$110.25 ,$104.37 ,$104.37 ,$33.13 ,$104.37 ,$127.89 ,$127.89 ,$127.89 , N/A ,$132.30 ,$84.53 ,$124.95 ,$31.69 ,$147.00 ,$82.47 ,$31.69 ,$60.86 , N/A , N/A ,$33.13 ,$124.95 ,$62.96 ,$80.70 ,$41.16 ,$132.30 ,$147.00 ,$31.69 ,$127.89 ,$110.25 ,$147.00 ,$110.25 ,$33.81 ,$95.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100226,N/A,HC STETHOSCOPE DISP,271,1 ,$9.00 ,$6.48 ,$1.94 ,$9.00 ,$5.18 ,$5.67 ,$5.40 ,$1.94 ,$2.52 ,$5.22 ,$2.03 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$2.29 ,$5.85 ,$4.00 ,$6.30 , N/A ,$2.03 ,$1.94 ,$6.75 ,$6.39 ,$6.39 ,$2.03 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$5.18 ,$7.65 ,$1.94 ,$9.00 ,$5.05 ,$1.94 ,$3.73 , N/A , N/A ,$2.03 ,$7.65 ,$3.85 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$1.94 ,$7.83 ,$6.75 ,$9.00 ,$6.75 ,$2.07 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100227,N/A,HC STOCK ANTIEMBOLISM KNEE,271,1 ,$56.00 ,$40.32 ,$12.07 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$32.48 ,$12.62 ,$34.16 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$39.20 , N/A ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 , N/A , N/A ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$42.00 ,$56.00 ,$42.00 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100228,N/A,HC STOCK ANTIEMBOLISM THIGH,271,1 ,$115.97 ,$83.50 ,$25.00 ,$115.97 ,$66.68 ,$73.06 ,$69.58 ,$25.00 ,$32.47 ,$67.26 ,$26.14 ,$70.74 ,$28.41 ,$63.67 ,$63.67 ,$29.55 ,$75.38 ,$51.53 ,$81.18 , N/A ,$26.14 ,$25.00 ,$86.98 ,$82.34 ,$82.34 ,$26.14 ,$82.34 ,$100.89 ,$100.89 ,$100.89 , N/A ,$104.37 ,$66.68 ,$98.57 ,$25.00 ,$115.97 ,$65.06 ,$25.00 ,$48.01 , N/A , N/A ,$26.14 ,$98.57 ,$49.66 ,$63.67 ,$32.47 ,$104.37 ,$115.97 ,$25.00 ,$100.89 ,$86.98 ,$115.97 ,$86.98 ,$26.67 ,$75.38 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100234,N/A,HC MASK BIPAP,271,1 ,$105.00 ,$75.60 ,$22.64 ,$105.00 ,$60.38 ,$66.15 ,$63.00 ,$22.64 ,$29.40 ,$60.90 ,$23.67 ,$64.05 ,$25.72 ,$57.65 ,$57.65 ,$26.75 ,$68.25 ,$46.66 ,$73.50 , N/A ,$23.67 ,$22.64 ,$78.75 ,$74.55 ,$74.55 ,$23.67 ,$74.55 ,$91.35 ,$91.35 ,$91.35 , N/A ,$94.50 ,$60.38 ,$89.25 ,$22.64 ,$105.00 ,$58.91 ,$22.64 ,$43.47 , N/A , N/A ,$23.67 ,$89.25 ,$44.97 ,$57.65 ,$29.40 ,$94.50 ,$105.00 ,$22.64 ,$91.35 ,$78.75 ,$105.00 ,$78.75 ,$24.15 ,$68.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100240,N/A,HC CAUTERY GROUNDING PAD,271,1 ,$39.00 ,$28.08 ,$8.41 ,$39.00 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$25.35 ,$17.33 ,$27.30 , N/A ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 , N/A , N/A ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$29.25 ,$39.00 ,$29.25 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100313,N/A,HC KIT CPAP SUPPLY ADULT,272,1 ,$441.00 ,$317.52 ,$95.08 ,$441.00 ,$253.58 ,$277.83 ,$264.60 ,$95.08 ,$123.48 ,$255.78 ,$99.40 ,$269.01 ,$108.04 ,$242.11 ,$242.11 ,$112.37 ,$286.65 ,$195.98 ,$308.70 , N/A ,$99.40 ,$95.08 ,$330.75 ,$313.11 ,$313.11 ,$99.40 ,$313.11 ,$383.67 ,$383.67 ,$383.67 , N/A ,$396.90 ,$253.58 ,$374.85 ,$95.08 ,$441.00 ,$247.40 ,$95.08 ,$182.57 , N/A , N/A ,$99.40 ,$374.85 ,$188.87 ,$242.11 ,$123.48 ,$396.90 ,$441.00 ,$95.08 ,$383.67 ,$330.75 ,$441.00 ,$330.75 ,$101.43 ,$286.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100316,N/A,HC KIT CPAP SUPPLY MASK,272,1 ,$51.00 ,$36.72 ,$11.00 ,$51.00 ,$29.33 ,$32.13 ,$30.60 ,$11.00 ,$14.28 ,$29.58 ,$11.50 ,$31.11 ,$12.49 ,$28.00 ,$28.00 ,$12.99 ,$33.15 ,$22.66 ,$35.70 , N/A ,$11.50 ,$11.00 ,$38.25 ,$36.21 ,$36.21 ,$11.50 ,$36.21 ,$44.37 ,$44.37 ,$44.37 , N/A ,$45.90 ,$29.33 ,$43.35 ,$11.00 ,$51.00 ,$28.61 ,$11.00 ,$21.11 , N/A , N/A ,$11.50 ,$43.35 ,$21.84 ,$28.00 ,$14.28 ,$45.90 ,$51.00 ,$11.00 ,$44.37 ,$38.25 ,$51.00 ,$38.25 ,$11.73 ,$33.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100325,N/A,HC SPACER MDI,271,1 ,$31.00 ,$22.32 ,$6.68 ,$31.00 ,$17.83 ,$19.53 ,$18.60 ,$6.68 ,$8.68 ,$17.98 ,$6.99 ,$18.91 ,$7.59 ,$17.02 ,$17.02 ,$7.90 ,$20.15 ,$13.78 ,$21.70 , N/A ,$6.99 ,$6.68 ,$23.25 ,$22.01 ,$22.01 ,$6.99 ,$22.01 ,$26.97 ,$26.97 ,$26.97 , N/A ,$27.90 ,$17.83 ,$26.35 ,$6.68 ,$31.00 ,$17.39 ,$6.68 ,$12.83 , N/A , N/A ,$6.99 ,$26.35 ,$13.28 ,$17.02 ,$8.68 ,$27.90 ,$31.00 ,$6.68 ,$26.97 ,$23.25 ,$31.00 ,$23.25 ,$7.13 ,$20.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100326,N/A,HC STOCKING ANTIEMBOLISM,271,1 ,$34.00 ,$24.48 ,$7.33 ,$34.00 ,$19.55 ,$21.42 ,$20.40 ,$7.33 ,$9.52 ,$19.72 ,$7.66 ,$20.74 ,$8.33 ,$18.67 ,$18.67 ,$8.66 ,$22.10 ,$15.11 ,$23.80 , N/A ,$7.66 ,$7.33 ,$25.50 ,$24.14 ,$24.14 ,$7.66 ,$24.14 ,$29.58 ,$29.58 ,$29.58 , N/A ,$30.60 ,$19.55 ,$28.90 ,$7.33 ,$34.00 ,$19.07 ,$7.33 ,$14.08 , N/A , N/A ,$7.66 ,$28.90 ,$14.56 ,$18.67 ,$9.52 ,$30.60 ,$34.00 ,$7.33 ,$29.58 ,$25.50 ,$34.00 ,$25.50 ,$7.82 ,$22.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100487,N/A,HC MASK VENTILATION,271,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27100488,N/A,HC PAD HEATING,271,1 ,$14.73 ,$10.61 ,$3.18 ,$14.73 ,$8.48 ,$9.28 ,$8.84 ,$3.18 ,$4.12 ,$8.54 ,$3.32 ,$8.99 ,$3.61 ,$8.09 ,$8.09 ,$3.75 ,$9.57 ,$6.54 ,$10.31 , N/A ,$3.32 ,$3.18 ,$11.05 ,$10.46 ,$10.46 ,$3.32 ,$10.46 ,$12.82 ,$12.82 ,$12.82 , N/A ,$13.26 ,$8.48 ,$12.52 ,$3.18 ,$14.73 ,$8.26 ,$3.18 ,$6.10 , N/A , N/A ,$3.32 ,$12.52 ,$6.31 ,$8.09 ,$4.12 ,$13.26 ,$14.73 ,$3.18 ,$12.82 ,$11.05 ,$14.73 ,$11.05 ,$3.39 ,$9.57 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,DRESSING PICO 3.5 X 3.5 X 1,271,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,DRESSING PICO 10 X 30,271,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,MATTRESS TRANSFER 34IN HOVERMATT BREATHABLE NONSTERILE LATEX FREE DISPOSABLE,271,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT ORTHOGLASS 3 WIDE,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BOOT WALKING VECTRA LARGE TALL FOOT ANKLE AIRMESH ALUMINUM 2 AXIS ROCKER BOTTOM REMOVABLE HEEL CLIP LIGHTWEIGHT,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BRA 40-42IN XL LOOP FASTENER THERAPEUTIC SUPPORT ELASTIC BANDAGE WRAP REMOVABLE DRAIN BULB HOLDER POST SURGICAL SURGI-BRA VELCRO COTTON SPANDEX LATEX FREE BREAST WHITE,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BRA LARGE 38-10 FRONT CLOSURE,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BRA SURGICAL SIZE MEDIUM,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BRA VEST SURGICAL W CUPS #3,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BRA VEST SURGICAL W CUPS #4,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,POSITIONER OR LEG KIT DISPOSABLE,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,PROTECTOR HEEL STANDARD TRUVUE 13-18IN NONSTERILE LATEX FREE REUSABLE BLACK GREEN,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SHIELD FACE PEEL AWAY STRYKER VENT HOODS,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT INTRANASL AIRWAY,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT ORTHO-GLASS 2 X 15,271,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT ORTHOGLASS 5 WIDE,271,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BRACE ORTHOPEDIC 17-27IN 30.5- IN KNEE ROM HINGE TRIMMABLE STRAP POSTOPERATIVE FLEXIBLE CUFF FOAM T SCOPE BRIDGETECH,271,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT ORTHOGLASS 4 WIDE,271,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORTER MENS SMALL,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,CANISTER SUCTION 12L LARGE COLLECTION CLEAR GRADUATION MEDI-VAC GUARDIAN DISPOSABLE,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,CAUTERY PENCIL SMOKE EVACUATOR W/HOLSTER,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,CUFF TOURNIQUET DUAL PORT 30,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,DRESSING STOCKINETTE ORTHO COTTON TUBLR NON-STERILE 25YDX4,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,IMMOBILIZER ORTHOPEDIC UNIVERSAL STANDARD SHOULDER,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,PILLOW ABDUCTION HIP MEDIUM DISPOSABLE,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,POSITIONER LARGE BUMP ROUND TOP STERILE,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,STOCKINETTE 3IN TUBULAR,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,STOCKINETTE 4IN TUBULAR,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,STRAP POSITIONING CHIN SOFT PAD SHOULDER CHAIR DISPOSABLE,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORT SCROTAL WHT B-B XL,271,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,"TAPE ADHESIVE 6""",271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BINDER ABDOMINAL 12IN XL 62-74IN,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,HOLDER LIMB 58IN PROCARE UNIVERSAL FOAM CUFF STRAP QUICK RELEASE BUCKLE HOOK LOOP CLOSURE,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,STERILE WATER FOR IRRIG.USP.,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORTER ADULT LARGE,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORTER ADULT MEDIUM,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORTER ADULT X-LARGE,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORTER MENS LARGE,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SUPPORTER MENS MEDIUM,271,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,TAPE ELASTIKON 3,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BINDER ABDOMINAL 12IN 4 PANEL,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,BINDER ABDOMINAL 12IN 45-62IN,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,PAD DEFIBRILLATOR 13.02X8.57CM PADPRO A MULTIFUNCTION PAD RADIOTRANSPARENT PRECONNECT ADULT ZOLL NONSTERILE LATEX FREE,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,POSITIONER LAMINECTOMY 24X5IN ARM FOAM CRADLE,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,PREP CHLORAPREP 26ML,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT NASAL AQUA IVORY,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27170000,N/A,SPLINT PRTHO 15X3,271,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27200338,N/A,HC BIOPSY DEVICE NEEDLE CORE,272,1 ,$139.00 ,$100.08 ,$29.97 ,$139.00 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$90.35 ,$61.77 ,$97.30 , N/A ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 , N/A , N/A ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$104.25 ,$139.00 ,$104.25 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,27200551,N/A,HC BONE CEMENT KIT,272,1 ,$250.00 ,$180.00 ,$53.90 ,$250.00 ,$143.75 ,$157.50 ,$150.00 ,$53.90 ,$70.00 ,$145.00 ,$56.35 ,$152.50 ,$61.25 ,$137.25 ,$137.25 ,$63.70 ,$162.50 ,$111.10 ,$175.00 , N/A ,$56.35 ,$53.90 ,$187.50 ,$177.50 ,$177.50 ,$56.35 ,$177.50 ,$217.50 ,$217.50 ,$217.50 , N/A ,$225.00 ,$143.75 ,$212.50 ,$53.90 ,$250.00 ,$140.25 ,$53.90 ,$103.50 , N/A , N/A ,$56.35 ,$212.50 ,$107.06 ,$137.25 ,$70.00 ,$225.00 ,$250.00 ,$53.90 ,$217.50 ,$187.50 ,$250.00 ,$187.50 ,$57.50 ,$162.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27200631,N/A,HC BURR STRYKER,272,1 ,$868.00 ,$624.96 ,$187.14 ,$868.00 ,$499.10 ,$546.84 ,$520.80 ,$187.14 ,$243.04 ,$503.44 ,$195.65 ,$529.48 ,$212.66 ,$476.53 ,$476.53 ,$221.17 ,$564.20 ,$385.74 ,$607.60 , N/A ,$195.65 ,$187.14 ,$651.00 ,$616.28 ,$616.28 ,$195.65 ,$616.28 ,$755.16 ,$755.16 ,$755.16 , N/A ,$781.20 ,$499.10 ,$737.80 ,$187.14 ,$868.00 ,$486.95 ,$187.14 ,$359.35 , N/A , N/A ,$195.65 ,$737.80 ,$371.73 ,$476.53 ,$243.04 ,$781.20 ,$868.00 ,$187.14 ,$755.16 ,$651.00 ,$868.00 ,$651.00 ,$199.64 ,$564.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,27200832,N/A,HC CATH TRAY WITH FOLEY,272,1 ,$27.00 ,$19.44 ,$5.82 ,$27.00 ,$15.53 ,$17.01 ,$16.20 ,$5.82 ,$7.56 ,$15.66 ,$6.09 ,$16.47 ,$6.61 ,$14.82 ,$14.82 ,$6.88 ,$17.55 ,$12.00 ,$18.90 , N/A ,$6.09 ,$5.82 ,$20.25 ,$19.17 ,$19.17 ,$6.09 ,$19.17 ,$23.49 ,$23.49 ,$23.49 , N/A ,$24.30 ,$15.53 ,$22.95 ,$5.82 ,$27.00 ,$15.15 ,$5.82 ,$11.18 , N/A , N/A ,$6.09 ,$22.95 ,$11.56 ,$14.82 ,$7.56 ,$24.30 ,$27.00 ,$5.82 ,$23.49 ,$20.25 ,$27.00 ,$20.25 ,$6.21 ,$17.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27200849,N/A,HC CATHETER - FOLEY,272,1 ,$13.00 ,$9.36 ,$2.80 ,$13.00 ,$7.48 ,$8.19 ,$7.80 ,$2.80 ,$3.64 ,$7.54 ,$2.93 ,$7.93 ,$3.18 ,$7.14 ,$7.14 ,$3.31 ,$8.45 ,$5.78 ,$9.10 , N/A ,$2.93 ,$2.80 ,$9.75 ,$9.23 ,$9.23 ,$2.93 ,$9.23 ,$11.31 ,$11.31 ,$11.31 , N/A ,$11.70 ,$7.48 ,$11.05 ,$2.80 ,$13.00 ,$7.29 ,$2.80 ,$5.38 , N/A , N/A ,$2.93 ,$11.05 ,$5.57 ,$7.14 ,$3.64 ,$11.70 ,$13.00 ,$2.80 ,$11.31 ,$9.75 ,$13.00 ,$9.75 ,$2.99 ,$8.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$61.00 ,$43.92 ,$13.15 ,$61.00 ,$35.08 ,$38.43 ,$36.60 ,$13.15 ,$17.08 ,$35.38 ,$13.75 ,$37.21 ,$14.94 ,$33.49 ,$33.49 ,$15.54 ,$39.65 ,$27.11 ,$42.70 , N/A ,$13.75 ,$13.15 ,$45.75 ,$43.31 ,$43.31 ,$13.75 ,$43.31 ,$53.07 ,$53.07 ,$53.07 , N/A ,$54.90 ,$35.08 ,$51.85 ,$13.15 ,$61.00 ,$34.22 ,$13.15 ,$25.25 , N/A , N/A ,$13.75 ,$51.85 ,$26.13 ,$33.49 ,$17.08 ,$54.90 ,$61.00 ,$13.15 ,$53.07 ,$45.75 ,$61.00 ,$45.75 ,$14.03 ,$39.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201117,N/A,HC DRAINAGE BAGS,272,1 ,$6.00 ,$4.32 ,$1.29 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.90 ,$2.67 ,$4.20 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201127,N/A,HC DRAPE LG LAPROSCOPIC CAMERA ARM,272,1 ,$96.00 ,$69.12 ,$20.70 ,$96.00 ,$55.20 ,$60.48 ,$57.60 ,$20.70 ,$26.88 ,$55.68 ,$21.64 ,$58.56 ,$23.52 ,$52.70 ,$52.70 ,$24.46 ,$62.40 ,$42.66 ,$67.20 , N/A ,$21.64 ,$20.70 ,$72.00 ,$68.16 ,$68.16 ,$21.64 ,$68.16 ,$83.52 ,$83.52 ,$83.52 , N/A ,$86.40 ,$55.20 ,$81.60 ,$20.70 ,$96.00 ,$53.86 ,$20.70 ,$39.74 , N/A , N/A ,$21.64 ,$81.60 ,$41.11 ,$52.70 ,$26.88 ,$86.40 ,$96.00 ,$20.70 ,$83.52 ,$72.00 ,$96.00 ,$72.00 ,$22.08 ,$62.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201148,N/A,HC DRESSING AQUACELL W/HYDROFIBER,272,1 ,$120.00 ,$86.40 ,$25.87 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 , N/A ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 , N/A , N/A ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$90.00 ,$120.00 ,$90.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201252,N/A,HC EPIDURAL TRAY,272,1 ,$102.00 ,$73.44 ,$21.99 ,$102.00 ,$58.65 ,$64.26 ,$61.20 ,$21.99 ,$28.56 ,$59.16 ,$22.99 ,$62.22 ,$24.99 ,$56.00 ,$56.00 ,$25.99 ,$66.30 ,$45.33 ,$71.40 , N/A ,$22.99 ,$21.99 ,$76.50 ,$72.42 ,$72.42 ,$22.99 ,$72.42 ,$88.74 ,$88.74 ,$88.74 , N/A ,$91.80 ,$58.65 ,$86.70 ,$21.99 ,$102.00 ,$57.22 ,$21.99 ,$42.23 , N/A , N/A ,$22.99 ,$86.70 ,$43.68 ,$56.00 ,$28.56 ,$91.80 ,$102.00 ,$21.99 ,$88.74 ,$76.50 ,$102.00 ,$76.50 ,$23.46 ,$66.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201280,N/A,HC FECAL MGT COLLECTION BAGS,272,1 ,$15.00 ,$10.80 ,$3.23 ,$15.00 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$10.50 , N/A ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 , N/A , N/A ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$11.25 ,$15.00 ,$11.25 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201282,N/A,HC FEEDING TUBE,272,1 ,$43.00 ,$30.96 ,$9.27 ,$43.00 ,$24.73 ,$27.09 ,$25.80 ,$9.27 ,$12.04 ,$24.94 ,$9.69 ,$26.23 ,$10.53 ,$23.61 ,$23.61 ,$10.96 ,$27.95 ,$19.11 ,$30.10 , N/A ,$9.69 ,$9.27 ,$32.25 ,$30.53 ,$30.53 ,$9.69 ,$30.53 ,$37.41 ,$37.41 ,$37.41 , N/A ,$38.70 ,$24.73 ,$36.55 ,$9.27 ,$43.00 ,$24.12 ,$9.27 ,$17.80 , N/A , N/A ,$9.69 ,$36.55 ,$18.41 ,$23.61 ,$12.04 ,$38.70 ,$43.00 ,$9.27 ,$37.41 ,$32.25 ,$43.00 ,$32.25 ,$9.89 ,$27.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201486,N/A,HC CHEST TUBE DRAINAGE SYSTEM,272,1 ,$64.00 ,$46.08 ,$13.80 ,$64.00 ,$36.80 ,$40.32 ,$38.40 ,$13.80 ,$17.92 ,$37.12 ,$14.43 ,$39.04 ,$15.68 ,$35.14 ,$35.14 ,$16.31 ,$41.60 ,$28.44 ,$44.80 , N/A ,$14.43 ,$13.80 ,$48.00 ,$45.44 ,$45.44 ,$14.43 ,$45.44 ,$55.68 ,$55.68 ,$55.68 , N/A ,$57.60 ,$36.80 ,$54.40 ,$13.80 ,$64.00 ,$35.90 ,$13.80 ,$26.50 , N/A , N/A ,$14.43 ,$54.40 ,$27.41 ,$35.14 ,$17.92 ,$57.60 ,$64.00 ,$13.80 ,$55.68 ,$48.00 ,$64.00 ,$48.00 ,$14.72 ,$41.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201521,N/A,HC KIT INTRODUCER,272,1 ,$76.00 ,$54.72 ,$16.39 ,$76.00 ,$43.70 ,$47.88 ,$45.60 ,$16.39 ,$21.28 ,$44.08 ,$17.13 ,$46.36 ,$18.62 ,$41.72 ,$41.72 ,$19.36 ,$49.40 ,$33.77 ,$53.20 , N/A ,$17.13 ,$16.39 ,$57.00 ,$53.96 ,$53.96 ,$17.13 ,$53.96 ,$66.12 ,$66.12 ,$66.12 , N/A ,$68.40 ,$43.70 ,$64.60 ,$16.39 ,$76.00 ,$42.64 ,$16.39 ,$31.46 , N/A , N/A ,$17.13 ,$64.60 ,$32.55 ,$41.72 ,$21.28 ,$68.40 ,$76.00 ,$16.39 ,$66.12 ,$57.00 ,$76.00 ,$57.00 ,$17.48 ,$49.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201647,N/A,HC METER URINE,272,1 ,$24.00 ,$17.28 ,$5.17 ,$24.00 ,$13.80 ,$15.12 ,$14.40 ,$5.17 ,$6.72 ,$13.92 ,$5.41 ,$14.64 ,$5.88 ,$13.18 ,$13.18 ,$6.12 ,$15.60 ,$10.67 ,$16.80 , N/A ,$5.41 ,$5.17 ,$18.00 ,$17.04 ,$17.04 ,$5.41 ,$17.04 ,$20.88 ,$20.88 ,$20.88 , N/A ,$21.60 ,$13.80 ,$20.40 ,$5.17 ,$24.00 ,$13.46 ,$5.17 ,$9.94 , N/A , N/A ,$5.41 ,$20.40 ,$10.28 ,$13.18 ,$6.72 ,$21.60 ,$24.00 ,$5.17 ,$20.88 ,$18.00 ,$24.00 ,$18.00 ,$5.52 ,$15.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201663,N/A,HC DRSG GAUZE PACKING 2X72,272,1 ,$9.98 ,$7.19 ,$2.16 ,$9.98 ,$5.75 ,$6.29 ,$5.99 ,$2.16 ,$2.79 ,$5.79 ,$2.25 ,$6.09 ,$2.45 ,$5.48 ,$5.48 ,$2.54 ,$6.49 ,$4.44 ,$6.99 , N/A ,$2.25 ,$2.16 ,$7.49 ,$7.09 ,$7.09 ,$2.25 ,$7.09 ,$8.68 ,$8.68 ,$8.68 , N/A ,$8.98 ,$5.75 ,$8.48 ,$2.16 ,$9.98 ,$5.60 ,$2.16 ,$4.13 , N/A , N/A ,$2.25 ,$8.48 ,$4.28 ,$5.48 ,$2.79 ,$8.98 ,$9.98 ,$2.16 ,$8.68 ,$7.49 ,$9.98 ,$7.49 ,$2.30 ,$6.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$654.00 ,$470.88 ,$141.00 ,$654.00 ,$376.05 ,$412.02 ,$392.40 ,$141.00 ,$183.12 ,$379.32 ,$147.41 ,$398.94 ,$160.23 ,$359.05 ,$359.05 ,$166.64 ,$425.10 ,$290.64 ,$457.80 , N/A ,$147.41 ,$141.00 ,$490.50 ,$464.34 ,$464.34 ,$147.41 ,$464.34 ,$568.98 ,$568.98 ,$568.98 , N/A ,$588.60 ,$376.05 ,$555.90 ,$141.00 ,$654.00 ,$366.89 ,$141.00 ,$270.76 , N/A , N/A ,$147.41 ,$555.90 ,$280.08 ,$359.05 ,$183.12 ,$588.60 ,$654.00 ,$141.00 ,$568.98 ,$490.50 ,$654.00 ,$490.50 ,$150.42 ,$425.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,27201780,N/A,HC PACK CYSTO III,272,1 ,$50.00 ,$36.00 ,$10.78 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$35.00 , N/A ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 , N/A , N/A ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$37.50 ,$50.00 ,$37.50 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27202120,N/A,HC STAPLER SKIN,272,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27202634,N/A,HC SYRINGE ASEPTO,272,1 ,$7.01 ,$5.05 ,$1.51 ,$7.01 ,$4.03 ,$4.42 ,$4.21 ,$1.51 ,$1.96 ,$4.07 ,$1.58 ,$4.28 ,$1.71 ,$3.85 ,$3.85 ,$1.78 ,$4.56 ,$3.11 ,$4.91 , N/A ,$1.58 ,$1.51 ,$5.26 ,$4.98 ,$4.98 ,$1.58 ,$4.98 ,$6.10 ,$6.10 ,$6.10 , N/A ,$6.31 ,$4.03 ,$5.96 ,$1.51 ,$7.01 ,$3.93 ,$1.51 ,$2.90 , N/A , N/A ,$1.58 ,$5.96 ,$3.00 ,$3.85 ,$1.96 ,$6.31 ,$7.01 ,$1.51 ,$6.10 ,$5.26 ,$7.01 ,$5.26 ,$1.61 ,$4.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,27202807,N/A,HC TRAY SPINAL,272,1 ,$60.00 ,$43.20 ,$12.94 ,$60.00 ,$34.50 ,$37.80 ,$36.00 ,$12.94 ,$16.80 ,$34.80 ,$13.52 ,$36.60 ,$14.70 ,$32.94 ,$32.94 ,$15.29 ,$39.00 ,$26.66 ,$42.00 , N/A ,$13.52 ,$12.94 ,$45.00 ,$42.60 ,$42.60 ,$13.52 ,$42.60 ,$52.20 ,$52.20 ,$52.20 , N/A ,$54.00 ,$34.50 ,$51.00 ,$12.94 ,$60.00 ,$33.66 ,$12.94 ,$24.84 , N/A , N/A ,$13.52 ,$51.00 ,$25.70 ,$32.94 ,$16.80 ,$54.00 ,$60.00 ,$12.94 ,$52.20 ,$45.00 ,$60.00 ,$45.00 ,$13.80 ,$39.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27202901,N/A,HC TUBES TRACH,278,1 ,$90.00 ,$64.80 ,$19.40 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$49.41 ,$40.00 ,$45.00 , N/A ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 , N/A , N/A ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 , N/A ,$90.00 , N/A ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203270,N/A,HC WOUND VAC VERAFLOW MEDIUM DRESSING,272,1 ,$354.00 ,$254.88 ,$76.32 ,$354.00 ,$203.55 ,$223.02 ,$212.40 ,$76.32 ,$99.12 ,$205.32 ,$79.79 ,$215.94 ,$86.73 ,$194.35 ,$194.35 ,$90.20 ,$230.10 ,$157.32 ,$247.80 , N/A ,$79.79 ,$76.32 ,$265.50 ,$251.34 ,$251.34 ,$79.79 ,$251.34 ,$307.98 ,$307.98 ,$307.98 , N/A ,$318.60 ,$203.55 ,$300.90 ,$76.32 ,$354.00 ,$198.59 ,$76.32 ,$146.56 , N/A , N/A ,$79.79 ,$300.90 ,$151.61 ,$194.35 ,$99.12 ,$318.60 ,$354.00 ,$76.32 ,$307.98 ,$265.50 ,$354.00 ,$265.50 ,$81.42 ,$230.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203511,N/A,HC BAG LEG URINARY,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203521,A6234,HC DRESSING DUODERM <16 SQ CM,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 , N/A , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203524,A6258,HC DRESSING TRANSPARENT >16 AND <48 SQ CM TIER 1,623,1 ,$9.00 ,$6.48 ,$1.94 ,$9.00 ,$5.18 ,$5.67 ,$5.40 ,$1.94 ,$2.52 ,$5.22 ,$2.03 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$2.29 ,$5.85 ,$4.00 , N/A , N/A ,$2.03 ,$1.94 ,$6.75 ,$6.39 ,$6.39 ,$2.03 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$5.18 ,$7.65 ,$1.94 ,$9.00 ,$5.05 ,$1.94 ,$3.73 , N/A , N/A ,$2.03 ,$7.65 ,$3.85 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$1.94 ,$7.83 ,$6.75 ,$9.00 ,$6.75 ,$2.07 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203526,A6266,HC PACKING GAUZE IODOFORM,272,1 ,$15.00 ,$10.80 ,$3.23 ,$15.00 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 , N/A , N/A ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 , N/A , N/A ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$11.25 ,$15.00 ,$11.25 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203554,N/A,HC KIT ICP PRESSURE MONITOR,272,1 ,$35.00 ,$25.20 ,$7.55 ,$35.00 ,$20.13 ,$22.05 ,$21.00 ,$7.55 ,$9.80 ,$20.30 ,$7.89 ,$21.35 ,$8.57 ,$19.22 ,$19.22 ,$8.92 ,$22.75 ,$15.55 ,$24.50 , N/A ,$7.89 ,$7.55 ,$26.25 ,$24.85 ,$24.85 ,$7.89 ,$24.85 ,$30.45 ,$30.45 ,$30.45 , N/A ,$31.50 ,$20.13 ,$29.75 ,$7.55 ,$35.00 ,$19.64 ,$7.55 ,$14.49 , N/A , N/A ,$7.89 ,$29.75 ,$14.99 ,$19.22 ,$9.80 ,$31.50 ,$35.00 ,$7.55 ,$30.45 ,$26.25 ,$35.00 ,$26.25 ,$8.05 ,$22.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203560,N/A,HC CATHETER IV,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203562,N/A,HC CATHETER SUCTION,272,1 ,$63.00 ,$45.36 ,$13.58 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$36.54 ,$14.20 ,$38.43 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$40.95 ,$28.00 ,$44.10 , N/A ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 , N/A , N/A ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$47.25 ,$63.00 ,$47.25 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203568,N/A,HC DRAIN CHEST,272,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203571,N/A,HC DRESSING BANDAGE ACE,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203572,N/A,HC DRESSING BIOPATCH,272,1 ,$26.00 ,$18.72 ,$5.61 ,$26.00 ,$14.95 ,$16.38 ,$15.60 ,$5.61 ,$7.28 ,$15.08 ,$5.86 ,$15.86 ,$6.37 ,$14.27 ,$14.27 ,$6.62 ,$16.90 ,$11.55 ,$18.20 , N/A ,$5.86 ,$5.61 ,$19.50 ,$18.46 ,$18.46 ,$5.86 ,$18.46 ,$22.62 ,$22.62 ,$22.62 , N/A ,$23.40 ,$14.95 ,$22.10 ,$5.61 ,$26.00 ,$14.59 ,$5.61 ,$10.76 , N/A , N/A ,$5.86 ,$22.10 ,$11.13 ,$14.27 ,$7.28 ,$23.40 ,$26.00 ,$5.61 ,$22.62 ,$19.50 ,$26.00 ,$19.50 ,$5.98 ,$16.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203576,N/A,HC DRESSING V.A.C.,272,1 ,$205.00 ,$147.60 ,$44.20 ,$205.00 ,$117.88 ,$129.15 ,$123.00 ,$44.20 ,$57.40 ,$118.90 ,$46.21 ,$125.05 ,$50.22 ,$112.55 ,$112.55 ,$52.23 ,$133.25 ,$91.10 ,$143.50 , N/A ,$46.21 ,$44.20 ,$153.75 ,$145.55 ,$145.55 ,$46.21 ,$145.55 ,$178.35 ,$178.35 ,$178.35 , N/A ,$184.50 ,$117.88 ,$174.25 ,$44.20 ,$205.00 ,$115.01 ,$44.20 ,$84.87 , N/A , N/A ,$46.21 ,$174.25 ,$87.80 ,$112.55 ,$57.40 ,$184.50 ,$205.00 ,$44.20 ,$178.35 ,$153.75 ,$205.00 ,$153.75 ,$47.15 ,$133.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203589,N/A,HC STYLET INTUBATING,272,1 ,$11.00 ,$7.92 ,$2.37 ,$11.00 ,$6.33 ,$6.93 ,$6.60 ,$2.37 ,$3.08 ,$6.38 ,$2.48 ,$6.71 ,$2.69 ,$6.04 ,$6.04 ,$2.80 ,$7.15 ,$4.89 ,$7.70 , N/A ,$2.48 ,$2.37 ,$8.25 ,$7.81 ,$7.81 ,$2.48 ,$7.81 ,$9.57 ,$9.57 ,$9.57 , N/A ,$9.90 ,$6.33 ,$9.35 ,$2.37 ,$11.00 ,$6.17 ,$2.37 ,$4.55 , N/A , N/A ,$2.48 ,$9.35 ,$4.71 ,$6.04 ,$3.08 ,$9.90 ,$11.00 ,$2.37 ,$9.57 ,$8.25 ,$11.00 ,$8.25 ,$2.53 ,$7.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203590,N/A,HC SYRINGE PUMP SYRINGE,272,1 ,$32.00 ,$23.04 ,$6.90 ,$32.00 ,$18.40 ,$20.16 ,$19.20 ,$6.90 ,$8.96 ,$18.56 ,$7.21 ,$19.52 ,$7.84 ,$17.57 ,$17.57 ,$8.15 ,$20.80 ,$14.22 ,$22.40 , N/A ,$7.21 ,$6.90 ,$24.00 ,$22.72 ,$22.72 ,$7.21 ,$22.72 ,$27.84 ,$27.84 ,$27.84 , N/A ,$28.80 ,$18.40 ,$27.20 ,$6.90 ,$32.00 ,$17.95 ,$6.90 ,$13.25 , N/A , N/A ,$7.21 ,$27.20 ,$13.70 ,$17.57 ,$8.96 ,$28.80 ,$32.00 ,$6.90 ,$27.84 ,$24.00 ,$32.00 ,$24.00 ,$7.36 ,$20.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203595,N/A,HC TUBE TRACH CUFFED,272,1 ,$162.00 ,$116.64 ,$34.93 ,$162.00 ,$93.15 ,$102.06 ,$97.20 ,$34.93 ,$45.36 ,$93.96 ,$36.51 ,$98.82 ,$39.69 ,$88.94 ,$88.94 ,$41.28 ,$105.30 ,$71.99 ,$113.40 , N/A ,$36.51 ,$34.93 ,$121.50 ,$115.02 ,$115.02 ,$36.51 ,$115.02 ,$140.94 ,$140.94 ,$140.94 , N/A ,$145.80 ,$93.15 ,$137.70 ,$34.93 ,$162.00 ,$90.88 ,$34.93 ,$67.07 , N/A , N/A ,$36.51 ,$137.70 ,$69.37 ,$88.94 ,$45.36 ,$145.80 ,$162.00 ,$34.93 ,$140.94 ,$121.50 ,$162.00 ,$121.50 ,$37.26 ,$105.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203597,N/A,HC TUBING ANY,272,1 ,$19.00 ,$13.68 ,$4.10 ,$19.00 ,$10.93 ,$11.97 ,$11.40 ,$4.10 ,$5.32 ,$11.02 ,$4.28 ,$11.59 ,$4.65 ,$10.43 ,$10.43 ,$4.84 ,$12.35 ,$8.44 ,$13.30 , N/A ,$4.28 ,$4.10 ,$14.25 ,$13.49 ,$13.49 ,$4.28 ,$13.49 ,$16.53 ,$16.53 ,$16.53 , N/A ,$17.10 ,$10.93 ,$16.15 ,$4.10 ,$19.00 ,$10.66 ,$4.10 ,$7.87 , N/A , N/A ,$4.28 ,$16.15 ,$8.13 ,$10.43 ,$5.32 ,$17.10 ,$19.00 ,$4.10 ,$16.53 ,$14.25 ,$19.00 ,$14.25 ,$4.37 ,$12.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203598,N/A,HC WAFER OSTOMY,272,1 ,$21.00 ,$15.12 ,$4.53 ,$21.00 ,$12.08 ,$13.23 ,$12.60 ,$4.53 ,$5.88 ,$12.18 ,$4.73 ,$12.81 ,$5.14 ,$11.53 ,$11.53 ,$5.35 ,$13.65 ,$9.33 ,$14.70 , N/A ,$4.73 ,$4.53 ,$15.75 ,$14.91 ,$14.91 ,$4.73 ,$14.91 ,$18.27 ,$18.27 ,$18.27 , N/A ,$18.90 ,$12.08 ,$17.85 ,$4.53 ,$21.00 ,$11.78 ,$4.53 ,$8.69 , N/A , N/A ,$4.73 ,$17.85 ,$9.00 ,$11.53 ,$5.88 ,$18.90 ,$21.00 ,$4.53 ,$18.27 ,$15.75 ,$21.00 ,$15.75 ,$4.83 ,$13.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203628,N/A,HC WATER INHALATION,272,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203632,N/A,HC SET IV PRIMARY PUMP,272,1 ,$16.00 ,$11.52 ,$3.45 ,$16.00 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$11.20 , N/A ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 , N/A , N/A ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$12.00 ,$16.00 ,$12.00 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$96.00 ,$69.12 ,$20.70 ,$96.00 ,$55.20 ,$60.48 ,$57.60 ,$20.70 ,$26.88 ,$55.68 ,$21.64 ,$58.56 ,$23.52 ,$52.70 ,$52.70 ,$24.46 ,$62.40 ,$42.66 ,$67.20 , N/A ,$21.64 ,$20.70 ,$72.00 ,$68.16 ,$68.16 ,$21.64 ,$68.16 ,$83.52 ,$83.52 ,$83.52 , N/A ,$86.40 ,$55.20 ,$81.60 ,$20.70 ,$96.00 ,$53.86 ,$20.70 ,$39.74 , N/A , N/A ,$21.64 ,$81.60 ,$41.11 ,$52.70 ,$26.88 ,$86.40 ,$96.00 ,$20.70 ,$83.52 ,$72.00 ,$96.00 ,$72.00 ,$22.08 ,$62.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203703,C1751,HC CATHETER PICC,272,1 ,$405.00 ,$291.60 ,$87.32 ,$405.00 ,$232.88 ,$255.15 ,$243.00 ,$87.32 ,$113.40 ,$234.90 ,$91.29 ,$247.05 ,$99.22 ,$222.35 ,$222.35 ,$103.19 ,$263.25 ,$179.98 , N/A , N/A ,$91.29 ,$87.32 ,$303.75 ,$287.55 ,$287.55 ,$91.29 ,$287.55 ,$352.35 ,$352.35 ,$352.35 , N/A ,$364.50 ,$232.88 ,$344.25 ,$87.32 ,$405.00 ,$227.21 ,$87.32 ,$167.67 , N/A , N/A ,$91.29 ,$344.25 ,$173.45 ,$222.35 ,$113.40 ,$364.50 ,$405.00 ,$87.32 ,$352.35 ,$303.75 ,$405.00 ,$303.75 ,$93.15 ,$263.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203719,C1729,HC CATHETER CENTESIS ONE STEP,272,1 ,$39.00 ,$28.08 ,$8.41 ,$39.00 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$25.35 ,$17.33 , N/A , N/A ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 , N/A , N/A ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$29.25 ,$39.00 ,$29.25 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203844,N/A,HC TRAY CHEST TUBE,272,1 ,$85.00 ,$61.20 ,$18.33 ,$85.00 ,$48.88 ,$53.55 ,$51.00 ,$18.33 ,$23.80 ,$49.30 ,$19.16 ,$51.85 ,$20.82 ,$46.67 ,$46.67 ,$21.66 ,$55.25 ,$37.77 ,$59.50 , N/A ,$19.16 ,$18.33 ,$63.75 ,$60.35 ,$60.35 ,$19.16 ,$60.35 ,$73.95 ,$73.95 ,$73.95 , N/A ,$76.50 ,$48.88 ,$72.25 ,$18.33 ,$85.00 ,$47.69 ,$18.33 ,$35.19 , N/A , N/A ,$19.16 ,$72.25 ,$36.41 ,$46.67 ,$23.80 ,$76.50 ,$85.00 ,$18.33 ,$73.95 ,$63.75 ,$85.00 ,$63.75 ,$19.55 ,$55.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203847,N/A,HC NEEDLE INTRAOSSEOUS,272,1 ,$243.00 ,$174.96 ,$52.39 ,$243.00 ,$139.73 ,$153.09 ,$145.80 ,$52.39 ,$68.04 ,$140.94 ,$54.77 ,$148.23 ,$59.53 ,$133.41 ,$133.41 ,$61.92 ,$157.95 ,$107.99 ,$170.10 , N/A ,$54.77 ,$52.39 ,$182.25 ,$172.53 ,$172.53 ,$54.77 ,$172.53 ,$211.41 ,$211.41 ,$211.41 , N/A ,$218.70 ,$139.73 ,$206.55 ,$52.39 ,$243.00 ,$136.32 ,$52.39 ,$100.60 , N/A , N/A ,$54.77 ,$206.55 ,$104.07 ,$133.41 ,$68.04 ,$218.70 ,$243.00 ,$52.39 ,$211.41 ,$182.25 ,$243.00 ,$182.25 ,$55.89 ,$157.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203857,A6197,HC DRESSING WOUND AQUACEL AG 15 X 9CM ANTIMICROBIAL,623,1 ,$63.00 ,$45.36 ,$13.58 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$36.54 ,$14.20 ,$38.43 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$40.95 ,$28.00 , N/A , N/A ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 , N/A , N/A ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$47.25 ,$63.00 ,$47.25 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,27203874,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM LARGE,272,1 ,$661.00 ,$475.92 ,$142.51 ,$661.00 ,$380.08 ,$416.43 ,$396.60 ,$142.51 ,$185.08 ,$383.38 ,$148.99 ,$403.21 ,$161.94 ,$362.89 ,$362.89 ,$168.42 ,$429.65 ,$293.75 ,$462.70 , N/A ,$148.99 ,$142.51 ,$495.75 ,$469.31 ,$469.31 ,$148.99 ,$469.31 ,$575.07 ,$575.07 ,$575.07 , N/A ,$594.90 ,$380.08 ,$561.85 ,$142.51 ,$661.00 ,$370.82 ,$142.51 ,$273.65 , N/A , N/A ,$148.99 ,$561.85 ,$283.08 ,$362.89 ,$185.08 ,$594.90 ,$661.00 ,$142.51 ,$575.07 ,$495.75 ,$661.00 ,$495.75 ,$152.03 ,$429.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204585,N/A,HC KIT MULTILUMEN CATHETER,272,1 ,$437.00 ,$314.64 ,$94.22 ,$437.00 ,$251.28 ,$275.31 ,$262.20 ,$94.22 ,$122.36 ,$253.46 ,$98.50 ,$266.57 ,$107.06 ,$239.91 ,$239.91 ,$111.35 ,$284.05 ,$194.20 ,$305.90 , N/A ,$98.50 ,$94.22 ,$327.75 ,$310.27 ,$310.27 ,$98.50 ,$310.27 ,$380.19 ,$380.19 ,$380.19 , N/A ,$393.30 ,$251.28 ,$371.45 ,$94.22 ,$437.00 ,$245.16 ,$94.22 ,$180.92 , N/A , N/A ,$98.50 ,$371.45 ,$187.15 ,$239.91 ,$122.36 ,$393.30 ,$437.00 ,$94.22 ,$380.19 ,$327.75 ,$437.00 ,$327.75 ,$100.51 ,$284.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204622,N/A,HC MARKER BIOPSY SITE,272,1 ,$182.00 ,$131.04 ,$39.24 ,$182.00 ,$104.65 ,$114.66 ,$109.20 ,$39.24 ,$50.96 ,$105.56 ,$41.02 ,$111.02 ,$44.59 ,$99.92 ,$99.92 ,$46.37 ,$118.30 ,$80.88 ,$127.40 , N/A ,$41.02 ,$39.24 ,$136.50 ,$129.22 ,$129.22 ,$41.02 ,$129.22 ,$158.34 ,$158.34 ,$158.34 , N/A ,$163.80 ,$104.65 ,$154.70 ,$39.24 ,$182.00 ,$102.10 ,$39.24 ,$75.35 , N/A , N/A ,$41.02 ,$154.70 ,$77.94 ,$99.92 ,$50.96 ,$163.80 ,$182.00 ,$39.24 ,$158.34 ,$136.50 ,$182.00 ,$136.50 ,$41.86 ,$118.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204623,N/A,HC NEEDLE GUIDE,272,1 ,$22.00 ,$15.84 ,$4.74 ,$22.00 ,$12.65 ,$13.86 ,$13.20 ,$4.74 ,$6.16 ,$12.76 ,$4.96 ,$13.42 ,$5.39 ,$12.08 ,$12.08 ,$5.61 ,$14.30 ,$9.78 ,$15.40 , N/A ,$4.96 ,$4.74 ,$16.50 ,$15.62 ,$15.62 ,$4.96 ,$15.62 ,$19.14 ,$19.14 ,$19.14 , N/A ,$19.80 ,$12.65 ,$18.70 ,$4.74 ,$22.00 ,$12.34 ,$4.74 ,$9.11 , N/A , N/A ,$4.96 ,$18.70 ,$9.42 ,$12.08 ,$6.16 ,$19.80 ,$22.00 ,$4.74 ,$19.14 ,$16.50 ,$22.00 ,$16.50 ,$5.06 ,$14.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204657,N/A,HC CANISTER V.A.C.,272,1 ,$125.00 ,$90.00 ,$26.95 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$87.50 , N/A ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 , N/A , N/A ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$93.75 ,$125.00 ,$93.75 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204692,N/A,HC MASK NON-REBREATHER ADULT,272,1 ,$9.00 ,$6.48 ,$1.94 ,$9.00 ,$5.18 ,$5.67 ,$5.40 ,$1.94 ,$2.52 ,$5.22 ,$2.03 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$2.29 ,$5.85 ,$4.00 ,$6.30 , N/A ,$2.03 ,$1.94 ,$6.75 ,$6.39 ,$6.39 ,$2.03 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$5.18 ,$7.65 ,$1.94 ,$9.00 ,$5.05 ,$1.94 ,$3.73 , N/A , N/A ,$2.03 ,$7.65 ,$3.85 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$1.94 ,$7.83 ,$6.75 ,$9.00 ,$6.75 ,$2.07 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204752,N/A,HC PATIENT TRANSFER SYSTEM W/PAD,272,1 ,$294.00 ,$211.68 ,$63.39 ,$294.00 ,$169.05 ,$185.22 ,$176.40 ,$63.39 ,$82.32 ,$170.52 ,$66.27 ,$179.34 ,$72.03 ,$161.41 ,$161.41 ,$74.91 ,$191.10 ,$130.65 ,$205.80 , N/A ,$66.27 ,$63.39 ,$220.50 ,$208.74 ,$208.74 ,$66.27 ,$208.74 ,$255.78 ,$255.78 ,$255.78 , N/A ,$264.60 ,$169.05 ,$249.90 ,$63.39 ,$294.00 ,$164.93 ,$63.39 ,$121.72 , N/A , N/A ,$66.27 ,$249.90 ,$125.91 ,$161.41 ,$82.32 ,$264.60 ,$294.00 ,$63.39 ,$255.78 ,$220.50 ,$294.00 ,$220.50 ,$67.62 ,$191.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204755,N/A,HC DEVICE BREAST BIOPSY,272,1 ,$587.00 ,$422.64 ,$126.56 ,$587.00 ,$337.53 ,$369.81 ,$352.20 ,$126.56 ,$164.36 ,$340.46 ,$132.31 ,$358.07 ,$143.81 ,$322.26 ,$322.26 ,$149.57 ,$381.55 ,$260.86 ,$410.90 , N/A ,$132.31 ,$126.56 ,$440.25 ,$416.77 ,$416.77 ,$132.31 ,$416.77 ,$510.69 ,$510.69 ,$510.69 , N/A ,$528.30 ,$337.53 ,$498.95 ,$126.56 ,$587.00 ,$329.31 ,$126.56 ,$243.02 , N/A , N/A ,$132.31 ,$498.95 ,$251.39 ,$322.26 ,$164.36 ,$528.30 ,$587.00 ,$126.56 ,$510.69 ,$440.25 ,$587.00 ,$440.25 ,$135.01 ,$381.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204760,N/A,HC BLANKET BAIR HUGGER,272,1 ,$38.00 ,$27.36 ,$8.19 ,$38.00 ,$21.85 ,$23.94 ,$22.80 ,$8.19 ,$10.64 ,$22.04 ,$8.57 ,$23.18 ,$9.31 ,$20.86 ,$20.86 ,$9.68 ,$24.70 ,$16.89 ,$26.60 , N/A ,$8.57 ,$8.19 ,$28.50 ,$26.98 ,$26.98 ,$8.57 ,$26.98 ,$33.06 ,$33.06 ,$33.06 , N/A ,$34.20 ,$21.85 ,$32.30 ,$8.19 ,$38.00 ,$21.32 ,$8.19 ,$15.73 , N/A , N/A ,$8.57 ,$32.30 ,$16.28 ,$20.86 ,$10.64 ,$34.20 ,$38.00 ,$8.19 ,$33.06 ,$28.50 ,$38.00 ,$28.50 ,$8.74 ,$24.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$118.00 ,$84.96 ,$25.44 ,$118.00 ,$67.85 ,$74.34 ,$70.80 ,$25.44 ,$33.04 ,$68.44 ,$26.60 ,$71.98 ,$28.91 ,$64.78 ,$64.78 ,$30.07 ,$76.70 ,$52.44 ,$82.60 , N/A ,$26.60 ,$25.44 ,$88.50 ,$83.78 ,$83.78 ,$26.60 ,$83.78 ,$102.66 ,$102.66 ,$102.66 , N/A ,$106.20 ,$67.85 ,$100.30 ,$25.44 ,$118.00 ,$66.20 ,$25.44 ,$48.85 , N/A , N/A ,$26.60 ,$100.30 ,$50.54 ,$64.78 ,$33.04 ,$106.20 ,$118.00 ,$25.44 ,$102.66 ,$88.50 ,$118.00 ,$88.50 ,$27.14 ,$76.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204805,N/A,HC CHEST TUBE THAL-QUICK,272,1 ,$542.00 ,$390.24 ,$116.86 ,$542.00 ,$311.65 ,$341.46 ,$325.20 ,$116.86 ,$151.76 ,$314.36 ,$122.17 ,$330.62 ,$132.79 ,$297.56 ,$297.56 ,$138.10 ,$352.30 ,$240.86 ,$379.40 , N/A ,$122.17 ,$116.86 ,$406.50 ,$384.82 ,$384.82 ,$122.17 ,$384.82 ,$471.54 ,$471.54 ,$471.54 , N/A ,$487.80 ,$311.65 ,$460.70 ,$116.86 ,$542.00 ,$304.06 ,$116.86 ,$224.39 , N/A , N/A ,$122.17 ,$460.70 ,$232.11 ,$297.56 ,$151.76 ,$487.80 ,$542.00 ,$116.86 ,$471.54 ,$406.50 ,$542.00 ,$406.50 ,$124.66 ,$352.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204820,N/A,HC BANDAGE COMPRESSION UNNA BOOT,272,1 ,$14.00 ,$10.08 ,$3.02 ,$14.00 ,$8.05 ,$8.82 ,$8.40 ,$3.02 ,$3.92 ,$8.12 ,$3.16 ,$8.54 ,$3.43 ,$7.69 ,$7.69 ,$3.57 ,$9.10 ,$6.22 ,$9.80 , N/A ,$3.16 ,$3.02 ,$10.50 ,$9.94 ,$9.94 ,$3.16 ,$9.94 ,$12.18 ,$12.18 ,$12.18 , N/A ,$12.60 ,$8.05 ,$11.90 ,$3.02 ,$14.00 ,$7.85 ,$3.02 ,$5.80 , N/A , N/A ,$3.16 ,$11.90 ,$6.00 ,$7.69 ,$3.92 ,$12.60 ,$14.00 ,$3.02 ,$12.18 ,$10.50 ,$14.00 ,$10.50 ,$3.22 ,$9.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204858,N/A,HC HEEL PROTECTOR WAFFLE CUSTOM,270,1 ,$72.00 ,$51.84 ,$15.52 ,$72.00 ,$41.40 ,$45.36 ,$43.20 ,$15.52 ,$20.16 ,$41.76 ,$16.23 ,$43.92 ,$17.64 ,$39.53 ,$39.53 ,$18.35 ,$46.80 ,$32.00 ,$50.40 , N/A ,$16.23 ,$15.52 ,$54.00 ,$51.12 ,$51.12 ,$16.23 ,$51.12 ,$62.64 ,$62.64 ,$62.64 , N/A ,$64.80 ,$41.40 ,$61.20 ,$15.52 ,$72.00 ,$40.39 ,$15.52 ,$29.81 , N/A , N/A ,$16.23 ,$61.20 ,$30.83 ,$39.53 ,$20.16 ,$64.80 ,$72.00 ,$15.52 ,$62.64 ,$54.00 ,$72.00 ,$54.00 ,$16.56 ,$46.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204865,N/A,HC INTRODUCER/SHEATH,272,1 ,$42.00 ,$30.24 ,$9.06 ,$42.00 ,$24.15 ,$26.46 ,$25.20 ,$9.06 ,$11.76 ,$24.36 ,$9.47 ,$25.62 ,$10.29 ,$23.06 ,$23.06 ,$10.70 ,$27.30 ,$18.66 ,$29.40 , N/A ,$9.47 ,$9.06 ,$31.50 ,$29.82 ,$29.82 ,$9.47 ,$29.82 ,$36.54 ,$36.54 ,$36.54 , N/A ,$37.80 ,$24.15 ,$35.70 ,$9.06 ,$42.00 ,$23.56 ,$9.06 ,$17.39 , N/A , N/A ,$9.47 ,$35.70 ,$17.98 ,$23.06 ,$11.76 ,$37.80 ,$42.00 ,$9.06 ,$36.54 ,$31.50 ,$42.00 ,$31.50 ,$9.66 ,$27.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204869,N/A,HC IV ANGIOCATH,272,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204872,N/A,HC STATLOCK IV PICC,272,1 ,$14.00 ,$10.08 ,$3.02 ,$14.00 ,$8.05 ,$8.82 ,$8.40 ,$3.02 ,$3.92 ,$8.12 ,$3.16 ,$8.54 ,$3.43 ,$7.69 ,$7.69 ,$3.57 ,$9.10 ,$6.22 ,$9.80 , N/A ,$3.16 ,$3.02 ,$10.50 ,$9.94 ,$9.94 ,$3.16 ,$9.94 ,$12.18 ,$12.18 ,$12.18 , N/A ,$12.60 ,$8.05 ,$11.90 ,$3.02 ,$14.00 ,$7.85 ,$3.02 ,$5.80 , N/A , N/A ,$3.16 ,$11.90 ,$6.00 ,$7.69 ,$3.92 ,$12.60 ,$14.00 ,$3.02 ,$12.18 ,$10.50 ,$14.00 ,$10.50 ,$3.22 ,$9.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204887,N/A,HC KIT CATHETER FEMALE,272,1 ,$19.00 ,$13.68 ,$4.10 ,$19.00 ,$10.93 ,$11.97 ,$11.40 ,$4.10 ,$5.32 ,$11.02 ,$4.28 ,$11.59 ,$4.65 ,$10.43 ,$10.43 ,$4.84 ,$12.35 ,$8.44 ,$13.30 , N/A ,$4.28 ,$4.10 ,$14.25 ,$13.49 ,$13.49 ,$4.28 ,$13.49 ,$16.53 ,$16.53 ,$16.53 , N/A ,$17.10 ,$10.93 ,$16.15 ,$4.10 ,$19.00 ,$10.66 ,$4.10 ,$7.87 , N/A , N/A ,$4.28 ,$16.15 ,$8.13 ,$10.43 ,$5.32 ,$17.10 ,$19.00 ,$4.10 ,$16.53 ,$14.25 ,$19.00 ,$14.25 ,$4.37 ,$12.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204890,N/A,HC KIT CENTRAL LINE,272,1 ,$22.00 ,$15.84 ,$4.74 ,$22.00 ,$12.65 ,$13.86 ,$13.20 ,$4.74 ,$6.16 ,$12.76 ,$4.96 ,$13.42 ,$5.39 ,$12.08 ,$12.08 ,$5.61 ,$14.30 ,$9.78 ,$15.40 , N/A ,$4.96 ,$4.74 ,$16.50 ,$15.62 ,$15.62 ,$4.96 ,$15.62 ,$19.14 ,$19.14 ,$19.14 , N/A ,$19.80 ,$12.65 ,$18.70 ,$4.74 ,$22.00 ,$12.34 ,$4.74 ,$9.11 , N/A , N/A ,$4.96 ,$18.70 ,$9.42 ,$12.08 ,$6.16 ,$19.80 ,$22.00 ,$4.74 ,$19.14 ,$16.50 ,$22.00 ,$16.50 ,$5.06 ,$14.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204894,N/A,HC KIT CHEST TUBE INSERTION,272,1 ,$181.00 ,$130.32 ,$39.02 ,$181.00 ,$104.08 ,$114.03 ,$108.60 ,$39.02 ,$50.68 ,$104.98 ,$40.80 ,$110.41 ,$44.34 ,$99.37 ,$99.37 ,$46.12 ,$117.65 ,$80.44 ,$126.70 , N/A ,$40.80 ,$39.02 ,$135.75 ,$128.51 ,$128.51 ,$40.80 ,$128.51 ,$157.47 ,$157.47 ,$157.47 , N/A ,$162.90 ,$104.08 ,$153.85 ,$39.02 ,$181.00 ,$101.54 ,$39.02 ,$74.93 , N/A , N/A ,$40.80 ,$153.85 ,$77.52 ,$99.37 ,$50.68 ,$162.90 ,$181.00 ,$39.02 ,$157.47 ,$135.75 ,$181.00 ,$135.75 ,$41.63 ,$117.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204949,N/A,HC HOLDER ENDOTRACH NEOBAR,272,1 ,$12.00 ,$8.64 ,$2.59 ,$12.00 ,$6.90 ,$7.56 ,$7.20 ,$2.59 ,$3.36 ,$6.96 ,$2.70 ,$7.32 ,$2.94 ,$6.59 ,$6.59 ,$3.06 ,$7.80 ,$5.33 ,$8.40 , N/A ,$2.70 ,$2.59 ,$9.00 ,$8.52 ,$8.52 ,$2.70 ,$8.52 ,$10.44 ,$10.44 ,$10.44 , N/A ,$10.80 ,$6.90 ,$10.20 ,$2.59 ,$12.00 ,$6.73 ,$2.59 ,$4.97 , N/A , N/A ,$2.70 ,$10.20 ,$5.14 ,$6.59 ,$3.36 ,$10.80 ,$12.00 ,$2.59 ,$10.44 ,$9.00 ,$12.00 ,$9.00 ,$2.76 ,$7.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204955,N/A,HC NO STING SPRAY,272,1 ,$19.00 ,$13.68 ,$4.10 ,$19.00 ,$10.93 ,$11.97 ,$11.40 ,$4.10 ,$5.32 ,$11.02 ,$4.28 ,$11.59 ,$4.65 ,$10.43 ,$10.43 ,$4.84 ,$12.35 ,$8.44 ,$13.30 , N/A ,$4.28 ,$4.10 ,$14.25 ,$13.49 ,$13.49 ,$4.28 ,$13.49 ,$16.53 ,$16.53 ,$16.53 , N/A ,$17.10 ,$10.93 ,$16.15 ,$4.10 ,$19.00 ,$10.66 ,$4.10 ,$7.87 , N/A , N/A ,$4.28 ,$16.15 ,$8.13 ,$10.43 ,$5.32 ,$17.10 ,$19.00 ,$4.10 ,$16.53 ,$14.25 ,$19.00 ,$14.25 ,$4.37 ,$12.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204966,N/A,HC OSTOMY POUCH,272,1 ,$11.00 ,$7.92 ,$2.37 ,$11.00 ,$6.33 ,$6.93 ,$6.60 ,$2.37 ,$3.08 ,$6.38 ,$2.48 ,$6.71 ,$2.69 ,$6.04 ,$6.04 ,$2.80 ,$7.15 ,$4.89 ,$7.70 , N/A ,$2.48 ,$2.37 ,$8.25 ,$7.81 ,$7.81 ,$2.48 ,$7.81 ,$9.57 ,$9.57 ,$9.57 , N/A ,$9.90 ,$6.33 ,$9.35 ,$2.37 ,$11.00 ,$6.17 ,$2.37 ,$4.55 , N/A , N/A ,$2.48 ,$9.35 ,$4.71 ,$6.04 ,$3.08 ,$9.90 ,$11.00 ,$2.37 ,$9.57 ,$8.25 ,$11.00 ,$8.25 ,$2.53 ,$7.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,27204968,N/A,HC OSTOMY PASTE,272,1 ,$17.00 ,$12.24 ,$3.67 ,$17.00 ,$9.78 ,$10.71 ,$10.20 ,$3.67 ,$4.76 ,$9.86 ,$3.83 ,$10.37 ,$4.16 ,$9.33 ,$9.33 ,$4.33 ,$11.05 ,$7.55 ,$11.90 , N/A ,$3.83 ,$3.67 ,$12.75 ,$12.07 ,$12.07 ,$3.83 ,$12.07 ,$14.79 ,$14.79 ,$14.79 , N/A ,$15.30 ,$9.78 ,$14.45 ,$3.67 ,$17.00 ,$9.54 ,$3.67 ,$7.04 , N/A , N/A ,$3.83 ,$14.45 ,$7.28 ,$9.33 ,$4.76 ,$15.30 ,$17.00 ,$3.67 ,$14.79 ,$12.75 ,$17.00 ,$12.75 ,$3.91 ,$11.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205029,N/A,HC STATLOCK DEVICE FOLEY,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205046,N/A,HC SYRINGE ATOMIZER MUCOSAL,272,1 ,$16.00 ,$11.52 ,$3.45 ,$16.00 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$11.20 , N/A ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 , N/A , N/A ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$12.00 ,$16.00 ,$12.00 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205060,N/A,HC TRAY PICC LINE,272,1 ,$687.00 ,$494.64 ,$148.12 ,$687.00 ,$395.03 ,$432.81 ,$412.20 ,$148.12 ,$192.36 ,$398.46 ,$154.85 ,$419.07 ,$168.31 ,$377.16 ,$377.16 ,$175.05 ,$446.55 ,$305.30 ,$480.90 , N/A ,$154.85 ,$148.12 ,$515.25 ,$487.77 ,$487.77 ,$154.85 ,$487.77 ,$597.69 ,$597.69 ,$597.69 , N/A ,$618.30 ,$395.03 ,$583.95 ,$148.12 ,$687.00 ,$385.41 ,$148.12 ,$284.42 , N/A , N/A ,$154.85 ,$583.95 ,$294.22 ,$377.16 ,$192.36 ,$618.30 ,$687.00 ,$148.12 ,$597.69 ,$515.25 ,$687.00 ,$515.25 ,$158.01 ,$446.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205078,N/A,HC TUBE RECTAL,272,1 ,$951.01 ,$684.73 ,$205.04 ,$951.01 ,$546.83 ,$599.14 ,$570.61 ,$205.04 ,$266.28 ,$551.59 ,$214.36 ,$580.12 ,$232.99 ,$522.10 ,$522.10 ,$242.31 ,$618.16 ,$422.62 ,$665.71 , N/A ,$214.36 ,$205.04 ,$713.26 ,$675.22 ,$675.22 ,$214.36 ,$675.22 ,$827.38 ,$827.38 ,$827.38 , N/A ,$855.91 ,$546.83 ,$808.36 ,$205.04 ,$951.01 ,$533.52 ,$205.04 ,$393.72 , N/A , N/A ,$214.36 ,$808.36 ,$407.28 ,$522.10 ,$266.28 ,$855.91 ,$951.01 ,$205.04 ,$827.38 ,$713.26 ,$951.01 ,$713.26 ,$218.73 ,$618.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205091,N/A,HC KIT DRESSING WOUND VAC PREVENA PEEL N PLACE,272,1 ,$698.00 ,$502.56 ,$150.49 ,$698.00 ,$401.35 ,$439.74 ,$418.80 ,$150.49 ,$195.44 ,$404.84 ,$157.33 ,$425.78 ,$171.01 ,$383.20 ,$383.20 ,$177.85 ,$453.70 ,$310.19 ,$488.60 , N/A ,$157.33 ,$150.49 ,$523.50 ,$495.58 ,$495.58 ,$157.33 ,$495.58 ,$607.26 ,$607.26 ,$607.26 , N/A ,$628.20 ,$401.35 ,$593.30 ,$150.49 ,$698.00 ,$391.58 ,$150.49 ,$288.97 , N/A , N/A ,$157.33 ,$593.30 ,$298.93 ,$383.20 ,$195.44 ,$628.20 ,$698.00 ,$150.49 ,$607.26 ,$523.50 ,$698.00 ,$523.50 ,$160.54 ,$453.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205233,N/A,HC KIT ARTERIAL LINE W/RADIOPAQUE CATH,272,1 ,$43.00 ,$30.96 ,$9.27 ,$43.00 ,$24.73 ,$27.09 ,$25.80 ,$9.27 ,$12.04 ,$24.94 ,$9.69 ,$26.23 ,$10.53 ,$23.61 ,$23.61 ,$10.96 ,$27.95 ,$19.11 ,$30.10 , N/A ,$9.69 ,$9.27 ,$32.25 ,$30.53 ,$30.53 ,$9.69 ,$30.53 ,$37.41 ,$37.41 ,$37.41 , N/A ,$38.70 ,$24.73 ,$36.55 ,$9.27 ,$43.00 ,$24.12 ,$9.27 ,$17.80 , N/A , N/A ,$9.69 ,$36.55 ,$18.41 ,$23.61 ,$12.04 ,$38.70 ,$43.00 ,$9.27 ,$37.41 ,$32.25 ,$43.00 ,$32.25 ,$9.89 ,$27.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205277,N/A,HC ADAPTER MALE,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205282,N/A,HC CIRCUIT AEROSOL,272,1 ,$35.00 ,$25.20 ,$7.55 ,$35.00 ,$20.13 ,$22.05 ,$21.00 ,$7.55 ,$9.80 ,$20.30 ,$7.89 ,$21.35 ,$8.57 ,$19.22 ,$19.22 ,$8.92 ,$22.75 ,$15.55 ,$24.50 , N/A ,$7.89 ,$7.55 ,$26.25 ,$24.85 ,$24.85 ,$7.89 ,$24.85 ,$30.45 ,$30.45 ,$30.45 , N/A ,$31.50 ,$20.13 ,$29.75 ,$7.55 ,$35.00 ,$19.64 ,$7.55 ,$14.49 , N/A , N/A ,$7.89 ,$29.75 ,$14.99 ,$19.22 ,$9.80 ,$31.50 ,$35.00 ,$7.55 ,$30.45 ,$26.25 ,$35.00 ,$26.25 ,$8.05 ,$22.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205290,N/A,HC BARRIER CLEANSER SKIN SPRAY,270,1 ,$29.00 ,$20.88 ,$6.25 ,$29.00 ,$16.68 ,$18.27 ,$17.40 ,$6.25 ,$8.12 ,$16.82 ,$6.54 ,$17.69 ,$7.09 ,$15.92 ,$15.92 ,$7.39 ,$18.85 ,$12.89 ,$20.30 , N/A ,$6.54 ,$6.25 ,$21.75 ,$20.59 ,$20.59 ,$6.54 ,$20.59 ,$25.23 ,$25.23 ,$25.23 , N/A ,$26.10 ,$16.68 ,$24.65 ,$6.25 ,$29.00 ,$16.27 ,$6.25 ,$12.01 , N/A , N/A ,$6.54 ,$24.65 ,$12.42 ,$15.92 ,$8.12 ,$26.10 ,$29.00 ,$6.25 ,$25.23 ,$21.75 ,$29.00 ,$21.75 ,$6.67 ,$18.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205298,N/A,HC CATHETER FOLEY COUDE,272,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$33.75 ,$45.00 ,$33.75 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205306,N/A,HC ELECTRODE NONINVASIVE PACING PAD,272,1 ,$21.00 ,$15.12 ,$4.53 ,$21.00 ,$12.08 ,$13.23 ,$12.60 ,$4.53 ,$5.88 ,$12.18 ,$4.73 ,$12.81 ,$5.14 ,$11.53 ,$11.53 ,$5.35 ,$13.65 ,$9.33 ,$14.70 , N/A ,$4.73 ,$4.53 ,$15.75 ,$14.91 ,$14.91 ,$4.73 ,$14.91 ,$18.27 ,$18.27 ,$18.27 , N/A ,$18.90 ,$12.08 ,$17.85 ,$4.53 ,$21.00 ,$11.78 ,$4.53 ,$8.69 , N/A , N/A ,$4.73 ,$17.85 ,$9.00 ,$11.53 ,$5.88 ,$18.90 ,$21.00 ,$4.53 ,$18.27 ,$15.75 ,$21.00 ,$15.75 ,$4.83 ,$13.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205320,N/A,HC NEEDLE PORT-A-CATH,272,1 ,$22.00 ,$15.84 ,$4.74 ,$22.00 ,$12.65 ,$13.86 ,$13.20 ,$4.74 ,$6.16 ,$12.76 ,$4.96 ,$13.42 ,$5.39 ,$12.08 ,$12.08 ,$5.61 ,$14.30 ,$9.78 ,$15.40 , N/A ,$4.96 ,$4.74 ,$16.50 ,$15.62 ,$15.62 ,$4.96 ,$15.62 ,$19.14 ,$19.14 ,$19.14 , N/A ,$19.80 ,$12.65 ,$18.70 ,$4.74 ,$22.00 ,$12.34 ,$4.74 ,$9.11 , N/A , N/A ,$4.96 ,$18.70 ,$9.42 ,$12.08 ,$6.16 ,$19.80 ,$22.00 ,$4.74 ,$19.14 ,$16.50 ,$22.00 ,$16.50 ,$5.06 ,$14.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205321,N/A,HC NEEDLE PROBLOC,272,1 ,$37.00 ,$26.64 ,$7.98 ,$37.00 ,$21.28 ,$23.31 ,$22.20 ,$7.98 ,$10.36 ,$21.46 ,$8.34 ,$22.57 ,$9.06 ,$20.31 ,$20.31 ,$9.43 ,$24.05 ,$16.44 ,$25.90 , N/A ,$8.34 ,$7.98 ,$27.75 ,$26.27 ,$26.27 ,$8.34 ,$26.27 ,$32.19 ,$32.19 ,$32.19 , N/A ,$33.30 ,$21.28 ,$31.45 ,$7.98 ,$37.00 ,$20.76 ,$7.98 ,$15.32 , N/A , N/A ,$8.34 ,$31.45 ,$15.85 ,$20.31 ,$10.36 ,$33.30 ,$37.00 ,$7.98 ,$32.19 ,$27.75 ,$37.00 ,$27.75 ,$8.51 ,$24.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205324,N/A,HC PAD ABDOMNINAL,272,1 ,$4.00 ,$2.88 ,$0.86 ,$4.00 ,$2.30 ,$2.52 ,$2.40 ,$0.86 ,$1.12 ,$2.32 ,$0.90 ,$2.44 ,$0.98 ,$2.20 ,$2.20 ,$1.02 ,$2.60 ,$1.78 ,$2.80 , N/A ,$0.90 ,$0.86 ,$3.00 ,$2.84 ,$2.84 ,$0.90 ,$2.84 ,$3.48 ,$3.48 ,$3.48 , N/A ,$3.60 ,$2.30 ,$3.40 ,$0.86 ,$4.00 ,$2.24 ,$0.86 ,$1.66 , N/A , N/A ,$0.90 ,$3.40 ,$1.71 ,$2.20 ,$1.12 ,$3.60 ,$4.00 ,$0.86 ,$3.48 ,$3.00 ,$4.00 ,$3.00 ,$0.92 ,$2.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205336,N/A,HC TUBE VENT,272,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$12.60 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205339,N/A,HC KIT DRESSING,272,1 ,$33.00 ,$23.76 ,$7.11 ,$33.00 ,$18.98 ,$20.79 ,$19.80 ,$7.11 ,$9.24 ,$19.14 ,$7.44 ,$20.13 ,$8.08 ,$18.12 ,$18.12 ,$8.41 ,$21.45 ,$14.67 ,$23.10 , N/A ,$7.44 ,$7.11 ,$24.75 ,$23.43 ,$23.43 ,$7.44 ,$23.43 ,$28.71 ,$28.71 ,$28.71 , N/A ,$29.70 ,$18.98 ,$28.05 ,$7.11 ,$33.00 ,$18.51 ,$7.11 ,$13.66 , N/A , N/A ,$7.44 ,$28.05 ,$14.13 ,$18.12 ,$9.24 ,$29.70 ,$33.00 ,$7.11 ,$28.71 ,$24.75 ,$33.00 ,$24.75 ,$7.59 ,$21.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205341,N/A,HC DRESSING BANDAGE ACE DOUBLE,272,1 ,$10.00 ,$7.20 ,$2.16 ,$10.00 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$7.00 , N/A ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 , N/A , N/A ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$7.50 ,$10.00 ,$7.50 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205378,N/A,HC MARKER BIOPSY BREAST STEREOTATIC,272,1 ,$182.00 ,$131.04 ,$39.24 ,$182.00 ,$104.65 ,$114.66 ,$109.20 ,$39.24 ,$50.96 ,$105.56 ,$41.02 ,$111.02 ,$44.59 ,$99.92 ,$99.92 ,$46.37 ,$118.30 ,$80.88 ,$127.40 , N/A ,$41.02 ,$39.24 ,$136.50 ,$129.22 ,$129.22 ,$41.02 ,$129.22 ,$158.34 ,$158.34 ,$158.34 , N/A ,$163.80 ,$104.65 ,$154.70 ,$39.24 ,$182.00 ,$102.10 ,$39.24 ,$75.35 , N/A , N/A ,$41.02 ,$154.70 ,$77.94 ,$99.92 ,$50.96 ,$163.80 ,$182.00 ,$39.24 ,$158.34 ,$136.50 ,$182.00 ,$136.50 ,$41.86 ,$118.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205386,N/A,HC HANDLE LARYNGEAL BLADE,272,1 ,$24.00 ,$17.28 ,$5.17 ,$24.00 ,$13.80 ,$15.12 ,$14.40 ,$5.17 ,$6.72 ,$13.92 ,$5.41 ,$14.64 ,$5.88 ,$13.18 ,$13.18 ,$6.12 ,$15.60 ,$10.67 ,$16.80 , N/A ,$5.41 ,$5.17 ,$18.00 ,$17.04 ,$17.04 ,$5.41 ,$17.04 ,$20.88 ,$20.88 ,$20.88 , N/A ,$21.60 ,$13.80 ,$20.40 ,$5.17 ,$24.00 ,$13.46 ,$5.17 ,$9.94 , N/A , N/A ,$5.41 ,$20.40 ,$10.28 ,$13.18 ,$6.72 ,$21.60 ,$24.00 ,$5.17 ,$20.88 ,$18.00 ,$24.00 ,$18.00 ,$5.52 ,$15.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205387,N/A,HC IRRIGATION SOL W/WATER/SODIUM CHLORIDE,272,1 ,$25.00 ,$18.00 ,$5.39 ,$25.00 ,$14.38 ,$15.75 ,$15.00 ,$5.39 ,$7.00 ,$14.50 ,$5.63 ,$15.25 ,$6.12 ,$13.73 ,$13.73 ,$6.37 ,$16.25 ,$11.11 ,$17.50 , N/A ,$5.63 ,$5.39 ,$18.75 ,$17.75 ,$17.75 ,$5.63 ,$17.75 ,$21.75 ,$21.75 ,$21.75 , N/A ,$22.50 ,$14.38 ,$21.25 ,$5.39 ,$25.00 ,$14.03 ,$5.39 ,$10.35 , N/A , N/A ,$5.63 ,$21.25 ,$10.71 ,$13.73 ,$7.00 ,$22.50 ,$25.00 ,$5.39 ,$21.75 ,$18.75 ,$25.00 ,$18.75 ,$5.75 ,$16.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205396,N/A,HC ELECTRODE PEDI RESUSCITATION,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205444,N/A,HC INDICATOR STRL VAPORIZE HYDROGEN PEROXIDE,272,1 ,$34.14 ,$24.58 ,$7.36 ,$34.14 ,$19.63 ,$21.51 ,$20.48 ,$7.36 ,$9.56 ,$19.80 ,$7.69 ,$20.83 ,$8.37 ,$18.74 ,$18.74 ,$8.70 ,$22.19 ,$15.17 ,$23.90 , N/A ,$7.69 ,$7.36 ,$25.61 ,$24.24 ,$24.24 ,$7.69 ,$24.24 ,$29.70 ,$29.70 ,$29.70 , N/A ,$30.73 ,$19.63 ,$29.02 ,$7.36 ,$34.14 ,$19.15 ,$7.36 ,$14.13 , N/A , N/A ,$7.69 ,$29.02 ,$14.62 ,$18.74 ,$9.56 ,$30.73 ,$34.14 ,$7.36 ,$29.70 ,$25.61 ,$34.14 ,$25.61 ,$7.85 ,$22.19 ST. JOSEPH'S HOSPITAL - HIGHLAND,27205490,N/A,HC STERILE IRRIGATION CLIP,272,1 ,$289.00 ,$208.08 ,$62.31 ,$289.00 ,$166.18 ,$182.07 ,$173.40 ,$62.31 ,$80.92 ,$167.62 ,$65.14 ,$176.29 ,$70.80 ,$158.66 ,$158.66 ,$73.64 ,$187.85 ,$128.43 ,$202.30 , N/A ,$65.14 ,$62.31 ,$216.75 ,$205.19 ,$205.19 ,$65.14 ,$205.19 ,$251.43 ,$251.43 ,$251.43 , N/A ,$260.10 ,$166.18 ,$245.65 ,$62.31 ,$289.00 ,$162.13 ,$62.31 ,$119.65 , N/A , N/A ,$65.14 ,$245.65 ,$123.76 ,$158.66 ,$80.92 ,$260.10 ,$289.00 ,$62.31 ,$251.43 ,$216.75 ,$289.00 ,$216.75 ,$66.47 ,$187.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,27260353,N/A,HC RUSK MASK NASAL CPAP LARGE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE OPHTHALMIC BLUE MINI-BLADE STRAIGHT GRINDLESS SHARP ALL AROUND 2 BEVEL,272,1 ,$16.74 ,$12.05 ,$3.61 ,$16.74 ,$9.63 ,$10.55 ,$10.04 ,$3.61 ,$4.69 ,$9.71 ,$3.77 ,$10.21 ,$4.11 ,$9.19 ,$9.19 ,$4.26 ,$10.88 ,$7.43 ,$11.72 , N/A ,$3.77 ,$3.61 ,$12.56 ,$11.89 ,$11.89 ,$3.77 ,$11.89 ,$14.56 ,$14.56 ,$14.56 , N/A ,$15.07 ,$9.63 ,$14.23 ,$3.61 ,$16.74 ,$9.39 ,$3.61 ,$6.93 , N/A , N/A ,$3.77 ,$14.23 ,$7.17 ,$9.19 ,$4.69 ,$15.07 ,$16.74 ,$3.61 ,$14.56 ,$12.56 ,$16.74 ,$12.56 ,$3.85 ,$10.88 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE FIXATION 130MM 4MM CRX SONOMA ORTHOPEDIC PRODUCTS INC WG STERILE LATEX FREE,272,1 ,"$11,100.00 ","$7,992.00 ","$2,393.16 ","$11,100.00 ","$6,382.50 ","$6,993.00 ","$6,660.00 ","$2,393.16 ","$3,108.00 ","$6,438.00 ","$2,501.94 ","$6,771.00 ","$2,719.50 ","$6,093.90 ","$6,093.90 ","$2,828.28 ","$7,215.00 ","$4,932.84 ","$7,770.00 ", N/A ,"$2,501.94 ","$2,393.16 ","$8,325.00 ","$7,881.00 ","$7,881.00 ","$2,501.94 ","$7,881.00 ","$9,657.00 ","$9,657.00 ","$9,657.00 ", N/A ,"$9,990.00 ","$6,382.50 ","$9,435.00 ","$2,393.16 ","$11,100.00 ","$6,227.10 ","$2,393.16 ","$4,595.40 ", N/A , N/A ,"$2,501.94 ","$9,435.00 ","$4,753.69 ","$6,093.90 ","$3,108.00 ","$9,990.00 ","$11,100.00 ","$2,393.16 ","$9,657.00 ","$8,325.00 ","$11,100.00 ","$8,325.00 ","$2,553.00 ","$7,215.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING BIOLOGICAL 10X7CM OASIS PORCINE SMALL INTESTINE SUBMUCOSA 3 LAYER MESH STERILE LATEX FREE,272,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,755.00 ","$1,199.88 ","$1,890.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ","$2,025.00 ","$2,700.00 ","$2,025.00 ",$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT THR PREP-IM HIP PLUG BRUSH SPONGE SUCTION LATEX FREE,272,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$2,145.00 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$2,475.00 ","$3,300.00 ","$2,475.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE MYOSURE REACH,272,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$2,145.00 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$2,475.00 ","$3,300.00 ","$2,475.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KNIFE ARTHROSCOPIC GRAFT 9MM ACL ACC,272,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$4,485.00 ","$3,066.36 ","$4,830.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$5,175.00 ","$6,900.00 ","$5,175.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,HEMOSPRAY ENDOSCOPIC HEMOSTAT 7FR,272,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$4,485.00 ","$3,066.36 ","$4,830.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$5,175.00 ","$6,900.00 ","$5,175.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT EXTERNAL FIXATION STABLELOC,272,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$4,485.00 ","$3,066.36 ","$4,830.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$5,175.00 ","$6,900.00 ","$5,175.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK CYSTO SEO,272,1 ,$40.71 ,$29.31 ,$8.78 ,$40.71 ,$23.40 ,$25.65 ,$24.43 ,$8.78 ,$11.40 ,$23.61 ,$9.17 ,$24.83 ,$9.98 ,$22.35 ,$22.35 ,$10.37 ,$26.46 ,$18.10 ,$28.50 , N/A ,$9.17 ,$8.78 ,$30.53 ,$28.90 ,$28.90 ,$9.17 ,$28.90 ,$35.42 ,$35.42 ,$35.42 , N/A ,$36.64 ,$23.40 ,$34.60 ,$8.78 ,$40.71 ,$22.84 ,$8.78 ,$16.85 , N/A , N/A ,$9.17 ,$34.60 ,$17.42 ,$22.35 ,$11.40 ,$36.64 ,$40.71 ,$8.78 ,$35.42 ,$30.53 ,$40.71 ,$30.53 ,$9.36 ,$26.46 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PORT GELPORT LAPAROSCOPIC SYSTEM 120MM INCISION,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRIVER T15 SURGICAL PROXIMAL HUMERUS PLATING SYSTEM,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE ELECTROSURGICAL 24FR STERILE DISPOSABLE BAR,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GUIDE 04-08 MODEL SET SIGNATURE SURGICAL TOTAL KNEE ARTHROPLASTY,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATHETER VASCULAR 12CM 6FR 2MM CLOSURERFS CLOSUREFAST STYLET V02 STERILE LATEX FREE DISPOSABLE,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUTERY LIGASURE CRVD LARGE JAW OPEN SEALER,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PRECISION POINT TRANSPERINEAL ACCESS SYSTEM,272,1 ,$711.00 ,$511.92 ,$153.29 ,$711.00 ,$408.83 ,$447.93 ,$426.60 ,$153.29 ,$199.08 ,$412.38 ,$160.26 ,$433.71 ,$174.19 ,$390.34 ,$390.34 ,$181.16 ,$462.15 ,$315.97 ,$497.70 , N/A ,$160.26 ,$153.29 ,$533.25 ,$504.81 ,$504.81 ,$160.26 ,$504.81 ,$618.57 ,$618.57 ,$618.57 , N/A ,$639.90 ,$408.83 ,$604.35 ,$153.29 ,$711.00 ,$398.87 ,$153.29 ,$294.35 , N/A , N/A ,$160.26 ,$604.35 ,$304.50 ,$390.34 ,$199.08 ,$639.90 ,$711.00 ,$153.29 ,$618.57 ,$533.25 ,$711.00 ,$533.25 ,$163.53 ,$462.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PULSE OXIMETER 18IN FINGER,272,1 ,$21.18 ,$15.25 ,$4.57 ,$21.18 ,$12.18 ,$13.34 ,$12.71 ,$4.57 ,$5.93 ,$12.28 ,$4.77 ,$12.92 ,$5.19 ,$11.63 ,$11.63 ,$5.40 ,$13.77 ,$9.41 ,$14.83 , N/A ,$4.77 ,$4.57 ,$15.89 ,$15.04 ,$15.04 ,$4.77 ,$15.04 ,$18.43 ,$18.43 ,$18.43 , N/A ,$19.06 ,$12.18 ,$18.00 ,$4.57 ,$21.18 ,$11.88 ,$4.57 ,$8.77 , N/A , N/A ,$4.77 ,$18.00 ,$9.06 ,$11.63 ,$5.93 ,$19.06 ,$21.18 ,$4.57 ,$18.43 ,$15.89 ,$21.18 ,$15.89 ,$4.87 ,$13.77 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER ENDO LINEAR CUTTER EC60A,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2.7MM CANN QCKCONCT,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FLIP CUTTER II ARTHREX 10.0MM,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FLIPCUTTER II SHORT 10.0MM,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FLIPCUTTER II SHORT 10.5MM,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FLIPCUTTER II SHORT 8.5MM,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FLIPCUTTER II SHORT 9.0MM,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FLIPCUTTER II SHORT 9.5MM,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SHAFT SCREWDRIVER LUHR 2MM ASSEMBLY,272,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$682.50 ,$466.62 ,$735.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 ,$787.50 ,"$1,050.00 ",$787.50 ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER INTERNAL 28MMX4.8MM TITANIUM STANDARD CIRCULAR LINEAR CUT SQUEEZE HANDLE LARGE ANASTOMOTIC LIP STERILE LATEX FREE DISPOSABLE DST SERIES EEA BLUE ENDOSCOPIC 22CM,272,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,535.00 ","$1,733.16 ","$2,730.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$2,925.00 ","$3,900.00 ","$2,925.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE NOVASURE,272,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,535.00 ","$1,733.16 ","$2,730.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$2,925.00 ","$3,900.00 ","$2,925.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM BONE CEMENT CLEARMIX 1 2,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE SUTURING ARTHREX CURVE MENISCAL CINCH,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEPS BIOPSY DRESSING 115CM 3FR S URETEROSCOPIC,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR ALEXIS 360D MEDIUM LARGE WOUND PROTECTOR ULTIMATE VERSATILITY SURGICAL 5-13CM INCISION LATEX FREE,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER CURVED CUTTER 3.0MM X 3.5MM CS40B,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER ENDO LINEAR CUTTER 45MM ARTICULATING STANDARD,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER LAPAROSCOPIC HERNIA PROTAC,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BASKET STONE REMOVAL 1.5CM,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BASKET STONE REMOVAL TRAPEZOID 2CM,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW PRECISION FALCON OSCILLATING TIP CARTRIDGE,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER 11CM 2.9MM STRAIGHT INFERIOR,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUT LIGASURE HANDPIECE 5MM-37CM BLUNT TIP,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 ,$630.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM FIXATION OPTIFIX 30 ABSORBABLE FASTENER ARTICULATE,272,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$975.00 ,$666.60 ,"$1,050.00 ", N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ","$1,125.00 ","$1,500.00 ","$1,125.00 ",$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLE RELOAD RELIATACK ARTIC FIXATION,272,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$975.00 ,$666.60 ,"$1,050.00 ", N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ","$1,125.00 ","$1,500.00 ","$1,125.00 ",$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BATTERY SURGICAL DRIVER LARGE SMARTLIFE SYSTEM 7,272,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$975.00 ,$666.60 ,"$1,050.00 ", N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ","$1,125.00 ","$1,500.00 ","$1,125.00 ",$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP QUICK CONNECT SURGICAL STAINLESS STEEL 3.5 MM SCREW PERIARTICULAR LOCK PLATE NONSTERILE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING PICO 20 X 10CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING PICO 30 X 10CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING PICO 40 X 10CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING PREVENA PEEL AND PLACE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING PREVENA PEEL AND PLACE 13CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT CANNULATED 2.9 X 70MM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2MM STD,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL SURGICAL ANTIROTATIONAL SCREW DISPOSABLE AFFIXUS,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL TWIST 4.5MM CROWE POINT STERILE LATEX FREE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRIVER CANNULATED QUICK CONNECT HEXAGON TIP 2.5MM SURGICAL LATEX FREE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GELFILM OPHTHALMIC ABSORBABLE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT DRESSING VAC VERAFLO CLEANSE CHOICE VERATRAC DUO 3M CAVILON LARGE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT JUGGERKNOT DISPOSABLE BIOMET 1.4MM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT PUSHLOCK 2.9 PERCUTANEOUS,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,LIGATOR 2.8MM 8.6-11.5MM SPEEDBAND SUPERVIEW SUPER 7 STRING DEPLOYMENT MOLD BAND ENDOSCOPIC SQUARE LATEX FREE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PROBE ELECTROSURGICAL 220CM 2.3MM FIAPC FLEXIBLE SIDEFIRE STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PROBE ELECTROSURGICAL 300CM 2.3MM FIAPC FLEXIBLE CIRCUMFERENTIAL STERILE DISPOSABLE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PROTECTOR ALEXIS ORTHOPEDIC,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRIEVER SUTURE HEWSON,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER ENDOSCOPIC CURVED 25MM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER INTERNAL 37CMX5.5MM CURVE CIRCLE INTRALUMINAL LINEAR CUTTER ADJUSTABLE FLEXIBLE STERILE LATEX FREE DISPOSABLE ENDOPATH 20.4MM LUMEN 1-2.5MM 29MM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLR INT 5.5MM 1-2.5MM CRV CIRC INTRLUM ENDO,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP QUICK CONNECT SURGICAL STAINLESS STEEL 2.7 MM SCREW PERIARTICULAR LOCK PLATE NONSTERILE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP LIGATION RESOLUTION 360 ULTRA 17MM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP RESOLUTION 2.8MM 360 235CM 11MM OPEN,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,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 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE RAD 40 CURVED 3.5MM ROTATABLE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER 13CM 4.3MM 4 CUTTER,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY HUMERAL COMPREHENSIVE REVERSE SHOULDER BIOMET,272,1 ,"$5,700.00 ","$4,104.00 ","$1,228.92 ","$5,700.00 ","$3,277.50 ","$3,591.00 ","$3,420.00 ","$1,228.92 ","$1,596.00 ","$3,306.00 ","$1,284.78 ","$3,477.00 ","$1,396.50 ","$3,129.30 ","$3,129.30 ","$1,452.36 ","$3,705.00 ","$2,533.08 ","$3,990.00 ", N/A ,"$1,284.78 ","$1,228.92 ","$4,275.00 ","$4,047.00 ","$4,047.00 ","$1,284.78 ","$4,047.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ", N/A ,"$5,130.00 ","$3,277.50 ","$4,845.00 ","$1,228.92 ","$5,700.00 ","$3,197.70 ","$1,228.92 ","$2,359.80 ", N/A , N/A ,"$1,284.78 ","$4,845.00 ","$2,441.08 ","$3,129.30 ","$1,596.00 ","$5,130.00 ","$5,700.00 ","$1,228.92 ","$4,959.00 ","$4,275.00 ","$5,700.00 ","$4,275.00 ","$1,311.00 ","$3,705.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY PROCEDURE 12-18FR BARD HEYMAN NATURAL RUBBER SYRINGE CATHETER LUBRICANT WATERPROOF UNDERPAD FILIFORM OLIVE TIP 10CC STERILE LATEX DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL ACUMED 2.0MM QUICK COUPLER SURGBIT,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT BIOMET 2.7MM PERIPHERAL SCREW,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ICONIX 2.3,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT QUICK RELEASE MEDSOURCE 2.8 ACUMED,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL SURGICAL 2.9 MM SHORT PUSHLOCK DISPOSABLE KIT,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,EXTRACTOR STONE 120CM 12MM 1.9FR URETERAL NITINOL TIPLESS,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEPS SPECIMEN RETRIEVAL 120CM 3FR TRICEP POLYIMIDE HOOK PRONG GRASP NONRETRACT STERILE LATEX FREE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT CRICOTHYROTOMY CUFF SYRINGE NEEDLE STOPPER PREASSEMBLED QUICKTRACH II 4MM DISPOSABLE STERILE LATEX FREE ADULT,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT INSTRUMENT DRILL SPEAR DISPOSABLE STERILE METAL 2.9MM PUSHLOCK,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT PUSHLOCK 3.5 DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE SCORPION AR-13995N,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE SUTURE PASSER RP 360,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PROBE ELECTROSURGICAL APOLLORF 90D MULTIPORT,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER ROTICULATOR 55 4.8MM AX55G,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW MAKO NARROW,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW MAKO STANDARD,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUTERY OPES ASPIRATING 3MM 90 DEG,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 ,$367.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE 14FR SILICONE RADIOPAQUE STANDARD PROFILE BALLOON REPLACEMENT 3 FUNNEL GASTROSTOMY GREEN 5CC STERILE LATEX FREE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING NASOPORE 4CM STANDARD,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT GAMMA3 SYSTEM STRYKER 4.2 X 300MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2.7MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ENDO CLIP APPLIER LIGAMAX M/L 5MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GUIDE PIN ZIMMER 444MM 3.2MM VERSANAIL HIP THREAD,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT DECOMPRESSION 175CM 14FR 6FR .035IN COLON 10 DRAINAGE SIDEPORT CATHETER GUIDEWIRE STERILE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT PROCEDURE 3 TRIATHLON CR DISPOSABLE TIBIAL,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT SAFETY PEG TUBE 20FR,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KNIFE ARTHROSCOPIC GRAFT 9MM ACL,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE SCORPION,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE SCORPION SUREFIRE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK BATTERY T4 POWER,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR MALYUGIN RING SYSTEM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLE RELOAD ENDOCUT GREEN 60MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER RELOAD ECHELON 60MM BLUE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER RELOAD ECHELON 60MM GREEN,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX LASSO 25DEG TIGHT LEFT CURVE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX LASSO 25DEG TIGHT RIGHT CURVE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX LASSO 90' SMALL DIAMETER STRAIGHT,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX LASSO CRESCENT CAT NUM AR 4068C,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX LASSO SD 45 DEG CURVED LT (AR-4068-45L),272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX LASSO SD 45 DEG CURVED RT (AR-4068-45R),272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE CLOSURE CARTER-THOMASON CLOSESURE XL 10/12MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE FIXATION 5MM STAT TACK TITANIUM 15 HELICAL TACK OPEN HERNIA REPAIR STERILE LATEX FREE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP RESOLUTION 11MM 2.8MM 235CM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BALLOON STONE RETRIEVAL 6-7FR 9-12MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BALLOON STONE RETRIEVAL BALLOON 76-7FR 12-15MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE ENDOSCOPIC HOOK ENDOTRAC STERILE LATEX FREE DISPOSABLE,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW OXFORD CEMENT STRYKER,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATHETER CHOLANGIOGRAM GOLD 23CM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE JEJUNOSTOMY 51CM 16FR SILICONE MIC SECUR-LOK RADIOPAQUE MEDICATION PORT RETENTION BALLOON TRIMMABLE DISTAL TIP 7-10ML STERILE LATEX FREE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING WOUND VAC VERAFLO CLEANSE CHOICE MEDIUM TUBULAR FLEXIBLE COMPLEX GEOMETRY MOISTURE RESISTANCE LATEX FREE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT 2.7MM CALIBRATED,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT BIOMET 3.2MM CENTRAL SCREW,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT COUNTERSINK CANNULATED SMALL FRAGMENT PLATING SYSTEM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT DEPUY 4.0 70MM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT QUICK RELEASE 2.8MM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT SYNTHES 2.7MM THREE FLUTED,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 4.3MM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FILTER ENDOSCOPE THK.1UM ALDEHYDE DISINFECTANT OXIDIZE DSD-201 DSD-91E SSD-102,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,HEMADERM/EPISTAXIS KIT ENT,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KNIFE ARTHROSCOPIC GRAFT 10MM ACL,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK TOTAL HIP SJH,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PAD POSITIONING LEG FOAM HOLDER DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PIN FIXATION 110MM 3.2MM BONE STERILE LATEX FREE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RELOAD ECHELON 45MM WHITE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR WOUND ALEXIS 11-17CM XL APPLIED MEDICAL,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER ECHELON 45 BLUE RELOAD,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER ECHELON 45 GREEN RELOAD,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER PROXIMATE CUTTER 75 3.8,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER PROXIMATE CUTTER 75 4.5,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER RELOAD 45MM GREY VASC,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER RELOAD 60MM GREY VASC,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER RELOAD ECHELON 45MM BLUE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE FIBERSNARE FIBERWIRE 2 26IN CLOSED LOOP STIFFEN GREEN 12IN NONABSORBABLE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP 3.5MM 70MM SOLID SURGICAL CORTICAL SMALL FRAGMENT PLATE SYSTEM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP 3.5MM LOCK SELF TAP SURGICAL CORTICAL SMALL FRAGMENT PLATE SYSTEM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP 4MM CANNULATED SURGICAL CANCELLOUS ALPS SMALL FRAGMENT PLATE SYSTEM DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP 4MM SURGICAL CANCELLOUS SMALL FRAGMENT PLATE SYSTEM NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUTTER SUTURE REMOVAL MENISCAL CINCH KNOT PUSHER 2-0 FIBERWIRE ARTHROSCOPY STERILE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BRUSH CYTOLOGY 8FR 200CMX2.1MM RAPID EXCHANGE COMBO CATH DISPOSABLE BILIARY ACCEPTS .035IN GUIDEWIRE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CARTER-THOMPSON SUTURE PASSER GUIDE 5MM 10/12MM DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$262.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING ARTHREX ARTHROSCOPY,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING STAMM SINU FOAM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT DEPUY 2.0MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2.0MM QC,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2.5MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2.7MM QC,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 3.5MM QC,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE DEFIBRILLATOR ONESTEP CODE-READY RESUSCITATION COMPLETE SPEED PACK CONNECTOR R SERIES,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE DEFIBRILLATOR ONESTEP PEDIATRIC R SERIES CPR NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE ELECTROSURGICAL NEEDLE 4CM 3/32IN COLORADO STERILE TUNGSTEN DISPOSABLE INSULATE STRAIGHT SLEEVE MICRODISSECTION,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ENDO CLIP APPLIER LIGAMAX 10MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FIBER LINK ARTHREX,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEPS GRASPING 3 PRONG RING DISTAL TIP 230CMX20MM POLYGRAB TRIPOD STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GUIDE PIN ZIMMER 1.6MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,MARKER SECURMARK BREAST BIOPSY CELERO SYSTEM NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK LOWER EXTREMITY SJH,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PUNCH ARTHROSCOPIC DISPOSABLE 5.5 CORKSCREW FULL THREAD 4.75/5.5MM SWIVELOCK STERILE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR ALEXIS WOUND RIGID MED,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR ALEXIS WOUND RIGID SMALL,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SPONGE SURGICEL 4 X 8,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLE PROXIMATE CUTTER 7.5 - 3.8 RELOAD TCR75,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLE RELOAD 75 PROXIMATE GREEN 4.5,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER PROXIMATE CUTTER 60 3.8 TLC55 GIA,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE COLLAGEN FIBERTAPE FIBERWIRE 2 TAPER 7INX2MM BRAID BLUE NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP 2.7MM SURGICAL STAINLESS STEEL CORTICAL SMALL FRAGMENT SET,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY NERVE BLOCK WHITE 4IN 18GA ON-Q T-BLOC TUOHY METAL PLASTIC LUER LOCK SYRINGE EXTENSION SET NO DRUG STIMULATE 24IN 20ML STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE ENCORE 26 INFLATION DEVICE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE LIGATOR OLYMPUS POLYLOOP,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,APPLICATOR ENDOSCOPIC FLOSEAL STAINLESS,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE ARTHROSCOPY INCISOR 3.5MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE ARTHROSCOPY INCISOR PLUS ELITE 4.5MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 27MM PRECISION THK.38MM TAPER THIN MICRO RECIPROCATE STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 90X18MM THK1.27MM SAGITTAL STERILE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER SLATE 4.5MM DYONICS INCISOR PLUS ELITE CURVE STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER YELLOW 4.5MM 4.5MM DYONICS CURVED FULL RADIUS STERILE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR CUTTING 6MM MAKO BALL STERILE LATEX FREE DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SURGICAL 6MM ANSPACH FLUTE BALL,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SURGICAL ANSPACH 6MM BALL FLUTE STERILE,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP APPLIER LOAD 19 MED LG 10MM,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING CYSTO IRRIGATION,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING BIOPATCH 2.5CM X 4.0MM,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING TEGADERM CHG 4MM ROUND,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRSG WND 5X4IN RECT,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE ELECTROSURGICAL BLADE 2.75IN 3/32IN EDGE SAFETY SLEEVE STERILE .2IN DISPOSABLE INSULATE STANDARD SHAFT LATEX FREE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FILTER IRRIGATION PUMP PACK FLUSH,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,HANDLE LARYNGOSCOPE BRITEPRO SOLO ROUND METAL 3 SPRUNG BALL ADVANCE LED LIGHT BLADE MOLD SOFT GRIP STERILE LATEX DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT FOLEY CATHETER LATEX FREE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT PROCEDURE ENDO CARRY-ON DEFENDO DISPOSABLE VALVE CONNECTOR,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,METER URINE DRAINAGE BAG 350ML 2500ML STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE MAYO ANCHOR 4D,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE SPINAL 3.5IN 18GA BD PERISAFE TUOHY WEISS THIN WALL FIX WING MODIFY POINT PLASTIC STYLET EPIDURAL ANESTHESIA STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK LAP TIBURON,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR STRYKER SILICONE CORD,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET ADMINISTRATION 17IN 60 GTT/ML 150ML INTRAVENOUS INTERLINK BURETROL INJECTION SITE SLIDE CLAMP DEHP STERILE LATEX FREE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SNARE 230CM 10MM 7FR ENDOSCOPIC POLYPECTOMY,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER SKIN APPOSE ULC 35 REGULAR,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER SKIN PROXIMATE WIDE PXW35,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE SILK 3-0 SH CR 18,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 0 18IN BRAID TIE 12 STRAND COATED UNDYED ABSORBABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 2 OS-8 3-18 CR J719,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 2-0 TIES J111T,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAP 4 CHAMBER CATCHEM SPECIMEN POLYP DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY CATHETERIZATION BARDEX URO-PREP 18FR 5CC 2000ML FOLEY DRAINAGE BAG ANTIREFLUX CHAMBER TAMPER EVIDENT SEAL SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING COLLECTION SET D AND C,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 1.5 LMA UNIQUE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 2 LMA UNIQUE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 2.5 LMA UNIQUE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 3 SOURCEMARK MASK CUFF BOWL LATEX FREE SILICONE DISPOSABLE GREEN,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 4 SOURCEMARK MASK CUFF BOWL LATEX FREE SILICONE DISPOSABLE GREEN,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 5 SOURCEMARK MASK CUFF BOWL LATEX FREE SILICONE DISPOSABLE GREEN,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY NASAL 28FR RED,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY NASAL 30FR RED,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY NASAL 32FR RED,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY NASAL 34FR RED,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BAG RESUSITATION ADULT,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BOUGIE ESCHMANN STYLET SURGICAL DISPOSABLE COPILOT VIDEO LARYNGOSCOPE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUTERY BATTERY BOVIE 2200F HIGH TEMPERATURE FINE TIP STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 ,$14.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,UNIT ELECTROSURGICAL 5.1IN 5.74MM BIPOLAR SEALER LIGHT HEMOSTATIC DISPOSABLE AQUAMANTYS 30D 3.48MM,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT SYNTHES 2.7 QC 160MM,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT SYNTHES 3.2 CANNULATED 170MM,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE ELECTROSURGICAL 12D-30D LARGE LOOP 24FR PLASMALOOP STERILE DISPOSABLE HIGH FREQUENCY RESECTION LATEX FREE,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE ELECTROSURGICAL 12D-30D ROLLER 24FR PLASMAROLLER STERILE DISPOSABLE HIGH FREQUENCY RESECTION LATEX FREE,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT ANGIOGRAPHY PERFORATOR ABLATION 400UM STERILE VENACURE EVLT NEVERTOUCH FIBER VEIN DISPOSABLE,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUTERY LIGASURE HANDPIECE BLUNT TIP 37CM,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,UNIT THERAPEUTIC POLAR CARE KODIAK INTELLI-FLO COMBO LONG STEM MULTIUSE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE ZIP 16CM SKIN CLOSURE STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT 2.5MM,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT SOLID 2.9,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE MONOPOLAR 24/26FR 3MM BALL COAG (YELLOW),272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,IRRISEPT IRRIGATION,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT NEUROSTIMULATOR INTRASPINAL TRIAL PERCUTANEOUS,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT PINK PAD,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,MARKER SURGICAL CHECKPOINT KIT STERILE LATEX FREE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE RADIOLOGY 20CM 18GA .8MM ALIGN PLACEMENT FIDUCIAL MARKER 10MM STERILE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,OVERTUBE ENDOSCOPIC 23CM 60FR 45FR LIGATOR,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK SURGICAL CLOSUREFAST STERILE DISPOSABLE LATEX FREE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACKING NASAL RAPID RHINO POSTERIOR,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRACTOR ALEXIS WOUND RIGID LARGE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RETRIEVER RESCUENET 30MM 7.5FR,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STENT ADVANIX PANCREATIC 3.2MM 7 FR,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM BONE CEMENT REVOLUTION BREAKAWAY NOZZLE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TAP ZIMMER 3.5MM QC 110MM,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUTTING LOOP 24FR MONOPOLAR ANGLED,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE CLOSURE WECK EFX (ENDO FACIAL),272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE IRRIGATION RIO,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING IRRIGATION FLUSH STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING SUCTION EXTENSION ENDOSCOPY LAVAGE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ADHESIVE BONDING DERMABOND MESH TAPE 42CM,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL 2.2MM DVR CROSSLOCK TRAY,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATHETER SET CHOLANGIOGRAPHY SET,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP DURACLIP 2.8MM 235CM 16MM,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP IRRIGATION 26.7CM MAKO,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP IRRIGATION MICS STERILE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$210.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,URETEROSCOPE FLEXIBLE 9.5FR 7.7FR 3.6FR LITHOVUE STANDARD INTEGRATE CAMERA HEAD MOBILE CART LASER LITHOTRIPSY DISPOSABLE,272,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,925.00 ","$1,999.80 ","$3,150.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$3,375.00 ","$4,500.00 ","$3,375.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLER EEA XL 25,272,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,925.00 ","$1,999.80 ","$3,150.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$3,375.00 ","$4,500.00 ","$3,375.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,VAC PREVENA WOUND -SMALL,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING PREVENA INCISIONAL MANAGMENT,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL ACUMED MINI,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT MINI CANNULATED ACCUTRAK 2 MEDSOURCE,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GUIDEWIRE SPHINCTEROTOME HYDRATOME RX44,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GUIDEWIRE SPHINCTEROTOME HYDRATOME RX44 260CM,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE FIXATION VIOLET 5MM ABSORBATACK POLYESTER 30 TACK ABSORBABLE PISTOL GRIP HANDLE LAPAROSCOPIC HERNIA REPAIR STERILE DISPOSABLE,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUTERY LIGASURE HANDPIECE CURVED SMALL JAW,272,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$780.00 ,$533.28 ,$840.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$900.00 ,"$1,200.00 ",$900.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,VALVE SUCTION ORCA OLYMPUS,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN BARD W/ TROCAR KIT CLSD WND SUCTION 3/16 15FR,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN BARD W/ TROCAR ROUND 10FR,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FILTER SMOKE EVACUATOR CLEAR RAPIDVAC C100CC CAP CONNECTION PORT HOLDER GRADUATE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEP BIOPSY RADIAL JAW 4 WITH NEEDLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,INSUFFLATOR HIGH FLOW PNEUMOSURE TUBING,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT PYLORITEK H PYLORI MICROBIOLOGY TEST,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE INSULATED STIMUPLEX,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE SPINAL 5IN 18GA BD PERISAFE LONG LENGTH THIN WALL EPIDURAL FIX WING MODIFY POINT STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK CYSTO SAE SJH HFG,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SENSOR INFANT NELLCOR LOSAT 18IN C3-20KG OXIMETER SPO2 ADHESIVE TEAR RESISTANT BANDAGE PVC STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET SEAL MYOSURE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SHEATH ENDOSCOPIC 11X7X6IN COPILOT VL 3 1LB DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SLEEVE SCD CALF 17,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SOLUTION IRRIGATION ARTHROMATIC LACTATED RINGERS 3000ML PLASTIC CONTAINER LATEX FREE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE NUROLON 0 MO-7 18 C541D,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE NUROLON 1 OS-8 18IN CONTROL RELEASE BRAID 3 STRAND BLACK NONABSORBABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE PROLENE 5-0 C-1 DA18IN,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE PROLENE 5-0 SM-1 DA 12 7740G,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 0 CT-1 CR 27 JJ41G,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 1 CT 8-18 CR J841,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 2-0 CT-1/CR-8 J839D,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 3-0 SH 18 C/R UNDYED J864D,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE VICRYL 3-0 SH CR/8,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY CATHETERIZATION STATLOCK SURESTEP 16FR FOLEY DRAINAGE BAG SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY CATHETERIZATION SURESTEP STATLOCK 18FR 2L DRAINAGE BAG FOLEY SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY ENDOSCOPIC CYSTOSCOPIC LATEX FREE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE DRUG DELIVERY 30-100UM LMA MAD NASAL ATOMIZATION CONTROL ADMINISTRATION INTRANASAL MUCOSAL 1.65IN .17IN,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,COAGULATOR SUCTION 6IN 10FR VALLEYLAB HANDSWITCH CORD THERMAL REDUCTION FLUID EVACUATION TUBE ENT STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING STRYKER CO2,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING TUR IRRIGATION Y-TYPE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ADAPTER PORTEX SWIVEL,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,APPLICATOR BANDAGE WHITE 50YDX5/8IN SURGITUBE 2 TUBULAR SMALL FINGER TOE COTTON ELASTIC NET LATEX FREE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE LARYNGOSCOPE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE LARYNGOSCOPE MACINTOSH 3,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BRUSH FEMORAL CANAL SUCTION IRRIGATION STERILE LATEX FREE DISPOSABLE INTERPULSE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CANNULA SLEEVE WITH BALLOON FIXATION,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CAUTERY EPITOME BLADE ELECTRODE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$21.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,VEST COMPRESSION 2 FABRIC JOBST CUP SOFT LATEX,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE STRATAFIX PDS PLUS 1 CT-1 24IN ABSORBABLE KNOTLESS TISSUE CONTROL SYMMETRIC VIOLET CLOSURE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE ZIP 8I NONINVASIVE FLEXIBLE SKIN CLOSURE -4 CM INCISION LATEX FREE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DNU-DISCONTINUED BY MANUFACTURER. DRESSING GERMICIDAL 2X2IN AQUACEL AG EXTRA SQUARE HYDROFIBER ABSORBENT NONWOVEN 2 LAYER STERILE LATEX FREE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN JACKSON PRATT 10MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAINAGE CHEST SYSTEM SENTINAL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING AQUACEL AG HYDROFIBER 3.5 X 14,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING AQUACEL AG HYDROFIBER 3.5 X11.8,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING AQUACEL AG HYRDOFIBER 3.5 X 10,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING V.A.C. CANISTER,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING V.A.C. GRANUFOAM - LARGE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING V.A.C. GRANUFOAM - MEDIUM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING VAC GRANUFOAM 10X7.5CM SMALL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING VAC WHITE FOAM LARGE 15X10CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING VAC WHITE FOAM LARGE 7.5X10CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRILL BIT ZIMMER 2.7MM DIA.,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FIBERSTICK ARTHREX # 2 (AR-7209),272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEPS BIOPSY MICROMESH TEETH STREAMLINE CATHETER NEEDLE 240CM 2.8MM RADIAL JAW 4 STAINLESS STEEL JUMBO STERILE DISPOSABLE ORANGE 3.2MM WORK CHANNEL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEPS BIOPSY NEEDLE 160CM 1.8MM RADIAL JAW 4 DISPOSABLE YELLOW 2MM WORK CHANNEL GASTROPEDIATRIC,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GEL ELECTRODE PRO-PADZ RADIOLUCENT E M R SERIES DEFIBRILLATOR,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,HANDPIECE IRRIGATION INTERPULSE SOFT TISSUE LATEX FREE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,INSTRUMENT BIOPSY PURPLE 10CM 16GA MAX-CORE ANGLE 22MM 2 TRIGGER ULTRA SHARP TIP BEVEL TROCAR DEEP SAMPLE NOTCH 7.8CM STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,IRRIGATOR LAPAROSCOPIC 33CM 5MM HYDRO-SURG PLUS NEZHAT-DORSEY SMOKEVAC SUCTION TUBE TRUMPET VALVE PROBE TIP HOLE STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT IRRIGATION ENDOGATOR CO2 CONNECTION TUBING OLYMPUS ENDOSCOPE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT NEEDLE GUIDE 21GA 48IN STERILE DISPOSABLE LATEX FREE SITE-RITE ULTRASOUND SYSTEM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,LIGATOR ENDOSCOPIC SHORTSHOT SAEED TRIVIEW ADULT L5 IN OD.,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,MARKER ENDOSPOT,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE BIOPSY MAXCORE 18GA X 25CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,Needle ENDO INSUFFLATION 150MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,Needle SCLEROTHERAPY 23GA,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,Needle SCLEROTHERAPY 25GA,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PAC RAPID RHINO W/AIRWAY NASAL 7.5CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK BASIC SET UP SJH,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK KNEE ARTHROSCOPY SJH,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK LAPAROTOMY,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK LAPAROTOMY SJH,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK SURGICAL VAGINAL 3X2IN,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACKING NASAL RAPID RHINO ANTERIOR,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PAD THERAPEUTIC MULTIUSE LONG STEM LONG INTELLI-FLO,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PATIENT PROTECTIVE PAD FOR KNEE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RAPID RHINO 4.5 ANTERIOR EPISTAX,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET DILATOR SHEATH COAXIAL BOSTON SCIENTIFIC,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET EPIDURAL WHITE 4IN 18GA ON-Q T-BLOC METAL PLASTIC NEEDLE REMOVABLE WING CATHETER STIMULATE STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET INTRODUCER 7CM 7FR 21GA .018IN STRAIGHT MICRO 1 END GUIDEWIRE SHEATH DILATOR 2.75IN STERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET TUBING FLOSTEADY ARTHROSCOPY,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET TUBING PNEUMOCLEAR HIGH FLOW SMOKE EVACUATION,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SOLUTION IV CLINIMIX E CLARITY 5% DEXTROSE 4.25% AMINO ACID CALCIUM 1000ML LATEX FREE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,STAPLE PROXIMATE CUTTER 60-3.8 RELOAD TCR55 GIA,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUCTION TIP VIA GUARD,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUCTION/IRRIGATOR STRYKER ENDOSCOPY STRYKEFLOW II,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SURGICEL FIBRILLAR 1 X 2,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ARTHREX FIBERWIRE COLLAGEN COATED,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE FIBERTAPE 2MM 7 BLUE TAPERED TO #2 FIBERWIRE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE FIBERWIRE #5 AR-7211,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE STRATAFIX MONOCRYL PLUS 3-0 PS-2 SPIRAL L45 CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE TIGERLOOP TIGERWIRE 2 STRAIGHT 20IN BRAID MULTISTRAND NEEDLE GREEN WHITE 3IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE TIGERSTICK TIGERWIRE 2 50IN 1 END STIFFEN MONOFILAMENT BLACK WHITE 12IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM 10MM TISSUE RETRIEVAL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM DRUG DELIVERY ON-Q PAINBUSTER SILVERSOAKER DEHP CATHETER EXPANSION KIT 5IN STERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM DRUG DELIVERY ON-Q PAINBUSTER SILVERSOAKER DEHP PUMP KIT CATHETER 2.5IN STERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TIP SCISSORS SCREW MICROLINE HANDLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRACH SHILEY CUFFED SIZE 10,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRACH SHILEY CUFFED SIZE 6,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRACH SHILEY CUFFED SIZE 8,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRACH SHILEY CUFFED SZ 4,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY EPIDURAL SINGLE SHOT 20G,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY SURGICAL CHEST TUBE INSERTION DISPOSABLE STERILE LATEX FREE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET 4 X 34,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET CONTOUR 18X4.5IN,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP LIGACLIP TITANIUM LARGE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP LIGACLIP TITANIUM SMALL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE EXERC THERBND 100FT BLUE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE IRRIGATION ANSPACH EMAX 2 MAKO SURGICAL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBING ARTHREX ARTHROSCOPY DUAL WAVE (AR-6430),272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL 12.7CM 2MM STAINLESS STEEL STRAIGHT SHANK NONSTERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL 12.7CM 3.2MM STRAIGHT STAINLESS STEEL NONSTERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL 12.7CM 3.5MM STRAIGHT SHANK,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL 12.7CM 4.5MM STRAIGHT SHANK,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL ZIMMER STRAIGHT 10CM 1.5MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL ZIMMER STRAIGHT 12.7CM 2.5MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE DERMATOME 1.25-4.25IN STERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE FULL RADIUS 2.9MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAGITTAL 90MM X 21MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 18.5X7X.38MM MICRO THIN 2 CUT OSCILLATE SAGITTAL STERILE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 5.5MM THK.38MM 18MM MEDIUM MICRO OSCILLATE SAGITTAL 2 CUT STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 7MM THK.38MM 29.5MM MEDIUM SHORT OSCILLATE SAGITTAL 2 CUT STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 90X18MM STRYKER PERFORMANCE SERIES THK1.37MM SAGITTAL HEAVY DUTY SYSTEM 6 STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 9MM THK.38MM 18.5MM MEDIUM SHORT OSCILLATE SAGITTAL 2 CUT STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER 13CM 4MM COOLCUT,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER 13CM 4MM COOLCUT TORPEDO 2 INNER CUT,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER 2.9MM MAGNUM MINI ABRADER DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER BGE 3.5MM ELITE STRT; FULL RADS ARTH,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER BLUE 7CM 2MM DYONICS POWERMINI 3.5MM SMALL SOFT TISSUE RESECTOR LIGHTWEIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER FOREST GREEN 4.5MM DYONICS STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE STRYKER LG RECIPROCATING DOUBLE SIDED,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE STRYKER RECIPROCATING HEAVY SAW DUTY 277-96-325,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE STRYKER SAGITTAL 25MM X 1.37 X 90 (6125-137-90),272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SHAVER 13CM 4MM COOLCUT 8 FLUTE OVAL STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SHAVER 13CM 4MM COOLCUT 8 FLUTE ROUND STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SHAVER LILAC 4MM DYONICS ELITE NOTCHBLASTER STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SURGICAL GRAY 44.5MM 5MM MICRO EGG CARBIDE STAINLESS STEEL 10 FLUTE FAST CUT 10.1MM STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SURGICAL LILAC 4MM DYONICS NOTCHBLASTER STRAIGHT WIDE MOUTH REPROCESSED STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BURR SURGICAL MAUVE 4MM DYONICS ACROMIONIZER STRAIGHT STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATCH ENDO POUCH,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATHETER CHOLANGIOGRAM 19GA PRVW KUMAR CHOLANGIOCATHETER,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CEMENT MIXER STRYKER BOWL (MIXEVAC),272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CHECKPOINT FEMORAL MAKO SURGICAL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CHECKPOINT TIBIAL MAKO SURGICAL,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP LIGACLIP MCA MEDIUM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 ,$105.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,VISCERAL RETRACTOR GLASSMAN (BLUE FISH),272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE PDO QUILL 3-0 .5 CIRCLE 24X24CM 26MM CLOSURE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN ABRAMSON TRIPLE LUMEN SUMP 5/8,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN HEMOVAC 10MM FLAT,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN INCISION 10FR JACKSON-PRATT SILICONE RADIOPAQUE END PERFORATION TROCAR STERILE LATEX FREE ROUND DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN INCISION 15FR 3/16IN BARD SILICONE 4 FREE FLOW CHANNEL RADIOPAQUE HUBLESS TROCAR STERILE LATEX FREE 3/16IN FULL FLUTE ROUND DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN JACKSON PRATT 7MM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRAIN JP 15FR 3/16,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING 8CM STANDARD SEPTUM NASAL COMPRESS DRAWSTRING MEROCEL WHITE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING AQUACEL AG 6X3.5 IN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DRESSING HYDROCOLLOID 4X3.5IN AQUACEL AG COVER ANTIMICROBIAL WATERPROOF HYDROFIBER IONIC SILVER POLYURETHANE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ELECTRODE ELECTROSURGICAL NEEDLE STRAIGHT 4IN 3/32IN VALLEYLAB SAFETY SLEEVE STERILE TUNGSTEN 9CM DISPOSABLE INSULATE STANDARD SHAFT MICROSURGICAL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,EVACUATOR BLADDER UROVAC,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FILTER BREAST BIOPSY ATEC TISSUE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,FORCEP BIOPSY HOT 240CM 2.2MM RAD,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GARMENT COMPRESSION LARGE UNIVERSAL THIGH FABRIC FLOWTRON 10.6X9X6IN LIGHTWEIGHT BREATHABLE VELCRO CLOSURE NONSTERILE LATEX FREE DISPOSABLE 35IN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,GUIDEWIRE FUSION LOCKING DEVICE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,HEADREST PRONE VIEW LARGE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT COLON W. 1.1OZ DUAL END HYDRA SEAL ORCA,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT IRRIGATION ENDOGATOR STERILE LATEX FREE REUSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,KIT VITRECTOMY UNIVERSAL GAS STERILE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,MANIFOLD SUCTION INTELLICART CLOG FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,MANOMETER CVP B-SMART DISPOSABLE PERIPHERAL NERVE BLOCK INJECTION PRESSURE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE EPIDURAL 4.5IN 17GA PORTEX TUOHY METAL NO WING STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE NERVE STIMULATOR 2IN 22GA STIMUPLEX ULTRA 30D ECHOGENIC PERIPHERAL PVC BEVEL 1 SHOT NERVE BLOCK EXTENSION SET INSULATE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE NERVE STIMULATOR 4IN 20GA STIMUPLEX ULTRA 30D PERIPHERAL PVC BEVEL 1 SHOT INSULATE ECHOGENIC EXTENSION SET LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE NERVE STIMULATOR 4IN 20GA STIMUPLEX ULTRA 360 30D BEVEL INSULATE ECHOGENIC EXTENSION SET STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,Needle TUOHY EPIDURAL 20GA X 4,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK BASIC SET UP,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK SURGICAL CONVERTORS LAVH 90X50IN 90X30IN TIBURON LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PACK UNIVERSAL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PAD THERAPEUTIC 26X18IN NONWOVEN LOCALIZE TEMPERATURE POLYMER FABRIC MUL-T-PAD CLICK-TITE STERILE LATEX FREE DISPOSABLE E SERIES T/PUMP,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PROTECTOR HEEL UNIVERSAL WAFFLE CUSTOM LOWER PROFILE ADJUSTABLE END FLAP FOOT LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,RASP SURGICAL 13CMX4MM FLAT POWERASP COOLCUT SMOOTH,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET ADMINISTRATION 124IN 60 GTT/ML 11.7ML INTRAVENOUS LIFESHIELD PLUMSET CLAVE MICRODRIP PRIMARY CONVERTIBLE PIERCE PIN MICROBORE TUBE BURETTE .054IN LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,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 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET BLOOD WARMING STANDARD FLOW HEAT EXCHANGER BUBBLE TRAP EXTENSION 44ML RANGER DISPOSABLE 9000ML/HOUR 30IN STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SET TUBING HOOK TRANSFILTRATION,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SHEATH ENDOSCOPIC 11X7X6IN COPILOT VL 4 1LB DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SLEEVE SCD CALF 23 LARGE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SLEEVE SCD THIGH HI,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SNARE 20MM ROUND 240MM 2.4MM CAPTIVATOR II STIFF BRAID WIRE HOT COLD INDICATION SMALLER LOOP ENDOSCOPIC 2.8CM DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SNARE CAPTIVATOR II XL ROUND STIFF 33MM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SNARE MEDIUM HEXAGONAL 240CM 2.4MM CAPTIVATOR LOOP STIFF ENDOSCOPIC POLYPECTOMY 27MM STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SNARE ROUND 240MM 10MM 2.4MM CAPTIVATOR II,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SNARE SMALL OVAL 13MM ROTATABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUCTION DEVICE FLOOR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUCTION TUBE MINI DEPUY,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SURGITUBE DERMA SCIENCES WHITE 1.5,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE CHROMIC 4-0 G-3,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ETHIBOND 2 V- 37 30 MX69G,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ETHIBOND GREEN BR 5 30 V-40 MB46G,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE ETHILON MULTIPASS 10-0 BV130-5 5IN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE PDO QUILL 0 .5 CIRCLE 24CM 2 ARM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE PDO QUILL 2-0 3/8 CIRCLE 24X24CM MFIL ABSORB,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE POLYDIOXANONE 2 24CM HALF CIRCLE HEAVY NEEDLE 36CM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SUTURE PROLENE 4-0 HS-6 C-1 DA 30 9706H,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM SMOKEVAC PLUME FILTER,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAP POSITIONING DIGIT TRAP LARGE FINGER ATRAUMATIC HOOK GRASP STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY EPIDURAL 3.5IN 18GA 20GA PERIFIX TUOHY BPA GLASS LOR NEEDLE CLOSED END CATHETER LUER LOCK 5ML STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY SPINAL 3.5IN 25GA PENCAN 8.25% DEXTROSE 0.75% BUPIVACAINE BPA DEHP PENCIL POINT NEEDLE PREP SPONGE FENESTRATE DRAPE THIN WALL INTRODUCER STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR BALLOON HASSAN 12X100MM BLUNT TIP,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR FIOS ADVANCE 5X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR LAPAROSCOPIC 100MM 12MM KII Z THREAD SLEEVE RETENTION DISC STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 12MM KII FIOS Z THREAD SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 5MM KII FIOS Z THREAD SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR Z THREADED 12X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TROCAR Z THREADED 5X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF 30X4.5IN 1 BLADDER 2 PORT PLC SLEEVE TOURNIQUET STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET 24X4.5IN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET BROWN ATS 3K 4 X 34,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET GREEN ATS 3K 4 X 24,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET RED ATS 3K 4 X 18,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUFF TOURNIQUET RUBY ATS 3K 4 X 42,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CUSTOM CYSTO PACK SJH,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DEVICE CLOSURE V-LOC 180 2-0 GS-21 1/2 CIRCLE L6 IN L37 MM A,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CONTAINER TRANSPEC PERFORATE COMPRESSION PLATE SPECIMEN DUBIN LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CONTAINER TRANSPEC SPECIMEN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRUSS HERNIA 35-41IN CURAD LARGE BELT LIGHTWEIGHT ELASTIC LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRUSS HERNIA 41-46IN CURAD LARGE BELT LIGHTWEIGHT ELASTIC LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE 16FR SILICONE RADIOPAQUE STANDARD PROFILE BALLOON REPLACEMENT 3 FUNNEL GASTROSTOMY ORANGE 20CC STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE CHEST ARGYLE W/ TROCAR 20FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE MIC GASTROSTOMY 24FR/20CC,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE PEG REPLACMENT 18FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE PEG REPLACMENT 20FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TUBE TRACHEOSTOMY 6 74MM 10.8MM 6.4MM SHILEY UNCUFF ROUND TIP OBTURATOR DISPOSABLE INNER CANNULA STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ADAPTER URETERAL CATHETER CONNECTOR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ADHESIVE DERMABOND,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 3 STANDARD 14FR PEDIATRIC LMA SUPREME DRAIN TUBE INTEGRAL BITE BLOCK CUFF LATEX FREE 30ML STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY ESOPHAGEAL 4 LMA SUPREME EVOLUTION CURVE LARYNGEAL MASK INTEGRATE DRAIN 2 SEAL FIXATION TAB LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,AIRWAY OROPHARYNGEAL 5 LMA SUPREME EVOLUTION CURVE LATEX FREE 2 SEAL INTEGRAL BITE BLOCK DRAIN TUBE FIXATION TAB 14FR DISPOSABLE 45- ML,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,ATTACHMENT ENDOSCOPE 4MM 13.4MM ROUND EDGE STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BAG DRAINAGE CUSTOM HOSE EXTEND FLAP 2 ADAPTER STERILE DISPOSABLE ASPECT 100U 100UC 100UCPLUS,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE ARROW FLAT STAINLESS STEEL SURGICAL MYRINGOTOMY STERILE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE MYRINGOTOMY STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAGITTAL LONG NARROW THIN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 1.9X2.4IN THK.025IN WIDE THIN STAINLESS STEEL SAGITTAL FLARE STERILE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 25X9MM PRECISION THIN OFFSET STRYKER,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 48.5MM 90MM THK.96MM MEDIUM WIDE STAINLESS STEEL SAGITTAL FLARED,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 73.8X18.6MM THK.8MM MEDIUM NARROW STAINLESS STEEL SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SAW 85X25.4MM THK1.2MM LONG WIDE STAINLESS STEEL SAGITTAL AGGRESSIVE TOOTH STERILE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE STRYKER MICRO OSC 5.5 X 18,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BRUSH CYTOLOGY 1.9MM 150CM BULLET TIP WIRE SHAFT CELLEBRITY STERILE DISPOSABLE 2MM STAINLESS STEEL PTFE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BRUSH CYTOLOGY 2MM .064MM 115CM THIN BRISTLE INTEGRAL HANDLE THICK CONTROL WIRE COVER SHEATH STERILE DISPOSABLE METAL NYLON LATEX FREE 10MM 2MM MINIMUM CHANNEL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BRUSH CYTOLOGY 3MM 5FR 180CM STERILE DISPOSABLE GREEN GASTROINTESTINAL TRACT BRONCHOSCOPE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BUR ROUND CARBIDE 4MM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CANISTER WOUND DRAINAGE PREVENA REPLACEMENT 45ML INCISION MANAGEMENT SYSTEM DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CANNULA ARTHREX TWIST 8.25MM X 9CM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CANNULA ARTHROSCOPIC 5.5MM 70MM PLASTIC UNIVERSAL SHOULDER SET 2 SEAL FENESTRATE STERILE LATEX FREE DISPOSABLE GRAY ORANGE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CANNULA ARTHROSCOPIC 7MM 7CM TWIST-IN,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CARRIER DERMACERRIER 1.5 TO 1,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATHETER EPIDURAL 36IN 19GA PERIFIX POLYAMIDE CONNECTOR THREAD ASSIST GUIDE DEHP FREE CLOSED TIP STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$52.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,WAND ESURG 3.75MM 3MM AMB SUPR MULTIVAC CBLTN 50D,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,DILATOR ENDOSCOPIC CRE 240CM 5.5CM 7.5FR 10-12MM,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,LIFTER SURGICAL CLEAR ORISE INTERJECT 23G GEL SYRINGE KIT TWIN PACK 10ML DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,NEEDLE KNIFE SPHINCTERTOME KNIFE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,PUMP PAIN ON-Q 400ML,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SCALPEL ROUND TUNNEL BLADE ANGLED SURGICAL 2.6MM BLUE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM NAVIGATION VIZADISC HIP TRACK KIT STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,SYSTEM NAVIGATION VIZADISC KNEE TRACK KIT STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY DRAINAGE 22CM 12FR THAL-QUICK THORAX 3 SIDEPORT RADIOPAQUE STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,TRAY DRAINAGE 41CM 16FR THAL-QUICK 4 SIDEPORT CATHETER CHEST TUBE NEEDLE STERILE LATEX FREE DISPOSABLE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP RESOLUTION 360 2.8MM 235CM,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,WAND ARTHROCARE SHOULDER SUPER TURBO VAC,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,APPLIER INTERNAL CLIP 20M/L UNIVERSAL 34CMX5MM TIGOLD ERGONOMIC HANDLE LOW PROFILE JAW EPIX LATEX FREE LAPAROSCOPIC,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BASKET SPECIMEN RETRIEVAL 1.9FR SKYLITE NITINOL,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BIT DRILL 36.5CM 4.3MM CALIBRATE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,BLADE SHAVER 11CM 4MM RADENOID CURVED,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CATHETER BICAP INJECTION 7FR ELECTROHEMOSTASIS,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27270000,N/A,CLIP HEMOSTATIC ENDOSCOPIC INSTINCT PLUS,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$420.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON CRE DILATION 12-15MM 7.5FR,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 , N/A , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 18-20MM 6FR,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 10-12MM 6FR,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 12-15MM 6FR,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON CRE DILATION ESOPHAGEAL 15-18MM 6FR,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON RETRIEVAL EXTRACTOR PRO RX 200CM 6-7FR 9-12MM BILIARY 3 LUMEN BELOW INJECTION SQUARE SHOULDER ACCEPTS .035IN GUIDEWIRE LATEX STERILE DISPOSABLE NATURAL RUBBER,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON 200CM 6-7FR 12-15MM 3 LUMEN,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,CATHETER BALLOON 3-WAY 20FR 30CC LATEX,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,CATHETER UROMAX BALLOON DIALATOR 18 FR 10CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 , N/A , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON BILIARY DILATOR 4MMX4CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 , N/A , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,BALLOON BILIARY DILATOR 6MMX4CM,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 , N/A , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,CATHETER UROMAX BALLOON DIALATOR 10X15FR,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 , N/A , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,DEVICE INFLATION CRE (SYRINGE),272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,CATHETER FOGARTY BILIARY PROBE 5 FR,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271726,C1726,CATHETER FOGARTY BILIARY PROBE 6 FR,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY BARD 3-WAY 26FR 30ML,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 20FR 40CM STANDARD FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP NATURAL RUBBER HYDROGEL 5CC STERILE LATEX DISPOSABLE CARSON MODEL,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATH TROCAR CHEST 28 FR,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY 18FR 5CC 3-WAY,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY 22FR 2 WAY 5CC SILICONE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY BARD 3-WAY 22FR 5ML,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY BARD 3-WAY 24FR 30ML,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY SILCONE BACTI GUARD 22 FR 3 WAY 30ML,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 16FR STANDARD FOLEY 2 WAY DRAINAGE EYE MEDIUM COUDE TIP RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE RED CARSON MODEL,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 18FR 40CM FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP RUBBER HYDROGEL HYDROPHILIC 5CC STERILE LATEX DISPOSABLE AMBER CARSON MODEL,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER URETHRAL DOVER 22FR 16IN FOLEY 2 WAY COUDE TIP INFLATION VALVE SILICONE NONPOROUS 5ML STERILE LATEX FREE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY 16FR 5CC 2 WAY,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER THORACIC TROCAR 28 FR X 16,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER TROCAR 32FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER URETHRAL DOVER 20FR 16IN LARGE FOLEY 2 WAY SMOOTH DRAINAGE EYE RIBBED BALLOON ULTRAMER RUBBER 5ML STERILE LATEX,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER URETHRAL PUREWICK NATURAL RUBBER LATEX,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 , N/A , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271729,C1729,CATHETER FOLEY 10FR 3CC BALLOON,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 , N/A , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,CATHETER CV BARD DUAL LUMEN HICKMAN 9.6FR,272,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 , N/A , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$168.75 ,$225.00 ,$168.75 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,CATHETER HICKMAN 9FR DUAL-LUMEN,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,KIT CATHETER 5FR 55CM POWERPICC PROVENA SOLO PLACEMENT STERILE LATEX FREE DISPOSABLE,272,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$585.00 ,$399.96 , N/A , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 ,$675.00 ,$900.00 ,$675.00 ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,KIT CATHETER 7FR 18GA 8I,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,KIT CATHETER 12FR 90CM 2 LUMEN LOW PROFILE ADAPTER PEEL APART INTRODUCER HICKMAN SILICONE LATEX FREE,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,KIT CATHETER 4FR 20CM BIOFLO ENDEXO 1 LUMEN MAXIMAL BARRIER 2 GUIDEWIRE MIDLINE NITINOL,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,KIT INFUSION PORT 2 LUMEN CATHETER INTRODUCER NEEDLE UNASSEMBLED 10.2FR 11FR 1.1MM PORT-A-CATH TITANIUM,272,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,365.00 ",$933.24 , N/A , N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ","$1,575.00 ","$2,100.00 ","$1,575.00 ",$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,SET INFUSION PORT INTRODUCER 11FR PORT-A-CATHETER,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 , N/A , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271751,C1751,CATHETER 5FR IV POWERPICC SHERLOCK 3CG 2 LUMEN MAXIMAL BARRIER POLYPROPYLENE LATEX FREE,272,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 , N/A , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$562.50 ,$750.00 ,$562.50 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271757,C1757,CATHETER EMBOLECTOMY 6FR X 80CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271757,C1757,CATHETER EMBOLECTOMY 3FR X 80CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271757,C1757,CATHETER EMBOLECTOMY 4X80CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271757,C1757,CATHETER EMBOLECTOMY 5FR X 80CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL BARD 6FR 70CM SPRL TIP ADAPT KINK RST,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 , N/A , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL BARD 5FR 70CM SPRL TIP ADAPT KINK RST,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 , N/A , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,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 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER COUNCIL 16FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER COUNCIL 18FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER COUNCIL 20FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER COUNCIL 22 FR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL 6FR 70CM OPEN END BARD TIGER TAIL,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL BARD TIGERTAIL 5FR 70CM OPEN TIP,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL IMAGER II 5FR 40CM BERENSTEIN CURVE 1 LUMEN TORQUEABLE LUER LOCK HUB BRAID WIRE STAINLESS STEEL POLYMER STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETHRAL PUREWICK FREE FEMALE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER COUDE 12FR 5CC,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER COUDE 14FR,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL FLEXIMA 5FR 70CM 1 LUMEN INJECTION HUB RADIOPAQUE WHISTLE TIP STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL FLEXIMA 6FR 10FR 70CM 1 LUMEN INJECTION HUB RADIOPAQUE CONE TIP STERILE LATEX FREE DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETERAL FLEXM 5FR 8FR 70CM 1 LUM INJ HUB RADOPQ,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271758,C1758,CATHETER URETHRAL BARDEX LUBRICATH 16FR STANDARD FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP RUBBER HYDROGEL HYDROPHILIC 5CC STERILE LATEX DISPOSABLE AMBER CARSON MODEL,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,ADAPTER SURGICAL 2MM KIRSCHNER LONG WIRE,272,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 , N/A , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$450.00 ,$600.00 ,$450.00 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ORTHO 3MM 98CM BEAD TIP,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE BALL NOSE DEPUY 3MM X 100CM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ORTHO 3.2MM 460MM ENTRY,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE STRAIGHT TIP DREAMWIRE 0.035IN X 260CM,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE STRYKER GAMMA 3 BALL TIP 3X1000MM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ORTHOPEDIC 460MM 3.2MM COCR THREAD TIP PHOENIX ANTEGRADE FEMORAL NAIL SYSTEM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,WIRE 229MM 1.6MM KIRSCH SS 2,272,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$13.00 ,$8.89 , N/A , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 ,$15.00 ,$20.00 ,$15.00 ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,WIRE K STRYKER GAMMA 3 3.2X450MM,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 , N/A , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ENDOSCOPIC .025IN 260CM TRIM TIP RAPID EXCHANGE JAGWIRE STRAIGHT 5CM BILIARY STERILE DISPOSABLE,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 , N/A , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ZIMMER 2.4 SMOOTH X 100CM,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 , N/A , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,WIRE KIRSCHNER STRYKER 2 X 450MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ENDOSCOPIC .038IN HYBRID FLEXIBLE SOLO NITINOL STRAIGHT LATEX FREE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ORTHOPEDIC 150MM 1.25MM STAINLESS STEEL THREAD SPADE POINT 2 END 3.5MM CANNULATED SCREW,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE URO 150CM .035IN ZPWR ANG URET NTNL PU HDRPH RADPQ,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ZIPWIRE BOSTON SCI.035IN X 150CM LF,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ZIPWIRE STRAIGHT .035 X 150CM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,WIRE GUIDE SYNTHES 2.8 THREADED TROCAR POINT 300MM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,WIRE KIRSCHNER ZIMMER 1.25MM,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE MICROVASIVE AMPLATZ SUPER STIFF .035/145,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ORTHOPEDIC 6IN .045IN STAINLESS STEEL TROCAR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271769,C1769,GUIDEWIRE ORTHOPEDIC 6IN .054IN STAINLESS STEEL TROCAR,272,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 , N/A , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$56.25 ,$75.00 ,$56.25 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271885,C1885,CATHETER TAUT CHOLANGIOGRAM,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271888,C1888,FIBER GUIDEWIRE DISPOSABLE NEEDLE KIT 65CM .035IN,272,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$975.00 ,$666.60 ,"$1,050.00 ", N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ","$1,125.00 ","$1,500.00 ","$1,125.00 ",$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271888,C1888,KIT PROCEDURE 45CM .035IN NEVERTOUCH GOLD FIBER GUIDEWIRE NEEDLE DISPOSABLE STERILE 21GA,272,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$877.50 ,$599.94 ,$945.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ","$1,012.50 ","$1,350.00 ","$1,012.50 ",$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,CATHETER TELEFLEX A-LINE,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,SHEATH ACCESS 10 12FR URETERAL 35CM,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,DILATOR AMPLATZ WITH SHEATH,272,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$341.25 ,$233.31 , N/A , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$393.75 ,$525.00 ,$393.75 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,SHEATH ACCESS 10 12FR URETERAL 45CM,272,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 , N/A , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$281.25 ,$375.00 ,$281.25 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,SHEATH ACCESS PROXIS 45CM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,SHEATH ACCESS PROXIS 12/14FR 35CM,272,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$292.50 ,$199.98 , N/A , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 ,$337.50 ,$450.00 ,$337.50 ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27271894,C1894,SHEATH URETERAL ACCESS 12/14*36CM NAVIGATOR,272,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 , N/A , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$225.00 ,$300.00 ,$225.00 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27272627,C2627,DILATOR PENILE URETERAL MEATAL 6.0FR 34FR CAT NUM 073406,272,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 , N/A , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27272627,C2627,SET SUPRAPUBIC 14FR 25CM NEEDLE OBTURATOR CONNECT TUBE 1 WAY STOPCOCK CATHETER PERCUTANEOUS STAMEY MALECOT STAINLESS STEEL POLYETHYLENE PVC STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$97.50 ,$66.66 , N/A , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27272900,S2900,SURGERY ROBOTIC TECHNICAL SYSTEM,272,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,27600001,V2785,HC CORNEA PROCESSING,276,1 ,"$3,225.00 ","$2,322.00 ",$695.31 ,"$4,141.37 ","$1,854.38 ","$2,031.75 ","$1,935.00 ",$695.31 ,$903.00 ,"$1,870.50 ",$726.91 ,"$1,967.25 ",$790.12 ,"$1,770.53 ","$1,770.53 ",$821.73 ,"$1,770.53 ","$1,433.19 ","$2,257.50 ", N/A ,$726.91 ,$695.31 ,"$2,418.75 ","$2,289.75 ","$2,289.75 ",$726.91 ,"$2,289.75 ","$2,805.75 ","$2,805.75 ","$2,805.75 ", N/A ,"$2,902.50 ","$1,854.38 ","$2,741.25 ",$821.73 ,"$3,225.00 ","$1,809.23 ",$821.73 ,"$1,335.15 ","$4,141.37 ","$3,764.88 ",$726.91 ,"$2,741.25 ","$1,381.14 ","$1,770.53 ",$903.00 ,"$2,902.50 ","$3,225.00 ",$821.73 ,"$2,805.75 ","$1,128.75 ","$3,225.00 ","$1,128.75 ",$741.75 ,"$2,096.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27662787,V2787,IOL ASTIGMATISM (TORIC) CORRECTING UPGRADE,276,1 ,$370.00 ,$266.40 ,$90.65 ,$925.00 ,$925.00 ,$233.10 ,$222.00 ,$370.00 ,$103.60 ,$214.60 ,$370.00 ,$225.70 ,$90.65 ,$203.13 ,$203.13 ,$370.00 ,$203.13 ,$747.40 ,$259.00 , N/A ,$370.00 ,$370.00 ,$277.50 ,$262.70 ,$262.70 ,$370.00 ,$262.70 ,$321.90 ,$321.90 ,$321.90 , N/A ,$333.00 ,$925.00 ,$314.50 ,$362.60 ,$370.00 ,$207.57 ,$362.60 ,$153.18 , N/A , N/A ,$370.00 ,$314.50 ,$703.00 ,$203.13 ,$103.60 ,$333.00 ,$370.00 ,$362.60 ,$321.90 , N/A ,$370.00 , N/A ,$370.00 ,$240.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27662788,V2788,IOL AMO MULTIFOCAL ZLB00,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27662788,V2788,IOL PRESBYOPIA (PRESBYOPIA/RESTOR) CORRECTING UPGRADE,276,1 ,$770.00 ,$554.40 ,$166.01 ,$770.00 ,$442.75 ,$485.10 ,$462.00 ,$166.01 ,$215.60 ,$446.60 ,$173.56 ,$469.70 ,$188.65 ,$422.73 ,$422.73 ,$196.20 ,$422.73 ,$342.19 ,$539.00 , N/A ,$173.56 ,$166.01 ,$577.50 ,$546.70 ,$546.70 ,$173.56 ,$546.70 ,$669.90 ,$669.90 ,$669.90 , N/A ,$693.00 ,$442.75 ,$654.50 ,$196.20 ,$770.00 ,$431.97 ,$196.20 ,$318.78 , N/A , N/A ,$173.56 ,$654.50 ,$329.76 ,$422.73 ,$215.60 ,$693.00 ,$770.00 ,$196.20 ,$669.90 , N/A ,$770.00 , N/A ,$177.10 ,$500.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL ALCON SN60AT,276,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$114.66 ,$450.00 ,$252.45 ,$114.66 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$114.66 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL TECNIS MULTIFOCAL SYMPHONY ZXR00,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL AMO PRECISION MULTIFOCAL ZKB00,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL AMO SYMFONY TORIC ZXT150,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL AMO SYMFONY TORIC ZXT225,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL AMO SYMFONY TORIC ZXT300,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL AMO SYMFONY TORIC ZXT375,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL TORIC LENS SA6AT6,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL ALCON TORIC SN6AT3,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL ALCON TORIC SN6AT4,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL ALCON TORIC SN6AT5,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL ALCON TORIC SN6AT6,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL AMO PRECISION ZCT TORIC,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL TORIC LENS SA6AT3,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL TORIC LENS SA6AT4,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27671780,C1780,IOL TORIC LENS SA6AT5,276,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,470.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$535.08 ,"$2,100.00 ","$1,178.10 ",$535.08 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$535.08 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,HC POSTERIOR CHAMBER INTRAOCULAR LENS,276,1 ,$510.74 ,$367.73 ,$110.11 ,$510.74 ,$293.68 ,$321.77 ,$306.44 ,$110.11 ,$143.01 ,$296.23 ,$115.12 ,$311.55 ,$125.14 ,$280.40 ,$280.40 ,$130.13 ,$280.40 ,$226.97 ,$357.52 , N/A ,$115.12 ,$110.11 ,$383.06 ,$362.63 ,$362.63 ,$115.12 ,$362.63 ,$444.34 ,$444.34 ,$444.34 , N/A ,$459.67 ,$293.68 ,$434.13 ,$130.13 ,$510.74 ,$286.53 ,$130.13 ,$211.45 , N/A , N/A ,$115.12 ,$434.13 ,$218.73 ,$280.40 ,$143.01 ,$459.67 ,$510.74 ,$130.13 ,$444.34 , N/A ,$510.74 , N/A ,$117.47 ,$331.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,IOL ALCON RESTOR SV25T0,276,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$2,310.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$840.84 ,"$3,300.00 ","$1,851.30 ",$840.84 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$840.84 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,IOL AMO PRECISION ZCB00,276,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$114.66 ,$450.00 ,$252.45 ,$114.66 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$114.66 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,IOL ALCON ACU0T0,276,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$114.66 ,$450.00 ,$252.45 ,$114.66 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$114.66 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,IOL ALCON AU00T0,276,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$114.66 ,$450.00 ,$252.45 ,$114.66 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$114.66 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,IOL ALCON SN60WF,276,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$315.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$114.66 ,$450.00 ,$252.45 ,$114.66 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$114.66 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27800429,C1781,HC MESH,278,1 ,"$1,184.00 ",$852.48 ,$255.27 ,"$1,184.00 ",$680.80 ,$745.92 ,$710.40 ,$255.27 ,$331.52 ,$686.72 ,$266.87 ,$722.24 ,$290.08 ,$650.02 ,$650.02 ,$301.68 ,$650.02 ,$526.17 ,$592.00 , N/A ,$266.87 ,$255.27 ,$888.00 ,$840.64 ,$840.64 ,$266.87 ,$840.64 ,"$1,030.08 ","$1,030.08 ","$1,030.08 ", N/A ,"$1,065.60 ",$680.80 ,"$1,006.40 ",$255.27 ,"$1,184.00 ",$664.22 ,$255.27 ,$490.18 , N/A , N/A ,$266.87 ,"$1,006.40 ",$507.06 ,$650.02 ,$331.52 ,"$1,065.60 ","$1,184.00 ",$255.27 ,"$1,030.08 ", N/A ,"$1,184.00 ", N/A ,$272.32 ,$769.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,27800553,A4648,HC TISSUE MARKER IMPLANTABLE,278,1 ,$368.00 ,$264.96 ,$79.34 ,$368.00 ,$211.60 ,$231.84 ,$220.80 ,$79.34 ,$103.04 ,$213.44 ,$82.95 ,$224.48 ,$90.16 ,$202.03 ,$202.03 ,$93.77 ,$202.03 ,$163.54 ,$184.00 , N/A ,$82.95 ,$79.34 ,$276.00 ,$261.28 ,$261.28 ,$82.95 ,$261.28 ,$320.16 ,$320.16 ,$320.16 , N/A ,$331.20 ,$211.60 ,$312.80 ,$79.34 ,$368.00 ,$206.45 ,$79.34 ,$152.35 , N/A , N/A ,$82.95 ,$312.80 ,$157.60 ,$202.03 ,$103.04 ,$331.20 ,$368.00 ,$79.34 ,$320.16 , N/A ,$368.00 , N/A ,$84.64 ,$239.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,27864124,Q4124,DRESSING BIOLOGICAL 7X5CM OASIS ULTRA PORCINE SUBMUCOSA 3 LAYER MESH,278,1 ,"$1,050.00 ",$756.00 ,$129.47 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$129.47 ,$236.67 ,$135.63 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 ,$784.53 ,$713.21 ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,BAR TIBIAL LOCKING BIOMET,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,CABLE/SLEEVE ORTHOPEDIC 2MM DALL-MILES HIP VITALLIUM SET BEAD,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,CABLE/SLEEVE DALL-MILES 1.6MM SET,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,COMPONENT PATELLAR SMALL 31MM 1 PEG INSET AGC TIVANIUM UHMWPE POROUS KNEE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,COMPONENT PATELLAR LARGE 37MM 1 PEG INSET AGC TIVANIUM UHMWPE POROUS KNEE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,COMPONENT PATELLAR MEDIUM 34MM 1 PEG INSET AGC TIVANIUM UHMWPE POROUS KNEE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,DEVICE FIXATION ARTIFICIAL LIGAMENT BIOMET,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,FORCEP TRICEPS GRASPING (370-111),278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,PUSH LOCK ARTHREX 2.9 X 15.5MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,SLING ADVANTAGE URETHRAL (850-200),278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,SYSTEM BONE CEMENT HIVAC 7,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,AGENT HEMOSTATIC FLOSEAL MATRIX 5 ML,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,GUIDEWIRE STRYKER BALL TIP STERILE 3.0 X 800MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,RESTRICTOR CEMENT BIO PLUG BIOMET 10MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,SYSTEM BONE CEMENT OPTIVAC SHORT EXTENDER CARTRIDGE NORMAL CAPACITY 2 VACUUM MIX NOZZLE 80GM STERILE DISPOSABLE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TAP ZIMMER 2.7MM QC,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TRAY TIBIAL REGENERATION BIOMET,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TRAY TIBIAL 71MM KNEE POROUS PRIMARY,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TRAY TIBIAL 75MM KNEE POROUS PRIMARY,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE TRACH CUFF SIZE 6,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE EAR ACTIVENT GOODE VENT,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE VENTILATION 1.1MM 1.02MM 2.7MM REUTER BOBBIN EAR FLUOROPLASTIC,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE VENTILATION 12MM 1.14MM GOODE T,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE EAR BLUE 1.55MM 1.27MM 3MM SHEEHY 3MM BUTTON EAR FLUOROPLASTIC CLASSIC COLLAR,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE VENTILATION 1.14MM ARMSTRONG ACTIVENT EAR BEVEL GROMMET STERILE LATEX FREE DISPOSABLE,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27870000,N/A,TUBE VENTILATION 1.3MM 1.27MM 2.9MM SHEEHY EAR ACTIVENT SILICONE COLLAR BUTTON,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,GRAFT BONE BIOSURGE III ALLOSYNC ARTHREX ANGEL CANCELLOUS DEMINERALIZED BONE MATRIX 2.5CC ALLOGRAFT STRIP BONE MARROW ASPIRATE TRAY 40X15X3MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,IMPLANT ARTHREX ANCHOR BIO-CORKSCREW 4.5MM,278,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 4.5MM COMPOSITCP BROADBAND 2 LOAD SLIDE TAPE KNOTLESS THREAD,278,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 4.5MM QUATTRO LINK 1 ROW KNOTLESS SELF PUNCH SHOULDER SYSTEM,278,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CEMENT BONE DJO SURGICAL COBALT GENTAMICIN 40GM,278,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,IMPLANT ANCHOR SUTURE BIOCORKSCREW 5.5MM W/FIBERWIRE,278,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,K WIRE ZIMMER 6 IN X .045 IN,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION .7MM 102MM KIRSCHNER STAINLESS STEEL 2 END TROCAR POINT STYLE 1 STERILE,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION .9MM 152MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 STERILE,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION 1.6MM 152MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 STERILE,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION 1.6MM 229MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 STERILE,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE SYNTHES 1.25MM KIRSCHNER W/TROCAR POINT 150MM,278,1 ,$30.00 ,$21.60 ,$6.47 ,$30.00 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$15.00 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 , N/A , N/A ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 , N/A ,$30.00 , N/A ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN FIXATION 3.5IN 1/8IN FLUTE SQUARE KNEE STAINLESS STEEL HEADLESS STERILE,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR ARTHREX PUSHLOCK BIOCOMPOSITE 2.9 X 12.5MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 2.3MM ICONIX 2 STRAND INTELLIBRAID TECHNOLOGY TAPE CUFF,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 3.5MM PUSHLOCK ROTATOR CUFF PEEK 19.5MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 5.5MM BIO-SWIVELOCK C CLOSED EYELET VENT 19.1MM STERILE DISPOSABLE,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE ARTHREX BIO SWIVELOCK 5.5MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE FLAT FIBERTAK FIBERWIRE ROTATOR CUFF TAPE BRAID 1.3MM BLACK BLUE WHITE,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,IMPLANT ANCHOR ARTHREX BIO SWIVELOCK 4.75MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 80MM TIMAX 3 HOLE HIGH ALPS BONE HUMERUS RIGHT PROXIMAL NONSTERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,228.92 ","$5,700.00 ","$3,277.50 ","$3,591.00 ","$3,420.00 ","$1,228.92 ","$1,596.00 ","$3,306.00 ","$1,284.78 ","$3,477.00 ","$1,396.50 ","$3,129.30 ","$3,129.30 ","$1,452.36 ","$3,129.30 ","$2,533.08 ","$2,850.00 ", N/A ,"$1,284.78 ","$1,228.92 ","$4,275.00 ","$4,047.00 ","$4,047.00 ","$1,284.78 ","$4,047.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ", N/A ,"$5,130.00 ","$3,277.50 ","$4,845.00 ","$1,228.92 ","$5,700.00 ","$3,197.70 ","$1,228.92 ","$2,359.80 ", N/A , N/A ,"$1,284.78 ","$4,845.00 ","$2,441.08 ","$3,129.30 ","$1,596.00 ","$5,130.00 ","$5,700.00 ","$1,228.92 ","$4,959.00 ","$1,995.00 ","$5,700.00 ","$1,995.00 ","$1,311.00 ","$3,705.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE SPEEDBRIDGE ARTHREX 4.75 X 19.1MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,228.92 ","$5,700.00 ","$3,277.50 ","$3,591.00 ","$3,420.00 ","$1,228.92 ","$1,596.00 ","$3,306.00 ","$1,284.78 ","$3,477.00 ","$1,396.50 ","$3,129.30 ","$3,129.30 ","$1,452.36 ","$3,129.30 ","$2,533.08 ","$2,850.00 ", N/A ,"$1,284.78 ","$1,228.92 ","$4,275.00 ","$4,047.00 ","$4,047.00 ","$1,284.78 ","$4,047.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ", N/A ,"$5,130.00 ","$3,277.50 ","$4,845.00 ","$1,228.92 ","$5,700.00 ","$3,197.70 ","$1,228.92 ","$2,359.80 ", N/A , N/A ,"$1,284.78 ","$4,845.00 ","$2,441.08 ","$3,129.30 ","$1,596.00 ","$5,130.00 ","$5,700.00 ","$1,228.92 ","$4,959.00 ","$1,995.00 ","$5,700.00 ","$1,995.00 ","$1,311.00 ","$3,705.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 80MM TIMAX 3 HOLE HIGH ALPS BONE HUMERUS LEFT PROXIMAL NONSTERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,228.92 ","$5,700.00 ","$3,277.50 ","$3,591.00 ","$3,420.00 ","$1,228.92 ","$1,596.00 ","$3,306.00 ","$1,284.78 ","$3,477.00 ","$1,396.50 ","$3,129.30 ","$3,129.30 ","$1,452.36 ","$3,129.30 ","$2,533.08 ","$2,850.00 ", N/A ,"$1,284.78 ","$1,228.92 ","$4,275.00 ","$4,047.00 ","$4,047.00 ","$1,284.78 ","$4,047.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ", N/A ,"$5,130.00 ","$3,277.50 ","$4,845.00 ","$1,228.92 ","$5,700.00 ","$3,197.70 ","$1,228.92 ","$2,359.80 ", N/A , N/A ,"$1,284.78 ","$4,845.00 ","$2,441.08 ","$3,129.30 ","$1,596.00 ","$5,130.00 ","$5,700.00 ","$1,228.92 ","$4,959.00 ","$1,995.00 ","$5,700.00 ","$1,995.00 ","$1,311.00 ","$3,705.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 90MM TIMAX 4 HOLE HIGH ALPS BONE HUMERUS RIGHT PROXIMAL NONSTERILE,278,1 ,"$8,100.00 ","$5,832.00 ","$1,746.36 ","$8,100.00 ","$4,657.50 ","$5,103.00 ","$4,860.00 ","$1,746.36 ","$2,268.00 ","$4,698.00 ","$1,825.74 ","$4,941.00 ","$1,984.50 ","$4,446.90 ","$4,446.90 ","$2,063.88 ","$4,446.90 ","$3,599.64 ","$4,050.00 ", N/A ,"$1,825.74 ","$1,746.36 ","$6,075.00 ","$5,751.00 ","$5,751.00 ","$1,825.74 ","$5,751.00 ","$7,047.00 ","$7,047.00 ","$7,047.00 ", N/A ,"$7,290.00 ","$4,657.50 ","$6,885.00 ","$1,746.36 ","$8,100.00 ","$4,544.10 ","$1,746.36 ","$3,353.40 ", N/A , N/A ,"$1,825.74 ","$6,885.00 ","$3,468.91 ","$4,446.90 ","$2,268.00 ","$7,290.00 ","$8,100.00 ","$1,746.36 ","$7,047.00 ","$2,835.00 ","$8,100.00 ","$2,835.00 ","$1,863.00 ","$5,265.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE STANDARD CONTOUR 51X24MM CROSSLOCK LOW PROFILE DVR BONE RADIUS RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE CONTOUR 79X10.7X2.5MM TIMAX 10 HOLE LOW PROFILE ALPS BONE ELBOW OLECRANON NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE MINI NARROW 41X22MM CROSSLOCK LOW PROFILE DVR BONE RADIUS LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE MINI NARROW 41X22MM LOW PROFILE CROSSLOCK DVR BONE RADIUS RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE NARROW 51X22MM CROSSLOCK LOW PROFILE DVR BONE RADIUS LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE WIDE 57X27MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,IMPLANT STEM W/ SCREW EXPLOR BIOMET 6MM X 24MM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,NAIL BIOMET 11MM 22CM,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE NARROW 49X21MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE NARROW 49X21MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE STANDARD 49X24MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE STANDARD 49X24MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE STANDARD 51X25MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE STANDARD 51X25MM 2.3MM SCREW VARIABLE ANGLE ACU-LOC 2 BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER BIOMET DISTAL TIBIA ANTERIOLATERAL 9 HOLE NARROW RIGHT,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,KIT STRYKER NAIL TROCHANTERIC 11MM X 180MM,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,NAIL TROCHANTERIC STRYKER 11 X 180MM X 130 DEGREE,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 245MM TI6AL4V PERIPROSTHETIC 9 HOLE NCB BONE FEMUR LEFT PROXIMAL STERILE,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 58MM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,GRAFT BONE SUBSTITUTE PRO-DENSE WRIGHT 4CC,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 115MM TITANIUM HIP LAG ASSEMBLY TELESCOPING KEYED INTRAMEDULLARY NAIL,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,KIT PROCEDURE TOGGLELOC WASHERLOC DISPOSABLE STERILE LATEX FREE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE NO WEDGE DEPUY,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER BIOMET FIBULA ANATOMIC 3 HOLE RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER BIOMET FIBULA ANATOMIC 4 HOLE LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER BIOMET FIBULA ANATOMIC 4 HOLE RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER BIOMET FIBULA ANATOMIC 6 HOLE RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 10H 158MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 10H 158MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 4H 80MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 4H 80MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 6H 106MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 6H 106MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 8H 132MM LEFT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER FIBULAR DISTAL LATERAL 8H 132MM RIGHT,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 10.5MM 100MM AFFIXUS 6.5MM HIP CANNULATED SELF TAP LAG STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 10.5MM 105MM AFFIXUS 6.5MM HIP LAG STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 10.5MM 110MM AFFIXUS 6.5MM HIP SELF TAP SQUARE DRIVE STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 100MM TITAN ORTHO,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 105MM TITAN,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 70MM TIMAX T1,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,KIT LIGAMENT ARTIFICIAL BIOMET,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE NARROW TITANIUM ALUMINUM VANADIUM PERIPROSTHETIC NCB BONE FEMUR TROCHANTER LEFT STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE TIBIAL FIXED CRUCIATE BIOMET 67MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW INTERFERENCE BIOMET 8 X 25MM,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 2.9MM QUATTRO LINK KNOTLESS SHOULDER SYSTEM,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CEMENT BONE TOBRAMYCIN SIMPLEX,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE LARGE OFFSET SPIDER 20MM TIMAX SMALL FRAGMENT PERI BONE LOWER EXTREMITY,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE OFFSET SPIDER 25MM TIMAX SMALL FRAGMENT PERI BONE LOWER EXTREMITY,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE SPIDER 16MM TIMAX SMALL FRAGMENT SYSTEM PERI BONE,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW NON-LOCKING HEXALOBE ACUMED 3.5 X 12MM,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CEMENT FULL DOSE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN FIXATION 4MM 80MM KNEE NONSTERILE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN STRYKER BONE MAKO 140 X 4,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN STRYKER BONE MAKO 170 X 4,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE BIOMET TUB 10 HOLE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE BIOMET TUB 5 HOLE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE BIOMET TUB 6 HOLE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE BIOMET TUB 7 HOLE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE BIOMET TUB 8 HOLE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE DEPUY 100 DEGREE 12 HOLE,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WASHER 3.5MM CORTICAL LOW PROFILE ALPS ORTHOPEDIC TITANIUM,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE ZIMMER KIRSCHNER 1.6MM X 150MM,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW DEPUY CANCELLOUS BONE 6.5MM X 30MM,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER LAG 10.5MM X 95MM,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX WHITE/BLACK 4.75 X 19.1MM,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CABLE SYNTHES 1.0 X 750MM W/ CRIMP,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CABLE SYNTHES 1.7 X 750MM W/ CRIMP,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 7 HOLE,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE SYNTHES 3.5 LCP T 3H HEAD 7 HOLE SHAFT RT ANGLE,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 10.5MM 105MM GAMMA3 TITANIUM LAG STERILE TROCHANTER NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 10.5MM 115MM GAMMA3 TITANIUM LAG STERILE TROCHANTER NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 10.5MM 90MM GAMMA3 TITANIUM LAG STERILE LATEX FREE DISPOSABLE TROCHANTER NAIL 180,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW GAMMA 3 STRYKER,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER LOCKING FULLY THREADED 5 X 45MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CEMENT BONE COBALT 40GM HIGH VISCOSITY,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 38MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 40MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 44MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 46MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 50MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 55MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 5.0 CORTICAL SELF TAPPING 70MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,TIGHTROPE ARTHRES BUTTON ACL 12 X 8MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 37.5MM T2 TITANIUM FULL THREAD FOOT ANKLE LOCK STERILE,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING HEXALOBE ACUMED 3.5 X 12MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 50MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW MED SOURCE CORTICAL LOCKING 3.5 X 12MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER LOCKING 5MM X 35MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER LOCKING 5MM X 40MM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 18MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PEG FIXATION 2.3MM 14MM LOCK SMOOTH TITANIUM ACU-LOC NONSTERILE BRONZE,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PEG FIXATION 2.3MM 16MM CORTICAL LOCK SMOOTH TITANIUM ACU-LOC NONSTERILE BRONZE,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN BONE MAKO SURGICAL 3.2MM 140MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN ORTHOPEDIC 80MM 3.2MM KNEE STERILE,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN STRYKER BONE MAKO 110 X 4,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN STRYKER HOFFMANN HALF SELF DRILLING 150 X 40MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 10MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 12MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 14MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 16MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 18MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 20MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 22MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 24MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION 3.2MM 450MM KIRSCHNER STAINLESS STEEL ORTHOPEDIC STERILE GAMMA3 NAILS,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 26MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 28MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 30MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 32MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 34MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 36MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 38MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 40MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 42MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 44MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 46MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 48MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 50MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 55MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 60MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 65MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANN CANCELLOUS 70MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.3MM 16MM TITANIUM CORTEX NONTOGGLE HEXAGONAL NONSTERILE SILVER WRIST PLATE SYSTEM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 5MM 14MM SONOMA ORTHOPEDIC PRODUCTS CRX CORTEX DISTAL SELF TAP STERILE,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW MEDSOURCE SMOOTH 2.3 X 18MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW MEDSOURCE SMOOTH 2.3 X 20MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW MEDSOURCE SMOOTH 2.3 X 22MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW MEDSOURCE THREADED 2.3 X 18MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW MEDSOURCE THREADED 2.3 X 20MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 10MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 12MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 14MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 16MM,278,1 ,$375.00 ,$270.00 ,$80.85 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$205.88 ,$166.65 ,$187.50 , N/A ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 , N/A , N/A ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 , N/A ,$375.00 , N/A ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 4.0 CANN SHORT THREAD 30MM,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,IMPLANT TIGHTROPE ABS OPEN ARTHREX,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PIN FIXATION 9IN 3.2MM STEINMANN,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING HEXALOBE ACUMED 3.5 X 14MM,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING HEXALOBE ACUMED 3.5 X 16MM,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 4.0 CANN LONG THREAD 46MM,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 90,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE SOFT JUGGERKNOT 1.4MM SINGLE LOADED BIOMET SIZE 1,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,KIT INSTRUMENT 2MM 2X100MM BONE TAMP GUIDE SLEEVE RADIOLUCENCY SUPERIOR SHEAR STRENGTH TRIM-IT DRILL PIN KIRSCHNER DISPOSABLE STERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 124.6X10.3X3.7MM TIMAX 3.5MM SCREW SMALL FRAGMENT 9 HOLE LOCK LOW PROFILE COMPRESSION ALPS BONE NONSTERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 163.6X10.3X3.7MM TIMAX 3.5MM SCREW SMALL FRAGMENT 12 HOLE LOCK LOW PROFILE COMPRESSION ALPS BONE NONSTERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 189.6X10.3X3.7MM TIMAX 3.5MM SCREW SMALL FRAGMENT 14 HOLE LOCK LOW PROFILE COMPRESSION ALPS BONE NONSTERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE COMPRESSION LOCKING DEPUY 6 HOLE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE DEPUY 3.5 TIMAX SMALL FRAC 7MM 5H,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE DEPUY 7 HOLE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE LOCKING DEPUY,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE LOCKING DEPUY 10 HOLE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE ZIMMER BIOMET FIBULA LOCKING 8 HOLE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 70MM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,TIGHTROPE BUTTON ACL ARTHREX,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION 1.25MM 150MM 2 END TROCAR POINT,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 32MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP STERILE LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 34MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP STERILE LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 36MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP STERILE LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 3MM 90MM AFFIXUS 3.6MM HIP SELF TAP HEX DRIVE STERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 40MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP STERILE LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 50MM PHOENIX TITANIUM CORTICAL SELF TAP 2 LEAD STERILE LIGHT GREEN RETROGRADE NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 52MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP STERILE LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 5MM 56MM TITANIUM CORTICAL 2 LEAD THREAD SELF TAP TIP STERILE LIGHT GREEN PHOENIX RETROGRADE FEMORAL NAIL SYSTEM,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 85MM AFFIXUS HIP FEMORAL ANTIROTATION STERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 95MM AFFIXUS 3.6MM HIP FEMUR CORTICAL PROXIMAL ANTIROTATION STERILE,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 75,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 80,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 7.3 CANN SELF TAP 16MM PT 85,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 18MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CHECKPOINT TIBIAL MAKO 3.5 HEX,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PEG FIXATION 2.2MM 14MM RADIUS DISTAL VOLAR CROSSLOCK 3 LEAD THREAD SMOOTH TAPER HEAD DVR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PEG FIXATION 2.2MM 20MM RADIUS DISTAL VOLAR LOCK SMOOTH 3 LEAD THREAD DVR NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ACUMED 3.5 X 10MM NON-LOCKING,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ACUMED CORTICAL 3.5MM X 12MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ACUMED CORTICAL 3.5MM X 14MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 10MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 12MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 14MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 16MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 18MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 20MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 22MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 24MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 26MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 28MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 30MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 32MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 34MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 36MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 38MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 40MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 42MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 44MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 46MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 48MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 50MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 52MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 54MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 56MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 60MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 SELF TAP LOCKING 65MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 10MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 12MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 14MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 16MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 18MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 20MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 22MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 24MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 26MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 28MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 30MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 32MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 34MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 36MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 38MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 40MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 42MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 44MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 46MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 48MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 50MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 55MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 60MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS LOCKING 65MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER ELB FIB PERILOC 3.5 X 12MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER ELB FIB PERILOC 3.5 X 14MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER ELB FIB PERILOC 3.8 X 10MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER PAERIARTICULAR MALE THD 3.5 X 22MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER PERILOC 3.5 X 16MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER PERILOC 3.5 X 18MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER PERILOC 3.5 X 20MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 10MM RADIUS DISTAL VOLAR 3 LEAD THREAD LOCK TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 14MM RADIUS DISTAL VOLAR LOCK 3 LEAD TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 16MM RADIUS DISTAL VOLAR LOCK 3 LEAD TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 18MM RADIUS DISTAL VOLAR LOCK 3 LEAD TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 20MM RADIUS DISTAL VOLAR LOCK 3 LEAD TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 22MM RADIUS DISTAL VOLAR LOCK 3 LEAD TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 24MM RADIUS DISTAL VOLAR 3 LEAD THREAD LOCK TAPER NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 14MM TITANIUM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 16MM TITANIUM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 18MM TITANIUM CORTEX HEXALOBE NONSTERILE SMALL FRAGMENT BASE SET,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 24MM T15 NONLOCK LOW PROFILE NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 26MM T15 LOW PROFILE NONLOCK NONSTERILE SILVER,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 28MM T15 NONLOCK LOW PROFILE NONSTERILE SILVER,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 32MM T15 CORTICAL NONLOCK LOW PROFILE NONSTERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 34MM T15 LOW PROFILE NONLOCK NONSTERILE SILVER,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 5.6MM 44MM NCB TITANIUM ALUMINUM VANADIUM FEMUR TROCHANTERIC NONSTERILE UNIVERSAL LOCK SYSTEM PERIPROSTHETIC,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 6.5MM 45MM TITANIUM DOME HIP ACETABULAR CANCELLOUS SELF TAP LOW PROFILE STERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 6.5MM 50MM TITANIUM DOME HIP ACETABULAR CANCELLOUS SELF TAP LOW PROFILE STERILE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CORTICAL ZIMMER PROX DIST F/T 5.0 X 50MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW HEADED ZIMMER 48MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW HEADLESS MIS ZIMMER 48MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 10MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 12MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 14MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 16MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 18MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 20MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING ZIMMER 2.7 X 22MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOW PROFILE SELF TAPPING BIOMET 6.5 X 30,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOW PROFILE SELF TAPPING BIOMET 6.5 X 40MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 10MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 12MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 14MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 16MM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 26MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,K-WIRE 0.062,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,K-WIRE 6 HALF BAY PT 1.6MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SUTURE ARTHREX FIBERWARE 2 C-13 38IN BRAID TIES,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WASHER BIOMET FLAT TIMAX 3.5/4 MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE FIXATION .9MM 229MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 THREAD STERILE,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE SYNTHES 1.6 KIRSCHNER W/5MM THREAD TROCAR 150MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CANCELLOUS ZIMMER F/T 4.0 X 36MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CANCELLOUS ZIMMER F/T 4.0 X 40MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CANCELLOUS ZIMMER F/T 4.0 X 45MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 14MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 16MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 18MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 CORTEX STARDRIVE 24MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW SYNTHES 3.5 CORTEX STARDRIVE 26MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 10MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 12MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 14MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 16MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 18MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 20MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 22MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CORTICAL SELF TAPPING 24MM,278,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$41.18 ,$33.33 ,$37.50 , N/A ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 , N/A , N/A ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 , N/A ,$75.00 , N/A ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 70MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,ANCHOR SUTURE 2.9MM 2 JUGGERKNOT MAXBRAID 2 LOAD BLUE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,K-WIRE THREADED TIP 1.6MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE 100D TUBULAR 25X9.2X1.3MM TIMAX 3.5MM SCREW SMALL FRAGMENT SYSTEM 2 HOLE LOCK LOW PROFILE BONE ULNA OLECRANON DISTAL NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE BIOMET TUB 3 HOLE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE DEPUY 100 DEGREE 4 HOLE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 10MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 12MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 14MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 18MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 24MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 26MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 28MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 30MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 32MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 34MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 36MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 38MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 40MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 42MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 44MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 46MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 48MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 50MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 55MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 60MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 65MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 3.5 CORTICAL 70MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 18MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 24MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 26MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 28MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 30MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 35MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 40MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 45MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 50MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 55MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 60MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 65MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS 70MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 10MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 12MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 14MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 18MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 24MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 26MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 28MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 30MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 32MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 34MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 36MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 38MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 40MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 42MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 44MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 46MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 48MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 50MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 55MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 60MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 65MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET 4.0 CANCELLOUS FULLY THREADED 70MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WASHER CUP,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE KIRSCHNER FIXATION 152MM 2MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 10MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 12MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 14MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 18MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 24MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 26MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 28MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 30MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 32MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 34MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 36MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 38MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 40MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 42MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 44MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 46MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 48MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 50MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 55MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 60MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 65MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET CORTICAL 2.7 X 70MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET LOW PROFILE 3.5MM X 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BIOMET LOW PROFILE 3.5MM X 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 12MM RADIUS DISTAL VOLAR NONLOCK 3 LEAD TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 13MM RADIUS DISTAL VOLAR NONLOCK 3 LEAD TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 14MM RADIUS DISTAL VOLAR NONLOCK 3 LEAD TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 15MM RADIUS DISTAL VOLAR NONLOCK 3 LEAD TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 16MM RADIUS DISTAL VOLAR NONLOCK 3 LEAD TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 18MM RADIUS DISTAL VOLAR 3 LEAD THREAD NONLOCK TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 22MM RADIUS DISTAL VOLAR 3 LEAD THREAD NONLOCK TAPER NONSTERILE,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 12MM TIMAX T15 TIBIA CORTICAL DISTAL LOCK LOW PROFILE SELF TAP TIP TAPER THREAD HEAD NONSTERILE ALPS,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 45MM TITANIUM ALUMINUM VANADIUM FEMUR TROCHANTERIC CORTICAL SELF TAP 2 LEAD SHALLOW PROFILE NONSTERILE UNIVERSAL LOCK SYSTEM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 50MM CORTICAL LOW PROFILE ANATOMIC LOCKING PLATING SYSTEM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 3.5MM 50MM TITANIUM ALUMINUM VANADIUM FEMUR TROCHANTERIC CORTICAL SELF TAP 2 LEAD SHALLOW PROFILE NONSTERILE UNIVERSAL LOCK SYSTEM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CORTICAL LOW PROFILE DEPUY 3.5 X 18MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 10MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 12MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 25MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER 6.5 CANCELLOUS BONE 30MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW STRYKER 6.5CANCELLOUS BONE 35MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 2.7 CONICAL 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 10MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 12MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 14MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 16MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 18MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 20MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 22MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 24MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 26MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 28MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 30MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 50MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 56MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 60MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CORTICAL SELF TAPPING 65MM,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 38,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CEMENT BONE BIOMET COBALT HV W/ GENTAMYCIN,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,CEMENT ZIMMER PALACOS W/GENTAMICIN,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE SYNTHES 1/3 TUBULAR LCP W/COLLAR 6 HOLE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,PLATE SYNTHES ONE-THIRD TUBULAR LCP W/COLLAR 7 HOLE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 40,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 42,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 44,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 46,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 48,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 50,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 55,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 60,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 65,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 70,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 75,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 80,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 85,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 90,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 95,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 40MM BIODUR 108 1/3 THR REV CUT,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 20MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER NONSTERILE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW BONE 2.7MM 24MM RADIUS DISTAL VOLAR 3 LEAD THREAD MULTIDIRECTIONAL TAPER NONSTERILE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW LOCKING DEPUY 3.5 X 38MM,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 3.5 CANN SELF TAP FULL TH 32MM,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 10,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 100,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 105,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 110,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 115,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 12,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 120,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 125,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 130,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 14,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 16,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 18,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 20,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 22,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 24,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 26,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 28,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 30,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 32,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 34,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,SCREW ZIMMER 4.0 CANN SELF TAP HALF TH 36,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,TIGHTROPE W/ DRILL PIN ARTHREX,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE ZIMMER KIRSCHNER 2.0MM X 150MM,278,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$10.98 ,$8.89 ,$10.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 , N/A ,$20.00 , N/A ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871713,C1713,WIRE ZIMMER KIRSCHNER 1.25MM X 150MM,278,1 ,$20.00 ,$14.40 ,$4.31 ,$20.00 ,$11.50 ,$12.60 ,$12.00 ,$4.31 ,$5.60 ,$11.60 ,$4.51 ,$12.20 ,$4.90 ,$10.98 ,$10.98 ,$5.10 ,$10.98 ,$8.89 ,$10.00 , N/A ,$4.51 ,$4.31 ,$15.00 ,$14.20 ,$14.20 ,$4.51 ,$14.20 ,$17.40 ,$17.40 ,$17.40 , N/A ,$18.00 ,$11.50 ,$17.00 ,$4.31 ,$20.00 ,$11.22 ,$4.31 ,$8.28 , N/A , N/A ,$4.51 ,$17.00 ,$8.57 ,$10.98 ,$5.60 ,$18.00 ,$20.00 ,$4.31 ,$17.40 , N/A ,$20.00 , N/A ,$4.60 ,$13.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871760,C1760,CATHETER VNUS CLOSURE FAST 7FR X 100CM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871760,C1760,CATHETER VNUS CLOSURE FAST 3FR X 60CM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871768,C1768,GRAFT CARDIOVASCULAR 40CM 24MM 12MM THORAX WOVEN SMOOTH NEEDLE PASSAGE CONTROL RESORPTION HEMASHIELD PLATINUM POLYESTER 2 VELOUR COLLAGEN 2 BRANCH STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871772,C1772,PUMP ON Q PAIN (PM012),278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,CEMENT UNIVERSAL STRYKER DISTAL SPACER 10MM,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 65MM KNEE LEFT CRUCIATE RETAIN VANGUARD TITANIUM STERILE,278,1 ,"$9,900.00 ","$7,128.00 ","$2,134.44 ","$9,900.00 ","$5,692.50 ","$6,237.00 ","$5,940.00 ","$2,134.44 ","$2,772.00 ","$5,742.00 ","$2,231.46 ","$6,039.00 ","$2,425.50 ","$5,435.10 ","$5,435.10 ","$2,522.52 ","$5,435.10 ","$4,399.56 ","$4,950.00 ", N/A ,"$2,231.46 ","$2,134.44 ","$7,425.00 ","$7,029.00 ","$7,029.00 ","$2,231.46 ","$7,029.00 ","$8,613.00 ","$8,613.00 ","$8,613.00 ", N/A ,"$8,910.00 ","$5,692.50 ","$8,415.00 ","$2,134.44 ","$9,900.00 ","$5,553.90 ","$2,134.44 ","$4,098.60 ", N/A , N/A ,"$2,231.46 ","$8,415.00 ","$4,239.77 ","$5,435.10 ","$2,772.00 ","$8,910.00 ","$9,900.00 ","$2,134.44 ","$8,613.00 ","$3,465.00 ","$9,900.00 ","$3,465.00 ","$2,277.00 ","$6,435.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD TM 75MM LEFT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 62.5MM KNEE RIGHT POSTERIOR STABILIZE OPEN BOX VANGUARD TITANIUM COCR POROUS,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET 75MM RIGHT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD 70MM LEFT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD CR 62.5MM RIGHT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD CR 67.5 RIGHT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD TM 65MM LEFT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD TM 67.5MM LEFT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL BIOMET VANGUARD TM 72.5MM LEFT,278,1 ,"$7,500.00 ","$5,400.00 ","$1,617.00 ","$7,500.00 ","$4,312.50 ","$4,725.00 ","$4,500.00 ","$1,617.00 ","$2,100.00 ","$4,350.00 ","$1,690.50 ","$4,575.00 ","$1,837.50 ","$4,117.50 ","$4,117.50 ","$1,911.00 ","$4,117.50 ","$3,333.00 ","$3,750.00 ", N/A ,"$1,690.50 ","$1,617.00 ","$5,625.00 ","$5,325.00 ","$5,325.00 ","$1,690.50 ","$5,325.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ", N/A ,"$6,750.00 ","$4,312.50 ","$6,375.00 ","$1,617.00 ","$7,500.00 ","$4,207.50 ","$1,617.00 ","$3,105.00 ", N/A , N/A ,"$1,690.50 ","$6,375.00 ","$3,211.95 ","$4,117.50 ","$2,100.00 ","$6,750.00 ","$7,500.00 ","$1,617.00 ","$6,525.00 ","$2,625.00 ","$7,500.00 ","$2,625.00 ","$1,725.00 ","$4,875.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT MODULAR HEAD BIOMET 28MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT MODULAR HEAD BIOMET 20MM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT PATELLAR 9MM 31MM SYMMETRIC TRIATHLON TRITANIUM METAL KNEE STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BEARING TIBIAL BIOMET VANGUARD 12MM X 63/67MM,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT PATELLAR 10MM 36MM SYMMETRIC TRIATHLON TRITANIUM METAL KNEE STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT PATELLAR 9MM 29MM ASYMMETRIC TRIATHLON TRITANIUM METAL KNEE STERILE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER UNIVERSAL 28 X 48MM,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,FEMORAL HEAD STRYKER V40 COCR LFIT 28MM/0,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD BIPOLAR 45MM 28MM UHR UNIVERSAL HIP COCR UHMWPE,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD BIPOLAR 46MM 28MM UHR UNIVERSAL HIP COCR UHMWPE,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD BIPOLAR 47MM 28MM UHR UNIVERSAL HIP COCR UHMWPE,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD BIPOLAR 49MM 28MM UHR UNIVERSAL HIP COCR UHMWPE,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD BIPOLAR 52MM 28MM UHR UNIVERSAL HIP COCR UHMWPE,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD FEMORAL +0MM OFFSET 22.2MM HIP COCR V40 LFIT,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD FEMORAL +3MM OFFSET TAPER 22MM HIP COCR V40 LFIT,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER FEMORAL V40 COCR LFIT 28MM/+4,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER FEMORAL V40 COCR LFIT 28MM/+8,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER FEMORAL V40 COCR LFIT 28MM/-4,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER UNIVERSAL 26 42MM,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER UNIVERSAL 26 43MM,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER UNIVERSAL 28 44MM OD,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,NAIL 11MM 180MM HIP AFFIXUS INTRAMEDULLARY SHORT,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 2 KNEE TRITANIUM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 3 KNEE TRITANIUM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 4 KNEE TRITANIUM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 5 KNEE TRITANIUM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 6 KNEE TRITANIUM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 7 KNEE TRITANIUM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 2 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 4 KNEE LEFT MEDIAL RIGHT LATERAL RESTORIS STERILE MCK SYSTEM,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL MAKO SIZE 3,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL MAKO SIZE 4,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL MAKO SIZE 5,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL MAKO SIZE 6,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL MAKO SIZE 7,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,NAIL 11MM 380MM FEMUR RIGHT GAMMA3 INTRAMEDULLARY 125D R1.5 LOCK TITANIUM STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 4 KNEE RIGHT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 5 KNEE LEFT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 5 KNEE RIGHT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 60MM KNEE RIGHT POSTERIOR STABILIZE CEMENT OPEN BOX VANGUARD INTERLOK COCR STERILE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 7 KNEE RIGHT CRUCIATE RETAIN BEAD TRIATHLON PA STERILE LATEX FREE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL TRIATHLON HOWMEDICA,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,NAIL 10.5MM 320MM FEMUR INTRAMEDULLARY RETROGRADE,278,1 ,"$6,300.00 ","$4,536.00 ","$1,358.28 ","$6,300.00 ","$3,622.50 ","$3,969.00 ","$3,780.00 ","$1,358.28 ","$1,764.00 ","$3,654.00 ","$1,420.02 ","$3,843.00 ","$1,543.50 ","$3,458.70 ","$3,458.70 ","$1,605.24 ","$3,458.70 ","$2,799.72 ","$3,150.00 ", N/A ,"$1,420.02 ","$1,358.28 ","$4,725.00 ","$4,473.00 ","$4,473.00 ","$1,420.02 ","$4,473.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$5,670.00 ","$3,622.50 ","$5,355.00 ","$1,358.28 ","$6,300.00 ","$3,534.30 ","$1,358.28 ","$2,608.20 ", N/A , N/A ,"$1,420.02 ","$5,355.00 ","$2,698.04 ","$3,458.70 ","$1,764.00 ","$5,670.00 ","$6,300.00 ","$1,358.28 ","$5,481.00 ","$2,205.00 ","$6,300.00 ","$2,205.00 ","$1,449.00 ","$4,095.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,NAIL 12MM 320MM TIBIAL PHOENIX INTRAMEDULLARY TITANIUM STERILE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,228.92 ","$5,700.00 ","$3,277.50 ","$3,591.00 ","$3,420.00 ","$1,228.92 ","$1,596.00 ","$3,306.00 ","$1,284.78 ","$3,477.00 ","$1,396.50 ","$3,129.30 ","$3,129.30 ","$1,452.36 ","$3,129.30 ","$2,533.08 ","$2,850.00 ", N/A ,"$1,284.78 ","$1,228.92 ","$4,275.00 ","$4,047.00 ","$4,047.00 ","$1,284.78 ","$4,047.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ", N/A ,"$5,130.00 ","$3,277.50 ","$4,845.00 ","$1,228.92 ","$5,700.00 ","$3,197.70 ","$1,228.92 ","$2,359.80 ", N/A , N/A ,"$1,284.78 ","$4,845.00 ","$2,441.08 ","$3,129.30 ","$1,596.00 ","$5,130.00 ","$5,700.00 ","$1,228.92 ","$4,959.00 ","$1,995.00 ","$5,700.00 ","$1,995.00 ","$1,311.00 ","$3,705.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,NAIL 13MM 22CM TROCHANTERIC INTRAMEDULLARY,278,1 ,"$5,100.00 ","$3,672.00 ","$1,099.56 ","$5,100.00 ","$2,932.50 ","$3,213.00 ","$3,060.00 ","$1,099.56 ","$1,428.00 ","$2,958.00 ","$1,149.54 ","$3,111.00 ","$1,249.50 ","$2,799.90 ","$2,799.90 ","$1,299.48 ","$2,799.90 ","$2,266.44 ","$2,550.00 ", N/A ,"$1,149.54 ","$1,099.56 ","$3,825.00 ","$3,621.00 ","$3,621.00 ","$1,149.54 ","$3,621.00 ","$4,437.00 ","$4,437.00 ","$4,437.00 ", N/A ,"$4,590.00 ","$2,932.50 ","$4,335.00 ","$1,099.56 ","$5,100.00 ","$2,861.10 ","$1,099.56 ","$2,111.40 ", N/A , N/A ,"$1,149.54 ","$4,335.00 ","$2,184.13 ","$2,799.90 ","$1,428.00 ","$4,590.00 ","$5,100.00 ","$1,099.56 ","$4,437.00 ","$1,785.00 ","$5,100.00 ","$1,785.00 ","$1,173.00 ","$3,315.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL ACETABULAR STRYKER 2600 TRIDENT PSL 54MM,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,CUP HIP ACETABULAR DEPUY 52MM,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD DEPUY FEMORAL DELTA 36MM +1.5,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD FEMORAL +0MM OFFSET TAPER 28MM HIP BIOLOX DELTA V40 STERILE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,HEAD STRYKER FEMORAL V40 BIOLOX?DELTA CERAMIC 28MM/+4,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 36X52,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL HEMISPHERICAL CLUSTER HOLE STRYKER 60MM,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL TRIATHLON 2 UNIVERSAL KNEE COCR,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,GLENOSPHERE COMPREHENSIVE BIOMET,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL ACETABULAR 56MM HIP CLUSTER HOLE PRIMARY RIM TRITANIUM E HEMISPHERE STERILE,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL ACETABULAR 58MM HIP CLUSTER HOLE PRIMARY RIM TRITANIUM F HEMISPHERE STERILE,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL ACETABULAR 64MM HIP CLUSTER HOLE PRIMARY RIM TRITANIUM G HEMISPHERE STERILE,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL ACETABULAR STRYKER HEMISPHERICAL CLUSTER HOLE 52MM,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL HEMISPHERICAL CLUSTER HOLE STRYKER 50MM,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,SHELL HEMISPHERICAL CLUSTER HOLE STRYKER 54MM,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM EXTENSION 50MM 12MM TRIATHLON KNEE COCR CEMENT TOTAL STABILIZE END CAP STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL 2 KNEE LEFT MEDIAL RIGHT LATERAL MCK SYSTEM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL 4 KNEE LEFT MEDIAL RIGHT LATERAL MCK SYSTEM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL 7 KNEE LEFT MEDIAL RIGHT LATERAL MCK SYSTEM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL RESTORIS MAKO SIZE 3,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL RESTORIS MAKO SIZE 4,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL RESTORIS MAKO SIZE 5,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL RESTORIS MAKO SIZE 6,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL ROBOTIC MAKO SURGICAL SIZE 3,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL ROBOTIC MAKO SURGICAL SIZE 5,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BASEPLATE TIBIAL ROBOTIC MAKO SURGICAL SIZE 6,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BEARING 71/75MMX12MM VANGUARD ARCOM KNEE POSTERIOR STABILIZE DIRECT COMPRESSION MOLD INLAY TIBIAL 0D,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,BEARING 71MMX10MM VANGUARD E1 KNEE ANTERIOR STABILIZE TIBIAL,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT ACETABULAR 36MM 22.2MM C HIP X3 ADM STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT ACETABULAR 38MM 22.2MM D HIP X3 ADM STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT ACETABULAR STRYKER RESTORATION ADM/MDM 28/48MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT ACETABULAR STRYKER RESTORATION ADM/MDM 28/52MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT ACETABULAR STRYKER RESTORATION ADM/MDM 28/54MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 3 11MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 4 11MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 4 9MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 5 11MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 5 9MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 6 9MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT STRYKER TIBIAL BEARING SIZE 7 9MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 10MM KNEE X3 BEARING ONLAY MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 2 8MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 2 9MM KNEE X3 BEARING CRUCIATE RETAIN TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 2 9MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 3 11MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 3 8MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 3 9MM KNEE X3 BEARING CRUCIATE RETAIN TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 3 9MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 4 11MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 4 13MM KNEE X3 BEARING CRUCIATE RETAIN TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 4 8MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 4 9MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 5 8MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 5 9MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 6 11MM KNEE X3 BEARING CRUCIATE RETAIN TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 6 13MM KNEE X3 BEARING CRUCIATE RETAIN TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 6 16MM KNEE X3 BEARING CRUCIATE RETAIN TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 6 8MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 7 10MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 7 8MM KNEE X3 ONLAY UNICOMPARTMENTAL MAKO STERILE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,INSERT TIBIAL 7 9MM KNEE X3 CONDYLAR STABILIZE BEARING TRIATHLON STERILE LATEX FREE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,LINER ACETABULAR MDM D 38MM COCR HIP 22.2MM FEMORAL HEAD,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,LINER ACETABULAR STRYKER CEMENTLESS 42MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,LINER ACETABULAR STRYKER CEMENTLESS 46MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,LINER ACETABULAR STRYKER CEMENTLESS 48MM,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,PLATE STRYKER TIBAL BASE SIZE 3,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,PLATE STRYKER TIBAL BASE SIZE 5,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 99MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 132D 2 33MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT FEMORAL 5 KNEE PATELLOFEMORAL LEFT RESTORIS STERILE MCK SYSTEM,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT PATELLOFEMORAL RESTORIS MCK MAKO SURGICAL SIZE 3 LEFT,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 102MM MODULAR ACCOLADE 127D 3 TAPER 30MM HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 102MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 132D 3 35MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 105MM MODULAR ACCOLADE 127D 4 TAPER 35MM HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 105MM MODULAR ACCOLADE 132D 4 TAPER 35MM HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 108MM MODULAR ACCOLADE 127D 5 TAPER 35MM HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 108MM MODULAR ACCOLADE 132D 5 TAPER 35MM HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 111MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 127D 6 35MM HIGH OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 111MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 132D 6 41MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 117MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 132D 8 47MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 120MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 132D 9 49MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 123MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 132D 10 51MM STANDARD OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FEMORAL 99MM PRESS FIT ACCOLADE II V40 PUREFIX TITANIUM 127D 2 37MM HIGH OFFSET HIP STERILE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,STEM FINNED BIOMET W/ SCREW 40MM,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT PATELLAR ROUND 32MM RESURFACE KNEE MCK SYSTEM,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871776,C1776,COMPONENT PATELLAR ROUND 35MM RESURFACE KNEE MCK SYSTEM,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH BARD 10 X 14 011266,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH BARD MARLEX 3 X 6 0112680,278,1 ,$150.00 ,$108.00 ,$32.34 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$75.00 , N/A ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH COMPOSIX 4X6 '0123460,278,1 ,"$1,050.00 ",$756.00 ,$226.38 ,"$1,050.00 ",$603.75 ,$661.50 ,$630.00 ,$226.38 ,$294.00 ,$609.00 ,$236.67 ,$640.50 ,$257.25 ,$576.45 ,$576.45 ,$267.54 ,$576.45 ,$466.62 ,$525.00 , N/A ,$236.67 ,$226.38 ,$787.50 ,$745.50 ,$745.50 ,$236.67 ,$745.50 ,$913.50 ,$913.50 ,$913.50 , N/A ,$945.00 ,$603.75 ,$892.50 ,$226.38 ,"$1,050.00 ",$589.05 ,$226.38 ,$434.70 , N/A , N/A ,$236.67 ,$892.50 ,$449.67 ,$576.45 ,$294.00 ,$945.00 ,"$1,050.00 ",$226.38 ,$913.50 , N/A ,"$1,050.00 ", N/A ,$241.50 ,$682.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH COMPOSIX 8X10 '0123810,278,1 ,"$9,900.00 ","$7,128.00 ","$2,134.44 ","$9,900.00 ","$5,692.50 ","$6,237.00 ","$5,940.00 ","$2,134.44 ","$2,772.00 ","$5,742.00 ","$2,231.46 ","$6,039.00 ","$2,425.50 ","$5,435.10 ","$5,435.10 ","$2,522.52 ","$5,435.10 ","$4,399.56 ","$4,950.00 ", N/A ,"$2,231.46 ","$2,134.44 ","$7,425.00 ","$7,029.00 ","$7,029.00 ","$2,231.46 ","$7,029.00 ","$8,613.00 ","$8,613.00 ","$8,613.00 ", N/A ,"$8,910.00 ","$5,692.50 ","$8,415.00 ","$2,134.44 ","$9,900.00 ","$5,553.90 ","$2,134.44 ","$4,098.60 ", N/A , N/A ,"$2,231.46 ","$8,415.00 ","$4,239.77 ","$5,435.10 ","$2,772.00 ","$8,910.00 ","$9,900.00 ","$2,134.44 ","$8,613.00 ","$3,465.00 ","$9,900.00 ","$3,465.00 ","$2,277.00 ","$6,435.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH MARLEX GROIN 4 X 1.8,278,1 ,$225.00 ,$162.00 ,$48.51 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$112.50 , N/A ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 , N/A ,$225.00 , N/A ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH ONFLEX HERNIA MEDIUM 3.4 X 5.6,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH 3DMAX LEFT MID LARGE 16X10CM INGUINAL,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH 3DMAX RIGHT MID LARGE 16X10CM INGUINAL,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH BARD 3D MAX INQUINAL 7 X 5 LEFT,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH KUGEL HERNIA SMALL OVAL 0010101,278,1 ,$750.00 ,$540.00 ,$161.70 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$411.75 ,$333.30 ,$375.00 , N/A ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 , N/A , N/A ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 , N/A ,$750.00 , N/A ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH PROL 4 15/16INX2,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH KUGEL HERNIA MEDIUM OVAL 0010105,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH ONFLEX HERNIA LARGE 4.0X 6.2,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH PROL 3 15/16INX1.75,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SURGICAL SYMBOTEX 25X15CM 2 SIDE COMPOSITE 3D BIOABSORBABLE FILM STERILE POLYESTER COLLAGEN GREEN WHITE LAPAROSCOPIC OPEN VENTRAL HERNIA REPAIR,278,1 ,"$3,900.00 ","$2,808.00 ",$840.84 ,"$3,900.00 ","$2,242.50 ","$2,457.00 ","$2,340.00 ",$840.84 ,"$1,092.00 ","$2,262.00 ",$879.06 ,"$2,379.00 ",$955.50 ,"$2,141.10 ","$2,141.10 ",$993.72 ,"$2,141.10 ","$1,733.16 ","$1,950.00 ", N/A ,$879.06 ,$840.84 ,"$2,925.00 ","$2,769.00 ","$2,769.00 ",$879.06 ,"$2,769.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ", N/A ,"$3,510.00 ","$2,242.50 ","$3,315.00 ",$840.84 ,"$3,900.00 ","$2,187.90 ",$840.84 ,"$1,614.60 ", N/A , N/A ,$879.06 ,"$3,315.00 ","$1,670.21 ","$2,141.10 ","$1,092.00 ","$3,510.00 ","$3,900.00 ",$840.84 ,"$3,393.00 ","$1,365.00 ","$3,900.00 ","$1,365.00 ",$897.00 ,"$2,535.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SYMBOTEX 15X10CM,278,1 ,"$1,500.00 ","$1,080.00 ",$323.40 ,"$1,500.00 ",$862.50 ,$945.00 ,$900.00 ,$323.40 ,$420.00 ,$870.00 ,$338.10 ,$915.00 ,$367.50 ,$823.50 ,$823.50 ,$382.20 ,$823.50 ,$666.60 ,$750.00 , N/A ,$338.10 ,$323.40 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$338.10 ,"$1,065.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ", N/A ,"$1,350.00 ",$862.50 ,"$1,275.00 ",$323.40 ,"$1,500.00 ",$841.50 ,$323.40 ,$621.00 , N/A , N/A ,$338.10 ,"$1,275.00 ",$642.39 ,$823.50 ,$420.00 ,"$1,350.00 ","$1,500.00 ",$323.40 ,"$1,305.00 ", N/A ,"$1,500.00 ", N/A ,$345.00 ,$975.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALEX SMALL WITH STRAP 5950007,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,DNU MESH SURGICAL C-QUR V-PATCH 1.7X1.7IN 2 EXTEND STRAP STABILITY RING PROLITE OMEGA 3 FATTY ACID SMALL HERNIA,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SYMBOTEX 3.3 X 2.3MM 9CM,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALEX SMALL 0010301,278,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$600.00 , N/A ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ", N/A ,"$1,200.00 ", N/A ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALEX ST MEDIUM WITH STRAP 5950008,278,1 ,"$1,350.00 ",$972.00 ,$291.06 ,"$1,350.00 ",$776.25 ,$850.50 ,$810.00 ,$291.06 ,$378.00 ,$783.00 ,$304.29 ,$823.50 ,$330.75 ,$741.15 ,$741.15 ,$343.98 ,$741.15 ,$599.94 ,$675.00 , N/A ,$304.29 ,$291.06 ,"$1,012.50 ",$958.50 ,$958.50 ,$304.29 ,$958.50 ,"$1,174.50 ","$1,174.50 ","$1,174.50 ", N/A ,"$1,215.00 ",$776.25 ,"$1,147.50 ",$291.06 ,"$1,350.00 ",$757.35 ,$291.06 ,$558.90 , N/A , N/A ,$304.29 ,"$1,147.50 ",$578.15 ,$741.15 ,$378.00 ,"$1,215.00 ","$1,350.00 ",$291.06 ,"$1,174.50 ", N/A ,"$1,350.00 ", N/A ,$310.50 ,$877.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALIGHT ST ECHO 2 15X10CM ELLIPSE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,COMPOSIX KUGEL BARD SMALL OVAL 8 X 12,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,DNU MESH SURGICAL C-QUR V-PATCH 2.5IN FASCIA 2 EXTENDED STRAP BIORESORBABLE STABILITY RING STERILE MEDIUM,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SURGICAL C-QUR TACSHIELD 11CM FLEXIBLE CONFORMABLE APRON POLYPROPYLENE O3FA ROUND,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SURGICAL C-QUR TACSHIELD 6X4IN ADVANCE FIXATION GUIDANCE FLEXIBLE STERILE POLYPROPYLENE OMEGA-3 FATTY ACID OBLONG DISPOSABLE HERNIA REPAIR,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SURGICAL C-QUR V-PATCH 3.2X3.2IN 2 EXTEND STRAP STABILITY RING PROLITE OMEGA 3 FATTY ACID LARGE HERNIA,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SYMBOTEX COMPOSITE 12CM,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALEX LARGE 5950009,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALIGHT ST ECHO 2 11CM CIRCLE,278,1 ,"$2,100.00 ","$1,512.00 ",$452.76 ,"$2,100.00 ","$1,207.50 ","$1,323.00 ","$1,260.00 ",$452.76 ,$588.00 ,"$1,218.00 ",$473.34 ,"$1,281.00 ",$514.50 ,"$1,152.90 ","$1,152.90 ",$535.08 ,"$1,152.90 ",$933.24 ,"$1,050.00 ", N/A ,$473.34 ,$452.76 ,"$1,575.00 ","$1,491.00 ","$1,491.00 ",$473.34 ,"$1,491.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ", N/A ,"$1,890.00 ","$1,207.50 ","$1,785.00 ",$452.76 ,"$2,100.00 ","$1,178.10 ",$452.76 ,$869.40 , N/A , N/A ,$473.34 ,"$1,785.00 ",$899.35 ,"$1,152.90 ",$588.00 ,"$1,890.00 ","$2,100.00 ",$452.76 ,"$1,827.00 ",$735.00 ,"$2,100.00 ",$735.00 ,$483.00 ,"$1,365.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALIGHT ST ECHO 2 20X15CM ELLIPSE,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH COMPOSIX E-X 7X9,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SURGICAL C-QUR TACSHIELD 8X6IN SYMMETRICAL FIXATION APRON STERILE POLYPROPYLENE OMEGA-3 FATTY ACID OBLONG HERNIA,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALIGHT ST ECHO 2 25X20CM ELLIPSE,278,1 ,"$5,700.00 ","$4,104.00 ","$1,228.92 ","$5,700.00 ","$3,277.50 ","$3,591.00 ","$3,420.00 ","$1,228.92 ","$1,596.00 ","$3,306.00 ","$1,284.78 ","$3,477.00 ","$1,396.50 ","$3,129.30 ","$3,129.30 ","$1,452.36 ","$3,129.30 ","$2,533.08 ","$2,850.00 ", N/A ,"$1,284.78 ","$1,228.92 ","$4,275.00 ","$4,047.00 ","$4,047.00 ","$1,284.78 ","$4,047.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ", N/A ,"$5,130.00 ","$3,277.50 ","$4,845.00 ","$1,228.92 ","$5,700.00 ","$3,197.70 ","$1,228.92 ","$2,359.80 ", N/A , N/A ,"$1,284.78 ","$4,845.00 ","$2,441.08 ","$3,129.30 ","$1,596.00 ","$5,130.00 ","$5,700.00 ","$1,228.92 ","$4,959.00 ","$1,995.00 ","$5,700.00 ","$1,995.00 ","$1,311.00 ","$3,705.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,PLUG FISTULA GORE BIO-A,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH COMPOSIX 6X8 '0123680,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SYMBOTEX 20X15CM,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRALIGHT ST ECHO 2 15CM CIRCLE,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH VENTRIO ST 4.3 X 5.5 5950040,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,PLUG HERNIA LIGHT MESH XLARGE,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,PLUG MEDIUM LIGHT MESH,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,MESH SURGICAL PERFIX LIGHT 1IN 1.4IN GROIN PLUG MONOFILAMENT STERILE POLYPROPYLENE SMALL HERNIA REPAIR,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871781,C1781,PLUG LARGE LIGHT MESH,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871788,C1788,PORT IMPLANTABLE INFUSION MRI SILICONE PLASTIC 6.6FR 1 LUMEN ATTACHABLE CATHETER NONFILL SUTURE INTERMEDIATE KIT 31.5X15.3MM,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871788,C1788,POWERPORT AIRGUARD CHRONOFLEX TI 8FR,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871789,C1789,IMPLANT BREAST 620CC P6.9CM HIGH PROFILE MEDIUM HEIGHT STYLE CPG 323 GEL MEMORYSHAPE COHESIVE III SILTEX 14X13.2CM STERILE,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871789,C1789,IMPLANT BREAST 390CC P6CM HIGH PROFILE MEDIUM HEIGHT STYLE CPG 323 GEL MEMORYSHAPE COHESIVE III SILTEX 12X11.3CM STERILE,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871789,C1789,IMPLANT BREAST 495CC P5CM HIGH PROFILE MEDIUM HEIGHT STYLE CPG 323 GEL MEMORYSHAPE COHESIVE III SILTEX 13X12.2CM STERILE,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871789,C1789,IMPLANT BREAST 555CC P6.7CM HIGH PROFILE MEDIUM HEIGHT STYLE CPG 323 GEL MEMORYSHAPE COHESIVE III SILTEX 13.5X12.7CM STERILE,278,1 ,"$4,500.00 ","$3,240.00 ",$970.20 ,"$4,500.00 ","$2,587.50 ","$2,835.00 ","$2,700.00 ",$970.20 ,"$1,260.00 ","$2,610.00 ","$1,014.30 ","$2,745.00 ","$1,102.50 ","$2,470.50 ","$2,470.50 ","$1,146.60 ","$2,470.50 ","$1,999.80 ","$2,250.00 ", N/A ,"$1,014.30 ",$970.20 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ","$1,014.30 ","$3,195.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ", N/A ,"$4,050.00 ","$2,587.50 ","$3,825.00 ",$970.20 ,"$4,500.00 ","$2,524.50 ",$970.20 ,"$1,863.00 ", N/A , N/A ,"$1,014.30 ","$3,825.00 ","$1,927.17 ","$2,470.50 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$970.20 ,"$3,915.00 ","$1,575.00 ","$4,500.00 ","$1,575.00 ","$1,035.00 ","$2,925.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871789,C1789,IMPLANT BREAST MENTOR SMOOTH ROUND MODERATE GEL FILL 375ML,278,1 ,"$2,700.00 ","$1,944.00 ",$582.12 ,"$2,700.00 ","$1,552.50 ","$1,701.00 ","$1,620.00 ",$582.12 ,$756.00 ,"$1,566.00 ",$608.58 ,"$1,647.00 ",$661.50 ,"$1,482.30 ","$1,482.30 ",$687.96 ,"$1,482.30 ","$1,199.88 ","$1,350.00 ", N/A ,$608.58 ,$582.12 ,"$2,025.00 ","$1,917.00 ","$1,917.00 ",$608.58 ,"$1,917.00 ","$2,349.00 ","$2,349.00 ","$2,349.00 ", N/A ,"$2,430.00 ","$1,552.50 ","$2,295.00 ",$582.12 ,"$2,700.00 ","$1,514.70 ",$582.12 ,"$1,117.80 ", N/A , N/A ,$608.58 ,"$2,295.00 ","$1,156.30 ","$1,482.30 ",$756.00 ,"$2,430.00 ","$2,700.00 ",$582.12 ,"$2,349.00 ",$945.00 ,"$2,700.00 ",$945.00 ,$621.00 ,"$1,755.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871874,C1874,STENT ESOPHAGEAL WALLFLEX 23MM X 105MM BOSTON SCIENTIFIC,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871874,C1874,STENT ESOPHAGEAL WALLFLEX 18MM X 103MM BOSTON SCIENTIFIC,278,1 ,"$6,900.00 ","$4,968.00 ","$1,487.64 ","$6,900.00 ","$3,967.50 ","$4,347.00 ","$4,140.00 ","$1,487.64 ","$1,932.00 ","$4,002.00 ","$1,555.26 ","$4,209.00 ","$1,690.50 ","$3,788.10 ","$3,788.10 ","$1,758.12 ","$3,788.10 ","$3,066.36 ","$3,450.00 ", N/A ,"$1,555.26 ","$1,487.64 ","$5,175.00 ","$4,899.00 ","$4,899.00 ","$1,555.26 ","$4,899.00 ","$6,003.00 ","$6,003.00 ","$6,003.00 ", N/A ,"$6,210.00 ","$3,967.50 ","$5,865.00 ","$1,487.64 ","$6,900.00 ","$3,870.90 ","$1,487.64 ","$2,856.60 ", N/A , N/A ,"$1,555.26 ","$5,865.00 ","$2,954.99 ","$3,788.10 ","$1,932.00 ","$6,210.00 ","$6,900.00 ","$1,487.64 ","$6,003.00 ","$2,415.00 ","$6,900.00 ","$2,415.00 ","$1,587.00 ","$4,485.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,27871876,C1876,STENT BILIARY 7FR 5CM DUODENAL BEND DELIVERY SYSTEM RAPID EXCHANGE BARB TO BARB PRELOAD ADVANIX PLASTIC 3.2MM WORK CHANNEL,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871876,C1876,STENT ADVANIX BILIARY 10F X 7CM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871876,C1876,STENT ADVANIX BILIARY 7FR 12CM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871876,C1876,STENT ADVANIX BILIARY 7FR 7CM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27871876,C1876,STENT ADVANIX BILIARY 7FR 9CM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL 4.7FR 26CM,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL 4.7FR 24CM,278,1 ,$900.00 ,$648.00 ,$194.04 ,$900.00 ,$517.50 ,$567.00 ,$540.00 ,$194.04 ,$252.00 ,$522.00 ,$202.86 ,$549.00 ,$220.50 ,$494.10 ,$494.10 ,$229.32 ,$494.10 ,$399.96 ,$450.00 , N/A ,$202.86 ,$194.04 ,$675.00 ,$639.00 ,$639.00 ,$202.86 ,$639.00 ,$783.00 ,$783.00 ,$783.00 , N/A ,$810.00 ,$517.50 ,$765.00 ,$194.04 ,$900.00 ,$504.90 ,$194.04 ,$372.60 , N/A , N/A ,$202.86 ,$765.00 ,$385.43 ,$494.10 ,$252.00 ,$810.00 ,$900.00 ,$194.04 ,$783.00 , N/A ,$900.00 , N/A ,$207.00 ,$585.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL 6FR 24CM STANDARD,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL 6FR 22CM STANDARD,278,1 ,$600.00 ,$432.00 ,$129.36 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$348.00 ,$135.24 ,$366.00 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$329.40 ,$266.64 ,$300.00 , N/A ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 , N/A , N/A ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 , N/A ,$600.00 , N/A ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL 6FR 30CM STANDARD,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR VL 6FR X 22-30CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT BARD OPTIMA 6FR X 22CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT BARD OPTIMA 6FR X 24CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT BARD OPTIMA 6FR X 26CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT BARD OPTIMA 6FR X 28CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL 4.7FR 22CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR VL 4.8FR X 22-30CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 10FR 12CM ADVANIX,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT ADVANIX BILIARY 10FX5CM,278,1 ,$450.00 ,$324.00 ,$97.02 ,$450.00 ,$258.75 ,$283.50 ,$270.00 ,$97.02 ,$126.00 ,$261.00 ,$101.43 ,$274.50 ,$110.25 ,$247.05 ,$247.05 ,$114.66 ,$247.05 ,$199.98 ,$225.00 , N/A ,$101.43 ,$97.02 ,$337.50 ,$319.50 ,$319.50 ,$101.43 ,$319.50 ,$391.50 ,$391.50 ,$391.50 , N/A ,$405.00 ,$258.75 ,$382.50 ,$97.02 ,$450.00 ,$252.45 ,$97.02 ,$186.30 , N/A , N/A ,$101.43 ,$382.50 ,$192.72 ,$247.05 ,$126.00 ,$405.00 ,$450.00 ,$97.02 ,$391.50 , N/A ,$450.00 , N/A ,$103.50 ,$292.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT PANCREATIC 5FR X 5CM (FL),278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,KIT STENT 4CM 5FR ADVANIX NAVIFLEX STRAIGHT PANCREATIC POLYMER RAPID EXCHANGE PUSHER DRAINAGE HOLE COLOR CODED NO LEAD BARB ACCEPTS .035IN GUIDEWIRE STERILE DISPOSABLE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT PANCREATIC 4FR 4CM STRAIGHT RADIOPAQUE TRAIL MARKER DRAINAGE HOLE COLOR CODED ADVANIX NAVIFLEX DREAMWIRE JAGWIRE HYDRA JAGWIRE POLYMER STERILE ACCEPTS .035IN GUIDEWIRE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT PANCREATIC 4FR 5CM STRAIGHT NO LEAD BARB ADVANIX NAVIFLEX POLYETHYLENE ACCEPTS .035IN GUIDEWIRE,278,1 ,$525.00 ,$378.00 ,$113.19 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$288.23 ,$233.31 ,$262.50 , N/A ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 , N/A , N/A ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 , N/A ,$525.00 , N/A ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT PANCREATIC 7FR 3CM PIGTAIL CURVE RADIOPAQUE DRAINAGE HOLE TRAIL ENDO MARKER LEAD BARB ADVANIX POLYMER STERILE DISPOSABLE ACCEPTS .035IN DREAMWIRE JAGWIRE HYDRA JAGWIRE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 10FR 10CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 10FR 12CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 10FR 5CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 10FR 7CM,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 7FR 10CM DUODENAL BEND RAPID EXCHANGE DELIVERY SYSTEM ACCEPTS .035IN GUIDEWIRE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 7FR 12CM DUODENAL BEND DELIVERY SYSTEM RAPID EXCHANGE PLASTIC ACCEPTS .035IN GUIDEWIRE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 7FR 5CM DUODENAL BEND DELIVERY SYSTEM RAPID EXCHANGE ACCEPTS .035IN GUIDEWIRE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27872625,C2625,STENT BILIARY 7FR 7CM DUODENAL BEND DELIVERY SYSTEM RAPID EXCHANGE PLASTIC ACCEPTS .035IN GUIDEWIRE,278,1 ,$300.00 ,$216.00 ,$64.68 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$164.70 ,$133.32 ,$150.00 , N/A ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 , N/A , N/A ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 , N/A ,$300.00 , N/A ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,27878699,L8699,UROLIFT,278,1 ,"$3,300.00 ","$2,376.00 ",$711.48 ,"$3,300.00 ","$1,897.50 ","$2,079.00 ","$1,980.00 ",$711.48 ,$924.00 ,"$1,914.00 ",$743.82 ,"$2,013.00 ",$808.50 ,"$1,811.70 ","$1,811.70 ",$840.84 ,"$1,811.70 ","$1,466.52 ","$1,650.00 ", N/A ,$743.82 ,$711.48 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$743.82 ,"$2,343.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ", N/A ,"$2,970.00 ","$1,897.50 ","$2,805.00 ",$711.48 ,"$3,300.00 ","$1,851.30 ",$711.48 ,"$1,366.20 ", N/A , N/A ,$743.82 ,"$2,805.00 ","$1,413.26 ","$1,811.70 ",$924.00 ,"$2,970.00 ","$3,300.00 ",$711.48 ,"$2,871.00 ","$1,155.00 ","$3,300.00 ","$1,155.00 ",$759.00 ,"$2,145.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$29.00 ,$20.88 ,$6.25 ,$29.00 ,$16.68 ,$18.27 ,$17.40 ,$6.25 ,$8.12 ,$16.82 ,$6.54 ,$17.69 ,$7.09 ,$15.92 ,$15.92 ,$7.39 ,$18.85 ,$12.89 , N/A , N/A ,$6.54 ,$6.25 ,$21.75 ,$20.59 ,$20.59 ,$6.54 ,$20.59 ,$25.23 ,$25.23 ,$25.23 , N/A ,$26.10 ,$16.68 ,$24.65 ,$6.25 ,$29.00 ,$16.27 ,$6.25 ,$12.01 , N/A , N/A ,$6.54 ,$24.65 ,$12.42 ,$15.92 ,$8.12 ,$26.10 ,$29.00 ,$6.25 ,$25.23 ,$6.28 ,$29.00 ,$6.28 ,$6.67 ,$18.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000010,36415,HC VENIPUNCTURE,300,1 ,$29.00 ,$20.88 ,$3.00 ,$29.00 ,$16.68 ,$18.27 ,$17.40 ,$6.25 ,$8.12 ,$16.82 ,$6.54 ,$17.69 ,$7.09 ,$15.92 ,$15.92 ,$7.39 ,$18.85 ,$12.89 , N/A ,$21.43 ,$6.54 ,$6.25 ,$21.75 , N/A , N/A ,$6.54 , N/A ,$25.23 ,$25.23 ,$25.23 , N/A ,$26.10 ,$16.68 ,$24.65 ,$6.25 ,$3.00 ,$16.27 ,$6.25 ,$12.01 ,$3.99 ,$3.63 ,$6.54 ,$24.65 ,$12.42 ,$15.92 ,$8.12 ,$26.10 ,$29.00 ,$6.25 ,$25.23 ,$6.00 ,$29.00 ,$6.00 ,$6.67 ,$18.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$87.00 ,$62.64 ,$15.16 ,$290.28 ,$50.03 ,$54.81 ,$52.20 ,$18.76 ,$24.36 ,$50.46 ,$19.61 ,$53.07 ,$21.31 ,$47.76 ,$47.76 ,$22.17 ,$15.16 ,$38.66 ,$60.90 ,$290.28 ,$19.61 ,$18.76 ,$65.25 ,$61.77 ,$61.77 ,$19.61 ,$61.77 ,$75.69 ,$75.69 ,$75.69 , N/A ,$78.30 ,$50.03 ,$73.95 ,$18.76 ,$87.00 ,$48.81 ,$18.76 ,$36.02 ,$82.30 ,$74.82 ,$19.61 ,$73.95 ,$37.26 ,$47.76 ,$24.36 ,$78.30 ,$87.00 ,$18.76 ,$75.69 , N/A ,$87.00 , N/A ,$20.01 ,$56.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000016,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$120.00 ,$86.40 ,$25.87 ,$290.28 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$27.69 ,$53.33 , N/A ,$290.28 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$82.30 ,$74.82 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 , N/A ,$120.00 , N/A ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000101,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$234.00 ,$168.48 ,$9.16 ,$234.00 ,$134.55 ,$147.42 ,$140.40 ,$50.45 ,$65.52 ,$51.43 ,$52.74 ,$53.82 ,$57.33 ,$128.47 ,$128.47 ,$59.62 ,$152.10 ,$103.99 ,$9.16 ,$14.00 ,$52.74 ,$50.45 ,$175.50 ,$166.14 ,$166.14 ,$52.74 ,$166.14 ,$203.58 ,$203.58 ,$203.58 , N/A ,$210.60 ,$134.55 ,$198.90 ,$50.45 ,$234.00 ,$131.27 ,$50.45 ,$96.88 ,$54.66 ,$49.69 ,$52.74 ,$198.90 ,$100.21 ,$128.47 ,$65.52 ,$210.60 ,$234.00 ,$50.45 ,$203.58 ,$11.20 ,$234.00 ,$11.20 ,$53.82 ,$152.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000104,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$84.00 ,$60.48 ,$6.88 ,$84.00 ,$48.30 ,$52.92 ,$50.40 ,$18.11 ,$23.52 ,$39.90 ,$18.93 ,$41.76 ,$20.58 ,$46.12 ,$46.12 ,$21.40 ,$54.60 ,$37.33 ,$6.88 ,$10.68 ,$18.93 ,$18.11 ,$63.00 ,$59.64 ,$59.64 ,$18.93 ,$59.64 ,$73.08 ,$73.08 ,$73.08 , N/A ,$75.60 ,$48.30 ,$71.40 ,$18.11 ,$84.00 ,$47.12 ,$18.11 ,$34.78 ,$11.88 ,$10.80 ,$18.93 ,$71.40 ,$35.98 ,$46.12 ,$23.52 ,$75.60 ,$84.00 ,$18.11 ,$73.08 ,$8.54 ,$84.00 ,$8.54 ,$19.32 ,$54.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000105,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$113.00 ,$81.36 ,$12.02 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$49.36 ,$25.47 ,$51.66 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$17.53 ,$50.22 ,$12.02 ,$18.33 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$54.66 ,$49.69 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$14.66 ,$113.00 ,$14.66 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$137.00 ,$98.64 ,$25.48 ,$290.28 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 ,$79.46 ,$30.88 ,$83.57 ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$25.48 ,$60.88 , N/A ,$290.28 ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$137.00 ,$76.86 ,$29.54 ,$56.72 ,$82.30 ,$74.82 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 , N/A ,$137.00 , N/A ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$422.00 ,$303.84 ,$33.80 ,$422.00 ,$242.65 ,$265.86 ,$253.20 ,$90.98 ,$118.16 ,$224.98 ,$95.12 ,$235.44 ,$103.39 ,$231.68 ,$231.68 ,$107.53 ,$274.30 ,$187.54 ,$33.80 ,$393.13 ,$95.12 ,$90.98 ,$316.50 ,$299.62 ,$299.62 ,$95.12 ,$299.62 ,$367.14 ,$367.14 ,$367.14 , N/A ,$379.80 ,$242.65 ,$358.70 ,$90.98 ,$422.00 ,$236.74 ,$90.98 ,$174.71 ,$69.16 ,$62.87 ,$95.12 ,$358.70 ,$180.72 ,$231.68 ,$118.16 ,$379.80 ,$422.00 ,$90.98 ,$367.14 ,$298.32 ,$422.00 ,$298.32 ,$97.06 ,$274.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000219,86970,HC RBC PRETREAT CHEM,300,1 ,$101.00 ,$72.72 ,$21.78 ,$101.00 ,$58.08 ,$63.63 ,$60.60 ,$21.78 ,$28.28 ,$58.58 ,$22.77 ,$61.61 ,$24.74 ,$55.45 ,$55.45 ,$25.73 ,$65.65 ,$44.88 ,$49.84 ,$84.90 ,$22.77 ,$21.78 ,$75.75 ,$71.71 ,$71.71 ,$22.77 ,$71.71 ,$87.87 ,$87.87 ,$87.87 , N/A ,$90.90 ,$58.08 ,$85.85 ,$21.78 ,$101.00 ,$56.66 ,$21.78 ,$41.81 ,$69.16 ,$62.87 ,$22.77 ,$85.85 ,$43.26 ,$55.45 ,$28.28 ,$90.90 ,$101.00 ,$21.78 ,$87.87 ,$67.68 ,$101.00 ,$67.68 ,$23.23 ,$65.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000221,86999,HC TRANSFUSION UNLISTED PROCEDURE,300,1 ,$242.00 ,$174.24 ,$26.89 ,$242.00 ,$139.15 ,$152.46 ,$145.20 ,$52.18 ,$67.76 ,$140.36 ,$54.55 ,$147.62 ,$59.29 ,$132.86 ,$132.86 ,$61.66 ,$157.30 ,$107.54 ,$26.89 ,$62.40 ,$54.55 ,$52.18 ,$181.50 ,$171.82 ,$171.82 ,$54.55 ,$171.82 ,$210.54 ,$210.54 ,$210.54 , N/A ,$217.80 ,$139.15 ,$205.70 ,$52.18 ,$242.00 ,$135.76 ,$52.18 ,$100.19 ,$69.16 ,$62.87 ,$54.55 ,$205.70 ,$103.63 ,$132.86 ,$67.76 ,$217.80 ,$242.00 ,$52.18 ,$210.54 ,$49.34 ,$242.00 ,$49.34 ,$55.66 ,$157.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000225,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$202.00 ,$145.44 ,$9.74 ,$202.00 ,$116.15 ,$127.26 ,$121.20 ,$43.55 ,$56.56 ,$44.38 ,$45.53 ,$46.44 ,$49.49 ,$110.90 ,$110.90 ,$51.47 ,$131.30 ,$89.77 ,$9.74 ,$14.48 ,$45.53 ,$43.55 ,$151.50 ,$143.42 ,$143.42 ,$45.53 ,$143.42 ,$175.74 ,$175.74 ,$175.74 , N/A ,$181.80 ,$116.15 ,$171.70 ,$43.55 ,$202.00 ,$113.32 ,$43.55 ,$83.63 ,$54.66 ,$49.69 ,$45.53 ,$171.70 ,$86.50 ,$110.90 ,$56.56 ,$181.80 ,$202.00 ,$43.55 ,$175.74 ,$11.58 ,$202.00 ,$11.58 ,$46.46 ,$131.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000228,86078,HC INVESTIGATE TRANSFSN REACTION,300,1 ,$332.00 ,$239.04 ,$48.69 ,$393.13 ,$190.90 ,$209.16 ,$199.20 ,$71.58 ,$92.96 ,$192.56 ,$74.83 ,$202.52 ,$81.34 ,$182.27 ,$182.27 ,$84.59 ,$48.69 ,$147.54 ,$59.20 ,$393.13 ,$74.83 ,$71.58 ,$249.00 ,$235.72 ,$235.72 ,$74.83 ,$235.72 ,$288.84 ,$288.84 ,$288.84 , N/A ,$298.80 ,$190.90 ,$282.20 ,$71.58 ,$332.00 ,$186.25 ,$71.58 ,$137.45 ,$54.66 ,$49.69 ,$74.83 ,$282.20 ,$142.18 ,$182.27 ,$92.96 ,$298.80 ,$332.00 ,$71.58 ,$288.84 ,$298.32 ,$332.00 ,$298.32 ,$76.36 ,$215.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000242,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$137.00 ,$98.64 ,$25.48 ,$290.28 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 ,$79.46 ,$30.88 ,$83.57 ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$25.48 ,$60.88 , N/A ,$290.28 ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$137.00 ,$76.86 ,$29.54 ,$56.72 ,$82.30 ,$74.82 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 , N/A ,$137.00 , N/A ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000249,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$372.00 ,$267.84 ,$20.05 ,$372.00 ,$213.90 ,$234.36 ,$223.20 ,$80.20 ,$104.16 ,$112.57 ,$83.85 ,$117.81 ,$91.14 ,$204.23 ,$204.23 ,$94.79 ,$241.80 ,$165.32 ,$20.05 ,$30.78 ,$83.85 ,$80.20 ,$279.00 ,$264.12 ,$264.12 ,$83.85 ,$264.12 ,$323.64 ,$323.64 ,$323.64 , N/A ,$334.80 ,$213.90 ,$316.20 ,$80.20 ,$372.00 ,$208.69 ,$80.20 ,$154.01 ,$54.66 ,$49.69 ,$83.85 ,$316.20 ,$159.31 ,$204.23 ,$104.16 ,$334.80 ,$372.00 ,$80.20 ,$323.64 ,$24.62 ,$372.00 ,$24.62 ,$85.56 ,$241.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000250,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$189.00 ,$136.08 ,$20.05 ,$189.00 ,$108.68 ,$119.07 ,$113.40 ,$40.75 ,$52.92 ,$109.62 ,$42.60 ,$115.29 ,$46.30 ,$103.76 ,$103.76 ,$48.16 ,$122.85 ,$83.99 ,$20.05 ,$30.13 ,$42.60 ,$40.75 ,$141.75 ,$134.19 ,$134.19 ,$42.60 ,$134.19 ,$164.43 ,$164.43 ,$164.43 , N/A ,$170.10 ,$108.68 ,$160.65 ,$40.75 ,$189.00 ,$106.03 ,$40.75 ,$78.25 ,$54.66 ,$49.69 ,$42.60 ,$160.65 ,$80.94 ,$103.76 ,$52.92 ,$170.10 ,$189.00 ,$40.75 ,$164.43 ,$24.10 ,$189.00 ,$24.10 ,$43.47 ,$122.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000260,36600,HC ARTERIAL PUNCTURE,300,1 ,$87.00 ,$62.64 ,$15.16 ,$290.28 ,$50.03 ,$54.81 ,$52.20 ,$18.76 ,$24.36 ,$50.46 ,$19.61 ,$53.07 ,$21.31 ,$47.76 ,$47.76 ,$22.17 ,$15.16 ,$38.66 ,$60.90 ,$290.28 ,$19.61 ,$18.76 ,$65.25 ,$61.77 ,$61.77 ,$19.61 ,$61.77 ,$75.69 ,$75.69 ,$75.69 , N/A ,$78.30 ,$50.03 ,$73.95 ,$18.76 ,$87.00 ,$48.81 ,$18.76 ,$36.02 ,$82.30 ,$74.82 ,$19.61 ,$73.95 ,$37.26 ,$47.76 ,$24.36 ,$78.30 ,$87.00 ,$18.76 ,$75.69 , N/A ,$87.00 , N/A ,$20.01 ,$56.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30000263,N/A,HC HEALTH FAIR PULMONARY SCREEN,300,1 ,$5.00 ,$3.60 ,$1.08 ,$5.00 ,$2.88 ,$3.15 ,$3.00 ,$1.08 ,$1.40 ,$2.90 ,$1.13 ,$3.05 ,$1.22 ,$2.75 ,$2.75 ,$1.27 ,$3.25 ,$2.22 ,$3.50 , N/A ,$1.13 ,$1.08 ,$3.75 ,$3.55 ,$3.55 ,$1.13 ,$3.55 ,$4.35 ,$4.35 ,$4.35 , N/A ,$4.50 ,$2.88 ,$4.25 ,$1.08 ,$5.00 ,$2.81 ,$1.08 ,$2.07 , N/A , N/A ,$1.13 ,$4.25 ,$2.15 ,$2.75 ,$1.40 ,$4.50 ,$5.00 ,$1.08 ,$4.35 ,$2.50 ,$5.00 ,$2.50 ,$1.15 ,$3.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30002013,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$120.00 ,$86.40 ,$25.87 ,$290.28 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$27.69 ,$53.33 , N/A ,$290.28 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$82.30 ,$74.82 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 , N/A ,$120.00 , N/A ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30002015,89050,HC BODY FLUID CELL COUNT,300,1 ,$146.00 ,$105.12 ,$8.03 ,$146.00 ,$83.95 ,$91.98 ,$87.60 ,$31.48 ,$40.88 ,$44.12 ,$32.91 ,$46.17 ,$35.77 ,$80.15 ,$80.15 ,$37.20 ,$94.90 ,$64.88 ,$8.03 ,$11.80 ,$32.91 ,$31.48 ,$109.50 ,$103.66 ,$103.66 ,$32.91 ,$103.66 ,$127.02 ,$127.02 ,$127.02 , N/A ,$131.40 ,$83.95 ,$124.10 ,$31.48 ,$146.00 ,$81.91 ,$31.48 ,$60.44 ,$54.66 ,$49.69 ,$32.91 ,$124.10 ,$62.52 ,$80.15 ,$40.88 ,$131.40 ,$146.00 ,$31.48 ,$127.02 ,$9.44 ,$146.00 ,$9.44 ,$33.58 ,$94.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30002018,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$76.00 ,$54.72 ,$12.02 ,$76.00 ,$43.70 ,$47.88 ,$45.60 ,$16.39 ,$21.28 ,$44.08 ,$17.13 ,$46.36 ,$18.62 ,$41.72 ,$41.72 ,$19.36 ,$17.53 ,$33.77 ,$12.02 ,$18.33 ,$17.13 ,$16.39 ,$57.00 ,$53.96 ,$53.96 ,$17.13 ,$53.96 ,$66.12 ,$66.12 ,$66.12 , N/A ,$68.40 ,$43.70 ,$64.60 ,$16.39 ,$76.00 ,$42.64 ,$16.39 ,$31.46 ,$54.66 ,$49.69 ,$17.13 ,$64.60 ,$32.55 ,$41.72 ,$21.28 ,$68.40 ,$76.00 ,$16.39 ,$66.12 ,$14.66 ,$76.00 ,$14.66 ,$17.48 ,$49.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$307.00 ,$221.04 ,$8.46 ,$307.00 ,$176.53 ,$193.41 ,$184.20 ,$66.19 ,$85.96 ,$104.77 ,$69.20 ,$110.28 ,$75.21 ,$168.54 ,$168.54 ,$78.22 ,$199.55 ,$136.43 ,$13.75 ,$21.15 ,$69.20 ,$66.19 ,$230.25 ,$217.97 ,$217.97 ,$69.20 ,$217.97 ,$267.09 ,$267.09 ,$267.09 , N/A ,$276.30 ,$176.53 ,$260.95 ,$66.19 ,$8.46 ,$172.23 ,$66.19 ,$127.10 ,$17.45 ,$15.86 ,$69.20 ,$260.95 ,$131.48 ,$168.54 ,$85.96 ,$276.30 ,$307.00 ,$66.19 ,$267.09 ,$16.92 ,$307.00 ,$16.92 ,$70.61 ,$199.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$302.00 ,$217.44 ,$11.45 ,$302.00 ,$173.65 ,$190.26 ,$181.20 ,$65.11 ,$84.56 ,$86.87 ,$68.07 ,$91.44 ,$73.99 ,$165.80 ,$165.80 ,$76.95 ,$196.30 ,$134.21 ,$11.45 ,$17.53 ,$68.07 ,$65.11 ,$226.50 ,$214.42 ,$214.42 ,$68.07 ,$214.42 ,$262.74 ,$262.74 ,$262.74 , N/A ,$271.80 ,$173.65 ,$256.70 ,$65.11 ,$302.00 ,$169.42 ,$65.11 ,$125.03 ,$17.45 ,$15.86 ,$68.07 ,$256.70 ,$129.33 ,$165.80 ,$84.56 ,$271.80 ,$302.00 ,$65.11 ,$262.74 ,$14.02 ,$302.00 ,$14.02 ,$69.46 ,$196.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$389.00 ,$280.08 ,$10.56 ,$389.00 ,$223.68 ,$245.07 ,$233.40 ,$83.87 ,$108.92 ,$130.87 ,$87.68 ,$137.76 ,$95.30 ,$213.56 ,$213.56 ,$99.12 ,$252.85 ,$172.87 ,$17.19 ,$26.40 ,$87.68 ,$83.87 ,$291.75 ,$276.19 ,$276.19 ,$87.68 ,$276.19 ,$338.43 ,$338.43 ,$338.43 , N/A ,$350.10 ,$223.68 ,$330.65 ,$83.87 ,$10.56 ,$218.23 ,$83.87 ,$161.05 ,$17.45 ,$15.86 ,$87.68 ,$330.65 ,$166.59 ,$213.56 ,$108.92 ,$350.10 ,$389.00 ,$83.87 ,$338.43 ,$21.12 ,$389.00 ,$21.12 ,$89.47 ,$252.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100107,80061,HC LIPID PANEL,301,1 ,$301.00 ,$216.72 ,$15.86 ,$301.00 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$165.87 ,$67.85 ,$174.60 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$195.65 ,$133.76 ,$21.76 ,$33.48 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$17.45 ,$15.86 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$26.78 ,$301.00 ,$26.78 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100108,80069,HC RENAL PANEL,301,1 ,$359.00 ,$258.48 ,$14.33 ,$359.00 ,$206.43 ,$226.17 ,$215.40 ,$77.40 ,$100.52 ,$81.10 ,$80.92 ,$84.87 ,$87.95 ,$197.09 ,$197.09 ,$91.47 ,$233.35 ,$159.54 ,$14.33 ,$21.70 ,$80.92 ,$77.40 ,$269.25 ,$254.89 ,$254.89 ,$80.92 ,$254.89 ,$312.33 ,$312.33 ,$312.33 , N/A ,$323.10 ,$206.43 ,$305.15 ,$77.40 ,$359.00 ,$201.40 ,$77.40 ,$148.63 ,$17.45 ,$15.86 ,$80.92 ,$305.15 ,$153.74 ,$197.09 ,$100.52 ,$323.10 ,$359.00 ,$77.40 ,$312.33 ,$17.36 ,$359.00 ,$17.36 ,$82.57 ,$233.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$378.00 ,$272.16 ,$13.18 ,$378.00 ,$217.35 ,$238.14 ,$226.80 ,$81.50 ,$105.84 ,$56.42 ,$85.20 ,$59.04 ,$92.61 ,$207.52 ,$207.52 ,$96.31 ,$245.70 ,$167.98 ,$13.18 ,$20.43 ,$85.20 ,$81.50 ,$283.50 ,$268.38 ,$268.38 ,$85.20 ,$268.38 ,$328.86 ,$328.86 ,$328.86 , N/A ,$340.20 ,$217.35 ,$321.30 ,$81.50 ,$378.00 ,$212.06 ,$81.50 ,$156.49 ,$17.45 ,$15.86 ,$85.20 ,$321.30 ,$161.89 ,$207.52 ,$105.84 ,$340.20 ,$378.00 ,$81.50 ,$328.86 ,$16.34 ,$378.00 ,$16.34 ,$86.94 ,$245.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$226.00 ,$162.72 ,$19.97 ,$226.00 ,$129.95 ,$142.38 ,$135.60 ,$48.73 ,$63.28 ,$91.59 ,$50.94 ,$95.85 ,$55.37 ,$124.07 ,$124.07 ,$57.58 ,$146.90 ,$100.43 ,$21.76 ,$33.20 ,$50.94 ,$48.73 ,$169.50 ,$160.46 ,$160.46 ,$50.94 ,$160.46 ,$196.62 ,$196.62 ,$196.62 , N/A ,$203.40 ,$129.95 ,$192.10 ,$48.73 ,$226.00 ,$126.79 ,$48.73 ,$93.56 ,$21.97 ,$19.97 ,$50.94 ,$192.10 ,$96.78 ,$124.07 ,$63.28 ,$203.40 ,$226.00 ,$48.73 ,$196.62 ,$26.56 ,$226.00 ,$26.56 ,$51.98 ,$146.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$222.00 ,$159.84 ,$19.97 ,$222.00 ,$127.65 ,$139.86 ,$133.20 ,$47.86 ,$62.16 ,$91.42 ,$50.04 ,$95.67 ,$54.39 ,$121.88 ,$121.88 ,$56.57 ,$144.30 ,$98.66 ,$21.76 ,$33.13 ,$50.04 ,$47.86 ,$166.50 ,$157.62 ,$157.62 ,$50.04 ,$157.62 ,$193.14 ,$193.14 ,$193.14 , N/A ,$199.80 ,$127.65 ,$188.70 ,$47.86 ,$222.00 ,$124.54 ,$47.86 ,$91.91 ,$21.97 ,$19.97 ,$50.04 ,$188.70 ,$95.07 ,$121.88 ,$62.16 ,$199.80 ,$222.00 ,$47.86 ,$193.14 ,$26.50 ,$222.00 ,$26.50 ,$51.06 ,$144.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100141,80202,HC VANCOMYCIN,301,1 ,$222.00 ,$159.84 ,$19.97 ,$222.00 ,$127.65 ,$139.86 ,$133.20 ,$47.86 ,$62.16 ,$93.48 ,$50.04 ,$97.83 ,$54.39 ,$121.88 ,$121.88 ,$56.57 ,$144.30 ,$98.66 ,$22.34 ,$33.85 ,$50.04 ,$47.86 ,$166.50 ,$157.62 ,$157.62 ,$50.04 ,$157.62 ,$193.14 ,$193.14 ,$193.14 , N/A ,$199.80 ,$127.65 ,$188.70 ,$47.86 ,$222.00 ,$124.54 ,$47.86 ,$91.91 ,$21.97 ,$19.97 ,$50.04 ,$188.70 ,$95.07 ,$121.88 ,$62.16 ,$199.80 ,$222.00 ,$47.86 ,$193.14 ,$27.08 ,$222.00 ,$27.08 ,$51.06 ,$144.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$61.00 ,$43.92 ,$13.15 ,$61.00 ,$35.08 ,$38.43 ,$36.60 ,$13.15 ,$17.08 ,$35.38 ,$13.75 ,$37.21 ,$14.94 ,$33.49 ,$33.49 ,$15.54 ,$39.65 ,$27.11 ,$13.18 ,$20.43 ,$13.75 ,$13.15 ,$45.75 ,$43.31 ,$43.31 ,$13.75 ,$43.31 ,$53.07 ,$53.07 ,$53.07 , N/A ,$54.90 ,$35.08 ,$51.85 ,$13.15 ,$61.00 ,$34.22 ,$13.15 ,$25.25 ,$19.13 ,$17.39 ,$13.75 ,$51.85 ,$26.13 ,$33.49 ,$17.08 ,$54.90 ,$61.00 ,$13.15 ,$53.07 ,$16.34 ,$61.00 ,$16.34 ,$14.03 ,$39.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100165,82040,HC ALBUMIN SERUM,301,1 ,$98.00 ,$70.56 ,$7.74 ,$98.00 ,$56.35 ,$61.74 ,$58.80 ,$21.13 ,$27.44 ,$46.27 ,$22.09 ,$48.42 ,$24.01 ,$53.80 ,$53.80 ,$24.97 ,$63.70 ,$43.55 ,$8.03 ,$12.38 ,$22.09 ,$21.13 ,$73.50 ,$69.58 ,$69.58 ,$22.09 ,$69.58 ,$85.26 ,$85.26 ,$85.26 , N/A ,$88.20 ,$56.35 ,$83.30 ,$21.13 ,$98.00 ,$54.98 ,$21.13 ,$40.57 ,$8.51 ,$7.74 ,$22.09 ,$83.30 ,$41.97 ,$53.80 ,$27.44 ,$88.20 ,$98.00 ,$21.13 ,$85.26 ,$9.90 ,$98.00 ,$9.90 ,$22.54 ,$63.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$110.00 ,$79.20 ,$6.21 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$54.01 ,$24.79 ,$56.52 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 ,$9.74 ,$14.45 ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$6.83 ,$6.21 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$11.56 ,$110.00 ,$11.56 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100186,82140,HC AMMONIA,301,1 ,$215.00 ,$154.80 ,$17.39 ,$215.00 ,$123.63 ,$135.45 ,$129.00 ,$46.35 ,$60.20 ,$100.53 ,$48.46 ,$105.21 ,$52.67 ,$118.04 ,$118.04 ,$54.78 ,$139.75 ,$95.55 ,$24.07 ,$36.43 ,$48.46 ,$46.35 ,$161.25 ,$152.65 ,$152.65 ,$48.46 ,$152.65 ,$187.05 ,$187.05 ,$187.05 , N/A ,$193.50 ,$123.63 ,$182.75 ,$46.35 ,$215.00 ,$120.62 ,$46.35 ,$89.01 ,$19.13 ,$17.39 ,$48.46 ,$182.75 ,$92.08 ,$118.04 ,$60.20 ,$193.50 ,$215.00 ,$46.35 ,$187.05 ,$29.14 ,$215.00 ,$29.14 ,$49.45 ,$139.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100188,82150,HC AMYLASE,301,1 ,$124.00 ,$89.28 ,$10.89 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$60.54 ,$27.95 ,$63.36 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$10.89 ,$16.20 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$19.13 ,$17.39 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$12.96 ,$124.00 ,$12.96 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$100.00 ,$72.00 ,$7.74 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$46.87 ,$22.54 ,$49.05 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$8.03 ,$12.55 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$8.51 ,$7.74 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$10.04 ,$100.00 ,$10.04 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$100.00 ,$72.00 ,$7.74 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$46.87 ,$22.54 ,$49.05 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$8.03 ,$12.55 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$8.51 ,$7.74 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$10.04 ,$100.00 ,$10.04 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100212,82306,HC VITAMIN D 25 OH,301,1 ,$97.00 ,$69.84 ,$20.91 ,$97.00 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$56.26 ,$21.86 ,$59.17 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$48.69 ,$74.00 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$51.50 ,$46.82 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$59.20 ,$97.00 ,$59.20 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100214,82310,HC CALCIUM,301,1 ,$104.00 ,$74.88 ,$7.74 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$48.25 ,$23.44 ,$50.49 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$8.59 ,$12.90 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$10.32 ,$104.00 ,$10.32 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100215,82330,HC CALCIUM IONIZED,301,1 ,$116.00 ,$83.52 ,$17.39 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$67.28 ,$26.15 ,$70.76 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$22.34 ,$34.20 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$19.13 ,$17.39 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$27.36 ,$116.00 ,$27.36 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100222,82374,HC BICARBONATE,301,1 ,$94.00 ,$67.68 ,$7.74 ,$94.00 ,$54.05 ,$59.22 ,$56.40 ,$20.27 ,$26.32 ,$45.67 ,$21.19 ,$47.79 ,$23.03 ,$51.61 ,$51.61 ,$23.95 ,$61.10 ,$41.77 ,$8.03 ,$12.20 ,$21.19 ,$20.27 ,$70.50 ,$66.74 ,$66.74 ,$21.19 ,$66.74 ,$81.78 ,$81.78 ,$81.78 , N/A ,$84.60 ,$54.05 ,$79.90 ,$20.27 ,$94.00 ,$52.73 ,$20.27 ,$38.92 ,$8.51 ,$7.74 ,$21.19 ,$79.90 ,$40.26 ,$51.61 ,$26.32 ,$84.60 ,$94.00 ,$20.27 ,$81.78 ,$9.76 ,$94.00 ,$9.76 ,$21.62 ,$61.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100225,82375,HC CARBOXYHEMOGLOBIN,301,1 ,$209.00 ,$150.48 ,$17.39 ,$209.00 ,$120.18 ,$131.67 ,$125.40 ,$45.06 ,$58.52 ,$85.05 ,$47.11 ,$89.01 ,$51.20 ,$114.74 ,$114.74 ,$53.25 ,$135.85 ,$92.88 ,$20.05 ,$30.80 ,$47.11 ,$45.06 ,$156.75 ,$148.39 ,$148.39 ,$47.11 ,$148.39 ,$181.83 ,$181.83 ,$181.83 , N/A ,$188.10 ,$120.18 ,$177.65 ,$45.06 ,$209.00 ,$117.25 ,$45.06 ,$86.53 ,$19.13 ,$17.39 ,$47.11 ,$177.65 ,$89.50 ,$114.74 ,$58.52 ,$188.10 ,$209.00 ,$45.06 ,$181.83 ,$24.64 ,$209.00 ,$24.64 ,$48.07 ,$135.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100237,82435,HC CHLORIDE,301,1 ,$94.00 ,$67.68 ,$7.45 ,$94.00 ,$54.05 ,$59.22 ,$56.40 ,$20.27 ,$26.32 ,$43.00 ,$21.19 ,$45.00 ,$23.03 ,$51.61 ,$51.61 ,$23.95 ,$61.10 ,$41.77 ,$7.45 ,$11.50 ,$21.19 ,$20.27 ,$70.50 ,$66.74 ,$66.74 ,$21.19 ,$66.74 ,$81.78 ,$81.78 ,$81.78 , N/A ,$84.60 ,$54.05 ,$79.90 ,$20.27 ,$94.00 ,$52.73 ,$20.27 ,$38.92 ,$8.51 ,$7.74 ,$21.19 ,$79.90 ,$40.26 ,$51.61 ,$26.32 ,$84.60 ,$94.00 ,$20.27 ,$81.78 ,$9.20 ,$94.00 ,$9.20 ,$21.62 ,$61.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100241,82465,HC CHOLESTEROL,301,1 ,$104.00 ,$74.88 ,$6.88 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$40.68 ,$23.44 ,$42.57 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$6.88 ,$10.88 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$8.70 ,$104.00 ,$8.70 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$142.00 ,$102.24 ,$7.74 ,$142.00 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$60.89 ,$32.01 ,$63.72 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$92.30 ,$63.10 ,$10.89 ,$16.28 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$142.00 ,$79.66 ,$30.62 ,$58.79 ,$8.51 ,$7.74 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$13.02 ,$142.00 ,$13.02 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$189.00 ,$136.08 ,$17.39 ,$189.00 ,$108.68 ,$119.07 ,$113.40 ,$40.75 ,$52.92 ,$79.72 ,$42.60 ,$83.43 ,$46.30 ,$103.76 ,$103.76 ,$48.16 ,$122.85 ,$83.99 ,$18.90 ,$28.88 ,$42.60 ,$40.75 ,$141.75 ,$134.19 ,$134.19 ,$42.60 ,$134.19 ,$164.43 ,$164.43 ,$164.43 , N/A ,$170.10 ,$108.68 ,$160.65 ,$40.75 ,$189.00 ,$106.03 ,$40.75 ,$78.25 ,$19.13 ,$17.39 ,$42.60 ,$160.65 ,$80.94 ,$103.76 ,$52.92 ,$170.10 ,$189.00 ,$40.75 ,$164.43 ,$23.10 ,$189.00 ,$23.10 ,$43.47 ,$122.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100262,82565,HC CREATININE,301,1 ,$104.00 ,$74.88 ,$5.12 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$47.90 ,$23.44 ,$50.13 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$8.59 ,$12.80 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$5.12 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$10.24 ,$104.00 ,$10.24 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$97.00 ,$69.84 ,$7.74 ,$97.00 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$48.33 ,$21.86 ,$50.58 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$8.59 ,$12.95 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$8.51 ,$7.74 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$10.36 ,$97.00 ,$10.36 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$220.00 ,$158.40 ,$15.46 ,$220.00 ,$126.50 ,$138.60 ,$132.00 ,$47.43 ,$61.60 ,$65.27 ,$49.59 ,$68.31 ,$53.90 ,$120.78 ,$120.78 ,$56.06 ,$143.00 ,$97.77 ,$15.46 ,$23.65 ,$49.59 ,$47.43 ,$165.00 ,$156.20 ,$156.20 ,$49.59 ,$156.20 ,$191.40 ,$191.40 ,$191.40 , N/A ,$198.00 ,$126.50 ,$187.00 ,$47.43 ,$220.00 ,$123.42 ,$47.43 ,$91.08 ,$19.13 ,$17.39 ,$49.59 ,$187.00 ,$94.22 ,$120.78 ,$61.60 ,$198.00 ,$220.00 ,$47.43 ,$191.40 ,$18.92 ,$220.00 ,$18.92 ,$50.60 ,$143.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100269,82607,HC VITAMIN B12,301,1 ,$214.00 ,$154.08 ,$23.41 ,$214.00 ,$123.05 ,$134.82 ,$128.40 ,$46.14 ,$59.92 ,$104.06 ,$48.24 ,$108.90 ,$52.43 ,$117.49 ,$117.49 ,$54.53 ,$139.10 ,$95.10 ,$24.62 ,$37.70 ,$48.24 ,$46.14 ,$160.50 ,$151.94 ,$151.94 ,$48.24 ,$151.94 ,$186.18 ,$186.18 ,$186.18 , N/A ,$192.60 ,$123.05 ,$181.90 ,$46.14 ,$214.00 ,$120.05 ,$46.14 ,$88.60 ,$25.75 ,$23.41 ,$48.24 ,$181.90 ,$91.65 ,$117.49 ,$59.92 ,$192.60 ,$214.00 ,$46.14 ,$186.18 ,$30.16 ,$214.00 ,$30.16 ,$49.22 ,$139.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100290,82728,HC FERRITIN,301,1 ,$184.00 ,$132.48 ,$17.39 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$94.08 ,$41.47 ,$98.46 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$22.34 ,$34.08 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$19.13 ,$17.39 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$27.26 ,$184.00 ,$27.26 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100292,82746,HC FOLIC ACID SERUM,301,1 ,$184.00 ,$132.48 ,$17.39 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$101.48 ,$41.47 ,$106.20 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$24.07 ,$36.75 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$19.13 ,$17.39 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$29.40 ,$184.00 ,$29.40 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100305,82800,HC BLOOD GAS PH,301,1 ,$44.00 ,$31.68 ,$9.49 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 ,$25.52 ,$9.92 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$18.32 ,$27.50 ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$19.13 ,$17.39 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 ,$22.00 ,$44.00 ,$22.00 ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100306,82803,HC BLOOD GAS PH PO2 AND /OR PCO2,301,1 ,$452.00 ,$325.44 ,$17.39 ,$452.00 ,$259.90 ,$284.76 ,$271.20 ,$97.45 ,$126.56 ,$197.28 ,$101.88 ,$206.46 ,$110.74 ,$248.15 ,$248.15 ,$115.17 ,$293.80 ,$200.87 ,$42.97 ,$65.18 ,$101.88 ,$97.45 ,$339.00 ,$320.92 ,$320.92 ,$101.88 ,$320.92 ,$393.24 ,$393.24 ,$393.24 , N/A ,$406.80 ,$259.90 ,$384.20 ,$97.45 ,$452.00 ,$253.57 ,$97.45 ,$187.13 ,$19.13 ,$17.39 ,$101.88 ,$384.20 ,$193.57 ,$248.15 ,$126.56 ,$406.80 ,$452.00 ,$97.45 ,$393.24 ,$52.14 ,$452.00 ,$52.14 ,$103.96 ,$293.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100312,82947,HC GLUCOSE,301,1 ,$104.00 ,$74.88 ,$6.30 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$36.72 ,$23.44 ,$38.43 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$6.30 ,$9.83 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$7.86 ,$104.00 ,$7.86 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$118.00 ,$84.96 ,$7.74 ,$118.00 ,$67.85 ,$74.34 ,$70.80 ,$25.44 ,$33.04 ,$44.38 ,$26.60 ,$46.44 ,$28.91 ,$64.78 ,$64.78 ,$30.07 ,$76.70 ,$52.44 ,$8.03 ,$11.88 ,$26.60 ,$25.44 ,$88.50 ,$83.78 ,$83.78 ,$26.60 ,$83.78 ,$102.66 ,$102.66 ,$102.66 , N/A ,$106.20 ,$67.85 ,$100.30 ,$25.44 ,$118.00 ,$66.20 ,$25.44 ,$48.85 ,$8.51 ,$7.74 ,$26.60 ,$100.30 ,$50.54 ,$64.78 ,$33.04 ,$106.20 ,$118.00 ,$25.44 ,$102.66 ,$9.50 ,$118.00 ,$9.50 ,$27.14 ,$76.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$205.00 ,$147.60 ,$17.39 ,$205.00 ,$117.88 ,$129.15 ,$123.00 ,$44.20 ,$57.40 ,$118.90 ,$46.21 ,$125.05 ,$50.22 ,$112.55 ,$112.55 ,$52.23 ,$133.25 ,$91.10 ,$21.19 ,$32.18 ,$46.21 ,$44.20 ,$153.75 ,$145.55 ,$145.55 ,$46.21 ,$145.55 ,$178.35 ,$178.35 ,$178.35 , N/A ,$184.50 ,$117.88 ,$174.25 ,$44.20 ,$205.00 ,$115.01 ,$44.20 ,$84.87 ,$19.13 ,$17.39 ,$46.21 ,$174.25 ,$87.80 ,$112.55 ,$57.40 ,$184.50 ,$205.00 ,$44.20 ,$178.35 ,$25.74 ,$205.00 ,$25.74 ,$47.15 ,$133.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$63.00 ,$45.36 ,$6.30 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$36.54 ,$14.20 ,$38.34 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$40.95 ,$28.00 ,$6.30 ,$9.80 ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 ,$19.13 ,$17.39 ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$7.84 ,$63.00 ,$7.84 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100318,82962,HC GLUCOSE BY DEVICE,301,1 ,$35.00 ,$25.20 ,$5.15 ,$35.00 ,$20.13 ,$22.05 ,$21.00 ,$7.55 ,$9.80 ,$20.30 ,$7.89 ,$21.35 ,$8.57 ,$19.22 ,$19.22 ,$8.92 ,$22.75 ,$15.55 ,$5.15 ,$8.20 ,$7.89 ,$7.55 ,$26.25 ,$24.85 ,$24.85 ,$7.89 ,$24.85 ,$30.45 ,$30.45 ,$30.45 , N/A ,$31.50 ,$20.13 ,$29.75 ,$7.55 ,$35.00 ,$19.64 ,$7.55 ,$14.49 ,$8.51 ,$7.74 ,$7.89 ,$29.75 ,$14.99 ,$19.22 ,$9.80 ,$31.50 ,$35.00 ,$7.55 ,$30.45 ,$6.56 ,$35.00 ,$6.56 ,$8.05 ,$22.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100333,83021,HC HEMOGLOBIN FRACT QN,301,1 ,$100.00 ,$72.00 ,$16.44 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$29.79 ,$45.15 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$18.08 ,$16.44 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$36.12 ,$100.00 ,$36.12 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100338,83050,HC METHEMOGLOBIN,301,1 ,$106.00 ,$76.32 ,$13.75 ,$106.00 ,$60.95 ,$66.78 ,$63.60 ,$22.85 ,$29.68 ,$50.57 ,$23.89 ,$52.92 ,$25.97 ,$58.19 ,$58.19 ,$27.01 ,$68.90 ,$47.11 ,$13.75 ,$20.50 ,$23.89 ,$22.85 ,$79.50 ,$75.26 ,$75.26 ,$23.89 ,$75.26 ,$92.22 ,$92.22 ,$92.22 , N/A ,$95.40 ,$60.95 ,$90.10 ,$22.85 ,$106.00 ,$59.47 ,$22.85 ,$43.88 ,$19.13 ,$17.39 ,$23.89 ,$90.10 ,$45.39 ,$58.19 ,$29.68 ,$95.40 ,$106.00 ,$22.85 ,$92.22 ,$16.40 ,$106.00 ,$16.40 ,$24.38 ,$68.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100393,83540,HC IRON TOTAL,301,1 ,$120.00 ,$86.40 ,$7.74 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$44.63 ,$27.05 ,$46.71 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$10.89 ,$16.18 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$8.51 ,$7.74 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$12.94 ,$120.00 ,$12.94 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$127.00 ,$91.44 ,$14.33 ,$127.00 ,$73.03 ,$80.01 ,$76.20 ,$27.38 ,$35.56 ,$60.29 ,$28.63 ,$63.09 ,$31.11 ,$69.72 ,$69.72 ,$32.36 ,$82.55 ,$56.44 ,$14.33 ,$21.85 ,$28.63 ,$27.38 ,$95.25 ,$90.17 ,$90.17 ,$28.63 ,$90.17 ,$110.49 ,$110.49 ,$110.49 , N/A ,$114.30 ,$73.03 ,$107.95 ,$27.38 ,$127.00 ,$71.25 ,$27.38 ,$52.58 ,$19.13 ,$17.39 ,$28.63 ,$107.95 ,$54.39 ,$69.72 ,$35.56 ,$114.30 ,$127.00 ,$27.38 ,$110.49 ,$17.48 ,$127.00 ,$17.48 ,$29.21 ,$82.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$184.00 ,$132.48 ,$17.39 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$99.85 ,$41.47 ,$104.49 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$18.90 ,$28.93 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$19.13 ,$17.39 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$23.14 ,$184.00 ,$23.14 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$122.00 ,$87.84 ,$7.74 ,$122.00 ,$70.15 ,$76.86 ,$73.20 ,$26.30 ,$34.16 ,$41.62 ,$27.50 ,$43.56 ,$29.89 ,$66.98 ,$66.98 ,$31.09 ,$79.30 ,$54.22 ,$9.74 ,$15.10 ,$27.50 ,$26.30 ,$91.50 ,$86.62 ,$86.62 ,$27.50 ,$86.62 ,$106.14 ,$106.14 ,$106.14 , N/A ,$109.80 ,$70.15 ,$103.70 ,$26.30 ,$122.00 ,$68.44 ,$26.30 ,$50.51 ,$8.51 ,$7.74 ,$27.50 ,$103.70 ,$52.24 ,$66.98 ,$34.16 ,$109.80 ,$122.00 ,$26.30 ,$106.14 ,$12.08 ,$122.00 ,$12.08 ,$28.06 ,$79.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100409,83690,HC LIPASE,301,1 ,$158.00 ,$113.76 ,$7.74 ,$158.00 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$47.56 ,$35.61 ,$49.77 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$102.70 ,$70.22 ,$11.45 ,$17.23 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$158.00 ,$88.64 ,$34.06 ,$65.41 ,$8.51 ,$7.74 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$13.78 ,$158.00 ,$13.78 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$91.00 ,$65.52 ,$13.18 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$59.15 ,$40.44 ,$13.18 ,$20.48 ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 ,$19.13 ,$17.39 ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$16.38 ,$91.00 ,$16.38 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100416,83721,HC CHOLESTEROL LDL,301,1 ,$100.00 ,$72.00 ,$17.19 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$17.19 ,$26.25 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$19.13 ,$17.39 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$21.00 ,$100.00 ,$21.00 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100417,83735,HC MAGNESIUM,301,1 ,$134.00 ,$96.48 ,$7.74 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$62.61 ,$30.20 ,$65.52 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 ,$10.89 ,$16.75 ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 ,$8.51 ,$7.74 ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$13.40 ,$134.00 ,$13.40 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$292.00 ,$210.24 ,$46.82 ,$292.00 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$189.80 ,$129.76 ,$64.73 ,$98.15 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 ,$51.50 ,$46.82 ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$78.52 ,$292.00 ,$78.52 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100673,83986,HC PH BODY FLUID,301,1 ,$63.00 ,$45.36 ,$5.72 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$33.45 ,$14.20 ,$35.01 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$40.95 ,$28.00 ,$5.72 ,$8.95 ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 ,$8.51 ,$7.74 ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$7.16 ,$63.00 ,$7.16 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$90.00 ,$64.80 ,$7.74 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$48.33 ,$20.29 ,$50.58 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$8.59 ,$12.95 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$8.51 ,$7.74 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$10.36 ,$90.00 ,$10.36 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100684,84100,HC PHOSPHORUS,301,1 ,$114.00 ,$82.08 ,$7.74 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$32.68 ,$25.70 ,$34.20 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$74.10 ,$50.66 ,$8.03 ,$11.85 ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 ,$8.51 ,$7.74 ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 ,$9.48 ,$114.00 ,$9.48 ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100691,84132,HC POTASSIUM,301,1 ,$104.00 ,$74.88 ,$7.74 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$43.00 ,$23.44 ,$45.00 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$8.03 ,$11.90 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$9.52 ,$104.00 ,$9.52 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100695,84134,HC PREALBUMIN,301,1 ,$234.00 ,$168.48 ,$17.39 ,$234.00 ,$134.55 ,$147.42 ,$140.40 ,$50.45 ,$65.52 ,$100.71 ,$52.74 ,$105.39 ,$57.33 ,$128.47 ,$128.47 ,$59.62 ,$152.10 ,$103.99 ,$24.07 ,$36.48 ,$52.74 ,$50.45 ,$175.50 ,$166.14 ,$166.14 ,$52.74 ,$166.14 ,$203.58 ,$203.58 ,$203.58 , N/A ,$210.60 ,$134.55 ,$198.90 ,$50.45 ,$234.00 ,$131.27 ,$50.45 ,$96.88 ,$19.13 ,$17.39 ,$52.74 ,$198.90 ,$100.21 ,$128.47 ,$65.52 ,$210.60 ,$234.00 ,$50.45 ,$203.58 ,$29.18 ,$234.00 ,$29.18 ,$53.82 ,$152.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100698,84153,HC PSA TOTAL,301,1 ,$177.00 ,$127.44 ,$17.39 ,$177.00 ,$101.78 ,$111.51 ,$106.20 ,$38.16 ,$49.56 ,$102.66 ,$39.90 ,$107.97 ,$43.36 ,$97.17 ,$97.17 ,$45.10 ,$115.05 ,$78.66 ,$30.37 ,$45.98 ,$39.90 ,$38.16 ,$132.75 ,$125.67 ,$125.67 ,$39.90 ,$125.67 ,$153.99 ,$153.99 ,$153.99 , N/A ,$159.30 ,$101.78 ,$150.45 ,$38.16 ,$177.00 ,$99.30 ,$38.16 ,$73.28 ,$19.13 ,$17.39 ,$39.90 ,$150.45 ,$75.80 ,$97.17 ,$49.56 ,$159.30 ,$177.00 ,$38.16 ,$153.99 ,$36.78 ,$177.00 ,$36.78 ,$40.71 ,$115.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100700,84155,HC PROTEIN TOTAL,301,1 ,$90.00 ,$64.80 ,$6.30 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$34.31 ,$20.29 ,$35.91 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$6.30 ,$9.18 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$8.51 ,$7.74 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$7.34 ,$90.00 ,$7.34 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$104.00 ,$74.88 ,$6.30 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$25.28 ,$23.44 ,$26.46 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$6.30 ,$9.18 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$7.34 ,$104.00 ,$7.34 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100721,84295,HC SODIUM,301,1 ,$104.00 ,$74.88 ,$7.74 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$44.98 ,$23.44 ,$47.07 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$8.03 ,$12.03 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$9.62 ,$104.00 ,$9.62 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$176.00 ,$126.72 ,$11.45 ,$176.00 ,$101.20 ,$110.88 ,$105.60 ,$37.95 ,$49.28 ,$47.39 ,$39.67 ,$49.59 ,$43.12 ,$96.62 ,$96.62 ,$44.84 ,$114.40 ,$78.21 ,$11.45 ,$17.18 ,$39.67 ,$37.95 ,$132.00 ,$124.96 ,$124.96 ,$39.67 ,$124.96 ,$153.12 ,$153.12 ,$153.12 , N/A ,$158.40 ,$101.20 ,$149.60 ,$37.95 ,$176.00 ,$98.74 ,$37.95 ,$72.86 ,$25.75 ,$23.41 ,$39.67 ,$149.60 ,$75.37 ,$96.62 ,$49.28 ,$158.40 ,$176.00 ,$37.95 ,$153.12 ,$13.74 ,$176.00 ,$13.74 ,$40.48 ,$114.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100740,84439,HC T4 FREE,301,1 ,$180.00 ,$129.60 ,$14.89 ,$180.00 ,$103.50 ,$113.40 ,$108.00 ,$38.81 ,$50.40 ,$62.18 ,$40.57 ,$65.07 ,$44.10 ,$98.82 ,$98.82 ,$45.86 ,$117.00 ,$79.99 ,$14.89 ,$22.55 ,$40.57 ,$38.81 ,$135.00 ,$127.80 ,$127.80 ,$40.57 ,$127.80 ,$156.60 ,$156.60 ,$156.60 , N/A ,$162.00 ,$103.50 ,$153.00 ,$38.81 ,$180.00 ,$100.98 ,$38.81 ,$74.52 ,$25.75 ,$23.41 ,$40.57 ,$153.00 ,$77.09 ,$98.82 ,$50.40 ,$162.00 ,$180.00 ,$38.81 ,$156.60 ,$18.04 ,$180.00 ,$18.04 ,$41.40 ,$117.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$155.00 ,$111.60 ,$23.41 ,$155.00 ,$89.13 ,$97.65 ,$93.00 ,$33.42 ,$43.40 ,$89.90 ,$34.94 ,$94.55 ,$37.97 ,$85.10 ,$85.10 ,$39.49 ,$100.75 ,$68.88 ,$27.49 ,$42.00 ,$34.94 ,$33.42 ,$116.25 ,$110.05 ,$110.05 ,$34.94 ,$110.05 ,$134.85 ,$134.85 ,$134.85 , N/A ,$139.50 ,$89.13 ,$131.75 ,$33.42 ,$155.00 ,$86.96 ,$33.42 ,$64.17 ,$25.75 ,$23.41 ,$34.94 ,$131.75 ,$66.39 ,$85.10 ,$43.40 ,$139.50 ,$155.00 ,$33.42 ,$134.85 ,$33.60 ,$155.00 ,$33.60 ,$35.65 ,$100.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100746,84450,HC AST,301,1 ,$106.00 ,$76.32 ,$7.74 ,$106.00 ,$60.95 ,$66.78 ,$63.60 ,$22.85 ,$29.68 ,$48.33 ,$23.89 ,$50.58 ,$25.97 ,$58.19 ,$58.19 ,$27.01 ,$68.90 ,$47.11 ,$8.59 ,$12.95 ,$23.89 ,$22.85 ,$79.50 ,$75.26 ,$75.26 ,$23.89 ,$75.26 ,$92.22 ,$92.22 ,$92.22 , N/A ,$95.40 ,$60.95 ,$90.10 ,$22.85 ,$106.00 ,$59.47 ,$22.85 ,$43.88 ,$8.51 ,$7.74 ,$23.89 ,$90.10 ,$45.39 ,$58.19 ,$29.68 ,$95.40 ,$106.00 ,$22.85 ,$92.22 ,$10.36 ,$106.00 ,$10.36 ,$24.38 ,$68.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100747,84460,HC ALT,301,1 ,$104.00 ,$74.88 ,$7.74 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$49.54 ,$23.44 ,$51.84 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$8.59 ,$13.25 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$10.60 ,$104.00 ,$10.60 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100748,84466,HC TRANSFERRIN,301,1 ,$161.00 ,$115.92 ,$17.39 ,$161.00 ,$92.58 ,$101.43 ,$96.60 ,$34.71 ,$45.08 ,$88.06 ,$36.29 ,$92.16 ,$39.44 ,$88.39 ,$88.39 ,$41.02 ,$104.65 ,$71.55 ,$21.19 ,$31.90 ,$36.29 ,$34.71 ,$120.75 ,$114.31 ,$114.31 ,$36.29 ,$114.31 ,$140.07 ,$140.07 ,$140.07 , N/A ,$144.90 ,$92.58 ,$136.85 ,$34.71 ,$161.00 ,$90.32 ,$34.71 ,$66.65 ,$19.13 ,$17.39 ,$36.29 ,$136.85 ,$68.95 ,$88.39 ,$45.08 ,$144.90 ,$161.00 ,$34.71 ,$140.07 ,$25.52 ,$161.00 ,$25.52 ,$37.03 ,$104.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100750,84478,HC TRIGLYCERIDES,301,1 ,$104.00 ,$74.88 ,$7.74 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$53.66 ,$23.44 ,$56.16 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$9.16 ,$14.35 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$11.48 ,$104.00 ,$11.48 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100758,84484,HC TROPONIN QN,301,1 ,$208.00 ,$149.76 ,$17.39 ,$208.00 ,$119.60 ,$131.04 ,$124.80 ,$44.84 ,$58.24 ,$69.75 ,$46.88 ,$72.99 ,$50.96 ,$114.19 ,$114.19 ,$53.00 ,$135.20 ,$92.44 ,$20.63 ,$31.18 ,$46.88 ,$44.84 ,$156.00 ,$147.68 ,$147.68 ,$46.88 ,$147.68 ,$180.96 ,$180.96 ,$180.96 , N/A ,$187.20 ,$119.60 ,$176.80 ,$44.84 ,$208.00 ,$116.69 ,$44.84 ,$86.11 ,$19.13 ,$17.39 ,$46.88 ,$176.80 ,$89.08 ,$114.19 ,$58.24 ,$187.20 ,$208.00 ,$44.84 ,$180.96 ,$24.94 ,$208.00 ,$24.94 ,$47.84 ,$135.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100761,84520,HC BUN,301,1 ,$104.00 ,$74.88 ,$3.95 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$36.89 ,$23.44 ,$38.61 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$6.30 ,$9.88 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$3.95 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$7.90 ,$104.00 ,$7.90 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100765,84550,HC URIC ACID,301,1 ,$108.00 ,$77.76 ,$7.45 ,$108.00 ,$62.10 ,$68.04 ,$64.80 ,$23.28 ,$30.24 ,$42.23 ,$24.34 ,$44.19 ,$26.46 ,$59.29 ,$59.29 ,$27.52 ,$70.20 ,$48.00 ,$7.45 ,$11.30 ,$24.34 ,$23.28 ,$81.00 ,$76.68 ,$76.68 ,$24.34 ,$76.68 ,$93.96 ,$93.96 ,$93.96 , N/A ,$97.20 ,$62.10 ,$91.80 ,$23.28 ,$108.00 ,$60.59 ,$23.28 ,$44.71 ,$8.51 ,$7.74 ,$24.34 ,$91.80 ,$46.26 ,$59.29 ,$30.24 ,$97.20 ,$108.00 ,$23.28 ,$93.96 ,$9.04 ,$108.00 ,$9.04 ,$24.84 ,$70.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100802,84702,HC HCG QN,301,1 ,$220.00 ,$158.40 ,$23.41 ,$220.00 ,$126.50 ,$138.60 ,$132.00 ,$47.43 ,$61.60 ,$127.60 ,$49.59 ,$134.20 ,$53.90 ,$120.78 ,$120.78 ,$56.06 ,$143.00 ,$97.77 ,$24.62 ,$37.63 ,$49.59 ,$47.43 ,$165.00 ,$156.20 ,$156.20 ,$49.59 ,$156.20 ,$191.40 ,$191.40 ,$191.40 , N/A ,$198.00 ,$126.50 ,$187.00 ,$47.43 ,$220.00 ,$123.42 ,$47.43 ,$91.08 ,$25.75 ,$23.41 ,$49.59 ,$187.00 ,$94.22 ,$120.78 ,$61.60 ,$198.00 ,$220.00 ,$47.43 ,$191.40 ,$30.10 ,$220.00 ,$30.10 ,$50.60 ,$143.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100808,84703,HC HCG QL,301,1 ,$171.00 ,$123.12 ,$12.60 ,$171.00 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$70.35 ,$38.54 ,$73.62 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$111.15 ,$75.99 ,$12.60 ,$18.80 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$19.13 ,$17.39 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$15.04 ,$171.00 ,$15.04 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100845,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$72.00 ,$51.84 ,$3.92 ,$72.00 ,$41.40 ,$45.36 ,$43.20 ,$15.52 ,$20.16 ,$38.18 ,$16.23 ,$39.96 ,$17.64 ,$39.53 ,$39.53 ,$18.35 ,$46.80 ,$32.00 ,$8.03 ,$12.60 ,$16.23 ,$15.52 ,$54.00 ,$51.12 ,$51.12 ,$16.23 ,$51.12 ,$62.64 ,$62.64 ,$62.64 , N/A ,$64.80 ,$41.40 ,$61.20 ,$15.52 ,$72.00 ,$40.39 ,$15.52 ,$29.81 ,$4.31 ,$3.92 ,$16.23 ,$61.20 ,$30.83 ,$39.53 ,$20.16 ,$64.80 ,$72.00 ,$15.52 ,$62.64 ,$10.08 ,$72.00 ,$10.08 ,$16.56 ,$46.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30100860,84145,HC PROCALCITONIN,301,1 ,$283.00 ,$203.76 ,$40.71 ,$283.00 ,$162.73 ,$178.29 ,$169.80 ,$61.01 ,$79.24 ,$164.14 ,$63.79 ,$172.63 ,$69.33 ,$155.37 ,$155.37 ,$72.11 ,$183.95 ,$125.77 ,$44.68 ,$68.05 ,$63.79 ,$61.01 ,$212.25 ,$200.93 ,$200.93 ,$63.79 ,$200.93 ,$246.21 ,$246.21 ,$246.21 , N/A ,$254.70 ,$162.73 ,$240.55 ,$61.01 ,$283.00 ,$158.76 ,$61.01 ,$117.16 ,$44.78 ,$40.71 ,$63.79 ,$240.55 ,$121.20 ,$155.37 ,$79.24 ,$254.70 ,$283.00 ,$61.01 ,$246.21 ,$54.44 ,$283.00 ,$54.44 ,$65.09 ,$183.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101011,83630,HC LACTOFERRIN FECAL QL,301,1 ,$59.00 ,$42.48 ,$12.72 ,$59.00 ,$33.93 ,$37.17 ,$35.40 ,$12.72 ,$16.52 ,$34.22 ,$13.30 ,$35.99 ,$14.45 ,$32.39 ,$32.39 ,$15.03 ,$38.35 ,$26.22 ,$32.08 ,$49.25 ,$13.30 ,$12.72 ,$44.25 ,$41.89 ,$41.89 ,$13.30 ,$41.89 ,$51.33 ,$51.33 ,$51.33 , N/A ,$53.10 ,$33.93 ,$50.15 ,$12.72 ,$59.00 ,$33.10 ,$12.72 ,$24.43 ,$19.13 ,$17.39 ,$13.30 ,$50.15 ,$25.26 ,$32.39 ,$16.52 ,$53.10 ,$59.00 ,$12.72 ,$51.33 ,$39.40 ,$59.00 ,$39.40 ,$13.57 ,$38.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$185.00 ,$133.20 ,$17.39 ,$185.00 ,$106.38 ,$116.55 ,$111.00 ,$39.89 ,$51.80 ,$107.30 ,$41.70 ,$112.85 ,$45.32 ,$101.57 ,$101.57 ,$47.14 ,$120.25 ,$82.21 ,$31.50 ,$48.28 ,$41.70 ,$39.89 ,$138.75 ,$131.35 ,$131.35 ,$41.70 ,$131.35 ,$160.95 ,$160.95 ,$160.95 , N/A ,$166.50 ,$106.38 ,$157.25 ,$39.89 ,$185.00 ,$103.79 ,$39.89 ,$76.59 ,$19.13 ,$17.39 ,$41.70 ,$157.25 ,$79.23 ,$101.57 ,$51.80 ,$166.50 ,$185.00 ,$39.89 ,$160.95 ,$38.62 ,$185.00 ,$38.62 ,$42.55 ,$120.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101075,80048,HC BASIC METABOLIC PANEL,301,1 ,$307.00 ,$221.04 ,$8.46 ,$307.00 ,$176.53 ,$193.41 ,$184.20 ,$66.19 ,$85.96 ,$104.77 ,$69.20 ,$110.28 ,$75.21 ,$168.54 ,$168.54 ,$78.22 ,$199.55 ,$136.43 ,$13.75 ,$21.15 ,$69.20 ,$66.19 ,$230.25 ,$217.97 ,$217.97 ,$69.20 ,$217.97 ,$267.09 ,$267.09 ,$267.09 , N/A ,$276.30 ,$176.53 ,$260.95 ,$66.19 ,$8.46 ,$172.23 ,$66.19 ,$127.10 ,$17.45 ,$15.86 ,$69.20 ,$260.95 ,$131.48 ,$168.54 ,$85.96 ,$276.30 ,$307.00 ,$66.19 ,$267.09 ,$16.92 ,$307.00 ,$16.92 ,$70.61 ,$199.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101089,80150,HC AMIKACIN - 90,301,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$24.62 ,$37.70 ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 ,$21.97 ,$19.97 ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$30.16 ,$48.00 ,$30.16 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101092,80156,HC CARBAMAZEPINE TOTAL - 90,301,1 ,$170.00 ,$122.40 ,$19.97 ,$170.00 ,$97.75 ,$107.10 ,$102.00 ,$36.65 ,$47.60 ,$98.60 ,$38.32 ,$103.70 ,$41.65 ,$93.33 ,$93.33 ,$43.32 ,$110.50 ,$75.55 ,$24.07 ,$36.43 ,$38.32 ,$36.65 ,$127.50 ,$120.70 ,$120.70 ,$38.32 ,$120.70 ,$147.90 ,$147.90 ,$147.90 , N/A ,$153.00 ,$97.75 ,$144.50 ,$36.65 ,$170.00 ,$95.37 ,$36.65 ,$70.38 ,$21.97 ,$19.97 ,$38.32 ,$144.50 ,$72.80 ,$93.33 ,$47.60 ,$153.00 ,$170.00 ,$36.65 ,$147.90 ,$29.14 ,$170.00 ,$29.14 ,$39.10 ,$110.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101093,80157,HC CARBAMAZEPINE FREE - 90,301,1 ,$51.00 ,$36.72 ,$11.00 ,$51.00 ,$29.33 ,$32.13 ,$30.60 ,$11.00 ,$14.28 ,$29.58 ,$11.50 ,$31.11 ,$12.49 ,$28.00 ,$28.00 ,$12.99 ,$33.15 ,$22.66 ,$21.76 ,$33.13 ,$11.50 ,$11.00 ,$38.25 ,$36.21 ,$36.21 ,$11.50 ,$36.21 ,$44.37 ,$44.37 ,$44.37 , N/A ,$45.90 ,$29.33 ,$43.35 ,$11.00 ,$51.00 ,$28.61 ,$11.00 ,$21.11 ,$21.97 ,$19.97 ,$11.50 ,$43.35 ,$21.84 ,$28.00 ,$14.28 ,$45.90 ,$51.00 ,$11.00 ,$44.37 ,$26.50 ,$51.00 ,$26.50 ,$11.73 ,$33.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$773.00 ,$556.56 ,$19.97 ,$773.00 ,$444.48 ,$486.99 ,$463.80 ,$166.66 ,$216.44 ,$124.53 ,$174.23 ,$130.32 ,$189.38 ,$424.38 ,$424.38 ,$196.96 ,$502.45 ,$343.52 ,$29.79 ,$45.13 ,$174.23 ,$166.66 ,$579.75 ,$548.83 ,$548.83 ,$174.23 ,$548.83 ,$672.51 ,$672.51 ,$672.51 , N/A ,$695.70 ,$444.48 ,$657.05 ,$166.66 ,$773.00 ,$433.65 ,$166.66 ,$320.02 ,$21.97 ,$19.97 ,$174.23 ,$657.05 ,$331.04 ,$424.38 ,$216.44 ,$695.70 ,$773.00 ,$166.66 ,$672.51 ,$36.10 ,$773.00 ,$36.10 ,$177.79 ,$502.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101098,80165,HC VALPROIC ACID FREE - 90,301,1 ,$73.00 ,$52.56 ,$15.74 ,$73.00 ,$41.98 ,$45.99 ,$43.80 ,$15.74 ,$20.44 ,$42.34 ,$16.45 ,$44.53 ,$17.88 ,$40.08 ,$40.08 ,$18.60 ,$47.45 ,$32.44 ,$22.34 ,$33.85 ,$16.45 ,$15.74 ,$54.75 ,$51.83 ,$51.83 ,$16.45 ,$51.83 ,$63.51 ,$63.51 ,$63.51 , N/A ,$65.70 ,$41.98 ,$62.05 ,$15.74 ,$73.00 ,$40.95 ,$15.74 ,$30.22 ,$21.97 ,$19.97 ,$16.45 ,$62.05 ,$31.26 ,$40.08 ,$20.44 ,$65.70 ,$73.00 ,$15.74 ,$63.51 ,$27.08 ,$73.00 ,$27.08 ,$16.79 ,$47.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101099,80168,HC ETHOSUXIMIDE - 90,301,1 ,$114.00 ,$82.08 ,$19.97 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$66.12 ,$25.70 ,$69.54 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$74.10 ,$50.66 ,$26.93 ,$40.85 ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 ,$21.97 ,$19.97 ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 ,$32.68 ,$114.00 ,$32.68 ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101100,80169,HC EVEROLIMUS - 90,301,1 ,$252.00 ,$181.44 ,$19.97 ,$252.00 ,$144.90 ,$158.76 ,$151.20 ,$54.33 ,$70.56 ,$94.77 ,$56.80 ,$99.18 ,$61.74 ,$138.35 ,$138.35 ,$64.21 ,$163.80 ,$111.99 ,$22.34 ,$34.33 ,$56.80 ,$54.33 ,$189.00 ,$178.92 ,$178.92 ,$56.80 ,$178.92 ,$219.24 ,$219.24 ,$219.24 , N/A ,$226.80 ,$144.90 ,$214.20 ,$54.33 ,$252.00 ,$141.37 ,$54.33 ,$104.33 ,$21.97 ,$19.97 ,$56.80 ,$214.20 ,$107.92 ,$138.35 ,$70.56 ,$226.80 ,$252.00 ,$54.33 ,$219.24 ,$27.46 ,$252.00 ,$27.46 ,$57.96 ,$163.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$326.00 ,$234.72 ,$19.97 ,$326.00 ,$187.45 ,$205.38 ,$195.60 ,$70.29 ,$91.28 ,$85.57 ,$73.48 ,$89.55 ,$79.87 ,$178.97 ,$178.97 ,$83.06 ,$211.90 ,$144.87 ,$25.20 ,$38.25 ,$73.48 ,$70.29 ,$244.50 ,$231.46 ,$231.46 ,$73.48 ,$231.46 ,$283.62 ,$283.62 ,$283.62 , N/A ,$293.40 ,$187.45 ,$277.10 ,$70.29 ,$326.00 ,$182.89 ,$70.29 ,$134.96 ,$21.97 ,$19.97 ,$73.48 ,$277.10 ,$139.61 ,$178.97 ,$91.28 ,$293.40 ,$326.00 ,$70.29 ,$283.62 ,$30.60 ,$326.00 ,$30.60 ,$74.98 ,$211.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$26.00 ,$18.72 ,$5.61 ,$34.40 ,$14.95 ,$16.38 ,$15.60 ,$5.61 ,$7.28 ,$15.08 ,$5.86 ,$15.86 ,$6.37 ,$14.27 ,$14.27 ,$6.62 ,$16.90 ,$11.55 ,$22.34 ,$34.40 ,$5.86 ,$5.61 ,$19.50 ,$18.46 ,$18.46 ,$5.86 ,$18.46 ,$22.62 ,$22.62 ,$22.62 , N/A ,$23.40 ,$14.95 ,$22.10 ,$5.61 ,$26.00 ,$14.59 ,$5.61 ,$10.76 ,$21.97 ,$19.97 ,$5.86 ,$22.10 ,$11.13 ,$14.27 ,$7.28 ,$23.40 ,$26.00 ,$5.61 ,$22.62 ,$26.00 ,$26.00 ,$26.00 ,$5.98 ,$16.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101115,80188,HC PRIMIDONE - 90,301,1 ,$35.00 ,$25.20 ,$7.55 ,$41.48 ,$20.13 ,$22.05 ,$21.00 ,$7.55 ,$9.80 ,$20.30 ,$7.89 ,$21.35 ,$8.57 ,$19.22 ,$19.22 ,$8.92 ,$22.75 ,$15.55 ,$27.49 ,$41.48 ,$7.89 ,$7.55 ,$26.25 ,$24.85 ,$24.85 ,$7.89 ,$24.85 ,$30.45 ,$30.45 ,$30.45 , N/A ,$31.50 ,$20.13 ,$29.75 ,$7.55 ,$35.00 ,$19.64 ,$7.55 ,$14.49 ,$21.97 ,$19.97 ,$7.89 ,$29.75 ,$14.99 ,$19.22 ,$9.80 ,$31.50 ,$35.00 ,$7.55 ,$30.45 ,$33.18 ,$35.00 ,$33.18 ,$8.05 ,$22.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$145.00 ,$104.40 ,$19.97 ,$145.00 ,$83.38 ,$91.35 ,$87.00 ,$31.26 ,$40.60 ,$84.10 ,$32.68 ,$88.45 ,$35.52 ,$79.61 ,$79.61 ,$36.95 ,$94.25 ,$64.44 ,$27.49 ,$41.88 ,$32.68 ,$31.26 ,$108.75 ,$102.95 ,$102.95 ,$32.68 ,$102.95 ,$126.15 ,$126.15 ,$126.15 , N/A ,$130.50 ,$83.38 ,$123.25 ,$31.26 ,$145.00 ,$81.35 ,$31.26 ,$60.03 ,$21.97 ,$19.97 ,$32.68 ,$123.25 ,$62.10 ,$79.61 ,$40.60 ,$130.50 ,$145.00 ,$31.26 ,$126.15 ,$33.50 ,$145.00 ,$33.50 ,$33.35 ,$94.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101117,80194,HC QUINIDINE - 90,301,1 ,$124.00 ,$89.28 ,$19.97 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$71.92 ,$27.95 ,$75.64 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$24.07 ,$36.50 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$21.97 ,$19.97 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$29.20 ,$124.00 ,$29.20 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101119,80197,HC TACROLIMUS - 90,301,1 ,$226.00 ,$162.72 ,$19.97 ,$226.00 ,$129.95 ,$142.38 ,$135.60 ,$48.73 ,$63.28 ,$94.77 ,$50.94 ,$99.18 ,$55.37 ,$124.07 ,$124.07 ,$57.58 ,$146.90 ,$100.43 ,$22.34 ,$34.33 ,$50.94 ,$48.73 ,$169.50 ,$160.46 ,$160.46 ,$50.94 ,$160.46 ,$196.62 ,$196.62 ,$196.62 , N/A ,$203.40 ,$129.95 ,$192.10 ,$48.73 ,$226.00 ,$126.79 ,$48.73 ,$93.56 ,$21.97 ,$19.97 ,$50.94 ,$192.10 ,$96.78 ,$124.07 ,$63.28 ,$203.40 ,$226.00 ,$48.73 ,$196.62 ,$27.46 ,$226.00 ,$27.46 ,$51.98 ,$146.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101124,80201,HC TOPIRAMATE - 90,301,1 ,$44.00 ,$31.68 ,$9.49 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 ,$25.52 ,$9.92 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$19.48 ,$29.80 ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$21.97 ,$19.97 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 ,$23.84 ,$44.00 ,$23.84 ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101126,80203,HC ZONISAMIDE - 90,301,1 ,$303.00 ,$218.16 ,$19.97 ,$303.00 ,$174.23 ,$190.89 ,$181.80 ,$65.33 ,$84.84 ,$91.42 ,$68.30 ,$95.67 ,$74.23 ,$166.35 ,$166.35 ,$77.20 ,$196.95 ,$134.65 ,$21.76 ,$33.13 ,$68.30 ,$65.33 ,$227.25 ,$215.13 ,$215.13 ,$68.30 ,$215.13 ,$263.61 ,$263.61 ,$263.61 , N/A ,$272.70 ,$174.23 ,$257.55 ,$65.33 ,$303.00 ,$169.98 ,$65.33 ,$125.44 ,$21.97 ,$19.97 ,$68.30 ,$257.55 ,$129.76 ,$166.35 ,$84.84 ,$272.70 ,$303.00 ,$65.33 ,$263.61 ,$26.50 ,$303.00 ,$26.50 ,$69.69 ,$196.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$131.00 ,$94.32 ,$19.97 ,$131.00 ,$75.33 ,$82.53 ,$78.60 ,$28.24 ,$36.68 ,$75.98 ,$29.53 ,$79.91 ,$32.09 ,$71.92 ,$71.92 ,$33.38 ,$85.15 ,$58.22 ,$30.37 ,$46.60 ,$29.53 ,$28.24 ,$98.25 ,$93.01 ,$93.01 ,$29.53 ,$93.01 ,$113.97 ,$113.97 ,$113.97 , N/A ,$117.90 ,$75.33 ,$111.35 ,$28.24 ,$131.00 ,$73.49 ,$28.24 ,$54.23 ,$21.97 ,$19.97 ,$29.53 ,$111.35 ,$56.10 ,$71.92 ,$36.68 ,$117.90 ,$131.00 ,$28.24 ,$113.97 ,$37.28 ,$131.00 ,$37.28 ,$30.13 ,$85.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101133,80306,HC DRUG SCREEN PRESUMPTIVE INSTRMNT ASSIST DIR OPTICAL T2,301,1 ,$325.00 ,$234.00 ,$17.39 ,$325.00 ,$186.88 ,$204.75 ,$195.00 ,$70.07 ,$91.00 ,$100.36 ,$73.25 ,$105.03 ,$79.62 ,$178.43 ,$178.43 ,$82.81 ,$211.25 ,$144.43 ,$28.06 ,$42.85 ,$73.25 ,$70.07 ,$243.75 ,$230.75 ,$230.75 ,$73.25 ,$230.75 ,$282.75 ,$282.75 ,$282.75 , N/A ,$292.50 ,$186.88 ,$276.25 ,$70.07 ,$325.00 ,$182.33 ,$70.07 ,$134.55 ,$19.13 ,$17.39 ,$73.25 ,$276.25 ,$139.19 ,$178.43 ,$91.00 ,$292.50 ,$325.00 ,$70.07 ,$282.75 ,$34.28 ,$325.00 ,$34.28 ,$74.75 ,$211.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101137,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4,301,1 ,$344.00 ,$247.68 ,$46.82 ,$344.00 ,$197.80 ,$216.72 ,$206.40 ,$74.17 ,$96.32 ,$199.52 ,$77.54 ,$209.84 ,$84.28 ,$188.86 ,$188.86 ,$87.65 ,$223.60 ,$152.87 ,$101.95 ,$155.35 ,$77.54 ,$74.17 ,$258.00 ,$244.24 ,$244.24 ,$77.54 ,$244.24 ,$299.28 ,$299.28 ,$299.28 , N/A ,$309.60 ,$197.80 ,$292.40 ,$74.17 ,$344.00 ,$192.98 ,$74.17 ,$142.42 ,$51.50 ,$46.82 ,$77.54 ,$292.40 ,$147.32 ,$188.86 ,$96.32 ,$309.60 ,$344.00 ,$74.17 ,$299.28 ,$124.28 ,$344.00 ,$124.28 ,$79.12 ,$223.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101140,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1-90,301,1 ,$151.00 ,$108.72 ,$32.56 ,$155.35 ,$86.83 ,$95.13 ,$90.60 ,$32.56 ,$42.28 ,$87.58 ,$34.04 ,$92.11 ,$36.99 ,$82.90 ,$82.90 ,$38.47 ,$98.15 ,$67.10 ,$101.95 ,$155.35 ,$34.04 ,$32.56 ,$113.25 ,$107.21 ,$107.21 ,$34.04 ,$107.21 ,$131.37 ,$131.37 ,$131.37 , N/A ,$135.90 ,$86.83 ,$128.35 ,$32.56 ,$151.00 ,$84.71 ,$32.56 ,$62.51 ,$51.50 ,$46.82 ,$34.04 ,$128.35 ,$64.67 ,$82.90 ,$42.28 ,$135.90 ,$151.00 ,$32.56 ,$131.37 ,$124.28 ,$151.00 ,$124.28 ,$34.73 ,$98.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101143,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4-90,301,1 ,$325.00 ,$234.00 ,$46.82 ,$325.00 ,$186.88 ,$204.75 ,$195.00 ,$70.07 ,$91.00 ,$188.50 ,$73.25 ,$198.25 ,$79.62 ,$178.43 ,$178.43 ,$82.81 ,$211.25 ,$144.43 ,$101.95 ,$155.35 ,$73.25 ,$70.07 ,$243.75 ,$230.75 ,$230.75 ,$73.25 ,$230.75 ,$282.75 ,$282.75 ,$282.75 , N/A ,$292.50 ,$186.88 ,$276.25 ,$70.07 ,$325.00 ,$182.33 ,$70.07 ,$134.55 ,$51.50 ,$46.82 ,$73.25 ,$276.25 ,$139.19 ,$178.43 ,$91.00 ,$292.50 ,$325.00 ,$70.07 ,$282.75 ,$124.28 ,$325.00 ,$124.28 ,$74.75 ,$211.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101146,80323,HC NICOTINE - 90,301,1 ,$84.00 ,$60.48 ,$18.11 ,$84.00 ,$48.30 ,$52.92 ,$50.40 ,$18.11 ,$23.52 , N/A ,$18.93 , N/A ,$20.58 ,$46.12 ,$46.12 ,$21.40 ,$54.60 ,$37.33 ,$58.80 , N/A ,$18.93 ,$18.11 ,$63.00 ,$59.64 ,$59.64 ,$18.93 ,$59.64 ,$73.08 ,$73.08 ,$73.08 , N/A ,$75.60 ,$48.30 ,$71.40 ,$18.11 ,$84.00 ,$47.12 ,$18.11 ,$34.78 ,$51.50 ,$46.82 ,$18.93 ,$71.40 ,$35.98 ,$46.12 ,$23.52 ,$75.60 ,$84.00 ,$18.11 ,$73.08 , N/A ,$84.00 , N/A ,$19.32 ,$54.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101150,80346,HC BENZODIAZEPINES 1-12 -90,301,1 ,$312.00 ,$224.64 ,$46.82 ,$312.00 ,$179.40 ,$196.56 ,$187.20 ,$67.27 ,$87.36 , N/A ,$70.32 , N/A ,$76.44 ,$171.29 ,$171.29 ,$79.50 ,$202.80 ,$138.65 ,$218.40 , N/A ,$70.32 ,$67.27 ,$234.00 ,$221.52 ,$221.52 ,$70.32 ,$221.52 ,$271.44 ,$271.44 ,$271.44 , N/A ,$280.80 ,$179.40 ,$265.20 ,$67.27 ,$312.00 ,$175.03 ,$67.27 ,$129.17 ,$51.50 ,$46.82 ,$70.32 ,$265.20 ,$133.61 ,$171.29 ,$87.36 ,$280.80 ,$312.00 ,$67.27 ,$271.44 , N/A ,$312.00 , N/A ,$71.76 ,$202.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$56.00 ,$40.32 ,$12.07 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 , N/A ,$12.62 , N/A ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$39.20 , N/A ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 ,$19.13 ,$17.39 ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 , N/A ,$56.00 , N/A ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$228.00 ,$164.16 ,$46.82 ,$228.00 ,$131.10 ,$143.64 ,$136.80 ,$49.16 ,$63.84 , N/A ,$51.39 , N/A ,$55.86 ,$125.17 ,$125.17 ,$58.09 ,$148.20 ,$101.32 ,$159.60 , N/A ,$51.39 ,$49.16 ,$171.00 ,$161.88 ,$161.88 ,$51.39 ,$161.88 ,$198.36 ,$198.36 ,$198.36 , N/A ,$205.20 ,$131.10 ,$193.80 ,$49.16 ,$228.00 ,$127.91 ,$49.16 ,$94.39 ,$51.50 ,$46.82 ,$51.39 ,$193.80 ,$97.65 ,$125.17 ,$63.84 ,$205.20 ,$228.00 ,$49.16 ,$198.36 , N/A ,$228.00 , N/A ,$52.44 ,$148.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$268.00 ,$192.96 ,$17.39 ,$268.00 ,$154.10 ,$168.84 ,$160.80 ,$57.78 ,$75.04 ,$116.44 ,$60.41 ,$121.86 ,$65.66 ,$147.13 ,$147.13 ,$68.29 ,$174.20 ,$119.10 ,$27.49 ,$42.18 ,$60.41 ,$57.78 ,$201.00 ,$190.28 ,$190.28 ,$60.41 ,$190.28 ,$233.16 ,$233.16 ,$233.16 , N/A ,$241.20 ,$154.10 ,$227.80 ,$57.78 ,$268.00 ,$150.35 ,$57.78 ,$110.95 ,$19.13 ,$17.39 ,$60.41 ,$227.80 ,$114.78 ,$147.13 ,$75.04 ,$241.20 ,$268.00 ,$57.78 ,$233.16 ,$33.74 ,$268.00 ,$33.74 ,$61.64 ,$174.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101158,82024,HC ACTH -90,301,1 ,$360.00 ,$259.20 ,$40.71 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$234.00 ,$159.98 ,$63.58 ,$96.55 ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 ,$44.78 ,$40.71 ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$77.24 ,$360.00 ,$77.24 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101159,82040,HC ALBUMIN-90,301,1 ,$84.00 ,$60.48 ,$7.74 ,$84.00 ,$48.30 ,$52.92 ,$50.40 ,$18.11 ,$23.52 ,$46.27 ,$18.93 ,$48.42 ,$20.58 ,$46.12 ,$46.12 ,$21.40 ,$54.60 ,$37.33 ,$8.03 ,$12.38 ,$18.93 ,$18.11 ,$63.00 ,$59.64 ,$59.64 ,$18.93 ,$59.64 ,$73.08 ,$73.08 ,$73.08 , N/A ,$75.60 ,$48.30 ,$71.40 ,$18.11 ,$84.00 ,$47.12 ,$18.11 ,$34.78 ,$8.51 ,$7.74 ,$18.93 ,$71.40 ,$35.98 ,$46.12 ,$23.52 ,$75.60 ,$84.00 ,$18.11 ,$73.08 ,$9.90 ,$84.00 ,$9.90 ,$19.32 ,$54.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101161,82043,HC MICROALBUMIN URINE QN-90,301,1 ,$104.00 ,$74.88 ,$6.21 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$54.01 ,$23.44 ,$56.52 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$9.74 ,$14.45 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$6.83 ,$6.21 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$11.56 ,$104.00 ,$11.56 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101162,82085,HC ALDOLASE-90,301,1 ,$84.00 ,$60.48 ,$16.04 ,$84.00 ,$48.30 ,$52.92 ,$50.40 ,$18.11 ,$23.52 ,$48.72 ,$18.93 ,$51.24 ,$20.58 ,$46.12 ,$46.12 ,$21.40 ,$54.60 ,$37.33 ,$16.04 ,$24.28 ,$18.93 ,$18.11 ,$63.00 ,$59.64 ,$59.64 ,$18.93 ,$59.64 ,$73.08 ,$73.08 ,$73.08 , N/A ,$75.60 ,$48.30 ,$71.40 ,$18.11 ,$84.00 ,$47.12 ,$18.11 ,$34.78 ,$19.13 ,$17.39 ,$18.93 ,$71.40 ,$35.98 ,$46.12 ,$23.52 ,$75.60 ,$84.00 ,$18.11 ,$73.08 ,$19.42 ,$84.00 ,$19.42 ,$19.32 ,$54.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101163,82088,HC ALDOSTERONE-90,301,1 ,$155.00 ,$111.60 ,$33.42 ,$155.00 ,$89.13 ,$97.65 ,$93.00 ,$33.42 ,$43.40 ,$89.90 ,$34.94 ,$94.55 ,$37.97 ,$85.10 ,$85.10 ,$39.49 ,$100.75 ,$68.88 ,$67.01 ,$101.88 ,$34.94 ,$33.42 ,$116.25 ,$110.05 ,$110.05 ,$34.94 ,$110.05 ,$134.85 ,$134.85 ,$134.85 , N/A ,$139.50 ,$89.13 ,$131.75 ,$33.42 ,$155.00 ,$86.96 ,$33.42 ,$64.17 ,$44.78 ,$40.71 ,$34.94 ,$131.75 ,$66.39 ,$85.10 ,$43.40 ,$139.50 ,$155.00 ,$33.42 ,$134.85 ,$81.50 ,$155.00 ,$81.50 ,$35.65 ,$100.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$52.00 ,$35.55 ,$22.34 ,$33.60 ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$19.13 ,$17.39 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$26.88 ,$80.00 ,$26.88 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$214.00 ,$154.08 ,$17.39 ,$214.00 ,$123.05 ,$134.82 ,$128.40 ,$46.14 ,$59.92 ,$99.85 ,$48.24 ,$104.49 ,$52.43 ,$117.49 ,$117.49 ,$54.53 ,$139.10 ,$95.10 ,$23.49 ,$36.15 ,$48.24 ,$46.14 ,$160.50 ,$151.94 ,$151.94 ,$48.24 ,$151.94 ,$186.18 ,$186.18 ,$186.18 , N/A ,$192.60 ,$123.05 ,$181.90 ,$46.14 ,$214.00 ,$120.05 ,$46.14 ,$88.60 ,$19.13 ,$17.39 ,$48.24 ,$181.90 ,$91.65 ,$117.49 ,$59.92 ,$192.60 ,$214.00 ,$46.14 ,$186.18 ,$28.92 ,$214.00 ,$28.92 ,$49.22 ,$139.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$214.00 ,$154.08 ,$17.39 ,$214.00 ,$123.05 ,$134.82 ,$128.40 ,$46.14 ,$59.92 ,$115.76 ,$48.24 ,$121.14 ,$52.43 ,$117.49 ,$117.49 ,$54.53 ,$139.10 ,$95.10 ,$27.49 ,$41.93 ,$48.24 ,$46.14 ,$160.50 ,$151.94 ,$151.94 ,$48.24 ,$151.94 ,$186.18 ,$186.18 ,$186.18 , N/A ,$192.60 ,$123.05 ,$181.90 ,$46.14 ,$214.00 ,$120.05 ,$46.14 ,$88.60 ,$19.13 ,$17.39 ,$48.24 ,$181.90 ,$91.65 ,$117.49 ,$59.92 ,$192.60 ,$214.00 ,$46.14 ,$186.18 ,$33.54 ,$214.00 ,$33.54 ,$49.22 ,$139.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101169,82108,HC ALUMINUM-90,301,1 ,$97.00 ,$69.84 ,$20.91 ,$97.00 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$56.26 ,$21.86 ,$59.17 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$41.81 ,$63.70 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$23.33 ,$21.21 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$50.96 ,$97.00 ,$50.96 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$160.00 ,$115.20 ,$17.39 ,$160.00 ,$92.00 ,$100.80 ,$96.00 ,$34.50 ,$44.80 ,$92.80 ,$36.06 ,$97.60 ,$39.20 ,$87.84 ,$87.84 ,$40.77 ,$104.00 ,$71.10 ,$37.80 ,$57.45 ,$36.06 ,$34.50 ,$120.00 ,$113.60 ,$113.60 ,$36.06 ,$113.60 ,$139.20 ,$139.20 ,$139.20 , N/A ,$144.00 ,$92.00 ,$136.00 ,$34.50 ,$160.00 ,$89.76 ,$34.50 ,$66.24 ,$19.13 ,$17.39 ,$36.06 ,$136.00 ,$68.52 ,$87.84 ,$44.80 ,$144.00 ,$160.00 ,$34.50 ,$139.20 ,$45.96 ,$160.00 ,$45.96 ,$36.80 ,$104.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$199.00 ,$143.28 ,$17.39 ,$199.00 ,$114.43 ,$125.37 ,$119.40 ,$42.90 ,$55.72 ,$115.42 ,$44.85 ,$121.39 ,$48.75 ,$109.25 ,$109.25 ,$50.71 ,$129.35 ,$88.44 ,$27.49 ,$42.18 ,$44.85 ,$42.90 ,$149.25 ,$141.29 ,$141.29 ,$44.85 ,$141.29 ,$173.13 ,$173.13 ,$173.13 , N/A ,$179.10 ,$114.43 ,$169.15 ,$42.90 ,$199.00 ,$111.64 ,$42.90 ,$82.39 ,$19.13 ,$17.39 ,$44.85 ,$169.15 ,$85.22 ,$109.25 ,$55.72 ,$179.10 ,$199.00 ,$42.90 ,$173.13 ,$33.74 ,$199.00 ,$33.74 ,$45.77 ,$129.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101176,82140,HC AMMONIA-90,301,1 ,$52.00 ,$37.44 ,$11.21 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$24.07 ,$36.43 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$19.13 ,$17.39 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$29.14 ,$52.00 ,$29.14 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101177,82150,HC AMYLASE-90,301,1 ,$16.00 ,$11.52 ,$3.45 ,$19.13 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$10.89 ,$16.20 ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 ,$19.13 ,$17.39 ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$12.96 ,$16.00 ,$12.96 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$50.00 ,$36.00 ,$10.78 ,$73.20 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$48.11 ,$73.20 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$44.78 ,$40.71 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$50.00 ,$50.00 ,$50.00 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$186.00 ,$133.92 ,$17.39 ,$186.00 ,$106.95 ,$117.18 ,$111.60 ,$40.10 ,$52.08 ,$100.79 ,$41.92 ,$105.48 ,$45.57 ,$102.11 ,$102.11 ,$47.39 ,$120.90 ,$82.66 ,$24.07 ,$36.50 ,$41.92 ,$40.10 ,$139.50 ,$132.06 ,$132.06 ,$41.92 ,$132.06 ,$161.82 ,$161.82 ,$161.82 , N/A ,$167.40 ,$106.95 ,$158.10 ,$40.10 ,$186.00 ,$104.35 ,$40.10 ,$77.00 ,$19.13 ,$17.39 ,$41.92 ,$158.10 ,$79.65 ,$102.11 ,$52.08 ,$167.40 ,$186.00 ,$40.10 ,$161.82 ,$29.20 ,$186.00 ,$29.20 ,$42.78 ,$120.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$50.00 ,$36.00 ,$10.78 ,$52.73 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$34.36 ,$52.73 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$19.13 ,$17.39 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$42.18 ,$50.00 ,$42.18 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101181,82175,HC ARSENIC-90,301,1 ,$45.00 ,$32.40 ,$9.70 ,$47.43 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$30.92 ,$47.43 ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 ,$23.33 ,$21.21 ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$37.94 ,$45.00 ,$37.94 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101182,82180,HC VITAMIN C (ASCORBIC ACID)-90,301,1 ,$58.00 ,$41.76 ,$12.50 ,$58.00 ,$33.35 ,$36.54 ,$34.80 ,$12.50 ,$16.24 ,$33.64 ,$13.07 ,$35.38 ,$14.21 ,$31.84 ,$31.84 ,$14.78 ,$37.70 ,$25.78 ,$16.04 ,$24.73 ,$13.07 ,$12.50 ,$43.50 ,$41.18 ,$41.18 ,$13.07 ,$41.18 ,$50.46 ,$50.46 ,$50.46 , N/A ,$52.20 ,$33.35 ,$49.30 ,$12.50 ,$58.00 ,$32.54 ,$12.50 ,$24.01 ,$19.13 ,$17.39 ,$13.07 ,$49.30 ,$24.84 ,$31.84 ,$16.24 ,$52.20 ,$58.00 ,$12.50 ,$50.46 ,$19.78 ,$58.00 ,$19.78 ,$13.34 ,$37.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$92.00 ,$66.24 ,$19.84 ,$92.00 ,$52.90 ,$57.96 ,$55.20 ,$19.84 ,$25.76 ,$53.36 ,$20.74 ,$56.12 ,$22.54 ,$50.51 ,$50.51 ,$23.44 ,$59.80 ,$40.88 ,$26.35 ,$40.45 ,$20.74 ,$19.84 ,$69.00 ,$65.32 ,$65.32 ,$20.74 ,$65.32 ,$80.04 ,$80.04 ,$80.04 , N/A ,$82.80 ,$52.90 ,$78.20 ,$19.84 ,$92.00 ,$51.61 ,$19.84 ,$38.09 ,$44.78 ,$40.71 ,$20.74 ,$78.20 ,$39.40 ,$50.51 ,$25.76 ,$82.80 ,$92.00 ,$19.84 ,$80.04 ,$32.36 ,$92.00 ,$32.36 ,$21.16 ,$59.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$19.00 ,$13.68 ,$4.10 ,$19.00 ,$10.93 ,$11.97 ,$11.40 ,$4.10 ,$5.32 ,$11.02 ,$4.28 ,$11.59 ,$4.65 ,$10.43 ,$10.43 ,$4.84 ,$12.35 ,$8.44 ,$8.03 ,$12.55 ,$4.28 ,$4.10 ,$14.25 ,$13.49 ,$13.49 ,$4.28 ,$13.49 ,$16.53 ,$16.53 ,$16.53 , N/A ,$17.10 ,$10.93 ,$16.15 ,$4.10 ,$19.00 ,$10.66 ,$4.10 ,$7.87 ,$8.51 ,$7.74 ,$4.28 ,$16.15 ,$8.13 ,$10.43 ,$5.32 ,$17.10 ,$19.00 ,$4.10 ,$16.53 ,$10.04 ,$19.00 ,$10.04 ,$4.37 ,$12.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101188,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$52.00 ,$37.44 ,$7.45 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$7.45 ,$10.95 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$8.76 ,$52.00 ,$8.76 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101191,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$264.00 ,$190.08 ,$7.74 ,$264.00 ,$151.80 ,$166.32 ,$158.40 ,$56.92 ,$73.92 ,$40.25 ,$59.51 ,$42.12 ,$64.68 ,$144.94 ,$144.94 ,$67.27 ,$171.60 ,$117.32 ,$8.59 ,$13.30 ,$59.51 ,$56.92 ,$198.00 ,$187.44 ,$187.44 ,$59.51 ,$187.44 ,$229.68 ,$229.68 ,$229.68 , N/A ,$237.60 ,$151.80 ,$224.40 ,$56.92 ,$264.00 ,$148.10 ,$56.92 ,$109.30 ,$8.51 ,$7.74 ,$59.51 ,$224.40 ,$113.06 ,$144.94 ,$73.92 ,$237.60 ,$264.00 ,$56.92 ,$229.68 ,$10.64 ,$264.00 ,$10.64 ,$60.72 ,$171.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101199,82308,HC CALCITONIN-90,301,1 ,$95.00 ,$68.40 ,$20.48 ,$95.00 ,$54.63 ,$59.85 ,$57.00 ,$20.48 ,$26.60 ,$55.10 ,$21.41 ,$57.95 ,$23.27 ,$52.16 ,$52.16 ,$24.21 ,$61.75 ,$42.22 ,$44.10 ,$66.98 ,$21.41 ,$20.48 ,$71.25 ,$67.45 ,$67.45 ,$21.41 ,$67.45 ,$82.65 ,$82.65 ,$82.65 , N/A ,$85.50 ,$54.63 ,$80.75 ,$20.48 ,$95.00 ,$53.30 ,$20.48 ,$39.33 ,$44.78 ,$40.71 ,$21.41 ,$80.75 ,$40.69 ,$52.16 ,$26.60 ,$85.50 ,$95.00 ,$20.48 ,$82.65 ,$53.58 ,$95.00 ,$53.58 ,$21.85 ,$61.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101200,82310,HC CALCIUM-90,301,1 ,$304.00 ,$218.88 ,$7.74 ,$304.00 ,$174.80 ,$191.52 ,$182.40 ,$65.54 ,$85.12 ,$48.25 ,$68.52 ,$50.49 ,$74.48 ,$166.90 ,$166.90 ,$77.46 ,$197.60 ,$135.10 ,$8.59 ,$12.90 ,$68.52 ,$65.54 ,$228.00 ,$215.84 ,$215.84 ,$68.52 ,$215.84 ,$264.48 ,$264.48 ,$264.48 , N/A ,$273.60 ,$174.80 ,$258.40 ,$65.54 ,$304.00 ,$170.54 ,$65.54 ,$125.86 ,$8.51 ,$7.74 ,$68.52 ,$258.40 ,$130.19 ,$166.90 ,$85.12 ,$273.60 ,$304.00 ,$65.54 ,$264.48 ,$10.32 ,$304.00 ,$10.32 ,$69.92 ,$197.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101203,82340,HC CALCIUM URINE QN TIMED-90,301,1 ,$52.00 ,$37.44 ,$9.74 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$9.74 ,$15.08 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$19.13 ,$17.39 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$12.06 ,$52.00 ,$12.06 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101204,82360,HC CALCULUS ANALYSIS QN-90,301,1 ,$264.00 ,$190.08 ,$17.39 ,$264.00 ,$151.80 ,$166.32 ,$158.40 ,$56.92 ,$73.92 ,$88.84 ,$59.51 ,$92.97 ,$64.68 ,$144.94 ,$144.94 ,$67.27 ,$171.60 ,$117.32 ,$21.19 ,$32.18 ,$59.51 ,$56.92 ,$198.00 ,$187.44 ,$187.44 ,$59.51 ,$187.44 ,$229.68 ,$229.68 ,$229.68 , N/A ,$237.60 ,$151.80 ,$224.40 ,$56.92 ,$264.00 ,$148.10 ,$56.92 ,$109.30 ,$19.13 ,$17.39 ,$59.51 ,$224.40 ,$113.06 ,$144.94 ,$73.92 ,$237.60 ,$264.00 ,$56.92 ,$229.68 ,$25.74 ,$264.00 ,$25.74 ,$60.72 ,$171.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101205,82365,HC CALCULUS ANLYS INFRARED-90,301,1 ,$82.00 ,$59.04 ,$17.39 ,$82.00 ,$47.15 ,$51.66 ,$49.20 ,$17.68 ,$22.96 ,$47.56 ,$18.48 ,$50.02 ,$20.09 ,$45.02 ,$45.02 ,$20.89 ,$53.30 ,$36.44 ,$21.19 ,$32.25 ,$18.48 ,$17.68 ,$61.50 ,$58.22 ,$58.22 ,$18.48 ,$58.22 ,$71.34 ,$71.34 ,$71.34 , N/A ,$73.80 ,$47.15 ,$69.70 ,$17.68 ,$82.00 ,$46.00 ,$17.68 ,$33.95 ,$19.13 ,$17.39 ,$18.48 ,$69.70 ,$35.11 ,$45.02 ,$22.96 ,$73.80 ,$82.00 ,$17.68 ,$71.34 ,$25.80 ,$82.00 ,$25.80 ,$18.86 ,$53.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101207,82373,HC CARBOHY DEFICIENT TRANSFER CONGENTIAL-90,301,1 ,$153.00 ,$110.16 ,$17.39 ,$153.00 ,$87.98 ,$96.39 ,$91.80 ,$32.99 ,$42.84 ,$88.74 ,$34.49 ,$93.33 ,$37.48 ,$84.00 ,$84.00 ,$38.98 ,$99.45 ,$67.99 ,$29.79 ,$45.15 ,$34.49 ,$32.99 ,$114.75 ,$108.63 ,$108.63 ,$34.49 ,$108.63 ,$133.11 ,$133.11 ,$133.11 , N/A ,$137.70 ,$87.98 ,$130.05 ,$32.99 ,$153.00 ,$85.83 ,$32.99 ,$63.34 ,$19.13 ,$17.39 ,$34.49 ,$130.05 ,$65.52 ,$84.00 ,$42.84 ,$137.70 ,$153.00 ,$32.99 ,$133.11 ,$36.12 ,$153.00 ,$36.12 ,$35.19 ,$99.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101208,82378,HC CARBINOEMBRYONIC AG (CEA)-90,301,1 ,$240.00 ,$172.80 ,$17.39 ,$240.00 ,$138.00 ,$151.20 ,$144.00 ,$51.74 ,$67.20 ,$130.89 ,$54.10 ,$136.98 ,$58.80 ,$131.76 ,$131.76 ,$61.15 ,$156.00 ,$106.66 ,$30.92 ,$47.40 ,$54.10 ,$51.74 ,$180.00 ,$170.40 ,$170.40 ,$54.10 ,$170.40 ,$208.80 ,$208.80 ,$208.80 , N/A ,$216.00 ,$138.00 ,$204.00 ,$51.74 ,$240.00 ,$134.64 ,$51.74 ,$99.36 ,$19.13 ,$17.39 ,$54.10 ,$204.00 ,$102.78 ,$131.76 ,$67.20 ,$216.00 ,$240.00 ,$51.74 ,$208.80 ,$37.92 ,$240.00 ,$37.92 ,$55.20 ,$156.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$187.00 ,$134.64 ,$17.39 ,$187.00 ,$107.53 ,$117.81 ,$112.20 ,$40.32 ,$52.36 ,$108.46 ,$42.15 ,$114.07 ,$45.81 ,$102.66 ,$102.66 ,$47.65 ,$121.55 ,$83.10 ,$27.49 ,$42.18 ,$42.15 ,$40.32 ,$140.25 ,$132.77 ,$132.77 ,$42.15 ,$132.77 ,$162.69 ,$162.69 ,$162.69 , N/A ,$168.30 ,$107.53 ,$158.95 ,$40.32 ,$187.00 ,$104.91 ,$40.32 ,$77.42 ,$19.13 ,$17.39 ,$42.15 ,$158.95 ,$80.09 ,$102.66 ,$52.36 ,$168.30 ,$187.00 ,$40.32 ,$162.69 ,$33.74 ,$187.00 ,$33.74 ,$43.01 ,$121.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101210,82380,HC CAROTENE-90,301,1 ,$50.00 ,$36.00 ,$10.78 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$14.89 ,$23.05 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$19.13 ,$17.39 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$18.44 ,$50.00 ,$18.44 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$54.00 ,$38.88 ,$11.64 ,$63.13 ,$31.05 ,$34.02 ,$32.40 ,$11.64 ,$15.12 ,$31.32 ,$12.17 ,$32.94 ,$13.23 ,$29.65 ,$29.65 ,$13.76 ,$35.10 ,$24.00 ,$41.24 ,$63.13 ,$12.17 ,$11.64 ,$40.50 ,$38.34 ,$38.34 ,$12.17 ,$38.34 ,$46.98 ,$46.98 ,$46.98 , N/A ,$48.60 ,$31.05 ,$45.90 ,$11.64 ,$54.00 ,$30.29 ,$11.64 ,$22.36 ,$44.78 ,$40.71 ,$12.17 ,$45.90 ,$23.13 ,$29.65 ,$15.12 ,$48.60 ,$54.00 ,$11.64 ,$46.98 ,$50.50 ,$54.00 ,$50.50 ,$12.42 ,$35.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101212,82390,HC CERULOPLASMIN-90,301,1 ,$84.00 ,$60.48 ,$17.39 ,$84.00 ,$48.30 ,$52.92 ,$50.40 ,$18.11 ,$23.52 ,$48.72 ,$18.93 ,$51.24 ,$20.58 ,$46.12 ,$46.12 ,$21.40 ,$54.60 ,$37.33 ,$17.75 ,$26.85 ,$18.93 ,$18.11 ,$63.00 ,$59.64 ,$59.64 ,$18.93 ,$59.64 ,$73.08 ,$73.08 ,$73.08 , N/A ,$75.60 ,$48.30 ,$71.40 ,$18.11 ,$84.00 ,$47.12 ,$18.11 ,$34.78 ,$19.13 ,$17.39 ,$18.93 ,$71.40 ,$35.98 ,$46.12 ,$23.52 ,$75.60 ,$84.00 ,$18.11 ,$73.08 ,$21.48 ,$84.00 ,$21.48 ,$19.32 ,$54.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101213,82397,HC CHEMILUMINESCENT ASSAY-90,301,1 ,$140.00 ,$100.80 ,$17.39 ,$140.00 ,$80.50 ,$88.20 ,$84.00 ,$30.18 ,$39.20 ,$81.20 ,$31.56 ,$85.40 ,$34.30 ,$76.86 ,$76.86 ,$35.67 ,$91.00 ,$62.22 ,$22.91 ,$35.30 ,$31.56 ,$30.18 ,$105.00 ,$99.40 ,$99.40 ,$31.56 ,$99.40 ,$121.80 ,$121.80 ,$121.80 , N/A ,$126.00 ,$80.50 ,$119.00 ,$30.18 ,$140.00 ,$78.54 ,$30.18 ,$57.96 ,$19.13 ,$17.39 ,$31.56 ,$119.00 ,$59.96 ,$76.86 ,$39.20 ,$126.00 ,$140.00 ,$30.18 ,$121.80 ,$28.24 ,$140.00 ,$28.24 ,$32.20 ,$91.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101215,82438,HC CHLORIDE OTHER SOURCE-90,301,1 ,$27.00 ,$19.44 ,$5.82 ,$27.00 ,$15.53 ,$17.01 ,$16.20 ,$5.82 ,$7.56 ,$15.66 ,$6.09 ,$16.47 ,$6.61 ,$14.82 ,$14.82 ,$6.88 ,$17.55 ,$12.00 ,$8.03 ,$12.50 ,$6.09 ,$5.82 ,$20.25 ,$19.17 ,$19.17 ,$6.09 ,$19.17 ,$23.49 ,$23.49 ,$23.49 , N/A ,$24.30 ,$15.53 ,$22.95 ,$5.82 ,$27.00 ,$15.15 ,$5.82 ,$11.18 ,$8.51 ,$7.74 ,$6.09 ,$22.95 ,$11.56 ,$14.82 ,$7.56 ,$24.30 ,$27.00 ,$5.82 ,$23.49 ,$10.00 ,$27.00 ,$10.00 ,$6.21 ,$17.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101216,82480,HC CHOLINESTERASE PSEUDO-90,301,1 ,$60.00 ,$43.20 ,$12.94 ,$60.00 ,$34.50 ,$37.80 ,$36.00 ,$12.94 ,$16.80 ,$34.80 ,$13.52 ,$36.60 ,$14.70 ,$32.94 ,$32.94 ,$15.29 ,$39.00 ,$26.66 ,$13.18 ,$19.68 ,$13.52 ,$12.94 ,$45.00 ,$42.60 ,$42.60 ,$13.52 ,$42.60 ,$52.20 ,$52.20 ,$52.20 , N/A ,$54.00 ,$34.50 ,$51.00 ,$12.94 ,$60.00 ,$33.66 ,$12.94 ,$24.84 ,$19.13 ,$17.39 ,$13.52 ,$51.00 ,$25.70 ,$32.94 ,$16.80 ,$54.00 ,$60.00 ,$12.94 ,$52.20 ,$15.74 ,$60.00 ,$15.74 ,$13.80 ,$39.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$86.00 ,$61.92 ,$18.54 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$55.90 ,$38.22 ,$33.23 ,$50.70 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$23.33 ,$21.21 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$40.56 ,$86.00 ,$40.56 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101219,82507,HC CITRATE-90,301,1 ,$52.00 ,$37.44 ,$11.21 ,$69.50 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$45.83 ,$69.50 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$19.13 ,$17.39 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$52.00 ,$52.00 ,$52.00 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$122.00 ,$87.84 ,$26.30 ,$122.00 ,$70.15 ,$76.86 ,$73.20 ,$26.30 ,$34.16 ,$70.76 ,$27.50 ,$74.42 ,$29.89 ,$66.98 ,$66.98 ,$31.09 ,$79.30 ,$54.22 ,$30.92 ,$46.70 ,$27.50 ,$26.30 ,$91.50 ,$86.62 ,$86.62 ,$27.50 ,$86.62 ,$106.14 ,$106.14 ,$106.14 , N/A ,$109.80 ,$70.15 ,$103.70 ,$26.30 ,$122.00 ,$68.44 ,$26.30 ,$50.51 ,$29.54 ,$26.85 ,$27.50 ,$103.70 ,$52.24 ,$66.98 ,$34.16 ,$109.80 ,$122.00 ,$26.30 ,$106.14 ,$37.36 ,$122.00 ,$37.36 ,$28.06 ,$79.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101221,82525,HC COPPER-90,301,1 ,$76.00 ,$54.72 ,$16.39 ,$76.00 ,$43.70 ,$47.88 ,$45.60 ,$16.39 ,$21.28 ,$44.08 ,$17.13 ,$46.36 ,$18.62 ,$41.72 ,$41.72 ,$19.36 ,$49.40 ,$33.77 ,$20.63 ,$31.03 ,$17.13 ,$16.39 ,$57.00 ,$53.96 ,$53.96 ,$17.13 ,$53.96 ,$66.12 ,$66.12 ,$66.12 , N/A ,$68.40 ,$43.70 ,$64.60 ,$16.39 ,$76.00 ,$42.64 ,$16.39 ,$31.46 ,$23.33 ,$21.21 ,$17.13 ,$64.60 ,$32.55 ,$41.72 ,$21.28 ,$68.40 ,$76.00 ,$16.39 ,$66.12 ,$24.82 ,$76.00 ,$24.82 ,$17.48 ,$49.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101222,82530,HC CORTISOL FREE-90,301,1 ,$178.00 ,$128.16 ,$17.39 ,$178.00 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$27.49 ,$41.78 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$19.13 ,$17.39 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$33.42 ,$178.00 ,$33.42 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$63.00 ,$45.36 ,$13.58 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$36.54 ,$14.20 ,$38.43 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$40.95 ,$28.00 ,$26.93 ,$40.75 ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 ,$44.78 ,$40.71 ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$32.60 ,$63.00 ,$32.60 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$210.00 ,$151.20 ,$17.39 ,$210.00 ,$120.75 ,$132.30 ,$126.00 ,$45.28 ,$58.80 ,$121.80 ,$47.33 ,$128.10 ,$51.45 ,$115.29 ,$115.29 ,$53.51 ,$136.50 ,$93.32 ,$39.53 ,$60.23 ,$47.33 ,$45.28 ,$157.50 ,$149.10 ,$149.10 ,$47.33 ,$149.10 ,$182.70 ,$182.70 ,$182.70 , N/A ,$189.00 ,$120.75 ,$178.50 ,$45.28 ,$210.00 ,$117.81 ,$45.28 ,$86.94 ,$19.13 ,$17.39 ,$47.33 ,$178.50 ,$89.93 ,$115.29 ,$58.80 ,$189.00 ,$210.00 ,$45.28 ,$182.70 ,$48.18 ,$210.00 ,$48.18 ,$48.30 ,$136.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$152.00 ,$109.44 ,$17.39 ,$152.00 ,$87.40 ,$95.76 ,$91.20 ,$32.77 ,$42.56 ,$88.16 ,$34.26 ,$92.72 ,$37.24 ,$83.45 ,$83.45 ,$38.73 ,$98.80 ,$67.55 ,$21.76 ,$33.48 ,$34.26 ,$32.77 ,$114.00 ,$107.92 ,$107.92 ,$34.26 ,$107.92 ,$132.24 ,$132.24 ,$132.24 , N/A ,$136.80 ,$87.40 ,$129.20 ,$32.77 ,$152.00 ,$85.27 ,$32.77 ,$62.93 ,$19.13 ,$17.39 ,$34.26 ,$129.20 ,$65.09 ,$83.45 ,$42.56 ,$136.80 ,$152.00 ,$32.77 ,$132.24 ,$26.78 ,$152.00 ,$26.78 ,$34.96 ,$98.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$27.00 ,$19.44 ,$5.82 ,$27.00 ,$15.53 ,$17.01 ,$16.20 ,$5.82 ,$7.56 ,$15.66 ,$6.09 ,$16.47 ,$6.61 ,$14.82 ,$14.82 ,$6.88 ,$17.55 ,$12.00 ,$8.59 ,$12.95 ,$6.09 ,$5.82 ,$20.25 ,$19.17 ,$19.17 ,$6.09 ,$19.17 ,$23.49 ,$23.49 ,$23.49 , N/A ,$24.30 ,$15.53 ,$22.95 ,$5.82 ,$27.00 ,$15.15 ,$5.82 ,$11.18 ,$8.51 ,$7.74 ,$6.09 ,$22.95 ,$11.56 ,$14.82 ,$7.56 ,$24.30 ,$27.00 ,$5.82 ,$23.49 ,$10.36 ,$27.00 ,$10.36 ,$6.21 ,$17.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$82.00 ,$59.04 ,$10.89 ,$82.00 ,$47.15 ,$51.66 ,$49.20 ,$17.68 ,$22.96 ,$44.63 ,$18.48 ,$46.71 ,$20.09 ,$45.02 ,$45.02 ,$20.89 ,$53.30 ,$36.44 ,$10.89 ,$16.18 ,$18.48 ,$17.68 ,$61.50 ,$58.22 ,$58.22 ,$18.48 ,$58.22 ,$71.34 ,$71.34 ,$71.34 , N/A ,$73.80 ,$47.15 ,$69.70 ,$17.68 ,$82.00 ,$46.00 ,$17.68 ,$33.95 ,$19.13 ,$17.39 ,$18.48 ,$69.70 ,$35.11 ,$45.02 ,$22.96 ,$73.80 ,$82.00 ,$17.68 ,$71.34 ,$12.94 ,$82.00 ,$12.94 ,$18.86 ,$53.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101234,82600,HC CYANIDE-90,301,1 ,$61.00 ,$43.92 ,$13.15 ,$61.00 ,$35.08 ,$38.43 ,$36.60 ,$13.15 ,$17.08 ,$35.38 ,$13.75 ,$37.21 ,$14.94 ,$33.49 ,$33.49 ,$15.54 ,$39.65 ,$27.11 ,$32.08 ,$48.50 ,$13.75 ,$13.15 ,$45.75 ,$43.31 ,$43.31 ,$13.75 ,$43.31 ,$53.07 ,$53.07 ,$53.07 , N/A ,$54.90 ,$35.08 ,$51.85 ,$13.15 ,$61.00 ,$34.22 ,$13.15 ,$25.25 ,$23.33 ,$21.21 ,$13.75 ,$51.85 ,$26.13 ,$33.49 ,$17.08 ,$54.90 ,$61.00 ,$13.15 ,$53.07 ,$38.80 ,$61.00 ,$38.80 ,$14.03 ,$39.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101236,82608,HC VITAMIN B-12 BINDING CAPACITY-90,301,1 ,$128.00 ,$92.16 ,$17.39 ,$128.00 ,$73.60 ,$80.64 ,$76.80 ,$27.60 ,$35.84 ,$74.24 ,$28.85 ,$78.08 ,$31.36 ,$70.27 ,$70.27 ,$32.61 ,$83.20 ,$56.88 ,$23.49 ,$35.80 ,$28.85 ,$27.60 ,$96.00 ,$90.88 ,$90.88 ,$28.85 ,$90.88 ,$111.36 ,$111.36 ,$111.36 , N/A ,$115.20 ,$73.60 ,$108.80 ,$27.60 ,$128.00 ,$71.81 ,$27.60 ,$52.99 ,$19.13 ,$17.39 ,$28.85 ,$108.80 ,$54.82 ,$70.27 ,$35.84 ,$115.20 ,$128.00 ,$27.60 ,$111.36 ,$28.64 ,$128.00 ,$28.64 ,$29.44 ,$83.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101237,82626,HC DHEA-90,301,1 ,$208.00 ,$149.76 ,$17.39 ,$208.00 ,$119.60 ,$131.04 ,$124.80 ,$44.84 ,$58.24 ,$120.64 ,$46.88 ,$126.88 ,$50.96 ,$114.19 ,$114.19 ,$53.00 ,$135.20 ,$92.44 ,$41.24 ,$63.18 ,$46.88 ,$44.84 ,$156.00 ,$147.68 ,$147.68 ,$46.88 ,$147.68 ,$180.96 ,$180.96 ,$180.96 , N/A ,$187.20 ,$119.60 ,$176.80 ,$44.84 ,$208.00 ,$116.69 ,$44.84 ,$86.11 ,$19.13 ,$17.39 ,$46.88 ,$176.80 ,$89.08 ,$114.19 ,$58.24 ,$187.20 ,$208.00 ,$44.84 ,$180.96 ,$50.54 ,$208.00 ,$50.54 ,$47.84 ,$135.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$185.00 ,$133.20 ,$39.89 ,$185.00 ,$106.38 ,$116.55 ,$111.00 ,$39.89 ,$51.80 ,$107.30 ,$41.70 ,$112.85 ,$45.32 ,$101.57 ,$101.57 ,$47.14 ,$120.25 ,$82.21 ,$63.00 ,$96.25 ,$41.70 ,$39.89 ,$138.75 ,$131.35 ,$131.35 ,$41.70 ,$131.35 ,$160.95 ,$160.95 ,$160.95 , N/A ,$166.50 ,$106.38 ,$157.25 ,$39.89 ,$185.00 ,$103.79 ,$39.89 ,$76.59 ,$51.50 ,$46.82 ,$41.70 ,$157.25 ,$79.23 ,$101.57 ,$51.80 ,$166.50 ,$185.00 ,$39.89 ,$160.95 ,$77.00 ,$185.00 ,$77.00 ,$42.55 ,$120.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$280.00 ,$201.60 ,$17.39 ,$280.00 ,$161.00 ,$176.40 ,$168.00 ,$60.37 ,$78.40 ,$79.64 ,$63.11 ,$83.34 ,$68.60 ,$153.72 ,$153.72 ,$71.34 ,$182.00 ,$124.43 ,$18.90 ,$28.83 ,$63.11 ,$60.37 ,$210.00 ,$198.80 ,$198.80 ,$63.11 ,$198.80 ,$243.60 ,$243.60 ,$243.60 , N/A ,$252.00 ,$161.00 ,$238.00 ,$60.37 ,$280.00 ,$157.08 ,$60.37 ,$115.92 ,$19.13 ,$17.39 ,$63.11 ,$238.00 ,$119.91 ,$153.72 ,$78.40 ,$252.00 ,$280.00 ,$60.37 ,$243.60 ,$23.06 ,$280.00 ,$23.06 ,$64.40 ,$182.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$576.00 ,$414.72 ,$17.39 ,$576.00 ,$331.20 ,$362.88 ,$345.60 ,$124.19 ,$161.28 ,$124.61 ,$129.83 ,$130.41 ,$141.12 ,$316.22 ,$316.22 ,$146.76 ,$374.40 ,$255.97 ,$36.67 ,$55.43 ,$129.83 ,$124.19 ,$432.00 ,$408.96 ,$408.96 ,$129.83 ,$408.96 ,$501.12 ,$501.12 ,$501.12 , N/A ,$518.40 ,$331.20 ,$489.60 ,$124.19 ,$576.00 ,$323.14 ,$124.19 ,$238.46 ,$19.13 ,$17.39 ,$129.83 ,$489.60 ,$246.68 ,$316.22 ,$161.28 ,$518.40 ,$576.00 ,$124.19 ,$501.12 ,$44.34 ,$576.00 ,$44.34 ,$132.48 ,$374.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$301.00 ,$216.72 ,$17.39 ,$301.00 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$129.69 ,$67.85 ,$135.72 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$195.65 ,$133.76 ,$30.92 ,$46.98 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$19.13 ,$17.39 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$37.58 ,$301.00 ,$37.58 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101246,82670,HC ESTRADIOL-90,301,1 ,$153.00 ,$110.16 ,$32.99 ,$153.00 ,$87.98 ,$96.39 ,$91.80 ,$32.99 ,$42.84 ,$88.74 ,$34.49 ,$93.33 ,$37.48 ,$84.00 ,$84.00 ,$38.98 ,$99.45 ,$67.99 ,$45.83 ,$69.85 ,$34.49 ,$32.99 ,$114.75 ,$108.63 ,$108.63 ,$34.49 ,$108.63 ,$133.11 ,$133.11 ,$133.11 , N/A ,$137.70 ,$87.98 ,$130.05 ,$32.99 ,$153.00 ,$85.83 ,$32.99 ,$63.34 ,$44.78 ,$40.71 ,$34.49 ,$130.05 ,$65.52 ,$84.00 ,$42.84 ,$137.70 ,$153.00 ,$32.99 ,$133.11 ,$55.88 ,$153.00 ,$55.88 ,$35.19 ,$99.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$160.00 ,$115.20 ,$34.50 ,$160.00 ,$92.00 ,$100.80 ,$96.00 ,$34.50 ,$44.80 ,$92.80 ,$36.06 ,$97.60 ,$39.20 ,$87.84 ,$87.84 ,$40.77 ,$104.00 ,$71.10 ,$53.26 ,$80.75 ,$36.06 ,$34.50 ,$120.00 ,$113.60 ,$113.60 ,$36.06 ,$113.60 ,$139.20 ,$139.20 ,$139.20 , N/A ,$144.00 ,$92.00 ,$136.00 ,$34.50 ,$160.00 ,$89.76 ,$34.50 ,$66.24 ,$44.78 ,$40.71 ,$36.06 ,$136.00 ,$68.52 ,$87.84 ,$44.80 ,$144.00 ,$160.00 ,$34.50 ,$139.20 ,$64.60 ,$160.00 ,$64.60 ,$36.80 ,$104.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$114.00 ,$82.08 ,$24.58 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$66.12 ,$25.70 ,$69.54 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$74.10 ,$50.66 ,$35.51 ,$54.25 ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 ,$44.78 ,$40.71 ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 ,$43.40 ,$114.00 ,$43.40 ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101250,82677,HC ESTRIOL-90,301,1 ,$131.00 ,$94.32 ,$28.24 ,$131.00 ,$75.33 ,$82.53 ,$78.60 ,$28.24 ,$36.68 ,$75.98 ,$29.53 ,$79.91 ,$32.09 ,$71.92 ,$71.92 ,$33.38 ,$85.15 ,$58.22 ,$39.53 ,$60.45 ,$29.53 ,$28.24 ,$98.25 ,$93.01 ,$93.01 ,$29.53 ,$93.01 ,$113.97 ,$113.97 ,$113.97 , N/A ,$117.90 ,$75.33 ,$111.35 ,$28.24 ,$131.00 ,$73.49 ,$28.24 ,$54.23 ,$44.78 ,$40.71 ,$29.53 ,$111.35 ,$56.10 ,$71.92 ,$36.68 ,$117.90 ,$131.00 ,$28.24 ,$113.97 ,$48.36 ,$131.00 ,$48.36 ,$30.13 ,$85.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101251,82679,HC ESTRONE-90,301,1 ,$124.00 ,$89.28 ,$26.73 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$71.92 ,$27.95 ,$75.64 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$41.24 ,$62.38 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$44.78 ,$40.71 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$49.90 ,$124.00 ,$49.90 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$141.00 ,$101.52 ,$7.74 ,$141.00 ,$81.08 ,$88.83 ,$84.60 ,$30.40 ,$39.48 ,$35.17 ,$31.78 ,$36.81 ,$34.54 ,$77.41 ,$77.41 ,$35.93 ,$91.65 ,$62.66 ,$8.59 ,$12.75 ,$31.78 ,$30.40 ,$105.75 ,$100.11 ,$100.11 ,$31.78 ,$100.11 ,$122.67 ,$122.67 ,$122.67 , N/A ,$126.90 ,$81.08 ,$119.85 ,$30.40 ,$141.00 ,$79.10 ,$30.40 ,$58.37 ,$8.51 ,$7.74 ,$31.78 ,$119.85 ,$60.39 ,$77.41 ,$39.48 ,$126.90 ,$141.00 ,$30.40 ,$122.67 ,$10.20 ,$141.00 ,$10.20 ,$32.43 ,$91.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$280.00 ,$201.60 ,$10.80 ,$280.00 ,$161.00 ,$176.40 ,$168.00 ,$60.37 ,$78.40 ,$119.54 ,$63.11 ,$125.10 ,$68.60 ,$153.72 ,$153.72 ,$71.34 ,$182.00 ,$124.43 ,$29.21 ,$44.13 ,$63.11 ,$60.37 ,$210.00 ,$198.80 ,$198.80 ,$63.11 ,$198.80 ,$243.60 ,$243.60 ,$243.60 , N/A ,$252.00 ,$161.00 ,$238.00 ,$60.37 ,$280.00 ,$157.08 ,$60.37 ,$115.92 ,$11.88 ,$10.80 ,$63.11 ,$238.00 ,$119.91 ,$153.72 ,$78.40 ,$252.00 ,$280.00 ,$60.37 ,$243.60 ,$35.30 ,$280.00 ,$35.30 ,$64.40 ,$182.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$92.00 ,$66.24 ,$15.46 ,$92.00 ,$52.90 ,$57.96 ,$55.20 ,$19.84 ,$25.76 ,$53.36 ,$20.74 ,$56.12 ,$22.54 ,$50.51 ,$50.51 ,$23.44 ,$59.80 ,$40.88 ,$15.46 ,$23.25 ,$20.74 ,$19.84 ,$69.00 ,$65.32 ,$65.32 ,$20.74 ,$65.32 ,$80.04 ,$80.04 ,$80.04 , N/A ,$82.80 ,$52.90 ,$78.20 ,$19.84 ,$92.00 ,$51.61 ,$19.84 ,$38.09 ,$19.13 ,$17.39 ,$20.74 ,$78.20 ,$39.40 ,$50.51 ,$25.76 ,$82.80 ,$92.00 ,$19.84 ,$80.04 ,$18.60 ,$92.00 ,$18.60 ,$21.16 ,$59.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101263,82785,HC GAMMAGLOBULIN IGE-90,301,1 ,$180.00 ,$129.60 ,$17.39 ,$180.00 ,$103.50 ,$113.40 ,$108.00 ,$38.81 ,$50.40 ,$104.40 ,$40.57 ,$109.80 ,$44.10 ,$98.82 ,$98.82 ,$45.86 ,$117.00 ,$79.99 ,$26.93 ,$41.15 ,$40.57 ,$38.81 ,$135.00 ,$127.80 ,$127.80 ,$40.57 ,$127.80 ,$156.60 ,$156.60 ,$156.60 , N/A ,$162.00 ,$103.50 ,$153.00 ,$38.81 ,$180.00 ,$100.98 ,$38.81 ,$74.52 ,$19.13 ,$17.39 ,$40.57 ,$153.00 ,$77.09 ,$98.82 ,$50.40 ,$162.00 ,$180.00 ,$38.81 ,$156.60 ,$32.92 ,$180.00 ,$32.92 ,$41.40 ,$117.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$31.00 ,$22.32 ,$6.68 ,$31.00 ,$17.83 ,$19.53 ,$18.60 ,$6.68 ,$8.68 ,$17.98 ,$6.99 ,$18.91 ,$7.59 ,$17.02 ,$17.02 ,$7.90 ,$20.15 ,$13.78 ,$13.18 ,$20.05 ,$6.99 ,$6.68 ,$23.25 ,$22.01 ,$22.01 ,$6.99 ,$22.01 ,$26.97 ,$26.97 ,$26.97 , N/A ,$27.90 ,$17.83 ,$26.35 ,$6.68 ,$31.00 ,$17.39 ,$6.68 ,$12.83 ,$29.54 ,$26.85 ,$6.99 ,$26.35 ,$13.28 ,$17.02 ,$8.68 ,$27.90 ,$31.00 ,$6.68 ,$26.97 ,$16.04 ,$31.00 ,$16.04 ,$7.13 ,$20.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101268,82941,HC GASTRIN-90,301,1 ,$116.00 ,$83.52 ,$25.01 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$67.28 ,$26.15 ,$70.76 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$29.21 ,$44.08 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$44.78 ,$40.71 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$35.26 ,$116.00 ,$35.26 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101269,82945,HC GLUCOSE BODY FLUID-90,301,1 ,$197.00 ,$141.84 ,$6.30 ,$197.00 ,$113.28 ,$124.11 ,$118.20 ,$42.47 ,$55.16 ,$36.72 ,$44.40 ,$38.43 ,$48.26 ,$108.15 ,$108.15 ,$50.20 ,$128.05 ,$87.55 ,$6.30 ,$9.83 ,$44.40 ,$42.47 ,$147.75 ,$139.87 ,$139.87 ,$44.40 ,$139.87 ,$171.39 ,$171.39 ,$171.39 , N/A ,$177.30 ,$113.28 ,$167.45 ,$42.47 ,$197.00 ,$110.52 ,$42.47 ,$81.56 ,$8.51 ,$7.74 ,$44.40 ,$167.45 ,$84.37 ,$108.15 ,$55.16 ,$177.30 ,$197.00 ,$42.47 ,$171.39 ,$7.86 ,$197.00 ,$7.86 ,$45.31 ,$128.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101275,82977,HC GGT/GGTP-90,301,1 ,$93.00 ,$66.96 ,$7.74 ,$93.00 ,$53.48 ,$58.59 ,$55.80 ,$20.05 ,$26.04 ,$53.94 ,$20.96 ,$56.73 ,$22.78 ,$51.06 ,$51.06 ,$23.70 ,$60.45 ,$41.33 ,$12.02 ,$18.00 ,$20.96 ,$20.05 ,$69.75 ,$66.03 ,$66.03 ,$20.96 ,$66.03 ,$80.91 ,$80.91 ,$80.91 , N/A ,$83.70 ,$53.48 ,$79.05 ,$20.05 ,$93.00 ,$52.17 ,$20.05 ,$38.50 ,$8.51 ,$7.74 ,$20.96 ,$79.05 ,$39.83 ,$51.06 ,$26.04 ,$83.70 ,$93.00 ,$20.05 ,$80.91 ,$14.40 ,$93.00 ,$14.40 ,$21.39 ,$60.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$178.00 ,$128.16 ,$17.39 ,$178.00 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$27.49 ,$41.90 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$19.13 ,$17.39 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$33.52 ,$178.00 ,$33.52 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$52.00 ,$35.55 ,$27.49 ,$41.68 ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$44.78 ,$40.71 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$33.34 ,$80.00 ,$33.34 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101281,83010,HC HAPTOGLOBIN-90,301,1 ,$124.00 ,$89.28 ,$17.39 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$71.92 ,$27.95 ,$75.64 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$20.63 ,$31.45 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$19.13 ,$17.39 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$25.16 ,$124.00 ,$25.16 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101282,83013,HC H PYLORI BREATH TEST-90,301,1 ,$246.00 ,$177.12 ,$46.82 ,$246.00 ,$141.45 ,$154.98 ,$147.60 ,$53.04 ,$68.88 ,$142.68 ,$55.45 ,$150.06 ,$60.27 ,$135.05 ,$135.05 ,$62.68 ,$159.90 ,$109.32 ,$110.56 ,$168.40 ,$55.45 ,$53.04 ,$184.50 ,$174.66 ,$174.66 ,$55.45 ,$174.66 ,$214.02 ,$214.02 ,$214.02 , N/A ,$221.40 ,$141.45 ,$209.10 ,$53.04 ,$246.00 ,$138.01 ,$53.04 ,$101.84 ,$51.50 ,$46.82 ,$55.45 ,$209.10 ,$105.35 ,$135.05 ,$68.88 ,$221.40 ,$246.00 ,$53.04 ,$214.02 ,$134.72 ,$246.00 ,$134.72 ,$56.58 ,$159.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$116.00 ,$83.52 ,$21.21 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$67.28 ,$26.15 ,$70.76 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$36.09 ,$54.90 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$23.33 ,$21.21 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$43.92 ,$116.00 ,$43.92 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101284,83020,HC HGB ELECTROPHORESIS-90,301,1 ,$63.00 ,$45.36 ,$13.58 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$36.54 ,$14.20 ,$38.43 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$17.53 ,$28.00 ,$21.19 ,$32.18 ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 ,$19.13 ,$17.39 ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$25.74 ,$63.00 ,$25.74 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101285,83021,HC HEMOGLOBIN FRACT QN-90,301,1 ,$97.00 ,$69.84 ,$16.44 ,$97.00 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$56.26 ,$21.86 ,$59.17 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$29.79 ,$45.15 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$18.08 ,$16.44 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$36.12 ,$97.00 ,$36.12 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101289,83051,HC HEMOGLOBIN PLASMA-90,301,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$12.02 ,$18.28 ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 ,$19.13 ,$17.39 ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$14.62 ,$45.00 ,$14.62 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$198.00 ,$142.56 ,$29.21 ,$198.00 ,$113.85 ,$124.74 ,$118.80 ,$42.69 ,$55.44 ,$114.84 ,$44.63 ,$120.78 ,$48.51 ,$108.70 ,$108.70 ,$50.45 ,$128.70 ,$87.99 ,$29.21 ,$44.80 ,$44.63 ,$42.69 ,$148.50 ,$140.58 ,$140.58 ,$44.63 ,$140.58 ,$172.26 ,$172.26 ,$172.26 , N/A ,$178.20 ,$113.85 ,$168.30 ,$42.69 ,$198.00 ,$111.08 ,$42.69 ,$81.97 ,$44.78 ,$40.71 ,$44.63 ,$168.30 ,$84.80 ,$108.70 ,$55.44 ,$178.20 ,$198.00 ,$42.69 ,$172.26 ,$35.84 ,$198.00 ,$35.84 ,$45.54 ,$128.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$74.00 ,$53.28 ,$15.95 ,$74.00 ,$42.55 ,$46.62 ,$44.40 ,$15.95 ,$20.72 ,$42.92 ,$16.68 ,$45.14 ,$18.13 ,$40.63 ,$40.63 ,$18.86 ,$48.10 ,$32.89 ,$21.19 ,$32.25 ,$16.68 ,$15.95 ,$55.50 ,$52.54 ,$52.54 ,$16.68 ,$52.54 ,$64.38 ,$64.38 ,$64.38 , N/A ,$66.60 ,$42.55 ,$62.90 ,$15.95 ,$74.00 ,$41.51 ,$15.95 ,$30.64 ,$25.75 ,$23.41 ,$16.68 ,$62.90 ,$31.69 ,$40.63 ,$20.72 ,$66.60 ,$74.00 ,$15.95 ,$64.38 ,$25.80 ,$74.00 ,$25.80 ,$17.02 ,$48.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$88.00 ,$63.36 ,$18.97 ,$88.00 ,$50.60 ,$55.44 ,$52.80 ,$18.97 ,$24.64 ,$51.04 ,$19.84 ,$53.68 ,$21.56 ,$48.31 ,$48.31 ,$22.42 ,$57.20 ,$39.11 ,$44.68 ,$67.93 ,$19.84 ,$18.97 ,$66.00 ,$62.48 ,$62.48 ,$19.84 ,$62.48 ,$76.56 ,$76.56 ,$76.56 , N/A ,$79.20 ,$50.60 ,$74.80 ,$18.97 ,$88.00 ,$49.37 ,$18.97 ,$36.43 ,$44.78 ,$40.71 ,$19.84 ,$74.80 ,$37.69 ,$48.31 ,$24.64 ,$79.20 ,$88.00 ,$18.97 ,$76.56 ,$54.34 ,$88.00 ,$54.34 ,$20.24 ,$57.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$129.00 ,$92.88 ,$15.58 ,$129.00 ,$74.18 ,$81.27 ,$77.40 ,$27.81 ,$36.12 ,$74.82 ,$29.08 ,$78.69 ,$31.60 ,$70.82 ,$70.82 ,$32.87 ,$83.85 ,$57.33 ,$18.90 ,$28.83 ,$29.08 ,$27.81 ,$96.75 ,$91.59 ,$91.59 ,$29.08 ,$91.59 ,$112.23 ,$112.23 ,$112.23 , N/A ,$116.10 ,$74.18 ,$109.65 ,$27.81 ,$129.00 ,$72.37 ,$27.81 ,$53.41 ,$17.14 ,$15.58 ,$29.08 ,$109.65 ,$55.24 ,$70.82 ,$36.12 ,$116.10 ,$129.00 ,$27.81 ,$112.23 ,$23.06 ,$129.00 ,$23.06 ,$29.67 ,$83.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101302,83519,HC QN RIA-90,301,1 ,$180.00 ,$129.60 ,$15.58 ,$180.00 ,$103.50 ,$113.40 ,$108.00 ,$38.81 ,$50.40 ,$102.86 ,$40.57 ,$107.64 ,$44.10 ,$98.82 ,$98.82 ,$45.86 ,$117.00 ,$79.99 ,$30.37 ,$46.00 ,$40.57 ,$38.81 ,$135.00 ,$127.80 ,$127.80 ,$40.57 ,$127.80 ,$156.60 ,$156.60 ,$156.60 , N/A ,$162.00 ,$103.50 ,$153.00 ,$38.81 ,$180.00 ,$100.98 ,$38.81 ,$74.52 ,$17.14 ,$15.58 ,$40.57 ,$153.00 ,$77.09 ,$98.82 ,$50.40 ,$162.00 ,$180.00 ,$38.81 ,$156.60 ,$36.80 ,$180.00 ,$36.80 ,$41.40 ,$117.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$135.00 ,$97.20 ,$15.58 ,$135.00 ,$77.63 ,$85.05 ,$81.00 ,$29.11 ,$37.80 ,$78.30 ,$30.43 ,$82.35 ,$33.07 ,$74.12 ,$74.12 ,$34.40 ,$87.75 ,$59.99 ,$28.06 ,$43.18 ,$30.43 ,$29.11 ,$101.25 ,$95.85 ,$95.85 ,$30.43 ,$95.85 ,$117.45 ,$117.45 ,$117.45 , N/A ,$121.50 ,$77.63 ,$114.75 ,$29.11 ,$135.00 ,$75.74 ,$29.11 ,$55.89 ,$17.14 ,$15.58 ,$30.43 ,$114.75 ,$57.82 ,$74.12 ,$37.80 ,$121.50 ,$135.00 ,$29.11 ,$117.45 ,$34.54 ,$135.00 ,$34.54 ,$31.05 ,$87.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101305,83520,HC IMMUNOASSAY QN OTHER MBL-90,301,1 ,$200.00 ,$144.00 ,$15.58 ,$200.00 ,$115.00 ,$126.00 ,$120.00 ,$43.12 ,$56.00 ,$116.00 ,$45.08 ,$122.00 ,$49.00 ,$109.80 ,$109.80 ,$50.96 ,$130.00 ,$88.88 ,$28.06 ,$43.18 ,$45.08 ,$43.12 ,$150.00 ,$142.00 ,$142.00 ,$45.08 ,$142.00 ,$174.00 ,$174.00 ,$174.00 , N/A ,$180.00 ,$115.00 ,$170.00 ,$43.12 ,$200.00 ,$112.20 ,$43.12 ,$82.80 ,$17.14 ,$15.58 ,$45.08 ,$170.00 ,$85.65 ,$109.80 ,$56.00 ,$180.00 ,$200.00 ,$43.12 ,$174.00 ,$34.54 ,$200.00 ,$34.54 ,$46.00 ,$130.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101306,83520,HC IMMUNOASSAY QN ENZYME-90,301,1 ,$384.00 ,$276.48 ,$15.58 ,$384.00 ,$220.80 ,$241.92 ,$230.40 ,$82.79 ,$107.52 ,$130.72 ,$86.55 ,$136.80 ,$94.08 ,$210.82 ,$210.82 ,$97.84 ,$249.60 ,$170.65 ,$28.06 ,$43.18 ,$86.55 ,$82.79 ,$288.00 ,$272.64 ,$272.64 ,$86.55 ,$272.64 ,$334.08 ,$334.08 ,$334.08 , N/A ,$345.60 ,$220.80 ,$326.40 ,$82.79 ,$384.00 ,$215.42 ,$82.79 ,$158.98 ,$17.14 ,$15.58 ,$86.55 ,$326.40 ,$164.45 ,$210.82 ,$107.52 ,$345.60 ,$384.00 ,$82.79 ,$334.08 ,$34.54 ,$384.00 ,$34.54 ,$88.32 ,$249.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101307,83525,HC INSULIN TOTAL-90,301,1 ,$141.00 ,$101.52 ,$18.90 ,$141.00 ,$81.08 ,$88.83 ,$84.60 ,$30.40 ,$39.48 ,$78.86 ,$31.78 ,$82.53 ,$34.54 ,$77.41 ,$77.41 ,$35.93 ,$91.65 ,$62.66 ,$18.90 ,$28.58 ,$31.78 ,$30.40 ,$105.75 ,$100.11 ,$100.11 ,$31.78 ,$100.11 ,$122.67 ,$122.67 ,$122.67 , N/A ,$126.90 ,$81.08 ,$119.85 ,$30.40 ,$141.00 ,$79.10 ,$30.40 ,$58.37 ,$25.75 ,$23.41 ,$31.78 ,$119.85 ,$60.39 ,$77.41 ,$39.48 ,$126.90 ,$141.00 ,$30.40 ,$122.67 ,$22.86 ,$141.00 ,$22.86 ,$32.43 ,$91.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101308,83527,HC INSULIN FREE-90,301,1 ,$110.00 ,$79.20 ,$21.19 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 ,$21.19 ,$32.38 ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$44.78 ,$40.71 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$25.90 ,$110.00 ,$25.90 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101310,83586,HC KETOSTEROIDS (17-KS)-90,301,1 ,$50.00 ,$36.00 ,$10.78 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$21.19 ,$32.00 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$25.75 ,$23.41 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$25.60 ,$50.00 ,$25.60 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101311,83605,HC LACTATE/LACTIC ACID-90,301,1 ,$175.00 ,$126.00 ,$17.39 ,$175.00 ,$100.63 ,$110.25 ,$105.00 ,$37.73 ,$49.00 ,$99.85 ,$39.44 ,$104.49 ,$42.87 ,$96.08 ,$96.08 ,$44.59 ,$113.75 ,$77.77 ,$18.90 ,$28.93 ,$39.44 ,$37.73 ,$131.25 ,$124.25 ,$124.25 ,$39.44 ,$124.25 ,$152.25 ,$152.25 ,$152.25 , N/A ,$157.50 ,$100.63 ,$148.75 ,$37.73 ,$175.00 ,$98.18 ,$37.73 ,$72.45 ,$19.13 ,$17.39 ,$39.44 ,$148.75 ,$74.95 ,$96.08 ,$49.00 ,$157.50 ,$175.00 ,$37.73 ,$152.25 ,$23.14 ,$175.00 ,$23.14 ,$40.25 ,$113.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$116.00 ,$83.52 ,$7.74 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$41.62 ,$26.15 ,$43.56 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$9.74 ,$15.10 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$8.51 ,$7.74 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$12.08 ,$116.00 ,$12.08 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$163.00 ,$117.36 ,$17.39 ,$163.00 ,$93.73 ,$102.69 ,$97.80 ,$35.14 ,$45.64 ,$88.32 ,$36.74 ,$92.43 ,$39.93 ,$89.49 ,$89.49 ,$41.53 ,$105.95 ,$72.44 ,$21.19 ,$31.98 ,$36.74 ,$35.14 ,$122.25 ,$115.73 ,$115.73 ,$36.74 ,$115.73 ,$141.81 ,$141.81 ,$141.81 , N/A ,$146.70 ,$93.73 ,$138.55 ,$35.14 ,$163.00 ,$91.44 ,$35.14 ,$67.48 ,$19.13 ,$17.39 ,$36.74 ,$138.55 ,$69.81 ,$89.49 ,$45.64 ,$146.70 ,$163.00 ,$35.14 ,$141.81 ,$25.58 ,$163.00 ,$25.58 ,$37.49 ,$105.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101314,83630,HC LACTOGEN FECAL QL-90,301,1 ,$159.00 ,$114.48 ,$17.39 ,$159.00 ,$91.43 ,$100.17 ,$95.40 ,$34.28 ,$44.52 ,$92.22 ,$35.84 ,$96.99 ,$38.95 ,$87.29 ,$87.29 ,$40.51 ,$103.35 ,$70.66 ,$32.08 ,$49.25 ,$35.84 ,$34.28 ,$119.25 ,$112.89 ,$112.89 ,$35.84 ,$112.89 ,$138.33 ,$138.33 ,$138.33 , N/A ,$143.10 ,$91.43 ,$135.15 ,$34.28 ,$159.00 ,$89.20 ,$34.28 ,$65.83 ,$19.13 ,$17.39 ,$35.84 ,$135.15 ,$68.09 ,$87.29 ,$44.52 ,$143.10 ,$159.00 ,$34.28 ,$138.33 ,$39.40 ,$159.00 ,$39.40 ,$36.57 ,$103.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101316,83655,HC LEAD-90,301,1 ,$113.00 ,$81.36 ,$20.05 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$73.45 ,$50.22 ,$20.05 ,$30.28 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$23.33 ,$21.21 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$24.22 ,$113.00 ,$24.22 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101319,83695,HC LIPOPROTEIN-90,301,1 ,$25.00 ,$18.00 ,$5.39 ,$35.80 ,$14.38 ,$15.75 ,$15.00 ,$5.39 ,$7.00 ,$14.50 ,$5.63 ,$15.25 ,$6.12 ,$13.73 ,$13.73 ,$6.37 ,$16.25 ,$11.11 ,$23.49 ,$35.80 ,$5.63 ,$5.39 ,$18.75 ,$17.75 ,$17.75 ,$5.63 ,$17.75 ,$21.75 ,$21.75 ,$21.75 , N/A ,$22.50 ,$14.38 ,$21.25 ,$5.39 ,$25.00 ,$14.03 ,$5.39 ,$10.35 ,$19.13 ,$17.39 ,$5.63 ,$21.25 ,$10.71 ,$13.73 ,$7.00 ,$22.50 ,$25.00 ,$5.39 ,$21.75 ,$25.00 ,$25.00 ,$25.00 ,$5.75 ,$16.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101322,83704,HC NMR LIPOPROFILE LIP-90,301,1 ,$133.00 ,$95.76 ,$28.67 ,$133.00 ,$76.48 ,$83.79 ,$79.80 ,$28.67 ,$37.24 ,$77.14 ,$29.98 ,$81.13 ,$32.58 ,$73.02 ,$73.02 ,$33.89 ,$86.45 ,$59.11 ,$56.14 ,$85.48 ,$29.98 ,$28.67 ,$99.75 ,$94.43 ,$94.43 ,$29.98 ,$94.43 ,$115.71 ,$115.71 ,$115.71 , N/A ,$119.70 ,$76.48 ,$113.05 ,$28.67 ,$133.00 ,$74.61 ,$28.67 ,$55.06 ,$51.50 ,$46.82 ,$29.98 ,$113.05 ,$56.96 ,$73.02 ,$37.24 ,$119.70 ,$133.00 ,$28.67 ,$115.71 ,$68.38 ,$133.00 ,$68.38 ,$30.59 ,$86.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101325,80335,HC ANTIDEPRESSANTS TRYCLIC 1-2 -90,301,1 ,$52.00 ,$37.44 ,$11.21 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 , N/A ,$11.72 , N/A ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$36.40 , N/A ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$51.50 ,$46.82 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 , N/A ,$52.00 , N/A ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101326,83735,HC MAGNESIUM-90,301,1 ,$52.00 ,$37.44 ,$7.74 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$10.89 ,$16.75 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$13.40 ,$52.00 ,$13.40 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101327,83785,HC MANGANESE-90,301,1 ,$142.00 ,$102.24 ,$21.21 ,$142.00 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$82.36 ,$32.01 ,$86.62 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$92.30 ,$63.10 ,$43.54 ,$66.63 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$142.00 ,$79.66 ,$30.62 ,$58.79 ,$23.33 ,$21.21 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$53.30 ,$142.00 ,$53.30 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101328,83789,HC MASS SPEC QN EACH-90,301,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$39.53 ,$60.28 ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 ,$19.13 ,$17.39 ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$48.22 ,$75.00 ,$48.22 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101329,83825,HC MERCURY-90,301,1 ,$39.00 ,$28.08 ,$8.41 ,$40.65 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$25.35 ,$17.33 ,$26.93 ,$40.65 ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 ,$23.33 ,$21.21 ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$32.52 ,$39.00 ,$32.52 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101330,83835,HC METANEPHRINES-90,301,1 ,$184.00 ,$132.48 ,$28.06 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$28.06 ,$42.35 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$44.78 ,$40.71 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$33.88 ,$184.00 ,$33.88 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$58.00 ,$41.76 ,$12.50 ,$58.00 ,$33.35 ,$36.54 ,$34.80 ,$12.50 ,$16.24 ,$33.64 ,$13.07 ,$35.38 ,$14.21 ,$31.84 ,$31.84 ,$14.78 ,$37.70 ,$25.78 ,$28.06 ,$43.00 ,$13.07 ,$12.50 ,$43.50 ,$41.18 ,$41.18 ,$13.07 ,$41.18 ,$50.46 ,$50.46 ,$50.46 , N/A ,$52.20 ,$33.35 ,$49.30 ,$12.50 ,$58.00 ,$32.54 ,$12.50 ,$24.01 ,$19.13 ,$17.39 ,$13.07 ,$49.30 ,$24.84 ,$31.84 ,$16.24 ,$52.20 ,$58.00 ,$12.50 ,$50.46 ,$34.40 ,$58.00 ,$34.40 ,$13.34 ,$37.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101334,83874,HC MYOGLOBIN-90,301,1 ,$127.00 ,$91.44 ,$17.39 ,$127.00 ,$73.03 ,$80.01 ,$76.20 ,$27.38 ,$35.56 ,$73.66 ,$28.63 ,$77.47 ,$31.11 ,$69.72 ,$69.72 ,$32.36 ,$82.55 ,$56.44 ,$21.19 ,$32.30 ,$28.63 ,$27.38 ,$95.25 ,$90.17 ,$90.17 ,$28.63 ,$90.17 ,$110.49 ,$110.49 ,$110.49 , N/A ,$114.30 ,$73.03 ,$107.95 ,$27.38 ,$127.00 ,$71.25 ,$27.38 ,$52.58 ,$19.13 ,$17.39 ,$28.63 ,$107.95 ,$54.39 ,$69.72 ,$35.56 ,$114.30 ,$127.00 ,$27.38 ,$110.49 ,$25.84 ,$127.00 ,$25.84 ,$29.21 ,$82.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$135.00 ,$97.20 ,$22.34 ,$135.00 ,$77.63 ,$85.05 ,$81.00 ,$29.11 ,$37.80 ,$78.30 ,$30.43 ,$82.35 ,$33.07 ,$74.12 ,$74.12 ,$34.40 ,$87.75 ,$59.99 ,$22.34 ,$34.00 ,$30.43 ,$29.11 ,$101.25 ,$95.85 ,$95.85 ,$30.43 ,$95.85 ,$117.45 ,$117.45 ,$117.45 , N/A ,$121.50 ,$77.63 ,$114.75 ,$29.11 ,$135.00 ,$75.74 ,$29.11 ,$55.89 ,$29.54 ,$26.85 ,$30.43 ,$114.75 ,$57.82 ,$74.12 ,$37.80 ,$121.50 ,$135.00 ,$29.11 ,$117.45 ,$27.20 ,$135.00 ,$27.20 ,$31.05 ,$87.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$102.00 ,$73.44 ,$17.39 ,$102.00 ,$58.65 ,$64.26 ,$61.20 ,$21.99 ,$28.56 ,$59.16 ,$22.99 ,$62.22 ,$24.99 ,$56.00 ,$56.00 ,$25.99 ,$66.30 ,$45.33 ,$18.32 ,$27.88 ,$22.99 ,$21.99 ,$76.50 ,$72.42 ,$72.42 ,$22.99 ,$72.42 ,$88.74 ,$88.74 ,$88.74 , N/A ,$91.80 ,$58.65 ,$86.70 ,$21.99 ,$102.00 ,$57.22 ,$21.99 ,$42.23 ,$19.13 ,$17.39 ,$22.99 ,$86.70 ,$43.68 ,$56.00 ,$28.56 ,$91.80 ,$102.00 ,$21.99 ,$88.74 ,$22.30 ,$102.00 ,$22.30 ,$23.46 ,$66.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$86.00 ,$61.92 ,$17.39 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$55.90 ,$38.22 ,$44.68 ,$68.48 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$19.13 ,$17.39 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$54.78 ,$86.00 ,$54.78 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$160.00 ,$115.20 ,$21.21 ,$160.00 ,$92.00 ,$100.80 ,$96.00 ,$34.50 ,$44.80 ,$92.80 ,$36.06 ,$97.60 ,$39.20 ,$87.84 ,$87.84 ,$40.77 ,$104.00 ,$71.10 ,$38.95 ,$59.00 ,$36.06 ,$34.50 ,$120.00 ,$113.60 ,$113.60 ,$36.06 ,$113.60 ,$139.20 ,$139.20 ,$139.20 , N/A ,$144.00 ,$92.00 ,$136.00 ,$34.50 ,$160.00 ,$89.76 ,$34.50 ,$66.24 ,$23.33 ,$21.21 ,$36.06 ,$136.00 ,$68.52 ,$87.84 ,$44.80 ,$144.00 ,$160.00 ,$34.50 ,$139.20 ,$47.20 ,$160.00 ,$47.20 ,$36.80 ,$104.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101344,83937,HC OSTEOCALCIN-90,301,1 ,$304.00 ,$218.88 ,$40.71 ,$304.00 ,$174.80 ,$191.52 ,$182.40 ,$65.54 ,$85.12 ,$176.32 ,$68.52 ,$185.44 ,$74.48 ,$166.90 ,$166.90 ,$77.46 ,$197.60 ,$135.10 ,$49.27 ,$74.63 ,$68.52 ,$65.54 ,$228.00 ,$215.84 ,$215.84 ,$68.52 ,$215.84 ,$264.48 ,$264.48 ,$264.48 , N/A ,$273.60 ,$174.80 ,$258.40 ,$65.54 ,$304.00 ,$170.54 ,$65.54 ,$125.86 ,$44.78 ,$40.71 ,$68.52 ,$258.40 ,$130.19 ,$166.90 ,$85.12 ,$273.60 ,$304.00 ,$65.54 ,$264.48 ,$59.70 ,$304.00 ,$59.70 ,$69.92 ,$197.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101345,83945,HC OXALATE-90,301,1 ,$52.00 ,$37.44 ,$11.21 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$23.49 ,$36.13 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$19.13 ,$17.39 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$28.90 ,$52.00 ,$28.90 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101348,83986,HC PH BODY FLUID NOT BLOOD-90,301,1 ,$52.00 ,$37.44 ,$5.72 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$5.72 ,$8.95 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$7.16 ,$52.00 ,$7.16 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$79.00 ,$56.88 ,$17.03 ,$79.00 ,$45.43 ,$49.77 ,$47.40 ,$17.03 ,$22.12 ,$45.82 ,$17.81 ,$48.19 ,$19.35 ,$43.37 ,$43.37 ,$20.13 ,$51.35 ,$35.11 ,$32.08 ,$49.08 ,$17.81 ,$17.03 ,$59.25 ,$56.09 ,$56.09 ,$17.81 ,$56.09 ,$68.73 ,$68.73 ,$68.73 , N/A ,$71.10 ,$45.43 ,$67.15 ,$17.03 ,$79.00 ,$44.32 ,$17.03 ,$32.71 ,$19.13 ,$17.39 ,$17.81 ,$67.15 ,$33.83 ,$43.37 ,$22.12 ,$71.10 ,$79.00 ,$17.03 ,$68.73 ,$39.26 ,$79.00 ,$39.26 ,$18.17 ,$51.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$85.00 ,$61.20 ,$7.74 ,$85.00 ,$48.88 ,$53.55 ,$51.00 ,$18.33 ,$23.80 ,$48.33 ,$19.16 ,$50.58 ,$20.82 ,$46.67 ,$46.67 ,$21.66 ,$55.25 ,$37.77 ,$8.59 ,$12.95 ,$19.16 ,$18.33 ,$63.75 ,$60.35 ,$60.35 ,$19.16 ,$60.35 ,$73.95 ,$73.95 ,$73.95 , N/A ,$76.50 ,$48.88 ,$72.25 ,$18.33 ,$85.00 ,$47.69 ,$18.33 ,$35.19 ,$8.51 ,$7.74 ,$19.16 ,$72.25 ,$36.41 ,$46.67 ,$23.80 ,$76.50 ,$85.00 ,$18.33 ,$73.95 ,$10.36 ,$85.00 ,$10.36 ,$19.55 ,$55.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$114.00 ,$82.08 ,$17.39 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$66.12 ,$25.70 ,$69.54 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$74.10 ,$50.66 ,$24.07 ,$36.95 ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 ,$19.13 ,$17.39 ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 ,$29.56 ,$114.00 ,$29.56 ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101358,84105,HC PHOSPHORUS URINE-90,301,1 ,$52.00 ,$37.44 ,$7.74 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$9.74 ,$14.45 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$11.56 ,$52.00 ,$11.56 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101364,84133,HC POTASSIUM URINE-90,301,1 ,$52.00 ,$37.44 ,$7.74 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$29.76 ,$11.72 ,$31.14 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$8.03 ,$11.83 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$9.46 ,$52.00 ,$9.46 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101365,84134,HC PREALBUMIN-90,301,1 ,$120.00 ,$86.40 ,$17.39 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$24.07 ,$36.48 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$19.13 ,$17.39 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$29.18 ,$120.00 ,$29.18 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101366,84140,HC PREGNENOLONE-90,301,1 ,$108.00 ,$77.76 ,$23.28 ,$108.00 ,$62.10 ,$68.04 ,$64.80 ,$23.28 ,$30.24 ,$62.64 ,$24.34 ,$65.88 ,$26.46 ,$59.29 ,$59.29 ,$27.52 ,$70.20 ,$48.00 ,$33.80 ,$51.68 ,$24.34 ,$23.28 ,$81.00 ,$76.68 ,$76.68 ,$24.34 ,$76.68 ,$93.96 ,$93.96 ,$93.96 , N/A ,$97.20 ,$62.10 ,$91.80 ,$23.28 ,$108.00 ,$60.59 ,$23.28 ,$44.71 ,$44.78 ,$40.71 ,$24.34 ,$91.80 ,$46.26 ,$59.29 ,$30.24 ,$97.20 ,$108.00 ,$23.28 ,$93.96 ,$41.34 ,$108.00 ,$41.34 ,$24.84 ,$70.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101368,84144,HC PROGESTERONE-90,301,1 ,$194.00 ,$139.68 ,$23.41 ,$194.00 ,$111.55 ,$122.22 ,$116.40 ,$41.83 ,$54.32 ,$112.52 ,$43.73 ,$118.34 ,$47.53 ,$106.51 ,$106.51 ,$49.43 ,$126.10 ,$86.21 ,$34.36 ,$52.15 ,$43.73 ,$41.83 ,$145.50 ,$137.74 ,$137.74 ,$43.73 ,$137.74 ,$168.78 ,$168.78 ,$168.78 , N/A ,$174.60 ,$111.55 ,$164.90 ,$41.83 ,$194.00 ,$108.83 ,$41.83 ,$80.32 ,$25.75 ,$23.41 ,$43.73 ,$164.90 ,$83.08 ,$106.51 ,$54.32 ,$174.60 ,$194.00 ,$41.83 ,$168.78 ,$41.72 ,$194.00 ,$41.72 ,$44.62 ,$126.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101372,84155,HC PROTEIN TOTAL-90,301,1 ,$85.00 ,$61.20 ,$6.30 ,$85.00 ,$48.88 ,$53.55 ,$51.00 ,$18.33 ,$23.80 ,$34.31 ,$19.16 ,$35.91 ,$20.82 ,$46.67 ,$46.67 ,$21.66 ,$55.25 ,$37.77 ,$6.30 ,$9.18 ,$19.16 ,$18.33 ,$63.75 ,$60.35 ,$60.35 ,$19.16 ,$60.35 ,$73.95 ,$73.95 ,$73.95 , N/A ,$76.50 ,$48.88 ,$72.25 ,$18.33 ,$85.00 ,$47.69 ,$18.33 ,$35.19 ,$8.51 ,$7.74 ,$19.16 ,$72.25 ,$36.41 ,$46.67 ,$23.80 ,$76.50 ,$85.00 ,$18.33 ,$73.95 ,$7.34 ,$85.00 ,$7.34 ,$19.55 ,$55.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$98.00 ,$70.56 ,$6.30 ,$98.00 ,$56.35 ,$61.74 ,$58.80 ,$21.13 ,$27.44 ,$25.28 ,$22.09 ,$26.46 ,$24.01 ,$53.80 ,$53.80 ,$24.97 ,$63.70 ,$43.55 ,$6.30 ,$9.18 ,$22.09 ,$21.13 ,$73.50 ,$69.58 ,$69.58 ,$22.09 ,$69.58 ,$85.26 ,$85.26 ,$85.26 , N/A ,$88.20 ,$56.35 ,$83.30 ,$21.13 ,$98.00 ,$54.98 ,$21.13 ,$40.57 ,$8.51 ,$7.74 ,$22.09 ,$83.30 ,$41.97 ,$53.80 ,$27.44 ,$88.20 ,$98.00 ,$21.13 ,$85.26 ,$7.34 ,$98.00 ,$7.34 ,$22.54 ,$63.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101374,84157,HC PROTEIN TOTAL OTH SRC-90,301,1 ,$138.00 ,$99.36 ,$6.30 ,$138.00 ,$79.35 ,$86.94 ,$82.80 ,$29.75 ,$38.64 ,$34.31 ,$31.11 ,$35.91 ,$33.81 ,$75.76 ,$75.76 ,$35.16 ,$89.70 ,$61.33 ,$6.30 ,$10.00 ,$31.11 ,$29.75 ,$103.50 ,$97.98 ,$97.98 ,$31.11 ,$97.98 ,$120.06 ,$120.06 ,$120.06 , N/A ,$124.20 ,$79.35 ,$117.30 ,$29.75 ,$138.00 ,$77.42 ,$29.75 ,$57.13 ,$8.51 ,$7.74 ,$31.11 ,$117.30 ,$59.10 ,$75.76 ,$38.64 ,$124.20 ,$138.00 ,$29.75 ,$120.06 ,$8.00 ,$138.00 ,$8.00 ,$31.74 ,$89.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101375,84165,HC PROTEIN ELECTROPHORESIS-90,301,1 ,$142.00 ,$102.24 ,$17.39 ,$142.00 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$74.13 ,$32.01 ,$77.58 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$17.53 ,$63.10 ,$17.75 ,$26.85 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$142.00 ,$79.66 ,$30.62 ,$58.79 ,$19.13 ,$17.39 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$21.48 ,$142.00 ,$21.48 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101377,84166,HC PROTEIN EP OTH FLUID-90,301,1 ,$40.00 ,$28.80 ,$8.62 ,$44.58 ,$23.00 ,$25.20 ,$24.00 ,$8.62 ,$11.20 ,$23.20 ,$9.02 ,$24.40 ,$9.80 ,$21.96 ,$21.96 ,$10.19 ,$17.53 ,$17.78 ,$29.21 ,$44.58 ,$9.02 ,$8.62 ,$30.00 ,$28.40 ,$28.40 ,$9.02 ,$28.40 ,$34.80 ,$34.80 ,$34.80 , N/A ,$36.00 ,$23.00 ,$34.00 ,$8.62 ,$40.00 ,$22.44 ,$8.62 ,$16.56 ,$19.13 ,$17.39 ,$9.02 ,$34.00 ,$17.13 ,$21.96 ,$11.20 ,$36.00 ,$40.00 ,$8.62 ,$34.80 ,$35.66 ,$40.00 ,$35.66 ,$9.20 ,$26.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101379,84181,HC PROTEIN WESTERN BLOT-90,301,1 ,$116.00 ,$83.52 ,$15.58 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$67.28 ,$26.15 ,$70.76 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$17.53 ,$51.55 ,$28.06 ,$42.58 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$17.14 ,$15.58 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$34.06 ,$116.00 ,$34.06 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101380,84182,HC PROTEIN WEST BLOT BAND ID-90,301,1 ,$91.00 ,$65.52 ,$17.53 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$17.53 ,$40.44 ,$48.11 ,$73.03 ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 ,$29.54 ,$26.85 ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$58.42 ,$91.00 ,$58.42 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101382,84206,HC PROINSULIN-90,301,1 ,$193.00 ,$138.96 ,$40.71 ,$193.00 ,$110.98 ,$121.59 ,$115.80 ,$41.61 ,$54.04 ,$111.94 ,$43.50 ,$117.73 ,$47.28 ,$105.96 ,$105.96 ,$49.18 ,$125.45 ,$85.77 ,$43.54 ,$66.73 ,$43.50 ,$41.61 ,$144.75 ,$137.03 ,$137.03 ,$43.50 ,$137.03 ,$167.91 ,$167.91 ,$167.91 , N/A ,$173.70 ,$110.98 ,$164.05 ,$41.61 ,$193.00 ,$108.27 ,$41.61 ,$79.90 ,$44.78 ,$40.71 ,$43.50 ,$164.05 ,$82.65 ,$105.96 ,$54.04 ,$173.70 ,$193.00 ,$41.61 ,$167.91 ,$53.38 ,$193.00 ,$53.38 ,$44.39 ,$125.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101383,84207,HC VITAMIN B6-90,301,1 ,$156.00 ,$112.32 ,$17.39 ,$156.00 ,$89.70 ,$98.28 ,$93.60 ,$33.63 ,$43.68 ,$90.48 ,$35.16 ,$95.16 ,$38.22 ,$85.64 ,$85.64 ,$39.75 ,$101.40 ,$69.33 ,$46.40 ,$70.25 ,$35.16 ,$33.63 ,$117.00 ,$110.76 ,$110.76 ,$35.16 ,$110.76 ,$135.72 ,$135.72 ,$135.72 , N/A ,$140.40 ,$89.70 ,$132.60 ,$33.63 ,$156.00 ,$87.52 ,$33.63 ,$64.58 ,$19.13 ,$17.39 ,$35.16 ,$132.60 ,$66.81 ,$85.64 ,$43.68 ,$140.40 ,$156.00 ,$33.63 ,$135.72 ,$56.20 ,$156.00 ,$56.20 ,$35.88 ,$101.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101384,84210,HC PYRUVATE-90,301,1 ,$52.00 ,$37.44 ,$11.21 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$23.49 ,$36.20 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$19.13 ,$17.39 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$28.96 ,$52.00 ,$28.96 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101386,84238,HC RECEPTOR ASSAY NON ENDO-90,301,1 ,$211.00 ,$151.92 ,$45.49 ,$211.00 ,$121.33 ,$132.93 ,$126.60 ,$45.49 ,$59.08 ,$122.38 ,$47.56 ,$128.71 ,$51.69 ,$115.84 ,$115.84 ,$53.76 ,$137.15 ,$93.77 ,$60.14 ,$91.43 ,$47.56 ,$45.49 ,$158.25 ,$149.81 ,$149.81 ,$47.56 ,$149.81 ,$183.57 ,$183.57 ,$183.57 , N/A ,$189.90 ,$121.33 ,$179.35 ,$45.49 ,$211.00 ,$118.37 ,$45.49 ,$87.35 ,$51.50 ,$46.82 ,$47.56 ,$179.35 ,$90.37 ,$115.84 ,$59.08 ,$189.90 ,$211.00 ,$45.49 ,$183.57 ,$73.14 ,$211.00 ,$73.14 ,$48.53 ,$137.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101387,84244,HC RENIN-90,301,1 ,$85.00 ,$61.20 ,$18.33 ,$85.00 ,$48.88 ,$53.55 ,$51.00 ,$18.33 ,$23.80 ,$49.30 ,$19.16 ,$51.85 ,$20.82 ,$46.67 ,$46.67 ,$21.66 ,$55.25 ,$37.77 ,$36.09 ,$54.98 ,$19.16 ,$18.33 ,$63.75 ,$60.35 ,$60.35 ,$19.16 ,$60.35 ,$73.95 ,$73.95 ,$73.95 , N/A ,$76.50 ,$48.88 ,$72.25 ,$18.33 ,$85.00 ,$47.69 ,$18.33 ,$35.19 ,$44.78 ,$40.71 ,$19.16 ,$72.25 ,$36.41 ,$46.67 ,$23.80 ,$76.50 ,$85.00 ,$18.33 ,$73.95 ,$43.98 ,$85.00 ,$43.98 ,$19.55 ,$55.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101388,84255,HC SELENIUM-90,301,1 ,$16.00 ,$11.52 ,$3.45 ,$40.00 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$16.00 ,$40.00 ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 ,$19.13 ,$17.39 ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$16.00 ,$16.00 ,$16.00 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$229.00 ,$164.88 ,$17.39 ,$229.00 ,$131.68 ,$144.27 ,$137.40 ,$49.37 ,$64.12 ,$132.82 ,$51.62 ,$139.69 ,$56.10 ,$125.72 ,$125.72 ,$58.35 ,$148.85 ,$101.77 ,$33.23 ,$50.60 ,$51.62 ,$49.37 ,$171.75 ,$162.59 ,$162.59 ,$51.62 ,$162.59 ,$199.23 ,$199.23 ,$199.23 , N/A ,$206.10 ,$131.68 ,$194.65 ,$49.37 ,$229.00 ,$128.47 ,$49.37 ,$94.81 ,$19.13 ,$17.39 ,$51.62 ,$194.65 ,$98.07 ,$125.72 ,$64.12 ,$206.10 ,$229.00 ,$49.37 ,$199.23 ,$40.48 ,$229.00 ,$40.48 ,$52.67 ,$148.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$174.00 ,$125.28 ,$17.39 ,$174.00 ,$100.05 ,$109.62 ,$104.40 ,$37.51 ,$48.72 ,$100.92 ,$39.22 ,$106.14 ,$42.63 ,$95.53 ,$95.53 ,$44.34 ,$113.10 ,$77.33 ,$35.51 ,$54.33 ,$39.22 ,$37.51 ,$130.50 ,$123.54 ,$123.54 ,$39.22 ,$123.54 ,$151.38 ,$151.38 ,$151.38 , N/A ,$156.60 ,$100.05 ,$147.90 ,$37.51 ,$174.00 ,$97.61 ,$37.51 ,$72.04 ,$19.13 ,$17.39 ,$39.22 ,$147.90 ,$74.52 ,$95.53 ,$48.72 ,$156.60 ,$174.00 ,$37.51 ,$151.38 ,$43.46 ,$174.00 ,$43.46 ,$40.02 ,$113.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101392,84260,HC SEROTONIN-90,301,1 ,$185.00 ,$133.20 ,$39.89 ,$185.00 ,$106.38 ,$116.55 ,$111.00 ,$39.89 ,$51.80 ,$107.30 ,$41.70 ,$112.85 ,$45.32 ,$101.57 ,$101.57 ,$47.14 ,$120.25 ,$82.21 ,$50.98 ,$77.45 ,$41.70 ,$39.89 ,$138.75 ,$131.35 ,$131.35 ,$41.70 ,$131.35 ,$160.95 ,$160.95 ,$160.95 , N/A ,$166.50 ,$106.38 ,$157.25 ,$39.89 ,$185.00 ,$103.79 ,$39.89 ,$76.59 ,$44.78 ,$40.71 ,$41.70 ,$157.25 ,$79.23 ,$101.57 ,$51.80 ,$166.50 ,$185.00 ,$39.89 ,$160.95 ,$61.96 ,$185.00 ,$61.96 ,$42.55 ,$120.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101394,84300,HC SODIUM URINE-90,301,1 ,$52.00 ,$37.44 ,$7.74 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$8.59 ,$12.65 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$10.12 ,$52.00 ,$10.12 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$16.00 ,$11.52 ,$3.45 ,$16.00 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$8.03 ,$12.15 ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 ,$8.51 ,$7.74 ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$9.72 ,$16.00 ,$9.72 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101396,84305,HC SOMATOMEDIN-90,301,1 ,$127.00 ,$91.44 ,$27.38 ,$127.00 ,$73.03 ,$80.01 ,$76.20 ,$27.38 ,$35.56 ,$73.66 ,$28.63 ,$77.47 ,$31.11 ,$69.72 ,$69.72 ,$32.36 ,$82.55 ,$56.44 ,$34.94 ,$53.15 ,$28.63 ,$27.38 ,$95.25 ,$90.17 ,$90.17 ,$28.63 ,$90.17 ,$110.49 ,$110.49 ,$110.49 , N/A ,$114.30 ,$73.03 ,$107.95 ,$27.38 ,$127.00 ,$71.25 ,$27.38 ,$52.58 ,$44.78 ,$40.71 ,$28.63 ,$107.95 ,$54.39 ,$69.72 ,$35.56 ,$114.30 ,$127.00 ,$27.38 ,$110.49 ,$42.52 ,$127.00 ,$42.52 ,$29.21 ,$82.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$28.00 ,$20.16 ,$6.04 ,$28.00 ,$16.10 ,$17.64 ,$16.80 ,$6.04 ,$7.84 ,$16.24 ,$6.31 ,$17.08 ,$6.86 ,$15.37 ,$15.37 ,$7.13 ,$18.20 ,$12.44 ,$13.18 ,$20.25 ,$6.31 ,$6.04 ,$21.00 ,$19.88 ,$19.88 ,$6.31 ,$19.88 ,$24.36 ,$24.36 ,$24.36 , N/A ,$25.20 ,$16.10 ,$23.80 ,$6.04 ,$28.00 ,$15.71 ,$6.04 ,$11.59 ,$19.13 ,$17.39 ,$6.31 ,$23.80 ,$12.00 ,$15.37 ,$7.84 ,$25.20 ,$28.00 ,$6.04 ,$24.36 ,$16.20 ,$28.00 ,$16.20 ,$6.44 ,$18.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101405,84392,HC SULFATE URINE-90,301,1 ,$52.00 ,$37.44 ,$6.21 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$9.16 ,$13.73 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$6.83 ,$6.21 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$10.98 ,$52.00 ,$10.98 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$99.00 ,$71.28 ,$21.34 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$41.81 ,$63.68 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$44.78 ,$40.71 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$50.94 ,$99.00 ,$50.94 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$184.00 ,$132.48 ,$39.67 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$42.39 ,$64.53 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$44.78 ,$40.71 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$51.62 ,$184.00 ,$51.62 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101408,84425,HC VITAMIN B1-90,301,1 ,$277.00 ,$199.44 ,$17.39 ,$277.00 ,$159.28 ,$174.51 ,$166.20 ,$59.72 ,$77.56 ,$146.54 ,$62.44 ,$153.36 ,$67.86 ,$152.07 ,$152.07 ,$70.58 ,$180.05 ,$123.10 ,$34.94 ,$53.08 ,$62.44 ,$59.72 ,$207.75 ,$196.67 ,$196.67 ,$62.44 ,$196.67 ,$240.99 ,$240.99 ,$240.99 , N/A ,$249.30 ,$159.28 ,$235.45 ,$59.72 ,$277.00 ,$155.40 ,$59.72 ,$114.68 ,$19.13 ,$17.39 ,$62.44 ,$235.45 ,$118.63 ,$152.07 ,$77.56 ,$249.30 ,$277.00 ,$59.72 ,$240.99 ,$42.46 ,$277.00 ,$42.46 ,$63.71 ,$180.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101410,84432,HC THYROGLOBULIN-90,301,1 ,$53.00 ,$38.16 ,$11.43 ,$53.00 ,$30.48 ,$33.39 ,$31.80 ,$11.43 ,$14.84 ,$30.74 ,$11.95 ,$32.33 ,$12.98 ,$29.10 ,$29.10 ,$13.50 ,$34.45 ,$23.55 ,$26.35 ,$40.15 ,$11.95 ,$11.43 ,$39.75 ,$37.63 ,$37.63 ,$11.95 ,$37.63 ,$46.11 ,$46.11 ,$46.11 , N/A ,$47.70 ,$30.48 ,$45.05 ,$11.43 ,$53.00 ,$29.73 ,$11.43 ,$21.94 ,$44.78 ,$40.71 ,$11.95 ,$45.05 ,$22.70 ,$29.10 ,$14.84 ,$47.70 ,$53.00 ,$11.43 ,$46.11 ,$32.12 ,$53.00 ,$32.12 ,$12.19 ,$34.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101413,84439,HC T4 FREE-90,301,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$14.89 ,$22.55 ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 ,$25.75 ,$23.41 ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$18.04 ,$48.00 ,$18.04 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101415,84442,HC THYROXINE BIND GLOB-90,301,1 ,$18.00 ,$12.96 ,$3.88 ,$36.95 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$11.70 ,$8.00 ,$18.00 ,$36.95 ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 ,$25.75 ,$23.41 ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$18.00 ,$18.00 ,$18.00 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$61.00 ,$43.92 ,$13.15 ,$127.15 ,$35.08 ,$38.43 ,$36.60 ,$13.15 ,$17.08 ,$35.38 ,$13.75 ,$37.21 ,$14.94 ,$33.49 ,$33.49 ,$15.54 ,$39.65 ,$27.11 ,$61.00 ,$127.15 ,$13.75 ,$13.15 ,$45.75 ,$43.31 ,$43.31 ,$13.75 ,$43.31 ,$53.07 ,$53.07 ,$53.07 , N/A ,$54.90 ,$35.08 ,$51.85 ,$13.15 ,$61.00 ,$34.22 ,$13.15 ,$25.25 ,$44.78 ,$40.71 ,$13.75 ,$51.85 ,$26.13 ,$33.49 ,$17.08 ,$54.90 ,$61.00 ,$13.15 ,$53.07 ,$61.00 ,$61.00 ,$61.00 ,$14.03 ,$39.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101418,84446,HC VITAMIN E-90,301,1 ,$46.00 ,$33.12 ,$9.92 ,$46.00 ,$26.45 ,$28.98 ,$27.60 ,$9.92 ,$12.88 ,$26.68 ,$10.37 ,$28.06 ,$11.27 ,$25.25 ,$25.25 ,$11.72 ,$29.90 ,$20.44 ,$23.49 ,$35.45 ,$10.37 ,$9.92 ,$34.50 ,$32.66 ,$32.66 ,$10.37 ,$32.66 ,$40.02 ,$40.02 ,$40.02 , N/A ,$41.40 ,$26.45 ,$39.10 ,$9.92 ,$46.00 ,$25.81 ,$9.92 ,$19.04 ,$19.13 ,$17.39 ,$10.37 ,$39.10 ,$19.70 ,$25.25 ,$12.88 ,$41.40 ,$46.00 ,$9.92 ,$40.02 ,$28.36 ,$46.00 ,$28.36 ,$10.58 ,$29.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101419,84460,HC ALT-90,301,1 ,$37.00 ,$26.64 ,$7.74 ,$37.00 ,$21.28 ,$23.31 ,$22.20 ,$7.98 ,$10.36 ,$21.46 ,$8.34 ,$22.57 ,$9.06 ,$20.31 ,$20.31 ,$9.43 ,$24.05 ,$16.44 ,$8.59 ,$13.25 ,$8.34 ,$7.98 ,$27.75 ,$26.27 ,$26.27 ,$8.34 ,$26.27 ,$32.19 ,$32.19 ,$32.19 , N/A ,$33.30 ,$21.28 ,$31.45 ,$7.98 ,$37.00 ,$20.76 ,$7.98 ,$15.32 ,$8.51 ,$7.74 ,$8.34 ,$31.45 ,$15.85 ,$20.31 ,$10.36 ,$33.30 ,$37.00 ,$7.98 ,$32.19 ,$10.60 ,$37.00 ,$10.60 ,$8.51 ,$24.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101420,84466,HC TRANSFERRIN-90,301,1 ,$153.00 ,$110.16 ,$17.39 ,$153.00 ,$87.98 ,$96.39 ,$91.80 ,$32.99 ,$42.84 ,$88.06 ,$34.49 ,$92.16 ,$37.48 ,$84.00 ,$84.00 ,$38.98 ,$99.45 ,$67.99 ,$21.19 ,$31.90 ,$34.49 ,$32.99 ,$114.75 ,$108.63 ,$108.63 ,$34.49 ,$108.63 ,$133.11 ,$133.11 ,$133.11 , N/A ,$137.70 ,$87.98 ,$130.05 ,$32.99 ,$153.00 ,$85.83 ,$32.99 ,$63.34 ,$19.13 ,$17.39 ,$34.49 ,$130.05 ,$65.52 ,$84.00 ,$42.84 ,$137.70 ,$153.00 ,$32.99 ,$133.11 ,$25.52 ,$153.00 ,$25.52 ,$35.19 ,$99.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101422,84479,HC T3 UPTAKE-90,301,1 ,$113.00 ,$81.36 ,$10.89 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$44.63 ,$25.47 ,$46.71 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$73.45 ,$50.22 ,$10.89 ,$16.18 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$25.75 ,$23.41 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$12.94 ,$113.00 ,$12.94 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101423,84480,HC T3 TOTAL-90,301,1 ,$127.00 ,$91.44 ,$23.41 ,$127.00 ,$73.03 ,$80.01 ,$76.20 ,$27.38 ,$35.56 ,$73.66 ,$28.63 ,$77.47 ,$31.11 ,$69.72 ,$69.72 ,$32.36 ,$82.55 ,$56.44 ,$23.49 ,$35.45 ,$28.63 ,$27.38 ,$95.25 ,$90.17 ,$90.17 ,$28.63 ,$90.17 ,$110.49 ,$110.49 ,$110.49 , N/A ,$114.30 ,$73.03 ,$107.95 ,$27.38 ,$127.00 ,$71.25 ,$27.38 ,$52.58 ,$25.75 ,$23.41 ,$28.63 ,$107.95 ,$54.39 ,$69.72 ,$35.56 ,$114.30 ,$127.00 ,$27.38 ,$110.49 ,$28.36 ,$127.00 ,$28.36 ,$29.21 ,$82.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101425,84482,HC T3 REVERSE-90,301,1 ,$254.00 ,$182.88 ,$23.41 ,$254.00 ,$146.05 ,$160.02 ,$152.40 ,$54.76 ,$71.12 ,$108.79 ,$57.25 ,$113.85 ,$62.23 ,$139.45 ,$139.45 ,$64.72 ,$165.10 ,$112.88 ,$25.78 ,$39.40 ,$57.25 ,$54.76 ,$190.50 ,$180.34 ,$180.34 ,$57.25 ,$180.34 ,$220.98 ,$220.98 ,$220.98 , N/A ,$228.60 ,$146.05 ,$215.90 ,$54.76 ,$254.00 ,$142.49 ,$54.76 ,$105.16 ,$25.75 ,$23.41 ,$57.25 ,$215.90 ,$108.78 ,$139.45 ,$71.12 ,$228.60 ,$254.00 ,$54.76 ,$220.98 ,$31.52 ,$254.00 ,$31.52 ,$58.42 ,$165.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$52.00 ,$37.44 ,$7.74 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$8.59 ,$12.70 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$8.51 ,$7.74 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$10.16 ,$52.00 ,$10.16 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$100.00 ,$72.00 ,$21.56 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$25.20 ,$38.75 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$44.78 ,$40.71 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$31.00 ,$100.00 ,$31.00 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$252.00 ,$181.44 ,$40.71 ,$252.00 ,$144.90 ,$158.76 ,$151.20 ,$54.33 ,$70.56 ,$146.16 ,$56.80 ,$153.72 ,$61.74 ,$138.35 ,$138.35 ,$64.21 ,$163.80 ,$111.99 ,$57.85 ,$88.33 ,$56.80 ,$54.33 ,$189.00 ,$178.92 ,$178.92 ,$56.80 ,$178.92 ,$219.24 ,$219.24 ,$219.24 , N/A ,$226.80 ,$144.90 ,$214.20 ,$54.33 ,$252.00 ,$141.37 ,$54.33 ,$104.33 ,$44.78 ,$40.71 ,$56.80 ,$214.20 ,$107.92 ,$138.35 ,$70.56 ,$226.80 ,$252.00 ,$54.33 ,$219.24 ,$70.66 ,$252.00 ,$70.66 ,$57.96 ,$163.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101438,84590,HC VITAMIN A-90,301,1 ,$209.00 ,$150.48 ,$17.39 ,$209.00 ,$120.18 ,$131.67 ,$125.40 ,$45.06 ,$58.52 ,$80.07 ,$47.11 ,$83.79 ,$51.20 ,$114.74 ,$114.74 ,$53.25 ,$135.85 ,$92.88 ,$18.90 ,$29.03 ,$47.11 ,$45.06 ,$156.75 ,$148.39 ,$148.39 ,$47.11 ,$148.39 ,$181.83 ,$181.83 ,$181.83 , N/A ,$188.10 ,$120.18 ,$177.65 ,$45.06 ,$209.00 ,$117.25 ,$45.06 ,$86.53 ,$19.13 ,$17.39 ,$47.11 ,$177.65 ,$89.50 ,$114.74 ,$58.52 ,$188.10 ,$209.00 ,$45.06 ,$181.83 ,$23.22 ,$209.00 ,$23.22 ,$48.07 ,$135.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101439,84591,HC VITAMIN A OTHER-90,301,1 ,$40.00 ,$28.80 ,$8.62 ,$42.65 ,$23.00 ,$25.20 ,$24.00 ,$8.62 ,$11.20 ,$23.20 ,$9.02 ,$24.40 ,$9.80 ,$21.96 ,$21.96 ,$10.19 ,$26.00 ,$17.78 ,$28.06 ,$42.65 ,$9.02 ,$8.62 ,$30.00 ,$28.40 ,$28.40 ,$9.02 ,$28.40 ,$34.80 ,$34.80 ,$34.80 , N/A ,$36.00 ,$23.00 ,$34.00 ,$8.62 ,$40.00 ,$22.44 ,$8.62 ,$16.56 ,$21.97 ,$19.97 ,$9.02 ,$34.00 ,$17.13 ,$21.96 ,$11.20 ,$36.00 ,$40.00 ,$8.62 ,$34.80 ,$34.12 ,$40.00 ,$34.12 ,$9.20 ,$26.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101440,84597,HC VITAMIN K-90,301,1 ,$94.00 ,$67.68 ,$17.39 ,$94.00 ,$54.05 ,$59.22 ,$56.40 ,$20.27 ,$26.32 ,$54.52 ,$21.19 ,$57.34 ,$23.03 ,$51.61 ,$51.61 ,$23.95 ,$61.10 ,$41.77 ,$22.34 ,$34.30 ,$21.19 ,$20.27 ,$70.50 ,$66.74 ,$66.74 ,$21.19 ,$66.74 ,$81.78 ,$81.78 ,$81.78 , N/A ,$84.60 ,$54.05 ,$79.90 ,$20.27 ,$94.00 ,$52.73 ,$20.27 ,$38.92 ,$19.13 ,$17.39 ,$21.19 ,$79.90 ,$40.26 ,$51.61 ,$26.32 ,$84.60 ,$94.00 ,$20.27 ,$81.78 ,$27.44 ,$94.00 ,$27.44 ,$21.62 ,$61.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101441,84600,HC VOLATILES-90,301,1 ,$63.00 ,$45.36 ,$13.58 ,$63.00 ,$36.23 ,$39.69 ,$37.80 ,$13.58 ,$17.64 ,$36.54 ,$14.20 ,$38.43 ,$15.43 ,$34.59 ,$34.59 ,$16.05 ,$40.95 ,$28.00 ,$28.06 ,$42.78 ,$14.20 ,$13.58 ,$47.25 ,$44.73 ,$44.73 ,$14.20 ,$44.73 ,$54.81 ,$54.81 ,$54.81 , N/A ,$56.70 ,$36.23 ,$53.55 ,$13.58 ,$63.00 ,$35.34 ,$13.58 ,$26.08 ,$19.13 ,$17.39 ,$14.20 ,$53.55 ,$26.98 ,$34.59 ,$17.64 ,$56.70 ,$63.00 ,$13.58 ,$54.81 ,$34.22 ,$63.00 ,$34.22 ,$14.49 ,$40.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101442,84630,HC ZINC-90,301,1 ,$104.00 ,$74.88 ,$18.90 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$60.32 ,$23.44 ,$63.44 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$18.90 ,$28.48 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$23.33 ,$21.21 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$22.78 ,$104.00 ,$22.78 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101443,84681,HC C PEPTIDE-90,301,1 ,$305.00 ,$219.60 ,$17.39 ,$305.00 ,$175.38 ,$192.15 ,$183.00 ,$65.76 ,$85.40 ,$143.71 ,$68.75 ,$150.39 ,$74.72 ,$167.45 ,$167.45 ,$77.71 ,$198.25 ,$135.54 ,$34.36 ,$52.03 ,$68.75 ,$65.76 ,$228.75 ,$216.55 ,$216.55 ,$68.75 ,$216.55 ,$265.35 ,$265.35 ,$265.35 , N/A ,$274.50 ,$175.38 ,$259.25 ,$65.76 ,$305.00 ,$171.11 ,$65.76 ,$126.27 ,$19.13 ,$17.39 ,$68.75 ,$259.25 ,$130.62 ,$167.45 ,$85.40 ,$274.50 ,$305.00 ,$65.76 ,$265.35 ,$41.62 ,$305.00 ,$41.62 ,$70.15 ,$198.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101444,84702,HC HCG QN-90,301,1 ,$208.00 ,$149.76 ,$23.41 ,$208.00 ,$119.60 ,$131.04 ,$124.80 ,$44.84 ,$58.24 ,$120.64 ,$46.88 ,$126.88 ,$50.96 ,$114.19 ,$114.19 ,$53.00 ,$135.20 ,$92.44 ,$24.62 ,$37.63 ,$46.88 ,$44.84 ,$156.00 ,$147.68 ,$147.68 ,$46.88 ,$147.68 ,$180.96 ,$180.96 ,$180.96 , N/A ,$187.20 ,$119.60 ,$176.80 ,$44.84 ,$208.00 ,$116.69 ,$44.84 ,$86.11 ,$25.75 ,$23.41 ,$46.88 ,$176.80 ,$89.08 ,$114.19 ,$58.24 ,$187.20 ,$208.00 ,$44.84 ,$180.96 ,$30.10 ,$208.00 ,$30.10 ,$47.84 ,$135.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101452,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T3,301,1 ,$241.00 ,$173.52 ,$30.10 ,$286.08 ,$138.58 ,$151.83 ,$144.60 ,$51.96 ,$67.48 ,$30.10 ,$54.32 ,$31.50 ,$59.04 ,$132.31 ,$132.31 ,$61.41 ,$156.65 ,$107.10 ,$187.88 ,$286.08 ,$54.32 ,$51.96 ,$180.75 ,$171.11 ,$171.11 ,$54.32 ,$171.11 ,$209.67 ,$209.67 ,$209.67 , N/A ,$216.90 ,$138.58 ,$204.85 ,$51.96 ,$241.00 ,$135.20 ,$51.96 ,$99.77 ,$51.50 ,$46.82 ,$54.32 ,$204.85 ,$103.21 ,$132.31 ,$67.48 ,$216.90 ,$241.00 ,$51.96 ,$209.67 ,$228.86 ,$241.00 ,$228.86 ,$55.43 ,$156.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101455,G0480,HC DRUG SCRN DEFNT 1-7 CLS T1-90,301,1 ,$241.00 ,$173.52 ,$30.10 ,$286.08 ,$138.58 ,$151.83 ,$144.60 ,$51.96 ,$67.48 ,$30.10 ,$54.32 ,$31.50 ,$59.04 ,$132.31 ,$132.31 ,$61.41 ,$156.65 ,$107.10 ,$187.88 ,$286.08 ,$54.32 ,$51.96 ,$180.75 ,$171.11 ,$171.11 ,$54.32 ,$171.11 ,$209.67 ,$209.67 ,$209.67 , N/A ,$216.90 ,$138.58 ,$204.85 ,$51.96 ,$241.00 ,$135.20 ,$51.96 ,$99.77 ,$51.50 ,$46.82 ,$54.32 ,$204.85 ,$103.21 ,$132.31 ,$67.48 ,$216.90 ,$241.00 ,$51.96 ,$209.67 ,$228.86 ,$241.00 ,$228.86 ,$55.43 ,$156.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101456,G0480,HC DRUG SCRN DEFNT 1-7 CLS T2-90,301,1 ,$241.00 ,$173.52 ,$30.10 ,$286.08 ,$138.58 ,$151.83 ,$144.60 ,$51.96 ,$67.48 ,$30.10 ,$54.32 ,$31.50 ,$59.04 ,$132.31 ,$132.31 ,$61.41 ,$156.65 ,$107.10 ,$187.88 ,$286.08 ,$54.32 ,$51.96 ,$180.75 ,$171.11 ,$171.11 ,$54.32 ,$171.11 ,$209.67 ,$209.67 ,$209.67 , N/A ,$216.90 ,$138.58 ,$204.85 ,$51.96 ,$241.00 ,$135.20 ,$51.96 ,$99.77 ,$51.50 ,$46.82 ,$54.32 ,$204.85 ,$103.21 ,$132.31 ,$67.48 ,$216.90 ,$241.00 ,$51.96 ,$209.67 ,$228.86 ,$241.00 ,$228.86 ,$55.43 ,$156.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101457,G0480,HC DRUG SCRN DEFNT 1-7 CLS T3-90,301,1 ,$241.00 ,$173.52 ,$30.10 ,$286.08 ,$138.58 ,$151.83 ,$144.60 ,$51.96 ,$67.48 ,$30.10 ,$54.32 ,$31.50 ,$59.04 ,$132.31 ,$132.31 ,$61.41 ,$156.65 ,$107.10 ,$187.88 ,$286.08 ,$54.32 ,$51.96 ,$180.75 ,$171.11 ,$171.11 ,$54.32 ,$171.11 ,$209.67 ,$209.67 ,$209.67 , N/A ,$216.90 ,$138.58 ,$204.85 ,$51.96 ,$241.00 ,$135.20 ,$51.96 ,$99.77 ,$51.50 ,$46.82 ,$54.32 ,$204.85 ,$103.21 ,$132.31 ,$67.48 ,$216.90 ,$241.00 ,$51.96 ,$209.67 ,$228.86 ,$241.00 ,$228.86 ,$55.43 ,$156.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101458,G0480,HC DRUG SCRN DEFNT 1-7 CLS T4-90,301,1 ,$241.00 ,$173.52 ,$30.10 ,$286.08 ,$138.58 ,$151.83 ,$144.60 ,$51.96 ,$67.48 ,$30.10 ,$54.32 ,$31.50 ,$59.04 ,$132.31 ,$132.31 ,$61.41 ,$156.65 ,$107.10 ,$187.88 ,$286.08 ,$54.32 ,$51.96 ,$180.75 ,$171.11 ,$171.11 ,$54.32 ,$171.11 ,$209.67 ,$209.67 ,$209.67 , N/A ,$216.90 ,$138.58 ,$204.85 ,$51.96 ,$241.00 ,$135.20 ,$51.96 ,$99.77 ,$51.50 ,$46.82 ,$54.32 ,$204.85 ,$103.21 ,$132.31 ,$67.48 ,$216.90 ,$241.00 ,$51.96 ,$209.67 ,$228.86 ,$241.00 ,$228.86 ,$55.43 ,$156.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101463,G0483,HC DRUG SCRN DEFINT 22+ CLASS-90,301,1 ,$246.00 ,$177.12 ,$30.10 ,$615.00 ,$141.45 ,$154.98 ,$147.60 ,$53.04 ,$68.88 ,$30.10 ,$55.45 ,$31.50 ,$60.27 ,$135.05 ,$135.05 ,$62.68 ,$159.90 ,$109.32 ,$246.00 ,$615.00 ,$55.45 ,$53.04 ,$184.50 ,$174.66 ,$174.66 ,$55.45 ,$174.66 ,$214.02 ,$214.02 ,$214.02 , N/A ,$221.40 ,$141.45 ,$209.10 ,$53.04 ,$246.00 ,$138.01 ,$53.04 ,$101.84 ,$51.50 ,$46.82 ,$55.45 ,$209.10 ,$105.35 ,$135.05 ,$68.88 ,$221.40 ,$246.00 ,$53.04 ,$214.02 ,$246.00 ,$246.00 ,$246.00 ,$56.58 ,$159.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101464,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$53.00 ,$38.16 ,$6.88 ,$53.00 ,$30.48 ,$33.39 ,$31.80 ,$11.43 ,$14.84 ,$30.74 ,$11.95 ,$32.33 ,$12.98 ,$29.10 ,$29.10 ,$13.50 ,$34.45 ,$23.55 ,$6.88 ,$10.58 ,$11.95 ,$11.43 ,$39.75 ,$37.63 ,$37.63 ,$11.95 ,$37.63 ,$46.11 ,$46.11 ,$46.11 , N/A ,$47.70 ,$30.48 ,$45.05 ,$11.43 ,$53.00 ,$29.73 ,$11.43 ,$21.94 ,$8.51 ,$7.74 ,$11.95 ,$45.05 ,$22.70 ,$29.10 ,$14.84 ,$47.70 ,$53.00 ,$11.43 ,$46.11 ,$8.46 ,$53.00 ,$8.46 ,$12.19 ,$34.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$297.00 ,$213.84 ,$17.39 ,$297.00 ,$170.78 ,$187.11 ,$178.20 ,$64.03 ,$83.16 ,$118.59 ,$66.94 ,$124.11 ,$72.76 ,$163.05 ,$163.05 ,$75.68 ,$193.05 ,$131.99 ,$34.94 ,$53.03 ,$66.94 ,$64.03 ,$222.75 ,$210.87 ,$210.87 ,$66.94 ,$210.87 ,$258.39 ,$258.39 ,$258.39 , N/A ,$267.30 ,$170.78 ,$252.45 ,$64.03 ,$297.00 ,$166.62 ,$64.03 ,$122.96 ,$19.13 ,$17.39 ,$66.94 ,$252.45 ,$127.19 ,$163.05 ,$83.16 ,$267.30 ,$297.00 ,$64.03 ,$258.39 ,$42.42 ,$297.00 ,$42.42 ,$68.31 ,$193.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101473,80339,HC ANTIEPILIPTICS NOS 1-3 -90,301,1 ,$137.00 ,$98.64 ,$29.54 ,$137.00 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 , N/A ,$30.88 , N/A ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$89.05 ,$60.88 ,$95.90 , N/A ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$137.00 ,$76.86 ,$29.54 ,$56.72 ,$51.50 ,$46.82 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 , N/A ,$137.00 , N/A ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101476,82610,HC CYSTATIN C -90,301,1 ,$140.00 ,$100.80 ,$17.39 ,$140.00 ,$80.50 ,$88.20 ,$84.00 ,$30.18 ,$39.20 ,$81.20 ,$31.56 ,$85.40 ,$34.30 ,$76.86 ,$76.86 ,$35.67 ,$91.00 ,$62.22 ,$30.37 ,$46.30 ,$31.56 ,$30.18 ,$105.00 ,$99.40 ,$99.40 ,$31.56 ,$99.40 ,$121.80 ,$121.80 ,$121.80 , N/A ,$126.00 ,$80.50 ,$119.00 ,$30.18 ,$140.00 ,$78.54 ,$30.18 ,$57.96 ,$19.13 ,$17.39 ,$31.56 ,$119.00 ,$59.96 ,$76.86 ,$39.20 ,$126.00 ,$140.00 ,$30.18 ,$121.80 ,$37.04 ,$140.00 ,$37.04 ,$32.20 ,$91.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101477,83519,HC QN RIA MUSK-90,301,1 ,"$1,920.00 ","$1,382.40 ",$15.58 ,"$1,920.00 ","$1,104.00 ","$1,209.60 ","$1,152.00 ",$413.95 ,$537.60 ,$102.86 ,$432.77 ,$107.64 ,$470.40 ,"$1,054.08 ","$1,054.08 ",$489.22 ,"$1,248.00 ",$853.25 ,$30.37 ,$46.00 ,$432.77 ,$413.95 ,"$1,440.00 ","$1,363.20 ","$1,363.20 ",$432.77 ,"$1,363.20 ","$1,670.40 ","$1,670.40 ","$1,670.40 ", N/A ,"$1,728.00 ","$1,104.00 ","$1,632.00 ",$413.95 ,"$1,920.00 ","$1,077.12 ",$413.95 ,$794.88 ,$17.14 ,$15.58 ,$432.77 ,"$1,632.00 ",$822.26 ,"$1,054.08 ",$537.60 ,"$1,728.00 ","$1,920.00 ",$413.95 ,"$1,670.40 ",$36.80 ,"$1,920.00 ",$36.80 ,$441.60 ,"$1,248.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,30101509,82330,HC CALCIUM IONIZED STAT -90,301,1 ,$53.00 ,$38.16 ,$11.43 ,$53.00 ,$30.48 ,$33.39 ,$31.80 ,$11.43 ,$14.84 ,$30.74 ,$11.95 ,$32.33 ,$12.98 ,$29.10 ,$29.10 ,$13.50 ,$34.45 ,$23.55 ,$22.34 ,$34.20 ,$11.95 ,$11.43 ,$39.75 ,$37.63 ,$37.63 ,$11.95 ,$37.63 ,$46.11 ,$46.11 ,$46.11 , N/A ,$47.70 ,$30.48 ,$45.05 ,$11.43 ,$53.00 ,$29.73 ,$11.43 ,$21.94 ,$19.13 ,$17.39 ,$11.95 ,$45.05 ,$22.70 ,$29.10 ,$14.84 ,$47.70 ,$53.00 ,$11.43 ,$46.11 ,$27.36 ,$53.00 ,$27.36 ,$12.19 ,$34.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101511,80345,HC BARBITURATE -90,301,1 ,$44.00 ,$31.68 ,$9.49 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 , N/A ,$9.92 , N/A ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$30.80 , N/A ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$19.13 ,$17.39 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 , N/A ,$44.00 , N/A ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101512,80324,HC AMPHETAMINE 1-2 -90,301,1 ,$44.00 ,$31.68 ,$9.49 ,$51.50 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 , N/A ,$9.92 , N/A ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$30.80 , N/A ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$51.50 ,$46.82 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 , N/A ,$44.00 , N/A ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101516,80321,HC ALCOHOL BIOMARKERS 1-2 - 90,301,1 ,$193.00 ,$138.96 ,$41.61 ,$193.00 ,$110.98 ,$121.59 ,$115.80 ,$41.61 ,$54.04 , N/A ,$43.50 , N/A ,$47.28 ,$105.96 ,$105.96 ,$49.18 ,$125.45 ,$85.77 ,$135.10 , N/A ,$43.50 ,$41.61 ,$144.75 ,$137.03 ,$137.03 ,$43.50 ,$137.03 ,$167.91 ,$167.91 ,$167.91 , N/A ,$173.70 ,$110.98 ,$164.05 ,$41.61 ,$193.00 ,$108.27 ,$41.61 ,$79.90 ,$51.50 ,$46.82 ,$43.50 ,$164.05 ,$82.65 ,$105.96 ,$54.04 ,$173.70 ,$193.00 ,$41.61 ,$167.91 , N/A ,$193.00 , N/A ,$44.39 ,$125.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101526,82947,HC GLUCOSE -90,301,1 ,$4.08 ,$2.94 ,$0.88 ,$9.83 ,$2.35 ,$2.57 ,$2.45 ,$0.88 ,$1.14 ,$2.37 ,$0.92 ,$2.49 ,$1.00 ,$2.24 ,$2.24 ,$1.04 ,$2.65 ,$1.82 ,$4.08 ,$9.83 ,$0.92 ,$0.88 ,$3.06 ,$2.90 ,$2.90 ,$0.92 ,$2.90 ,$3.55 ,$3.55 ,$3.55 , N/A ,$3.67 ,$2.35 ,$3.47 ,$0.88 ,$4.08 ,$2.29 ,$0.88 ,$1.69 ,$8.51 ,$7.74 ,$0.92 ,$3.47 ,$1.75 ,$2.24 ,$1.14 ,$3.67 ,$4.08 ,$0.88 ,$3.55 ,$4.08 ,$4.08 ,$4.08 ,$0.94 ,$2.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101529,82725,HC FATTY ACIDS NONESTERIFIED-90,301,1 ,$19.00 ,$13.68 ,$4.10 ,$46.93 ,$10.93 ,$11.97 ,$11.40 ,$4.10 ,$5.32 ,$11.02 ,$4.28 ,$11.59 ,$4.65 ,$10.43 ,$10.43 ,$4.84 ,$12.35 ,$8.44 ,$19.00 ,$46.93 ,$4.28 ,$4.10 ,$14.25 ,$13.49 ,$13.49 ,$4.28 ,$13.49 ,$16.53 ,$16.53 ,$16.53 , N/A ,$17.10 ,$10.93 ,$16.15 ,$4.10 ,$19.00 ,$10.66 ,$4.10 ,$7.87 ,$19.13 ,$17.39 ,$4.28 ,$16.15 ,$8.13 ,$10.43 ,$5.32 ,$17.10 ,$19.00 ,$4.10 ,$16.53 ,$19.00 ,$19.00 ,$19.00 ,$4.37 ,$12.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101536,84443,HC THYROID STIMULATING HORM-90,301,1 ,$21.00 ,$15.12 ,$4.53 ,$42.00 ,$12.08 ,$13.23 ,$12.60 ,$4.53 ,$5.88 ,$12.18 ,$4.73 ,$12.81 ,$5.14 ,$11.53 ,$11.53 ,$5.35 ,$13.65 ,$9.33 ,$21.00 ,$42.00 ,$4.73 ,$4.53 ,$15.75 ,$14.91 ,$14.91 ,$4.73 ,$14.91 ,$18.27 ,$18.27 ,$18.27 , N/A ,$18.90 ,$12.08 ,$17.85 ,$4.53 ,$21.00 ,$11.78 ,$4.53 ,$8.69 ,$25.75 ,$23.41 ,$4.73 ,$17.85 ,$9.00 ,$11.53 ,$5.88 ,$18.90 ,$21.00 ,$4.53 ,$18.27 ,$21.00 ,$21.00 ,$21.00 ,$4.83 ,$13.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101538,83491,HC CORTICOSTEROIDS 17D -90,301,1 ,$57.00 ,$41.04 ,$12.29 ,$57.00 ,$32.78 ,$35.91 ,$34.20 ,$12.29 ,$15.96 ,$33.06 ,$12.85 ,$34.77 ,$13.95 ,$31.29 ,$31.29 ,$14.52 ,$37.05 ,$25.33 ,$29.21 ,$44.75 ,$12.85 ,$12.29 ,$42.75 ,$40.47 ,$40.47 ,$12.85 ,$40.47 ,$49.59 ,$49.59 ,$49.59 , N/A ,$51.30 ,$32.78 ,$48.45 ,$12.29 ,$57.00 ,$31.98 ,$12.29 ,$23.60 ,$44.78 ,$40.71 ,$12.85 ,$48.45 ,$24.41 ,$31.29 ,$15.96 ,$51.30 ,$57.00 ,$12.29 ,$49.59 ,$35.80 ,$57.00 ,$35.80 ,$13.11 ,$37.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101540,84163,HC PLASMA PROTEIN-A PREGNANCY ASSOCIATED-90,301,1 ,$142.00 ,$102.24 ,$17.39 ,$142.00 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$82.36 ,$32.01 ,$86.62 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$92.30 ,$63.10 ,$24.62 ,$37.63 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$142.00 ,$79.66 ,$30.62 ,$58.79 ,$19.13 ,$17.39 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$30.10 ,$142.00 ,$30.10 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101542,80047,HC BASIC METABOLIC PANEL IONIZED CALCIUM,301,1 ,$108.00 ,$77.76 ,$15.86 ,$108.00 ,$62.10 ,$68.04 ,$64.80 ,$23.28 ,$30.24 ,$62.64 ,$24.34 ,$65.88 ,$26.46 ,$59.29 ,$59.29 ,$27.52 ,$70.20 ,$48.00 ,$22.34 ,$34.33 ,$24.34 ,$23.28 ,$81.00 ,$76.68 ,$76.68 ,$24.34 ,$76.68 ,$93.96 ,$93.96 ,$93.96 , N/A ,$97.20 ,$62.10 ,$91.80 ,$23.28 ,$108.00 ,$60.59 ,$23.28 ,$44.71 ,$17.45 ,$15.86 ,$24.34 ,$91.80 ,$46.26 ,$59.29 ,$30.24 ,$97.20 ,$108.00 ,$23.28 ,$93.96 ,$27.46 ,$108.00 ,$27.46 ,$24.84 ,$70.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101543,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$600.00 ,$432.00 ,$15.86 ,$600.00 ,$345.00 ,$378.00 ,$360.00 ,$129.36 ,$168.00 ,$328.78 ,$135.24 ,$344.07 ,$147.00 ,$329.40 ,$329.40 ,$152.88 ,$390.00 ,$266.64 ,$78.48 ,$119.08 ,$135.24 ,$129.36 ,$450.00 ,$426.00 ,$426.00 ,$135.24 ,$426.00 ,$522.00 ,$522.00 ,$522.00 , N/A ,$540.00 ,$345.00 ,$510.00 ,$129.36 ,$600.00 ,$336.60 ,$129.36 ,$248.40 ,$17.45 ,$15.86 ,$135.24 ,$510.00 ,$256.96 ,$329.40 ,$168.00 ,$540.00 ,$600.00 ,$129.36 ,$522.00 ,$95.26 ,$600.00 ,$95.26 ,$138.00 ,$390.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101545,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$152.00 ,$109.44 ,$19.97 ,$152.00 ,$87.40 ,$95.76 ,$91.20 ,$32.77 ,$42.56 ,$88.16 ,$34.26 ,$92.72 ,$37.24 ,$83.45 ,$83.45 ,$38.73 ,$98.80 ,$67.55 ,$24.07 ,$36.43 ,$34.26 ,$32.77 ,$114.00 ,$107.92 ,$107.92 ,$34.26 ,$107.92 ,$132.24 ,$132.24 ,$132.24 , N/A ,$136.80 ,$87.40 ,$129.20 ,$32.77 ,$152.00 ,$85.27 ,$32.77 ,$62.93 ,$21.97 ,$19.97 ,$34.26 ,$129.20 ,$65.09 ,$83.45 ,$42.56 ,$136.80 ,$152.00 ,$32.77 ,$132.24 ,$29.14 ,$152.00 ,$29.14 ,$34.96 ,$98.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101546,80164,HC VALPROCIC ACID,301,1 ,$176.00 ,$126.72 ,$19.97 ,$176.00 ,$101.20 ,$110.88 ,$105.60 ,$37.95 ,$49.28 ,$93.48 ,$39.67 ,$97.83 ,$43.12 ,$96.62 ,$96.62 ,$44.84 ,$114.40 ,$78.21 ,$22.34 ,$33.85 ,$39.67 ,$37.95 ,$132.00 ,$124.96 ,$124.96 ,$39.67 ,$124.96 ,$153.12 ,$153.12 ,$153.12 , N/A ,$158.40 ,$101.20 ,$149.60 ,$37.95 ,$176.00 ,$98.74 ,$37.95 ,$72.86 ,$21.97 ,$19.97 ,$39.67 ,$149.60 ,$75.37 ,$96.62 ,$49.28 ,$158.40 ,$176.00 ,$37.95 ,$153.12 ,$27.08 ,$176.00 ,$27.08 ,$40.48 ,$114.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101547,80170,HC GENTAMICIN,301,1 ,$239.00 ,$172.08 ,$19.97 ,$239.00 ,$137.43 ,$150.57 ,$143.40 ,$51.53 ,$66.92 ,$113.00 ,$53.87 ,$118.26 ,$58.55 ,$131.21 ,$131.21 ,$60.90 ,$155.35 ,$106.21 ,$26.93 ,$40.95 ,$53.87 ,$51.53 ,$179.25 ,$169.69 ,$169.69 ,$53.87 ,$169.69 ,$207.93 ,$207.93 ,$207.93 , N/A ,$215.10 ,$137.43 ,$203.15 ,$51.53 ,$239.00 ,$134.08 ,$51.53 ,$98.95 ,$21.97 ,$19.97 ,$53.87 ,$203.15 ,$102.35 ,$131.21 ,$66.92 ,$215.10 ,$239.00 ,$51.53 ,$207.93 ,$32.76 ,$239.00 ,$32.76 ,$54.97 ,$155.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101548,80178,HC LITHIUM,301,1 ,$122.00 ,$87.84 ,$10.89 ,$122.00 ,$70.15 ,$76.86 ,$73.20 ,$26.30 ,$34.16 ,$61.75 ,$27.50 ,$64.62 ,$29.89 ,$66.98 ,$66.98 ,$31.09 ,$79.30 ,$54.22 ,$10.89 ,$16.53 ,$27.50 ,$26.30 ,$91.50 ,$86.62 ,$86.62 ,$27.50 ,$86.62 ,$106.14 ,$106.14 ,$106.14 , N/A ,$109.80 ,$70.15 ,$103.70 ,$26.30 ,$122.00 ,$68.44 ,$26.30 ,$50.51 ,$21.97 ,$19.97 ,$27.50 ,$103.70 ,$52.24 ,$66.98 ,$34.16 ,$109.80 ,$122.00 ,$26.30 ,$106.14 ,$13.22 ,$122.00 ,$13.22 ,$28.06 ,$79.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101549,80184,HC PHENOBARBITAL,301,1 ,$172.00 ,$123.84 ,$19.97 ,$172.00 ,$98.90 ,$108.36 ,$103.20 ,$37.08 ,$48.16 ,$85.57 ,$38.77 ,$89.55 ,$42.14 ,$94.43 ,$94.43 ,$43.83 ,$111.80 ,$76.44 ,$25.20 ,$38.25 ,$38.77 ,$37.08 ,$129.00 ,$122.12 ,$122.12 ,$38.77 ,$122.12 ,$149.64 ,$149.64 ,$149.64 , N/A ,$154.80 ,$98.90 ,$146.20 ,$37.08 ,$172.00 ,$96.49 ,$37.08 ,$71.21 ,$21.97 ,$19.97 ,$38.77 ,$146.20 ,$73.66 ,$94.43 ,$48.16 ,$154.80 ,$172.00 ,$37.08 ,$149.64 ,$30.60 ,$172.00 ,$30.60 ,$39.56 ,$111.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101551,80198,HC THEOPHYLLINE,301,1 ,$109.00 ,$78.48 ,$19.97 ,$109.00 ,$62.68 ,$68.67 ,$65.40 ,$23.50 ,$30.52 ,$63.22 ,$24.57 ,$66.49 ,$26.70 ,$59.84 ,$59.84 ,$27.77 ,$70.85 ,$48.44 ,$23.49 ,$35.35 ,$24.57 ,$23.50 ,$81.75 ,$77.39 ,$77.39 ,$24.57 ,$77.39 ,$94.83 ,$94.83 ,$94.83 , N/A ,$98.10 ,$62.68 ,$92.65 ,$23.50 ,$109.00 ,$61.15 ,$23.50 ,$45.13 ,$21.97 ,$19.97 ,$24.57 ,$92.65 ,$46.68 ,$59.84 ,$30.52 ,$98.10 ,$109.00 ,$23.50 ,$94.83 ,$28.28 ,$109.00 ,$28.28 ,$25.07 ,$70.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101552,80200,HC TOBRAMYCIN,301,1 ,$160.00 ,$115.20 ,$19.97 ,$160.00 ,$92.00 ,$100.80 ,$96.00 ,$34.50 ,$44.80 ,$92.80 ,$36.06 ,$97.60 ,$39.20 ,$87.84 ,$87.84 ,$40.77 ,$104.00 ,$71.10 ,$26.35 ,$40.33 ,$36.06 ,$34.50 ,$120.00 ,$113.60 ,$113.60 ,$36.06 ,$113.60 ,$139.20 ,$139.20 ,$139.20 , N/A ,$144.00 ,$92.00 ,$136.00 ,$34.50 ,$160.00 ,$89.76 ,$34.50 ,$66.24 ,$21.97 ,$19.97 ,$36.06 ,$136.00 ,$68.52 ,$87.84 ,$44.80 ,$144.00 ,$160.00 ,$34.50 ,$139.20 ,$32.26 ,$160.00 ,$32.26 ,$36.80 ,$104.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101555,81479,HC IDH GENE MUTATION ASSAY - 90,301,1 ,$666.00 ,$479.52 ,$30.10 ,$666.00 ,$382.95 ,$419.58 ,$399.60 ,$143.59 ,$186.48 ,$30.10 ,$150.12 ,$31.50 ,$399.60 ,$365.63 ,$365.63 , N/A ,$432.90 , N/A ,$196.61 ,$466.20 ,$150.12 , N/A ,$499.50 ,$472.86 ,$472.86 , N/A ,$472.86 ,$579.42 ,$579.42 ,$579.42 , N/A ,$599.40 ,$382.95 ,$566.10 ,$143.59 ,$666.00 ,$373.63 ,$143.59 ,$275.72 ,$67.90 ,$61.73 ,$150.12 ,$566.10 ,$285.22 ,$365.63 ,$186.48 ,$599.40 ,$666.00 ,$143.59 ,$579.42 , N/A ,$666.00 , N/A ,$85.00 ,$432.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101556,82042,HC ALBUMIN OTHER SOURCE,301,1 ,$53.00 ,$38.16 ,$7.74 ,$53.00 ,$30.48 ,$33.39 ,$31.80 ,$11.43 ,$14.84 ,$30.74 ,$11.95 ,$32.33 ,$12.98 ,$29.10 ,$29.10 ,$13.50 ,$34.45 ,$23.55 ,$12.60 ,$19.45 ,$11.95 ,$11.43 ,$39.75 ,$37.63 ,$37.63 ,$11.95 ,$37.63 ,$46.11 ,$46.11 ,$46.11 , N/A ,$47.70 ,$30.48 ,$45.05 ,$11.43 ,$53.00 ,$29.73 ,$11.43 ,$21.94 ,$8.51 ,$7.74 ,$11.95 ,$45.05 ,$22.70 ,$29.10 ,$14.84 ,$47.70 ,$53.00 ,$11.43 ,$46.11 ,$15.56 ,$53.00 ,$15.56 ,$12.19 ,$34.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101559,82150,HC AMYLASE,301,1 ,$159.00 ,$114.48 ,$10.89 ,$159.00 ,$91.43 ,$100.17 ,$95.40 ,$34.28 ,$44.52 ,$60.54 ,$35.84 ,$63.36 ,$38.95 ,$87.29 ,$87.29 ,$40.51 ,$103.35 ,$70.66 ,$10.89 ,$16.20 ,$35.84 ,$34.28 ,$119.25 ,$112.89 ,$112.89 ,$35.84 ,$112.89 ,$138.33 ,$138.33 ,$138.33 , N/A ,$143.10 ,$91.43 ,$135.15 ,$34.28 ,$159.00 ,$89.20 ,$34.28 ,$65.83 ,$19.13 ,$17.39 ,$35.84 ,$135.15 ,$68.09 ,$87.29 ,$44.52 ,$143.10 ,$159.00 ,$34.28 ,$138.33 ,$12.96 ,$159.00 ,$12.96 ,$36.57 ,$103.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101561,82247,HC BILIRUBIN TOTAL,301,1 ,$248.00 ,$178.56 ,$7.74 ,$248.00 ,$142.60 ,$156.24 ,$148.80 ,$53.47 ,$69.44 ,$46.87 ,$55.90 ,$49.05 ,$60.76 ,$136.15 ,$136.15 ,$63.19 ,$161.20 ,$110.21 ,$8.03 ,$12.55 ,$55.90 ,$53.47 ,$186.00 ,$176.08 ,$176.08 ,$55.90 ,$176.08 ,$215.76 ,$215.76 ,$215.76 , N/A ,$223.20 ,$142.60 ,$210.80 ,$53.47 ,$248.00 ,$139.13 ,$53.47 ,$102.67 ,$8.51 ,$7.74 ,$55.90 ,$210.80 ,$106.21 ,$136.15 ,$69.44 ,$223.20 ,$248.00 ,$53.47 ,$215.76 ,$10.04 ,$248.00 ,$10.04 ,$57.04 ,$161.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101564,82306,HC VITAMIN D 25 OH,301,1 ,$102.00 ,$73.44 ,$21.99 ,$102.00 ,$58.65 ,$64.26 ,$61.20 ,$21.99 ,$28.56 ,$59.16 ,$22.99 ,$62.22 ,$24.99 ,$56.00 ,$56.00 ,$25.99 ,$66.30 ,$45.33 ,$48.69 ,$74.00 ,$22.99 ,$21.99 ,$76.50 ,$72.42 ,$72.42 ,$22.99 ,$72.42 ,$88.74 ,$88.74 ,$88.74 , N/A ,$91.80 ,$58.65 ,$86.70 ,$21.99 ,$102.00 ,$57.22 ,$21.99 ,$42.23 ,$51.50 ,$46.82 ,$22.99 ,$86.70 ,$43.68 ,$56.00 ,$28.56 ,$91.80 ,$102.00 ,$21.99 ,$88.74 ,$59.20 ,$102.00 ,$59.20 ,$23.46 ,$66.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101565,82310,HC CALCIUM,301,1 ,$218.00 ,$156.96 ,$7.74 ,$218.00 ,$125.35 ,$137.34 ,$130.80 ,$47.00 ,$61.04 ,$48.25 ,$49.14 ,$50.49 ,$53.41 ,$119.68 ,$119.68 ,$55.55 ,$141.70 ,$96.88 ,$8.59 ,$12.90 ,$49.14 ,$47.00 ,$163.50 ,$154.78 ,$154.78 ,$49.14 ,$154.78 ,$189.66 ,$189.66 ,$189.66 , N/A ,$196.20 ,$125.35 ,$185.30 ,$47.00 ,$218.00 ,$122.30 ,$47.00 ,$90.25 ,$8.51 ,$7.74 ,$49.14 ,$185.30 ,$93.36 ,$119.68 ,$61.04 ,$196.20 ,$218.00 ,$47.00 ,$189.66 ,$10.32 ,$218.00 ,$10.32 ,$50.14 ,$141.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101566,82340,HC CALCIUM URINE QN TIMED,301,1 ,$221.00 ,$159.12 ,$9.74 ,$221.00 ,$127.08 ,$139.23 ,$132.60 ,$47.65 ,$61.88 ,$41.62 ,$49.81 ,$43.56 ,$54.14 ,$121.33 ,$121.33 ,$56.31 ,$143.65 ,$98.21 ,$9.74 ,$15.08 ,$49.81 ,$47.65 ,$165.75 ,$156.91 ,$156.91 ,$49.81 ,$156.91 ,$192.27 ,$192.27 ,$192.27 , N/A ,$198.90 ,$127.08 ,$187.85 ,$47.65 ,$221.00 ,$123.98 ,$47.65 ,$91.49 ,$19.13 ,$17.39 ,$49.81 ,$187.85 ,$94.65 ,$121.33 ,$61.88 ,$198.90 ,$221.00 ,$47.65 ,$192.27 ,$12.06 ,$221.00 ,$12.06 ,$50.83 ,$143.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101568,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$121.00 ,$87.12 ,$17.39 ,$121.00 ,$69.58 ,$76.23 ,$72.60 ,$26.09 ,$33.88 ,$70.18 ,$27.27 ,$73.81 ,$29.64 ,$66.43 ,$66.43 ,$30.83 ,$78.65 ,$53.77 ,$30.92 ,$47.40 ,$27.27 ,$26.09 ,$90.75 ,$85.91 ,$85.91 ,$27.27 ,$85.91 ,$105.27 ,$105.27 ,$105.27 , N/A ,$108.90 ,$69.58 ,$102.85 ,$26.09 ,$121.00 ,$67.88 ,$26.09 ,$50.09 ,$19.13 ,$17.39 ,$27.27 ,$102.85 ,$51.82 ,$66.43 ,$33.88 ,$108.90 ,$121.00 ,$26.09 ,$105.27 ,$37.92 ,$121.00 ,$37.92 ,$27.83 ,$78.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101569,82436,HC CHLORIDE URINE,301,1 ,$223.00 ,$160.56 ,$7.74 ,$223.00 ,$128.23 ,$140.49 ,$133.80 ,$48.08 ,$62.44 ,$34.74 ,$50.26 ,$36.36 ,$54.63 ,$122.43 ,$122.43 ,$56.82 ,$144.95 ,$99.10 ,$9.16 ,$14.38 ,$50.26 ,$48.08 ,$167.25 ,$158.33 ,$158.33 ,$50.26 ,$158.33 ,$194.01 ,$194.01 ,$194.01 , N/A ,$200.70 ,$128.23 ,$189.55 ,$48.08 ,$223.00 ,$125.10 ,$48.08 ,$92.32 ,$8.51 ,$7.74 ,$50.26 ,$189.55 ,$95.50 ,$122.43 ,$62.44 ,$200.70 ,$223.00 ,$48.08 ,$194.01 ,$11.50 ,$223.00 ,$11.50 ,$51.29 ,$144.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101570,82465,HC CHOLESTEROL,301,1 ,$104.00 ,$74.88 ,$6.88 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$40.68 ,$23.44 ,$42.57 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$6.88 ,$10.88 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$8.70 ,$104.00 ,$8.70 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101571,82533,HC CORTISOL TOTAL,301,1 ,$266.00 ,$191.52 ,$26.93 ,$266.00 ,$152.95 ,$167.58 ,$159.60 ,$57.35 ,$74.48 ,$112.49 ,$59.96 ,$117.72 ,$65.17 ,$146.03 ,$146.03 ,$67.78 ,$172.90 ,$118.21 ,$26.93 ,$40.75 ,$59.96 ,$57.35 ,$199.50 ,$188.86 ,$188.86 ,$59.96 ,$188.86 ,$231.42 ,$231.42 ,$231.42 , N/A ,$239.40 ,$152.95 ,$226.10 ,$57.35 ,$266.00 ,$149.23 ,$57.35 ,$110.12 ,$44.78 ,$40.71 ,$59.96 ,$226.10 ,$113.92 ,$146.03 ,$74.48 ,$239.40 ,$266.00 ,$57.35 ,$231.42 ,$32.60 ,$266.00 ,$32.60 ,$61.18 ,$172.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101572,82570,HC CREATININE OTH SOURCE,301,1 ,$137.00 ,$98.64 ,$7.74 ,$137.00 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 ,$48.33 ,$30.88 ,$50.58 ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$89.05 ,$60.88 ,$8.59 ,$12.95 ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$137.00 ,$76.86 ,$29.54 ,$56.72 ,$8.51 ,$7.74 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 ,$10.36 ,$137.00 ,$10.36 ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101574,82670,HC ESTRADIOL,301,1 ,$74.00 ,$53.28 ,$15.95 ,$74.00 ,$42.55 ,$46.62 ,$44.40 ,$15.95 ,$20.72 ,$42.92 ,$16.68 ,$45.14 ,$18.13 ,$40.63 ,$40.63 ,$18.86 ,$48.10 ,$32.89 ,$45.83 ,$69.85 ,$16.68 ,$15.95 ,$55.50 ,$52.54 ,$52.54 ,$16.68 ,$52.54 ,$64.38 ,$64.38 ,$64.38 , N/A ,$66.60 ,$42.55 ,$62.90 ,$15.95 ,$74.00 ,$41.51 ,$15.95 ,$30.64 ,$44.78 ,$40.71 ,$16.68 ,$62.90 ,$31.69 ,$40.63 ,$20.72 ,$66.60 ,$74.00 ,$15.95 ,$64.38 ,$55.88 ,$74.00 ,$55.88 ,$17.02 ,$48.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101580,82785,HC GAMMAGLOBULIN IGE,301,1 ,$200.00 ,$144.00 ,$17.39 ,$200.00 ,$115.00 ,$126.00 ,$120.00 ,$43.12 ,$56.00 ,$113.61 ,$45.08 ,$118.89 ,$49.00 ,$109.80 ,$109.80 ,$50.96 ,$130.00 ,$88.88 ,$26.93 ,$41.15 ,$45.08 ,$43.12 ,$150.00 ,$142.00 ,$142.00 ,$45.08 ,$142.00 ,$174.00 ,$174.00 ,$174.00 , N/A ,$180.00 ,$115.00 ,$170.00 ,$43.12 ,$200.00 ,$112.20 ,$43.12 ,$82.80 ,$19.13 ,$17.39 ,$45.08 ,$170.00 ,$85.65 ,$109.80 ,$56.00 ,$180.00 ,$200.00 ,$43.12 ,$174.00 ,$32.92 ,$200.00 ,$32.92 ,$46.00 ,$130.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101581,82945,HC GLUCOSE BODY FLUID,301,1 ,$309.00 ,$222.48 ,$6.30 ,$309.00 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$36.72 ,$69.65 ,$38.43 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$200.85 ,$137.32 ,$6.30 ,$9.83 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$309.00 ,$173.35 ,$66.62 ,$127.93 ,$8.51 ,$7.74 ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$7.86 ,$309.00 ,$7.86 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101584,82977,HC GGT / GGTP,301,1 ,$349.00 ,$251.28 ,$7.74 ,$349.00 ,$200.68 ,$219.87 ,$209.40 ,$75.24 ,$97.72 ,$67.25 ,$78.66 ,$70.38 ,$85.50 ,$191.60 ,$191.60 ,$88.93 ,$226.85 ,$155.10 ,$12.02 ,$18.00 ,$78.66 ,$75.24 ,$261.75 ,$247.79 ,$247.79 ,$78.66 ,$247.79 ,$303.63 ,$303.63 ,$303.63 , N/A ,$314.10 ,$200.68 ,$296.65 ,$75.24 ,$349.00 ,$195.79 ,$75.24 ,$144.49 ,$8.51 ,$7.74 ,$78.66 ,$296.65 ,$149.46 ,$191.60 ,$97.72 ,$314.10 ,$349.00 ,$75.24 ,$303.63 ,$14.40 ,$349.00 ,$14.40 ,$80.27 ,$226.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101585,83001,HC FSH,301,1 ,$384.00 ,$276.48 ,$30.37 ,$384.00 ,$220.80 ,$241.92 ,$230.40 ,$82.79 ,$107.52 ,$173.63 ,$86.55 ,$181.71 ,$94.08 ,$210.82 ,$210.82 ,$97.84 ,$249.60 ,$170.65 ,$30.37 ,$46.45 ,$86.55 ,$82.79 ,$288.00 ,$272.64 ,$272.64 ,$86.55 ,$272.64 ,$334.08 ,$334.08 ,$334.08 , N/A ,$345.60 ,$220.80 ,$326.40 ,$82.79 ,$384.00 ,$215.42 ,$82.79 ,$158.98 ,$44.78 ,$40.71 ,$86.55 ,$326.40 ,$164.45 ,$210.82 ,$107.52 ,$345.60 ,$384.00 ,$82.79 ,$334.08 ,$37.16 ,$384.00 ,$37.16 ,$88.32 ,$249.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101586,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$140.00 ,$100.80 ,$30.18 ,$140.00 ,$80.50 ,$88.20 ,$84.00 ,$30.18 ,$39.20 ,$81.20 ,$31.56 ,$85.40 ,$34.30 ,$76.86 ,$76.86 ,$35.67 ,$91.00 ,$62.22 ,$30.37 ,$46.30 ,$31.56 ,$30.18 ,$105.00 ,$99.40 ,$99.40 ,$31.56 ,$99.40 ,$121.80 ,$121.80 ,$121.80 , N/A ,$126.00 ,$80.50 ,$119.00 ,$30.18 ,$140.00 ,$78.54 ,$30.18 ,$57.96 ,$44.78 ,$40.71 ,$31.56 ,$119.00 ,$59.96 ,$76.86 ,$39.20 ,$126.00 ,$140.00 ,$30.18 ,$121.80 ,$37.04 ,$140.00 ,$37.04 ,$32.20 ,$91.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101587,83010,HC HAPTOGLOBIN,301,1 ,$44.00 ,$31.68 ,$9.49 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 ,$25.52 ,$9.92 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$20.63 ,$31.45 ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$19.13 ,$17.39 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 ,$25.16 ,$44.00 ,$25.16 ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101594,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$163.00 ,$117.36 ,$7.74 ,$163.00 ,$93.73 ,$102.69 ,$97.80 ,$35.14 ,$45.64 ,$41.62 ,$36.74 ,$43.56 ,$39.93 ,$89.49 ,$89.49 ,$41.53 ,$105.95 ,$72.44 ,$9.74 ,$15.10 ,$36.74 ,$35.14 ,$122.25 ,$115.73 ,$115.73 ,$36.74 ,$115.73 ,$141.81 ,$141.81 ,$141.81 , N/A ,$146.70 ,$93.73 ,$138.55 ,$35.14 ,$163.00 ,$91.44 ,$35.14 ,$67.48 ,$8.51 ,$7.74 ,$36.74 ,$138.55 ,$69.81 ,$89.49 ,$45.64 ,$146.70 ,$163.00 ,$35.14 ,$141.81 ,$12.08 ,$163.00 ,$12.08 ,$37.49 ,$105.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101595,83690,HC LIPASE,301,1 ,$161.00 ,$115.92 ,$7.74 ,$161.00 ,$92.58 ,$101.43 ,$96.60 ,$34.71 ,$45.08 ,$47.56 ,$36.29 ,$49.77 ,$39.44 ,$88.39 ,$88.39 ,$41.02 ,$104.65 ,$71.55 ,$11.45 ,$17.23 ,$36.29 ,$34.71 ,$120.75 ,$114.31 ,$114.31 ,$36.29 ,$114.31 ,$140.07 ,$140.07 ,$140.07 , N/A ,$144.90 ,$92.58 ,$136.85 ,$34.71 ,$161.00 ,$90.32 ,$34.71 ,$66.65 ,$8.51 ,$7.74 ,$36.29 ,$136.85 ,$68.95 ,$88.39 ,$45.08 ,$144.90 ,$161.00 ,$34.71 ,$140.07 ,$13.78 ,$161.00 ,$13.78 ,$37.03 ,$104.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101598,83930,HC OSMOLALITY BLOOD,301,1 ,$202.00 ,$145.44 ,$7.74 ,$202.00 ,$116.15 ,$127.26 ,$121.20 ,$43.55 ,$56.56 ,$45.58 ,$45.53 ,$47.70 ,$49.49 ,$110.90 ,$110.90 ,$51.47 ,$131.30 ,$89.77 ,$10.89 ,$16.53 ,$45.53 ,$43.55 ,$151.50 ,$143.42 ,$143.42 ,$45.53 ,$143.42 ,$175.74 ,$175.74 ,$175.74 , N/A ,$181.80 ,$116.15 ,$171.70 ,$43.55 ,$202.00 ,$113.32 ,$43.55 ,$83.63 ,$8.51 ,$7.74 ,$45.53 ,$171.70 ,$86.50 ,$110.90 ,$56.56 ,$181.80 ,$202.00 ,$43.55 ,$175.74 ,$13.22 ,$202.00 ,$13.22 ,$46.46 ,$131.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101599,83935,HC OSMOLALITY URINE,301,1 ,$159.00 ,$114.48 ,$7.74 ,$159.00 ,$91.43 ,$100.17 ,$95.40 ,$34.28 ,$44.52 ,$47.04 ,$35.84 ,$49.23 ,$38.95 ,$87.29 ,$87.29 ,$40.51 ,$103.35 ,$70.66 ,$11.45 ,$17.05 ,$35.84 ,$34.28 ,$119.25 ,$112.89 ,$112.89 ,$35.84 ,$112.89 ,$138.33 ,$138.33 ,$138.33 , N/A ,$143.10 ,$91.43 ,$135.15 ,$34.28 ,$159.00 ,$89.20 ,$34.28 ,$65.83 ,$8.51 ,$7.74 ,$35.84 ,$135.15 ,$68.09 ,$87.29 ,$44.52 ,$143.10 ,$159.00 ,$34.28 ,$138.33 ,$13.64 ,$159.00 ,$13.64 ,$36.57 ,$103.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101600,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$47.00 ,$33.84 ,$10.13 ,$103.20 ,$27.03 ,$29.61 ,$28.20 ,$10.13 ,$13.16 ,$27.26 ,$10.59 ,$28.67 ,$11.51 ,$25.80 ,$25.80 ,$11.98 ,$30.55 ,$20.89 ,$47.00 ,$103.20 ,$10.59 ,$10.13 ,$35.25 ,$33.37 ,$33.37 ,$10.59 ,$33.37 ,$40.89 ,$40.89 ,$40.89 , N/A ,$42.30 ,$27.03 ,$39.95 ,$10.13 ,$47.00 ,$26.37 ,$10.13 ,$19.46 ,$44.78 ,$40.71 ,$10.59 ,$39.95 ,$20.13 ,$25.80 ,$13.16 ,$42.30 ,$47.00 ,$10.13 ,$40.89 ,$47.00 ,$47.00 ,$47.00 ,$10.81 ,$30.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101601,84075,HC ALKALINE PHOSPHATASE,301,1 ,$83.00 ,$59.76 ,$7.74 ,$83.00 ,$47.73 ,$52.29 ,$49.80 ,$17.89 ,$23.24 ,$48.14 ,$18.71 ,$50.58 ,$20.33 ,$45.57 ,$45.57 ,$21.15 ,$53.95 ,$36.89 ,$8.59 ,$12.95 ,$18.71 ,$17.89 ,$62.25 ,$58.93 ,$58.93 ,$18.71 ,$58.93 ,$72.21 ,$72.21 ,$72.21 , N/A ,$74.70 ,$47.73 ,$70.55 ,$17.89 ,$83.00 ,$46.56 ,$17.89 ,$34.36 ,$8.51 ,$7.74 ,$18.71 ,$70.55 ,$35.54 ,$45.57 ,$23.24 ,$74.70 ,$83.00 ,$17.89 ,$72.21 ,$10.36 ,$83.00 ,$10.36 ,$19.09 ,$53.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101602,84105,HC PHOSPHORUS UR,301,1 ,$192.00 ,$138.24 ,$7.74 ,$192.00 ,$110.40 ,$120.96 ,$115.20 ,$41.40 ,$53.76 ,$35.69 ,$43.28 ,$37.35 ,$47.04 ,$105.41 ,$105.41 ,$48.92 ,$124.80 ,$85.32 ,$9.74 ,$14.45 ,$43.28 ,$41.40 ,$144.00 ,$136.32 ,$136.32 ,$43.28 ,$136.32 ,$167.04 ,$167.04 ,$167.04 , N/A ,$172.80 ,$110.40 ,$163.20 ,$41.40 ,$192.00 ,$107.71 ,$41.40 ,$79.49 ,$8.51 ,$7.74 ,$43.28 ,$163.20 ,$82.22 ,$105.41 ,$53.76 ,$172.80 ,$192.00 ,$41.40 ,$167.04 ,$11.56 ,$192.00 ,$11.56 ,$44.16 ,$124.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101604,84133,HC POTASSIUM UR,301,1 ,$137.00 ,$98.64 ,$7.74 ,$137.00 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 ,$29.76 ,$30.88 ,$31.14 ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$89.05 ,$60.88 ,$8.03 ,$11.83 ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$137.00 ,$76.86 ,$29.54 ,$56.72 ,$8.51 ,$7.74 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 ,$9.46 ,$137.00 ,$9.46 ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101606,84144,HC PROGESTERONE,301,1 ,$179.00 ,$128.88 ,$23.41 ,$179.00 ,$102.93 ,$112.77 ,$107.40 ,$38.59 ,$50.12 ,$103.82 ,$40.35 ,$109.19 ,$43.85 ,$98.27 ,$98.27 ,$45.61 ,$116.35 ,$79.55 ,$34.36 ,$52.15 ,$40.35 ,$38.59 ,$134.25 ,$127.09 ,$127.09 ,$40.35 ,$127.09 ,$155.73 ,$155.73 ,$155.73 , N/A ,$161.10 ,$102.93 ,$152.15 ,$38.59 ,$179.00 ,$100.42 ,$38.59 ,$74.11 ,$25.75 ,$23.41 ,$40.35 ,$152.15 ,$76.66 ,$98.27 ,$50.12 ,$161.10 ,$179.00 ,$38.59 ,$155.73 ,$41.72 ,$179.00 ,$41.72 ,$41.17 ,$116.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101608,84146,HC PROLACTIN,301,1 ,$162.00 ,$116.64 ,$32.08 ,$162.00 ,$93.15 ,$102.06 ,$97.20 ,$34.93 ,$45.36 ,$93.96 ,$36.51 ,$98.82 ,$39.69 ,$88.94 ,$88.94 ,$41.28 ,$105.30 ,$71.99 ,$32.08 ,$48.45 ,$36.51 ,$34.93 ,$121.50 ,$115.02 ,$115.02 ,$36.51 ,$115.02 ,$140.94 ,$140.94 ,$140.94 , N/A ,$145.80 ,$93.15 ,$137.70 ,$34.93 ,$162.00 ,$90.88 ,$34.93 ,$67.07 ,$44.78 ,$40.71 ,$36.51 ,$137.70 ,$69.37 ,$88.94 ,$45.36 ,$145.80 ,$162.00 ,$34.93 ,$140.94 ,$38.76 ,$162.00 ,$38.76 ,$37.26 ,$105.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101609,84153,HC PSA TOTAL,301,1 ,$47.00 ,$33.84 ,$10.13 ,$47.00 ,$27.03 ,$29.61 ,$28.20 ,$10.13 ,$13.16 ,$27.26 ,$10.59 ,$28.67 ,$11.51 ,$25.80 ,$25.80 ,$11.98 ,$30.55 ,$20.89 ,$30.37 ,$45.98 ,$10.59 ,$10.13 ,$35.25 ,$33.37 ,$33.37 ,$10.59 ,$33.37 ,$40.89 ,$40.89 ,$40.89 , N/A ,$42.30 ,$27.03 ,$39.95 ,$10.13 ,$47.00 ,$26.37 ,$10.13 ,$19.46 ,$19.13 ,$17.39 ,$10.59 ,$39.95 ,$20.13 ,$25.80 ,$13.16 ,$42.30 ,$47.00 ,$10.13 ,$40.89 ,$36.78 ,$47.00 ,$36.78 ,$10.81 ,$30.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101610,84154,HC PSA FREE,301,1 ,$159.00 ,$114.48 ,$17.39 ,$159.00 ,$91.43 ,$100.17 ,$95.40 ,$34.28 ,$44.52 ,$92.22 ,$35.84 ,$96.99 ,$38.95 ,$87.29 ,$87.29 ,$40.51 ,$103.35 ,$70.66 ,$30.37 ,$45.98 ,$35.84 ,$34.28 ,$119.25 ,$112.89 ,$112.89 ,$35.84 ,$112.89 ,$138.33 ,$138.33 ,$138.33 , N/A ,$143.10 ,$91.43 ,$135.15 ,$34.28 ,$159.00 ,$89.20 ,$34.28 ,$65.83 ,$19.13 ,$17.39 ,$35.84 ,$135.15 ,$68.09 ,$87.29 ,$44.52 ,$143.10 ,$159.00 ,$34.28 ,$138.33 ,$36.78 ,$159.00 ,$36.78 ,$36.57 ,$103.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101611,84155,HC PROTEIN TOTAL,301,1 ,$25.00 ,$18.00 ,$5.39 ,$25.00 ,$14.38 ,$15.75 ,$15.00 ,$5.39 ,$7.00 ,$14.50 ,$5.63 ,$15.25 ,$6.12 ,$13.73 ,$13.73 ,$6.37 ,$16.25 ,$11.11 ,$6.30 ,$9.18 ,$5.63 ,$5.39 ,$18.75 ,$17.75 ,$17.75 ,$5.63 ,$17.75 ,$21.75 ,$21.75 ,$21.75 , N/A ,$22.50 ,$14.38 ,$21.25 ,$5.39 ,$25.00 ,$14.03 ,$5.39 ,$10.35 ,$8.51 ,$7.74 ,$5.63 ,$21.25 ,$10.71 ,$13.73 ,$7.00 ,$22.50 ,$25.00 ,$5.39 ,$21.75 ,$7.34 ,$25.00 ,$7.34 ,$5.75 ,$16.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101612,84156,HC PROTEIN TOTAL URINE,301,1 ,$72.00 ,$51.84 ,$6.30 ,$72.00 ,$41.40 ,$45.36 ,$43.20 ,$15.52 ,$20.16 ,$25.28 ,$16.23 ,$26.46 ,$17.64 ,$39.53 ,$39.53 ,$18.35 ,$46.80 ,$32.00 ,$6.30 ,$9.18 ,$16.23 ,$15.52 ,$54.00 ,$51.12 ,$51.12 ,$16.23 ,$51.12 ,$62.64 ,$62.64 ,$62.64 , N/A ,$64.80 ,$41.40 ,$61.20 ,$15.52 ,$72.00 ,$40.39 ,$15.52 ,$29.81 ,$8.51 ,$7.74 ,$16.23 ,$61.20 ,$30.83 ,$39.53 ,$20.16 ,$64.80 ,$72.00 ,$15.52 ,$62.64 ,$7.34 ,$72.00 ,$7.34 ,$16.56 ,$46.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101613,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$338.00 ,$243.36 ,$6.30 ,$338.00 ,$194.35 ,$212.94 ,$202.80 ,$72.87 ,$94.64 ,$34.31 ,$76.19 ,$35.91 ,$82.81 ,$185.56 ,$185.56 ,$86.12 ,$219.70 ,$150.21 ,$6.30 ,$10.00 ,$76.19 ,$72.87 ,$253.50 ,$239.98 ,$239.98 ,$76.19 ,$239.98 ,$294.06 ,$294.06 ,$294.06 , N/A ,$304.20 ,$194.35 ,$287.30 ,$72.87 ,$338.00 ,$189.62 ,$72.87 ,$139.93 ,$8.51 ,$7.74 ,$76.19 ,$287.30 ,$144.76 ,$185.56 ,$94.64 ,$304.20 ,$338.00 ,$72.87 ,$294.06 ,$8.00 ,$338.00 ,$8.00 ,$77.74 ,$219.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101614,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$311.00 ,$223.92 ,$17.39 ,$311.00 ,$178.83 ,$195.93 ,$186.60 ,$67.05 ,$87.08 ,$74.13 ,$70.10 ,$77.58 ,$76.19 ,$170.74 ,$170.74 ,$79.24 ,$17.53 ,$138.21 ,$17.75 ,$26.85 ,$70.10 ,$67.05 ,$233.25 ,$220.81 ,$220.81 ,$70.10 ,$220.81 ,$270.57 ,$270.57 ,$270.57 , N/A ,$279.90 ,$178.83 ,$264.35 ,$67.05 ,$311.00 ,$174.47 ,$67.05 ,$128.75 ,$19.13 ,$17.39 ,$70.10 ,$264.35 ,$133.19 ,$170.74 ,$87.08 ,$279.90 ,$311.00 ,$67.05 ,$270.57 ,$21.48 ,$311.00 ,$21.48 ,$71.53 ,$202.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101615,84166,HC PROTEIN EP OTH FLUID,301,1 ,$344.00 ,$247.68 ,$17.39 ,$344.00 ,$197.80 ,$216.72 ,$206.40 ,$74.17 ,$96.32 ,$123.07 ,$77.54 ,$128.79 ,$84.28 ,$188.86 ,$188.86 ,$87.65 ,$17.53 ,$152.87 ,$29.21 ,$44.58 ,$77.54 ,$74.17 ,$258.00 ,$244.24 ,$244.24 ,$77.54 ,$244.24 ,$299.28 ,$299.28 ,$299.28 , N/A ,$309.60 ,$197.80 ,$292.40 ,$74.17 ,$344.00 ,$192.98 ,$74.17 ,$142.42 ,$19.13 ,$17.39 ,$77.54 ,$292.40 ,$147.32 ,$188.86 ,$96.32 ,$309.60 ,$344.00 ,$74.17 ,$299.28 ,$35.66 ,$344.00 ,$35.66 ,$79.12 ,$223.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101617,84300,HC SODIUM URINE,301,1 ,$244.00 ,$175.68 ,$7.74 ,$244.00 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$33.54 ,$55.00 ,$35.10 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$158.60 ,$108.43 ,$8.59 ,$12.65 ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 ,$8.51 ,$7.74 ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$10.12 ,$244.00 ,$10.12 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101618,84302,HC SODIUM OTHER FLUID,301,1 ,$66.00 ,$47.52 ,$7.74 ,$66.00 ,$37.95 ,$41.58 ,$39.60 ,$14.23 ,$18.48 ,$33.54 ,$14.88 ,$35.10 ,$16.17 ,$36.23 ,$36.23 ,$16.82 ,$42.90 ,$29.33 ,$8.03 ,$12.15 ,$14.88 ,$14.23 ,$49.50 ,$46.86 ,$46.86 ,$14.88 ,$46.86 ,$57.42 ,$57.42 ,$57.42 , N/A ,$59.40 ,$37.95 ,$56.10 ,$14.23 ,$66.00 ,$37.03 ,$14.23 ,$27.32 ,$8.51 ,$7.74 ,$14.88 ,$56.10 ,$28.26 ,$36.23 ,$18.48 ,$59.40 ,$66.00 ,$14.23 ,$57.42 ,$9.72 ,$66.00 ,$9.72 ,$15.18 ,$42.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101619,84403,HC TESTOSTERONE TOTAL,301,1 ,$145.00 ,$104.40 ,$31.26 ,$145.00 ,$83.38 ,$91.35 ,$87.00 ,$31.26 ,$40.60 ,$84.10 ,$32.68 ,$88.45 ,$35.52 ,$79.61 ,$79.61 ,$36.95 ,$94.25 ,$64.44 ,$42.39 ,$64.53 ,$32.68 ,$31.26 ,$108.75 ,$102.95 ,$102.95 ,$32.68 ,$102.95 ,$126.15 ,$126.15 ,$126.15 , N/A ,$130.50 ,$83.38 ,$123.25 ,$31.26 ,$145.00 ,$81.35 ,$31.26 ,$60.03 ,$44.78 ,$40.71 ,$32.68 ,$123.25 ,$62.10 ,$79.61 ,$40.60 ,$130.50 ,$145.00 ,$31.26 ,$126.15 ,$51.62 ,$145.00 ,$51.62 ,$33.35 ,$94.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101621,84450,HC AST,301,1 ,$182.00 ,$131.04 ,$7.74 ,$182.00 ,$104.65 ,$114.66 ,$109.20 ,$39.24 ,$50.96 ,$48.33 ,$41.02 ,$50.58 ,$44.59 ,$99.92 ,$99.92 ,$46.37 ,$118.30 ,$80.88 ,$8.59 ,$12.95 ,$41.02 ,$39.24 ,$136.50 ,$129.22 ,$129.22 ,$41.02 ,$129.22 ,$158.34 ,$158.34 ,$158.34 , N/A ,$163.80 ,$104.65 ,$154.70 ,$39.24 ,$182.00 ,$102.10 ,$39.24 ,$75.35 ,$8.51 ,$7.74 ,$41.02 ,$154.70 ,$77.94 ,$99.92 ,$50.96 ,$163.80 ,$182.00 ,$39.24 ,$158.34 ,$10.36 ,$182.00 ,$10.36 ,$41.86 ,$118.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101623,84478,HC TRIGLYCERIDES,301,1 ,$104.00 ,$74.88 ,$7.74 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$53.66 ,$23.44 ,$56.16 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$9.16 ,$14.35 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$8.51 ,$7.74 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$11.48 ,$104.00 ,$11.48 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101625,84481,HC T3 FREE,301,1 ,$113.00 ,$81.36 ,$23.41 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$73.45 ,$50.22 ,$28.06 ,$42.35 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$25.75 ,$23.41 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$33.88 ,$113.00 ,$33.88 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101626,84520,HC BUN,301,1 ,$47.00 ,$33.84 ,$3.95 ,$47.00 ,$27.03 ,$29.61 ,$28.20 ,$10.13 ,$13.16 ,$27.26 ,$10.59 ,$28.67 ,$11.51 ,$25.80 ,$25.80 ,$11.98 ,$30.55 ,$20.89 ,$6.30 ,$9.88 ,$10.59 ,$10.13 ,$35.25 ,$33.37 ,$33.37 ,$10.59 ,$33.37 ,$40.89 ,$40.89 ,$40.89 , N/A ,$42.30 ,$27.03 ,$39.95 ,$10.13 ,$3.95 ,$26.37 ,$10.13 ,$19.46 ,$8.51 ,$7.74 ,$10.59 ,$39.95 ,$20.13 ,$25.80 ,$13.16 ,$42.30 ,$47.00 ,$10.13 ,$40.89 ,$7.90 ,$47.00 ,$7.90 ,$10.81 ,$30.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101627,84540,HC UREA URINE,301,1 ,$68.00 ,$48.96 ,$7.74 ,$68.00 ,$39.10 ,$42.84 ,$40.80 ,$14.66 ,$19.04 ,$32.77 ,$15.33 ,$34.29 ,$16.66 ,$37.33 ,$37.33 ,$17.33 ,$44.20 ,$30.22 ,$9.16 ,$13.90 ,$15.33 ,$14.66 ,$51.00 ,$48.28 ,$48.28 ,$15.33 ,$48.28 ,$59.16 ,$59.16 ,$59.16 , N/A ,$61.20 ,$39.10 ,$57.80 ,$14.66 ,$68.00 ,$38.15 ,$14.66 ,$28.15 ,$8.51 ,$7.74 ,$15.33 ,$57.80 ,$29.13 ,$37.33 ,$19.04 ,$61.20 ,$68.00 ,$14.66 ,$59.16 ,$11.12 ,$68.00 ,$11.12 ,$15.64 ,$44.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101628,84560,HC URIC ACID OTH SRC,301,1 ,$217.00 ,$156.24 ,$7.74 ,$217.00 ,$124.78 ,$136.71 ,$130.20 ,$46.79 ,$60.76 ,$32.77 ,$48.91 ,$34.29 ,$53.16 ,$119.13 ,$119.13 ,$55.29 ,$141.05 ,$96.43 ,$8.59 ,$12.70 ,$48.91 ,$46.79 ,$162.75 ,$154.07 ,$154.07 ,$48.91 ,$154.07 ,$188.79 ,$188.79 ,$188.79 , N/A ,$195.30 ,$124.78 ,$184.45 ,$46.79 ,$217.00 ,$121.74 ,$46.79 ,$89.84 ,$8.51 ,$7.74 ,$48.91 ,$184.45 ,$92.93 ,$119.13 ,$60.76 ,$195.30 ,$217.00 ,$46.79 ,$188.79 ,$10.16 ,$217.00 ,$10.16 ,$49.91 ,$141.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101636,83735,HC MAGNESIUM,301,1 ,$192.00 ,$138.24 ,$7.74 ,$192.00 ,$110.40 ,$120.96 ,$115.20 ,$41.40 ,$53.76 ,$62.61 ,$43.28 ,$65.52 ,$47.04 ,$105.41 ,$105.41 ,$48.92 ,$124.80 ,$85.32 ,$10.89 ,$16.75 ,$43.28 ,$41.40 ,$144.00 ,$136.32 ,$136.32 ,$43.28 ,$136.32 ,$167.04 ,$167.04 ,$167.04 , N/A ,$172.80 ,$110.40 ,$163.20 ,$41.40 ,$192.00 ,$107.71 ,$41.40 ,$79.49 ,$8.51 ,$7.74 ,$43.28 ,$163.20 ,$82.22 ,$105.41 ,$53.76 ,$172.80 ,$192.00 ,$41.40 ,$167.04 ,$13.40 ,$192.00 ,$13.40 ,$44.16 ,$124.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101638,84100,HC PHOSPHORUS,301,1 ,$127.00 ,$91.44 ,$7.74 ,$127.00 ,$73.03 ,$80.01 ,$76.20 ,$27.38 ,$35.56 ,$32.68 ,$28.63 ,$34.20 ,$31.11 ,$69.72 ,$69.72 ,$32.36 ,$82.55 ,$56.44 ,$8.03 ,$11.85 ,$28.63 ,$27.38 ,$95.25 ,$90.17 ,$90.17 ,$28.63 ,$90.17 ,$110.49 ,$110.49 ,$110.49 , N/A ,$114.30 ,$73.03 ,$107.95 ,$27.38 ,$127.00 ,$71.25 ,$27.38 ,$52.58 ,$8.51 ,$7.74 ,$28.63 ,$107.95 ,$54.39 ,$69.72 ,$35.56 ,$114.30 ,$127.00 ,$27.38 ,$110.49 ,$9.48 ,$127.00 ,$9.48 ,$29.21 ,$82.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101639,G0103,HC PSA ANNUAL SCREENING,301,1 ,$75.00 ,$54.00 ,$16.17 ,$75.00 ,$43.13 ,$47.25 ,$45.00 ,$16.17 ,$21.00 ,$43.50 ,$16.90 ,$45.75 ,$18.37 ,$41.18 ,$41.18 ,$19.11 ,$48.75 ,$33.33 ,$31.50 ,$48.28 ,$16.90 ,$16.17 ,$56.25 ,$53.25 ,$53.25 ,$16.90 ,$53.25 ,$65.25 ,$65.25 ,$65.25 , N/A ,$67.50 ,$43.13 ,$63.75 ,$16.17 ,$75.00 ,$42.08 ,$16.17 ,$31.05 ,$19.13 ,$17.39 ,$16.90 ,$63.75 ,$32.12 ,$41.18 ,$21.00 ,$67.50 ,$75.00 ,$16.17 ,$65.25 ,$38.62 ,$75.00 ,$38.62 ,$17.25 ,$48.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101651,84150,HC PROSTAGLANDIN-90,301,1 ,$283.00 ,$203.76 ,$40.71 ,$283.00 ,$162.73 ,$178.29 ,$169.80 ,$61.01 ,$79.24 ,$164.14 ,$63.79 ,$172.63 ,$69.33 ,$155.37 ,$155.37 ,$72.11 ,$183.95 ,$125.77 ,$68.74 ,$104.43 ,$63.79 ,$61.01 ,$212.25 ,$200.93 ,$200.93 ,$63.79 ,$200.93 ,$246.21 ,$246.21 ,$246.21 , N/A ,$254.70 ,$162.73 ,$240.55 ,$61.01 ,$283.00 ,$158.76 ,$61.01 ,$117.16 ,$44.78 ,$40.71 ,$63.79 ,$240.55 ,$121.20 ,$155.37 ,$79.24 ,$254.70 ,$283.00 ,$61.01 ,$246.21 ,$83.54 ,$283.00 ,$83.54 ,$65.09 ,$183.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101652,83698,HC LIPOPROTEIN ASSOC PHOSPHOLIPASE A2-90,301,1 ,$182.00 ,$131.04 ,$39.24 ,$182.00 ,$104.65 ,$114.66 ,$109.20 ,$39.24 ,$50.96 ,$105.56 ,$41.02 ,$111.02 ,$44.59 ,$99.92 ,$99.92 ,$46.37 ,$118.30 ,$80.88 ,$76.18 ,$115.78 ,$41.02 ,$39.24 ,$136.50 ,$129.22 ,$129.22 ,$41.02 ,$129.22 ,$158.34 ,$158.34 ,$158.34 , N/A ,$163.80 ,$104.65 ,$154.70 ,$39.24 ,$182.00 ,$102.10 ,$39.24 ,$75.35 ,$51.50 ,$46.82 ,$41.02 ,$154.70 ,$77.94 ,$99.92 ,$50.96 ,$163.80 ,$182.00 ,$39.24 ,$158.34 ,$92.62 ,$182.00 ,$92.62 ,$41.86 ,$118.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101656,83036,HC HEALTH FAIR HEMOGLOBIN A1C,301,1 ,$10.00 ,$7.20 ,$2.16 ,$24.28 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$10.00 ,$24.28 ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 ,$19.13 ,$17.39 ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$10.00 ,$10.00 ,$10.00 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101657,N/A,HC HEALTH FAIR TOTAL PSA SCREEN,301,1 ,$15.00 ,$10.80 ,$3.23 ,$15.00 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$10.50 , N/A ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 , N/A , N/A ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$7.50 ,$15.00 ,$7.50 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101658,N/A,HC HEALTH FAIR VITAMIN D 25-OH,301,1 ,$15.00 ,$10.80 ,$3.23 ,$15.00 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$10.50 , N/A ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 , N/A , N/A ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$7.50 ,$15.00 ,$7.50 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101659,84443,HC HEALTH FAIR TSH,301,1 ,$15.00 ,$10.80 ,$3.23 ,$37.50 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$15.00 ,$37.50 ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 ,$25.75 ,$23.41 ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$15.00 ,$15.00 ,$15.00 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101660,N/A,HC HEALTH FAIR LAB PANEL,301,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$31.50 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$22.50 ,$45.00 ,$22.50 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101661,80061,HC HEALTH FAIR LIPID W/CALC LDL,301,1 ,$15.00 ,$10.80 ,$3.23 ,$33.48 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$15.00 ,$33.48 ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 ,$17.45 ,$15.86 ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$15.00 ,$15.00 ,$15.00 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101662,N/A,HC HEALTH FAIR OCCULT BLOOD FECAL SCREEN,301,1 ,$15.00 ,$10.80 ,$3.23 ,$15.00 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$10.50 , N/A ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 , N/A , N/A ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$7.50 ,$15.00 ,$7.50 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101674,82978,HC GLUTATHIONE-90,301,1 ,$93.00 ,$66.96 ,$17.39 ,$93.00 ,$53.48 ,$58.59 ,$55.80 ,$20.05 ,$26.04 ,$53.94 ,$20.96 ,$56.73 ,$22.78 ,$51.06 ,$51.06 ,$23.70 ,$60.45 ,$41.33 ,$25.20 ,$38.63 ,$20.96 ,$20.05 ,$69.75 ,$66.03 ,$66.03 ,$20.96 ,$66.03 ,$80.91 ,$80.91 ,$80.91 , N/A ,$83.70 ,$53.48 ,$79.05 ,$20.05 ,$93.00 ,$52.17 ,$20.05 ,$38.50 ,$19.13 ,$17.39 ,$20.96 ,$79.05 ,$39.83 ,$51.06 ,$26.04 ,$83.70 ,$93.00 ,$20.05 ,$80.91 ,$30.90 ,$93.00 ,$30.90 ,$21.39 ,$60.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101685,80235,HC LACOSAMIDE -90,301,1 ,$134.00 ,$96.48 ,$19.97 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$77.72 ,$30.20 ,$81.74 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 ,$44.68 ,$67.78 ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 ,$21.97 ,$19.97 ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$54.22 ,$134.00 ,$54.22 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101705,80145,HC DRUG ASSAY ADALIMUMAB -90,301,1 ,$289.00 ,$208.08 ,$19.97 ,$289.00 ,$166.18 ,$182.07 ,$173.40 ,$62.31 ,$80.92 ,$167.62 ,$65.14 ,$176.29 ,$70.80 ,$158.66 ,$158.66 ,$73.64 ,$187.85 ,$128.43 ,$63.58 ,$96.43 ,$65.14 ,$62.31 ,$216.75 ,$205.19 ,$205.19 ,$65.14 ,$205.19 ,$251.43 ,$251.43 ,$251.43 , N/A ,$260.10 ,$166.18 ,$245.65 ,$62.31 ,$289.00 ,$162.13 ,$62.31 ,$119.65 ,$21.97 ,$19.97 ,$65.14 ,$245.65 ,$123.76 ,$158.66 ,$80.92 ,$260.10 ,$289.00 ,$62.31 ,$251.43 ,$77.14 ,$289.00 ,$77.14 ,$66.47 ,$187.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101706,80230,HC DRUG ASSAY INFLIXIMAB-90,301,1 ,$200.00 ,$144.00 ,$19.97 ,$200.00 ,$115.00 ,$126.00 ,$120.00 ,$43.12 ,$56.00 ,$116.00 ,$45.08 ,$122.00 ,$49.00 ,$109.80 ,$109.80 ,$50.96 ,$130.00 ,$88.88 ,$63.58 ,$96.43 ,$45.08 ,$43.12 ,$150.00 ,$142.00 ,$142.00 ,$45.08 ,$142.00 ,$174.00 ,$174.00 ,$174.00 , N/A ,$180.00 ,$115.00 ,$170.00 ,$43.12 ,$200.00 ,$112.20 ,$43.12 ,$82.80 ,$21.97 ,$19.97 ,$45.08 ,$170.00 ,$85.65 ,$109.80 ,$56.00 ,$180.00 ,$200.00 ,$43.12 ,$174.00 ,$77.14 ,$200.00 ,$77.14 ,$46.00 ,$130.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101722,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN-90,301,1 ,$70.00 ,$50.40 ,$15.09 ,$70.00 ,$40.25 ,$44.10 ,$42.00 ,$15.09 ,$19.60 ,$40.60 ,$15.78 ,$42.70 ,$17.15 ,$38.43 ,$38.43 ,$17.84 ,$45.50 ,$31.11 ,$39.53 ,$60.23 ,$15.78 ,$15.09 ,$52.50 ,$49.70 ,$49.70 ,$15.78 ,$49.70 ,$60.90 ,$60.90 ,$60.90 , N/A ,$63.00 ,$40.25 ,$59.50 ,$15.09 ,$70.00 ,$39.27 ,$15.09 ,$28.98 ,$19.13 ,$17.39 ,$15.78 ,$59.50 ,$29.98 ,$38.43 ,$19.60 ,$63.00 ,$70.00 ,$15.09 ,$60.90 ,$48.18 ,$70.00 ,$48.18 ,$16.10 ,$45.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101739,80280,HC DRUG ASSAY VEDOLIZUMAB-90,301,1 ,$300.00 ,$216.00 ,$19.97 ,$300.00 ,$172.50 ,$189.00 ,$180.00 ,$64.68 ,$84.00 ,$174.00 ,$67.62 ,$183.00 ,$73.50 ,$164.70 ,$164.70 ,$76.44 ,$195.00 ,$133.32 ,$63.58 ,$96.43 ,$67.62 ,$64.68 ,$225.00 ,$213.00 ,$213.00 ,$67.62 ,$213.00 ,$261.00 ,$261.00 ,$261.00 , N/A ,$270.00 ,$172.50 ,$255.00 ,$64.68 ,$300.00 ,$168.30 ,$64.68 ,$124.20 ,$21.97 ,$19.97 ,$67.62 ,$255.00 ,$128.48 ,$164.70 ,$84.00 ,$270.00 ,$300.00 ,$64.68 ,$261.00 ,$77.14 ,$300.00 ,$77.14 ,$69.00 ,$195.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101750,80189,HC ITRACONAZOLE - 90,301,1 ,$115.00 ,$82.80 ,$19.97 ,$115.00 ,$66.13 ,$72.45 ,$69.00 ,$24.79 ,$32.20 ,$66.70 ,$25.92 ,$70.15 ,$28.16 ,$63.14 ,$63.14 ,$29.30 ,$74.75 ,$51.11 ,$44.68 ,$67.78 ,$25.92 ,$24.79 ,$86.25 ,$81.65 ,$81.65 ,$25.92 ,$81.65 ,$100.05 ,$100.05 ,$100.05 , N/A ,$103.50 ,$66.13 ,$97.75 ,$24.79 ,$115.00 ,$64.52 ,$24.79 ,$47.61 ,$21.97 ,$19.97 ,$25.92 ,$97.75 ,$49.25 ,$63.14 ,$32.20 ,$103.50 ,$115.00 ,$24.79 ,$100.05 ,$54.22 ,$115.00 ,$54.22 ,$26.45 ,$74.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101755,82553,HC CREATINE MB FRACTION,301,1 ,$168.00 ,$120.96 ,$17.39 ,$168.00 ,$96.60 ,$105.84 ,$100.80 ,$36.22 ,$47.04 ,$79.72 ,$37.87 ,$83.43 ,$41.16 ,$92.23 ,$92.23 ,$42.81 ,$109.20 ,$74.66 ,$18.90 ,$28.88 ,$37.87 ,$36.22 ,$126.00 ,$119.28 ,$119.28 ,$37.87 ,$119.28 ,$146.16 ,$146.16 ,$146.16 , N/A ,$151.20 ,$96.60 ,$142.80 ,$36.22 ,$168.00 ,$94.25 ,$36.22 ,$69.55 ,$19.13 ,$17.39 ,$37.87 ,$142.80 ,$71.95 ,$92.23 ,$47.04 ,$151.20 ,$168.00 ,$36.22 ,$146.16 ,$23.10 ,$168.00 ,$23.10 ,$38.64 ,$109.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101770,83521,HC IMMUNOGLOBULIN LIGHT CHAINS- 90,301,1 ,$169.00 ,$121.68 ,$17.39 ,$169.00 ,$97.18 ,$106.47 ,$101.40 ,$36.44 ,$47.32 ,$98.02 ,$38.09 ,$103.09 ,$41.40 ,$92.78 ,$92.78 ,$43.06 ,$109.85 ,$75.10 ,$118.30 ,$43.18 ,$38.09 ,$36.44 ,$126.75 ,$119.99 ,$119.99 ,$38.09 ,$119.99 ,$147.03 ,$147.03 ,$147.03 , N/A ,$152.10 ,$97.18 ,$143.65 ,$36.44 ,$169.00 ,$94.81 ,$36.44 ,$69.97 ,$19.13 ,$17.39 ,$38.09 ,$143.65 ,$72.37 ,$92.78 ,$47.32 ,$152.10 ,$169.00 ,$36.44 ,$147.03 ,$34.54 ,$169.00 ,$34.54 ,$38.87 ,$109.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101771,82653,HC EL-1 FECAL QUANTITATIVE-90,301,1 ,$323.00 ,$232.56 ,$17.39 ,$323.00 ,$185.73 ,$203.49 ,$193.80 ,$69.64 ,$90.44 ,$79.64 ,$72.80 ,$83.34 ,$79.13 ,$177.33 ,$177.33 ,$82.30 ,$209.95 ,$143.54 ,$226.10 ,$57.43 ,$72.80 ,$69.64 ,$242.25 ,$229.33 ,$229.33 ,$72.80 ,$229.33 ,$281.01 ,$281.01 ,$281.01 , N/A ,$290.70 ,$185.73 ,$274.55 ,$69.64 ,$323.00 ,$181.20 ,$69.64 ,$133.72 ,$19.13 ,$17.39 ,$72.80 ,$274.55 ,$138.33 ,$177.33 ,$90.44 ,$290.70 ,$323.00 ,$69.64 ,$281.01 ,$45.94 ,$323.00 ,$45.94 ,$74.29 ,$209.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101786,86316,HC IMMUNOASSSAY TUMOR OTHER-90,301,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$52.00 ,$35.55 ,$34.36 ,$52.03 ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$19.13 ,$17.39 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$41.62 ,$80.00 ,$41.62 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101788,84146,HC ASSAY OF PROLACTIN-90,301,1 ,$165.00 ,$118.80 ,$32.08 ,$165.00 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$107.25 ,$73.33 ,$32.08 ,$48.45 ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 ,$44.78 ,$40.71 ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$38.76 ,$165.00 ,$38.76 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101789,82108,HC ASSAY OF ALUMINUM-90,301,1 ,$14.00 ,$10.08 ,$3.02 ,$35.00 ,$8.05 ,$8.82 ,$8.40 ,$3.02 ,$3.92 ,$8.12 ,$3.16 ,$8.54 ,$3.43 ,$7.69 ,$7.69 ,$3.57 ,$9.10 ,$6.22 ,$14.00 ,$35.00 ,$3.16 ,$3.02 ,$10.50 ,$9.94 ,$9.94 ,$3.16 ,$9.94 ,$12.18 ,$12.18 ,$12.18 , N/A ,$12.60 ,$8.05 ,$11.90 ,$3.02 ,$14.00 ,$7.85 ,$3.02 ,$5.80 ,$23.33 ,$21.21 ,$3.16 ,$11.90 ,$6.00 ,$7.69 ,$3.92 ,$12.60 ,$14.00 ,$3.02 ,$12.18 ,$14.00 ,$14.00 ,$14.00 ,$3.22 ,$9.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101790,82340,HC ASSAY OF CALCIUM IN URINE-90,301,1 ,$7.00 ,$5.04 ,$1.51 ,$19.13 ,$4.03 ,$4.41 ,$4.20 ,$1.51 ,$1.96 ,$4.06 ,$1.58 ,$4.27 ,$1.71 ,$3.84 ,$3.84 ,$1.78 ,$4.55 ,$3.11 ,$7.00 ,$15.08 ,$1.58 ,$1.51 ,$5.25 ,$4.97 ,$4.97 ,$1.58 ,$4.97 ,$6.09 ,$6.09 ,$6.09 , N/A ,$6.30 ,$4.03 ,$5.95 ,$1.51 ,$7.00 ,$3.93 ,$1.51 ,$2.90 ,$19.13 ,$17.39 ,$1.58 ,$5.95 ,$3.00 ,$3.84 ,$1.96 ,$6.30 ,$7.00 ,$1.51 ,$6.09 ,$7.00 ,$7.00 ,$7.00 ,$1.61 ,$4.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101791,82570,HC ASSAY OR URINE CREATININE-90,301,1 ,$7.00 ,$5.04 ,$1.51 ,$12.95 ,$4.03 ,$4.41 ,$4.20 ,$1.51 ,$1.96 ,$4.06 ,$1.58 ,$4.27 ,$1.71 ,$3.84 ,$3.84 ,$1.78 ,$4.55 ,$3.11 ,$7.00 ,$12.95 ,$1.58 ,$1.51 ,$5.25 ,$4.97 ,$4.97 ,$1.58 ,$4.97 ,$6.09 ,$6.09 ,$6.09 , N/A ,$6.30 ,$4.03 ,$5.95 ,$1.51 ,$7.00 ,$3.93 ,$1.51 ,$2.90 ,$8.51 ,$7.74 ,$1.58 ,$5.95 ,$3.00 ,$3.84 ,$1.96 ,$6.30 ,$7.00 ,$1.51 ,$6.09 ,$7.00 ,$7.00 ,$7.00 ,$1.61 ,$4.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101804,82310,HC ASSAY OF CALCIUM-90,301,1 ,$15.00 ,$10.80 ,$3.23 ,$15.00 ,$8.63 ,$9.45 ,$9.00 ,$3.23 ,$4.20 ,$8.70 ,$3.38 ,$9.15 ,$3.67 ,$8.24 ,$8.24 ,$3.82 ,$9.75 ,$6.67 ,$8.59 ,$12.90 ,$3.38 ,$3.23 ,$11.25 ,$10.65 ,$10.65 ,$3.38 ,$10.65 ,$13.05 ,$13.05 ,$13.05 , N/A ,$13.50 ,$8.63 ,$12.75 ,$3.23 ,$15.00 ,$8.42 ,$3.23 ,$6.21 ,$8.51 ,$7.74 ,$3.38 ,$12.75 ,$6.43 ,$8.24 ,$4.20 ,$13.50 ,$15.00 ,$3.23 ,$13.05 ,$10.32 ,$15.00 ,$10.32 ,$3.45 ,$9.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101816,83630,HC LACTOGEN FECAL QL,301,1 ,$59.00 ,$42.48 ,$12.72 ,$59.00 ,$33.93 ,$37.17 ,$35.40 ,$12.72 ,$16.52 ,$34.22 ,$13.30 ,$35.99 ,$14.45 ,$32.39 ,$32.39 ,$15.03 ,$38.35 ,$26.22 ,$32.08 ,$49.25 ,$13.30 ,$12.72 ,$44.25 ,$41.89 ,$41.89 ,$13.30 ,$41.89 ,$51.33 ,$51.33 ,$51.33 , N/A ,$53.10 ,$33.93 ,$50.15 ,$12.72 ,$59.00 ,$33.10 ,$12.72 ,$24.43 ,$19.13 ,$17.39 ,$13.30 ,$50.15 ,$25.26 ,$32.39 ,$16.52 ,$53.10 ,$59.00 ,$12.72 ,$51.33 ,$39.40 ,$59.00 ,$39.40 ,$13.57 ,$38.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30101821,82542,HC BETA-AMYLOID AD-DETECT-90,301,1 ,$950.00 ,$684.00 ,$17.39 ,$950.00 ,$546.25 ,$598.50 ,$570.00 ,$204.82 ,$266.00 ,$134.68 ,$214.13 ,$140.94 ,$232.75 ,$521.55 ,$521.55 ,$242.06 ,$617.50 ,$422.18 ,$39.53 ,$60.23 ,$214.13 ,$204.82 ,$712.50 ,$674.50 ,$674.50 ,$214.13 ,$674.50 ,$826.50 ,$826.50 ,$826.50 , N/A ,$855.00 ,$546.25 ,$807.50 ,$204.82 ,$950.00 ,$532.95 ,$204.82 ,$393.30 ,$19.13 ,$17.39 ,$214.13 ,$807.50 ,$406.85 ,$521.55 ,$266.00 ,$855.00 ,$950.00 ,$204.82 ,$826.50 ,$48.18 ,$950.00 ,$48.18 ,$218.50 ,$617.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$140.00 ,$100.80 ,$8.59 ,$140.00 ,$80.50 ,$88.20 ,$84.00 ,$30.18 ,$39.20 ,$48.33 ,$31.56 ,$50.58 ,$34.30 ,$76.86 ,$76.86 ,$35.67 ,$91.00 ,$62.22 ,$8.59 ,$12.95 ,$31.56 ,$30.18 ,$105.00 ,$99.40 ,$99.40 ,$31.56 ,$99.40 ,$121.80 ,$121.80 ,$121.80 , N/A ,$126.00 ,$80.50 ,$119.00 ,$30.18 ,$140.00 ,$78.54 ,$30.18 ,$57.96 ,$17.14 ,$15.58 ,$31.56 ,$119.00 ,$59.96 ,$76.86 ,$39.20 ,$126.00 ,$140.00 ,$30.18 ,$121.80 ,$10.36 ,$140.00 ,$10.36 ,$32.20 ,$91.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200200,86580,HC SKIN TEST TB INTRADERMAL,302,1 ,$331.00 ,$238.32 ,$9.72 ,$331.00 ,$190.33 ,$208.53 ,$198.60 ,$71.36 ,$92.68 ,$94.00 ,$74.61 ,$98.37 ,$81.09 ,$181.72 ,$181.72 ,$84.34 ,$9.72 ,$147.10 ,$16.78 ,$62.40 ,$74.61 ,$71.36 ,$248.25 ,$235.01 ,$235.01 ,$74.61 ,$235.01 ,$287.97 ,$287.97 ,$287.97 , N/A ,$297.90 ,$190.33 ,$281.35 ,$71.36 ,$331.00 ,$185.69 ,$71.36 ,$137.03 ,$17.14 ,$15.58 ,$74.61 ,$281.35 ,$141.76 ,$181.72 ,$92.68 ,$297.90 ,$331.00 ,$71.36 ,$287.97 ,$49.34 ,$331.00 ,$49.34 ,$76.13 ,$215.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200251,86677,HC H PYLORI AB,302,1 ,$99.00 ,$71.28 ,$21.34 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$27.49 ,$42.13 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$29.54 ,$26.85 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$33.70 ,$99.00 ,$33.70 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200270,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$243.00 ,$174.96 ,$15.58 ,$243.00 ,$139.73 ,$153.09 ,$145.80 ,$52.39 ,$68.04 ,$128.05 ,$54.77 ,$134.01 ,$59.53 ,$133.41 ,$133.41 ,$61.92 ,$157.95 ,$107.99 ,$22.34 ,$34.28 ,$54.77 ,$52.39 ,$182.25 ,$172.53 ,$172.53 ,$54.77 ,$172.53 ,$211.41 ,$211.41 ,$211.41 , N/A ,$218.70 ,$139.73 ,$206.55 ,$52.39 ,$243.00 ,$136.32 ,$52.39 ,$100.60 ,$17.14 ,$15.58 ,$54.77 ,$206.55 ,$104.07 ,$133.41 ,$68.04 ,$218.70 ,$243.00 ,$52.39 ,$211.41 ,$27.42 ,$243.00 ,$27.42 ,$55.89 ,$157.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200559,86850,HC AB SCREEN,302,1 ,$200.00 ,$144.00 ,$15.58 ,$200.00 ,$115.00 ,$126.00 ,$120.00 ,$43.12 ,$56.00 ,$54.61 ,$45.08 ,$57.15 ,$49.00 ,$109.80 ,$109.80 ,$50.96 ,$130.00 ,$88.88 ,$16.04 ,$125.35 ,$45.08 ,$43.12 ,$150.00 ,$142.00 ,$142.00 ,$45.08 ,$142.00 ,$174.00 ,$174.00 ,$174.00 , N/A ,$180.00 ,$115.00 ,$170.00 ,$43.12 ,$200.00 ,$112.20 ,$43.12 ,$82.80 ,$17.14 ,$15.58 ,$45.08 ,$170.00 ,$85.65 ,$109.80 ,$56.00 ,$180.00 ,$200.00 ,$43.12 ,$174.00 ,$19.54 ,$200.00 ,$19.54 ,$46.00 ,$130.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200560,86860,HC ELUTION,302,1 ,$104.00 ,$74.88 ,$15.58 ,$393.13 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$60.32 ,$23.44 ,$63.44 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$53.84 ,$393.13 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$17.14 ,$15.58 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$104.00 ,$104.00 ,$104.00 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200562,86880,HC COOMBS DIRECT,302,1 ,$106.00 ,$76.32 ,$8.59 ,$143.70 ,$60.95 ,$66.78 ,$63.60 ,$22.85 ,$29.68 ,$37.15 ,$23.89 ,$38.88 ,$25.97 ,$58.19 ,$58.19 ,$27.01 ,$68.90 ,$47.11 ,$8.59 ,$143.70 ,$23.89 ,$22.85 ,$79.50 ,$75.26 ,$75.26 ,$23.89 ,$75.26 ,$92.22 ,$92.22 ,$92.22 , N/A ,$95.40 ,$60.95 ,$90.10 ,$22.85 ,$106.00 ,$59.47 ,$22.85 ,$43.88 ,$17.14 ,$15.58 ,$23.89 ,$90.10 ,$45.39 ,$58.19 ,$29.68 ,$95.40 ,$106.00 ,$22.85 ,$92.22 ,$10.78 ,$106.00 ,$10.78 ,$24.38 ,$68.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$16.00 ,$11.52 ,$3.45 ,$290.28 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$5.15 ,$290.28 ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 ,$10.62 ,$9.65 ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$5.98 ,$16.00 ,$5.98 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200566,86901,HC BLOOD TYPING RH,302,1 ,$104.00 ,$74.88 ,$5.15 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$20.64 ,$23.44 ,$21.60 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$5.15 ,$84.90 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$10.62 ,$9.65 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$5.98 ,$104.00 ,$5.98 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$124.00 ,$89.28 ,$9.65 ,$810.28 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$35.52 ,$27.95 ,$37.17 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$10.31 ,$810.28 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$10.62 ,$9.65 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$12.70 ,$124.00 ,$12.70 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$296.00 ,$213.12 ,$6.30 ,$810.28 ,$170.20 ,$186.48 ,$177.60 ,$63.82 ,$82.88 ,$26.40 ,$66.72 ,$27.63 ,$72.52 ,$162.50 ,$162.50 ,$75.42 ,$192.40 ,$131.54 ,$6.30 ,$810.28 ,$66.72 ,$63.82 ,$222.00 ,$210.16 ,$210.16 ,$66.72 ,$210.16 ,$257.52 ,$257.52 ,$257.52 , N/A ,$266.40 ,$170.20 ,$251.60 ,$63.82 ,$296.00 ,$166.06 ,$63.82 ,$122.54 ,$10.62 ,$9.65 ,$66.72 ,$251.60 ,$126.76 ,$162.50 ,$82.88 ,$266.40 ,$296.00 ,$63.82 ,$257.52 ,$7.66 ,$296.00 ,$7.66 ,$68.08 ,$192.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$99.00 ,$71.28 ,$9.65 ,$393.13 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$59.58 ,$393.13 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$10.62 ,$9.65 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$99.00 ,$99.00 ,$99.00 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200570,86921,HC CROSSMATCH INCUBATION,302,1 ,$316.00 ,$227.52 ,$9.65 ,$393.13 ,$181.70 ,$199.08 ,$189.60 ,$68.13 ,$88.48 ,$183.28 ,$71.23 ,$192.76 ,$77.42 ,$173.48 ,$173.48 ,$80.52 ,$205.40 ,$140.43 ,$53.84 ,$393.13 ,$71.23 ,$68.13 ,$237.00 ,$224.36 ,$224.36 ,$71.23 ,$224.36 ,$274.92 ,$274.92 ,$274.92 , N/A ,$284.40 ,$181.70 ,$268.60 ,$68.13 ,$316.00 ,$177.28 ,$68.13 ,$130.82 ,$10.62 ,$9.65 ,$71.23 ,$268.60 ,$135.33 ,$173.48 ,$88.48 ,$284.40 ,$316.00 ,$68.13 ,$274.92 ,$298.32 ,$316.00 ,$298.32 ,$72.68 ,$205.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200571,86922,HC CROSSMATCH AHG,302,1 ,$194.00 ,$139.68 ,$41.83 ,$393.13 ,$111.55 ,$122.22 ,$116.40 ,$41.83 ,$54.32 ,$112.52 ,$43.73 ,$118.34 ,$47.53 ,$106.51 ,$106.51 ,$49.43 ,$126.10 ,$86.21 ,$63.58 ,$393.13 ,$43.73 ,$41.83 ,$145.50 ,$137.74 ,$137.74 ,$43.73 ,$137.74 ,$168.78 ,$168.78 ,$168.78 , N/A ,$174.60 ,$111.55 ,$164.90 ,$41.83 ,$194.00 ,$108.83 ,$41.83 ,$80.32 ,$69.16 ,$62.87 ,$43.73 ,$164.90 ,$83.08 ,$106.51 ,$54.32 ,$174.60 ,$194.00 ,$41.83 ,$168.78 ,$194.00 ,$194.00 ,$194.00 ,$44.62 ,$126.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$125.00 ,$90.00 ,$9.65 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$59.58 ,$84.90 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$10.62 ,$9.65 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$67.68 ,$125.00 ,$67.68 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200839,86003,HC ALLERGEN IGE QN EA - 90,302,1 ,$9.76 ,$7.03 ,$2.11 ,$17.14 ,$5.60 ,$6.15 ,$5.86 ,$2.11 ,$2.73 ,$5.66 ,$2.20 ,$5.95 ,$2.39 ,$5.36 ,$5.36 ,$2.49 ,$6.34 ,$4.34 ,$8.59 ,$13.05 ,$2.20 ,$2.11 ,$7.32 ,$6.93 ,$6.93 ,$2.20 ,$6.93 ,$8.49 ,$8.49 ,$8.49 , N/A ,$8.78 ,$5.60 ,$8.30 ,$2.11 ,$9.76 ,$5.48 ,$2.11 ,$4.04 ,$17.14 ,$15.58 ,$2.20 ,$8.30 ,$4.17 ,$5.36 ,$2.73 ,$8.78 ,$9.76 ,$2.11 ,$8.49 ,$9.76 ,$9.76 ,$9.76 ,$2.24 ,$6.34 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200843,86000,HC AGGLUTININS FEBRILE EA AG-90,302,1 ,$26.00 ,$18.72 ,$5.61 ,$26.00 ,$14.95 ,$16.38 ,$15.60 ,$5.61 ,$7.28 ,$15.08 ,$5.86 ,$15.86 ,$6.37 ,$14.27 ,$14.27 ,$6.62 ,$16.90 ,$11.55 ,$11.45 ,$17.45 ,$5.86 ,$5.61 ,$19.50 ,$18.46 ,$18.46 ,$5.86 ,$18.46 ,$22.62 ,$22.62 ,$22.62 , N/A ,$23.40 ,$14.95 ,$22.10 ,$5.61 ,$26.00 ,$14.59 ,$5.61 ,$10.76 ,$17.14 ,$15.58 ,$5.86 ,$22.10 ,$11.13 ,$14.27 ,$7.28 ,$23.40 ,$26.00 ,$5.61 ,$22.62 ,$13.96 ,$26.00 ,$13.96 ,$5.98 ,$16.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200844,86001,HC RAST ALLERGEN IGG QN SQ EA-90,302,1 ,$117.00 ,$84.24 ,$12.60 ,$117.00 ,$67.28 ,$73.71 ,$70.20 ,$25.23 ,$32.76 ,$43.69 ,$26.37 ,$45.72 ,$28.66 ,$64.23 ,$64.23 ,$29.81 ,$76.05 ,$51.99 ,$12.60 ,$19.55 ,$26.37 ,$25.23 ,$87.75 ,$83.07 ,$83.07 ,$26.37 ,$83.07 ,$101.79 ,$101.79 ,$101.79 , N/A ,$105.30 ,$67.28 ,$99.45 ,$25.23 ,$117.00 ,$65.64 ,$25.23 ,$48.44 ,$17.14 ,$15.58 ,$26.37 ,$99.45 ,$50.11 ,$64.23 ,$32.76 ,$105.30 ,$117.00 ,$25.23 ,$101.79 ,$15.64 ,$117.00 ,$15.64 ,$26.91 ,$76.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$55.00 ,$39.60 ,$8.59 ,$55.00 ,$31.63 ,$34.65 ,$33.00 ,$11.86 ,$15.40 ,$31.90 ,$12.40 ,$33.55 ,$13.47 ,$30.20 ,$30.20 ,$14.01 ,$35.75 ,$24.44 ,$8.59 ,$13.05 ,$12.40 ,$11.86 ,$41.25 ,$39.05 ,$39.05 ,$12.40 ,$39.05 ,$47.85 ,$47.85 ,$47.85 , N/A ,$49.50 ,$31.63 ,$46.75 ,$11.86 ,$55.00 ,$30.86 ,$11.86 ,$22.77 ,$17.14 ,$15.58 ,$12.40 ,$46.75 ,$23.56 ,$30.20 ,$15.40 ,$49.50 ,$55.00 ,$11.86 ,$47.85 ,$10.44 ,$55.00 ,$10.44 ,$12.65 ,$35.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200847,86021,HC LEUKO AB ID-90,302,1 ,$125.00 ,$90.00 ,$15.58 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$24.62 ,$37.63 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$17.14 ,$15.58 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$30.10 ,$125.00 ,$30.10 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200848,86021,HC LEUKO AB ID ANTIBODY TITER-90,302,1 ,$30.00 ,$21.60 ,$6.47 ,$37.63 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$19.50 ,$13.33 ,$24.62 ,$37.63 ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 ,$17.14 ,$15.58 ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$30.00 ,$30.00 ,$30.00 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200851,86022,HC PLATELET AB ID-90,302,1 ,$145.00 ,$104.40 ,$15.58 ,$145.00 ,$83.38 ,$91.35 ,$87.00 ,$31.26 ,$40.60 ,$84.10 ,$32.68 ,$88.45 ,$35.52 ,$79.61 ,$79.61 ,$36.95 ,$94.25 ,$64.44 ,$30.37 ,$45.93 ,$32.68 ,$31.26 ,$108.75 ,$102.95 ,$102.95 ,$32.68 ,$102.95 ,$126.15 ,$126.15 ,$126.15 , N/A ,$130.50 ,$83.38 ,$123.25 ,$31.26 ,$145.00 ,$81.35 ,$31.26 ,$60.03 ,$17.14 ,$15.58 ,$32.68 ,$123.25 ,$62.10 ,$79.61 ,$40.60 ,$130.50 ,$145.00 ,$31.26 ,$126.15 ,$36.74 ,$145.00 ,$36.74 ,$33.35 ,$94.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200858,86038,HC ANA SCREEN-90,302,1 ,$197.00 ,$141.84 ,$15.58 ,$197.00 ,$113.28 ,$124.11 ,$118.20 ,$42.47 ,$55.16 ,$83.42 ,$44.40 ,$87.30 ,$48.26 ,$108.15 ,$108.15 ,$50.20 ,$128.05 ,$87.55 ,$20.05 ,$30.23 ,$44.40 ,$42.47 ,$147.75 ,$139.87 ,$139.87 ,$44.40 ,$139.87 ,$171.39 ,$171.39 ,$171.39 , N/A ,$177.30 ,$113.28 ,$167.45 ,$42.47 ,$197.00 ,$110.52 ,$42.47 ,$81.56 ,$17.14 ,$15.58 ,$44.40 ,$167.45 ,$84.37 ,$108.15 ,$55.16 ,$177.30 ,$197.00 ,$42.47 ,$171.39 ,$24.18 ,$197.00 ,$24.18 ,$45.31 ,$128.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200859,86039,HC ANA TITER-90,302,1 ,$101.00 ,$72.72 ,$15.58 ,$101.00 ,$58.08 ,$63.63 ,$60.60 ,$21.78 ,$28.28 ,$58.58 ,$22.77 ,$61.61 ,$24.74 ,$55.45 ,$55.45 ,$25.73 ,$65.65 ,$44.88 ,$18.32 ,$27.90 ,$22.77 ,$21.78 ,$75.75 ,$71.71 ,$71.71 ,$22.77 ,$71.71 ,$87.87 ,$87.87 ,$87.87 , N/A ,$90.90 ,$58.08 ,$85.85 ,$21.78 ,$101.00 ,$56.66 ,$21.78 ,$41.81 ,$17.14 ,$15.58 ,$22.77 ,$85.85 ,$43.26 ,$55.45 ,$28.28 ,$90.90 ,$101.00 ,$21.78 ,$87.87 ,$22.32 ,$101.00 ,$22.32 ,$23.23 ,$65.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200860,86060,HC ASO-90,302,1 ,$142.00 ,$102.24 ,$12.02 ,$142.00 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$50.40 ,$32.01 ,$52.74 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$92.30 ,$63.10 ,$12.02 ,$18.25 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$142.00 ,$79.66 ,$30.62 ,$58.79 ,$17.14 ,$15.58 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$14.60 ,$142.00 ,$14.60 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200862,86140,HC C-REACTIVE PROTEIN,302,1 ,$90.00 ,$64.80 ,$8.59 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$35.69 ,$20.29 ,$37.35 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$8.59 ,$12.95 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$17.14 ,$15.58 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$10.36 ,$90.00 ,$10.36 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$90.00 ,$64.80 ,$17.39 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$41.81 ,$63.63 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$19.13 ,$17.39 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$50.90 ,$90.00 ,$50.90 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$132.00 ,$95.04 ,$26.85 ,$132.00 ,$75.90 ,$83.16 ,$79.20 ,$28.46 ,$36.96 ,$76.56 ,$29.75 ,$80.52 ,$32.34 ,$72.47 ,$72.47 ,$33.63 ,$85.80 ,$58.66 ,$41.81 ,$63.63 ,$29.75 ,$28.46 ,$99.00 ,$93.72 ,$93.72 ,$29.75 ,$93.72 ,$114.84 ,$114.84 ,$114.84 , N/A ,$118.80 ,$75.90 ,$112.20 ,$28.46 ,$132.00 ,$74.05 ,$28.46 ,$54.65 ,$29.54 ,$26.85 ,$29.75 ,$112.20 ,$56.53 ,$72.47 ,$36.96 ,$118.80 ,$132.00 ,$28.46 ,$114.84 ,$50.90 ,$132.00 ,$50.90 ,$30.36 ,$85.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$51.00 ,$36.72 ,$11.00 ,$51.00 ,$29.33 ,$32.13 ,$30.60 ,$11.00 ,$14.28 ,$29.58 ,$11.50 ,$31.11 ,$12.49 ,$28.00 ,$28.00 ,$12.99 ,$33.15 ,$22.66 ,$26.35 ,$40.18 ,$11.50 ,$11.00 ,$38.25 ,$36.21 ,$36.21 ,$11.50 ,$36.21 ,$44.37 ,$44.37 ,$44.37 , N/A ,$45.90 ,$29.33 ,$43.35 ,$11.00 ,$51.00 ,$28.61 ,$11.00 ,$21.11 ,$19.13 ,$17.39 ,$11.50 ,$43.35 ,$21.84 ,$28.00 ,$14.28 ,$45.90 ,$51.00 ,$11.00 ,$44.37 ,$32.14 ,$51.00 ,$32.14 ,$11.73 ,$33.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$152.00 ,$109.44 ,$13.18 ,$152.00 ,$87.40 ,$95.76 ,$91.20 ,$32.77 ,$42.56 ,$55.64 ,$34.26 ,$58.23 ,$37.24 ,$83.45 ,$83.45 ,$38.73 ,$98.80 ,$67.55 ,$13.18 ,$20.15 ,$34.26 ,$32.77 ,$114.00 ,$107.92 ,$107.92 ,$34.26 ,$107.92 ,$132.24 ,$132.24 ,$132.24 , N/A ,$136.80 ,$87.40 ,$129.20 ,$32.77 ,$152.00 ,$85.27 ,$32.77 ,$62.93 ,$17.14 ,$15.58 ,$34.26 ,$129.20 ,$65.09 ,$83.45 ,$42.56 ,$136.80 ,$152.00 ,$32.77 ,$132.24 ,$16.12 ,$152.00 ,$16.12 ,$34.96 ,$98.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$237.00 ,$170.64 ,$15.58 ,$237.00 ,$136.28 ,$149.31 ,$142.20 ,$51.10 ,$66.36 ,$82.82 ,$53.42 ,$86.67 ,$58.06 ,$130.11 ,$130.11 ,$60.39 ,$154.05 ,$105.32 ,$19.48 ,$30.00 ,$53.42 ,$51.10 ,$177.75 ,$168.27 ,$168.27 ,$53.42 ,$168.27 ,$206.19 ,$206.19 ,$206.19 , N/A ,$213.30 ,$136.28 ,$201.45 ,$51.10 ,$237.00 ,$132.96 ,$51.10 ,$98.12 ,$17.14 ,$15.58 ,$53.42 ,$201.45 ,$101.50 ,$130.11 ,$66.36 ,$213.30 ,$237.00 ,$51.10 ,$206.19 ,$24.00 ,$237.00 ,$24.00 ,$54.51 ,$154.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200870,86161,HC C1 ESTERASE INHIBITOR-90,302,1 ,$97.00 ,$69.84 ,$15.58 ,$97.00 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$56.26 ,$21.86 ,$59.17 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$19.48 ,$30.00 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$17.14 ,$15.58 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$24.00 ,$97.00 ,$24.00 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$208.00 ,$149.76 ,$15.58 ,$208.00 ,$119.60 ,$131.04 ,$124.80 ,$44.84 ,$58.24 ,$120.64 ,$46.88 ,$126.88 ,$50.96 ,$114.19 ,$114.19 ,$53.00 ,$135.20 ,$92.44 ,$33.23 ,$50.80 ,$46.88 ,$44.84 ,$156.00 ,$147.68 ,$147.68 ,$46.88 ,$147.68 ,$180.96 ,$180.96 ,$180.96 , N/A ,$187.20 ,$119.60 ,$176.80 ,$44.84 ,$208.00 ,$116.69 ,$44.84 ,$86.11 ,$17.14 ,$15.58 ,$46.88 ,$176.80 ,$89.08 ,$114.19 ,$58.24 ,$187.20 ,$208.00 ,$44.84 ,$180.96 ,$40.64 ,$208.00 ,$40.64 ,$47.84 ,$135.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200873,86200,HC CCP AB-90,302,1 ,$211.00 ,$151.92 ,$15.58 ,$211.00 ,$121.33 ,$132.93 ,$126.60 ,$45.49 ,$59.08 ,$89.35 ,$47.56 ,$93.51 ,$51.69 ,$115.84 ,$115.84 ,$53.76 ,$137.15 ,$93.77 ,$21.19 ,$32.38 ,$47.56 ,$45.49 ,$158.25 ,$149.81 ,$149.81 ,$47.56 ,$149.81 ,$183.57 ,$183.57 ,$183.57 , N/A ,$189.90 ,$121.33 ,$179.35 ,$45.49 ,$211.00 ,$118.37 ,$45.49 ,$87.35 ,$17.14 ,$15.58 ,$47.56 ,$179.35 ,$90.37 ,$115.84 ,$59.08 ,$189.90 ,$211.00 ,$45.49 ,$183.57 ,$25.90 ,$211.00 ,$25.90 ,$48.53 ,$137.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$116.00 ,$83.52 ,$15.58 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$67.28 ,$26.15 ,$70.76 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$21.76 ,$33.13 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$17.14 ,$15.58 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$26.50 ,$116.00 ,$26.50 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200875,86225,HC DNA DOUBLE STRAND AB-90,302,1 ,$213.00 ,$153.36 ,$15.58 ,$213.00 ,$122.48 ,$134.19 ,$127.80 ,$45.92 ,$59.64 ,$94.86 ,$48.01 ,$99.27 ,$52.18 ,$116.94 ,$116.94 ,$54.27 ,$138.45 ,$94.66 ,$22.34 ,$34.35 ,$48.01 ,$45.92 ,$159.75 ,$151.23 ,$151.23 ,$48.01 ,$151.23 ,$185.31 ,$185.31 ,$185.31 , N/A ,$191.70 ,$122.48 ,$181.05 ,$45.92 ,$213.00 ,$119.49 ,$45.92 ,$88.18 ,$17.14 ,$15.58 ,$48.01 ,$181.05 ,$91.22 ,$116.94 ,$59.64 ,$191.70 ,$213.00 ,$45.92 ,$185.31 ,$27.48 ,$213.00 ,$27.48 ,$48.99 ,$138.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200877,86235,HC ENA AB-90,302,1 ,$99.00 ,$71.28 ,$21.34 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$29.21 ,$44.83 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$29.54 ,$26.85 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$35.86 ,$99.00 ,$35.86 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200878,86255,HC FLUOR AB SCR-90,302,1 ,$254.00 ,$182.88 ,$17.53 ,$254.00 ,$146.05 ,$160.02 ,$152.40 ,$54.76 ,$71.12 ,$83.16 ,$57.25 ,$87.03 ,$62.23 ,$139.45 ,$139.45 ,$64.72 ,$17.53 ,$112.88 ,$20.05 ,$30.13 ,$57.25 ,$54.76 ,$190.50 ,$180.34 ,$180.34 ,$57.25 ,$180.34 ,$220.98 ,$220.98 ,$220.98 , N/A ,$228.60 ,$146.05 ,$215.90 ,$54.76 ,$254.00 ,$142.49 ,$54.76 ,$105.16 ,$29.54 ,$26.85 ,$57.25 ,$215.90 ,$108.78 ,$139.45 ,$71.12 ,$228.60 ,$254.00 ,$54.76 ,$220.98 ,$24.10 ,$254.00 ,$24.10 ,$58.42 ,$165.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200879,86256,HC FLUOR AB TITER-90,302,1 ,$131.00 ,$94.32 ,$17.53 ,$131.00 ,$75.33 ,$82.53 ,$78.60 ,$28.24 ,$36.68 ,$75.98 ,$29.53 ,$79.91 ,$32.09 ,$71.92 ,$71.92 ,$33.38 ,$17.53 ,$58.22 ,$20.05 ,$30.13 ,$29.53 ,$28.24 ,$98.25 ,$93.01 ,$93.01 ,$29.53 ,$93.01 ,$113.97 ,$113.97 ,$113.97 , N/A ,$117.90 ,$75.33 ,$111.35 ,$28.24 ,$131.00 ,$73.49 ,$28.24 ,$54.23 ,$29.54 ,$26.85 ,$29.53 ,$111.35 ,$56.10 ,$71.92 ,$36.68 ,$117.90 ,$131.00 ,$28.24 ,$113.97 ,$24.10 ,$131.00 ,$24.10 ,$30.13 ,$85.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$295.00 ,$212.40 ,$34.36 ,$295.00 ,$169.63 ,$185.85 ,$177.00 ,$63.60 ,$82.60 ,$143.71 ,$66.49 ,$150.39 ,$72.27 ,$161.96 ,$161.96 ,$75.17 ,$191.75 ,$131.10 ,$34.36 ,$52.03 ,$66.49 ,$63.60 ,$221.25 ,$209.45 ,$209.45 ,$66.49 ,$209.45 ,$256.65 ,$256.65 ,$256.65 , N/A ,$265.50 ,$169.63 ,$250.75 ,$63.60 ,$295.00 ,$165.50 ,$63.60 ,$122.13 ,$45.41 ,$41.28 ,$66.49 ,$250.75 ,$126.34 ,$161.96 ,$82.60 ,$265.50 ,$295.00 ,$63.60 ,$256.65 ,$41.62 ,$295.00 ,$41.62 ,$67.85 ,$191.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200881,86301,HC TUMOR AG CA 19-9 -90,302,1 ,$333.00 ,$239.76 ,$34.36 ,$333.00 ,$191.48 ,$209.79 ,$199.80 ,$71.79 ,$93.24 ,$143.71 ,$75.06 ,$150.39 ,$81.58 ,$182.82 ,$182.82 ,$84.85 ,$216.45 ,$147.99 ,$34.36 ,$52.03 ,$75.06 ,$71.79 ,$249.75 ,$236.43 ,$236.43 ,$75.06 ,$236.43 ,$289.71 ,$289.71 ,$289.71 , N/A ,$299.70 ,$191.48 ,$283.05 ,$71.79 ,$333.00 ,$186.81 ,$71.79 ,$137.86 ,$45.41 ,$41.28 ,$75.06 ,$283.05 ,$142.61 ,$182.82 ,$93.24 ,$299.70 ,$333.00 ,$71.79 ,$289.71 ,$41.62 ,$333.00 ,$41.62 ,$76.59 ,$216.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200882,86304,HC TUMOR AG CA 125 -90,302,1 ,$367.00 ,$264.24 ,$34.36 ,$367.00 ,$211.03 ,$231.21 ,$220.20 ,$79.13 ,$102.76 ,$143.71 ,$82.72 ,$150.39 ,$89.91 ,$201.48 ,$201.48 ,$93.51 ,$238.55 ,$163.09 ,$34.36 ,$52.03 ,$82.72 ,$79.13 ,$275.25 ,$260.57 ,$260.57 ,$82.72 ,$260.57 ,$319.29 ,$319.29 ,$319.29 , N/A ,$330.30 ,$211.03 ,$311.95 ,$79.13 ,$367.00 ,$205.89 ,$79.13 ,$151.94 ,$45.41 ,$41.28 ,$82.72 ,$311.95 ,$157.17 ,$201.48 ,$102.76 ,$330.30 ,$367.00 ,$79.13 ,$319.29 ,$41.62 ,$367.00 ,$41.62 ,$84.41 ,$238.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200886,86632,HC CHLAMYDIA AB IGM-90,302,1 ,$134.00 ,$96.48 ,$12.42 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$77.72 ,$30.20 ,$81.74 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 ,$20.63 ,$31.70 ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 ,$13.66 ,$12.42 ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$25.36 ,$134.00 ,$25.36 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$42.00 ,$30.24 ,$9.06 ,$42.00 ,$24.15 ,$26.46 ,$25.20 ,$9.06 ,$11.76 ,$24.36 ,$9.47 ,$25.62 ,$10.29 ,$23.06 ,$23.06 ,$10.70 ,$27.30 ,$18.66 ,$18.90 ,$28.68 ,$9.47 ,$9.06 ,$31.50 ,$29.82 ,$29.82 ,$9.47 ,$29.82 ,$36.54 ,$36.54 ,$36.54 , N/A ,$37.80 ,$24.15 ,$35.70 ,$9.06 ,$42.00 ,$23.56 ,$9.06 ,$17.39 ,$29.54 ,$26.85 ,$9.47 ,$35.70 ,$17.98 ,$23.06 ,$11.76 ,$37.80 ,$42.00 ,$9.06 ,$36.54 ,$22.94 ,$42.00 ,$22.94 ,$9.66 ,$27.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200889,86641,HC CRYPTOCOCCAL AB-90,302,1 ,$155.00 ,$111.60 ,$23.49 ,$155.00 ,$89.13 ,$97.65 ,$93.00 ,$33.42 ,$43.40 ,$89.90 ,$34.94 ,$94.55 ,$37.97 ,$85.10 ,$85.10 ,$39.49 ,$100.75 ,$68.88 ,$23.49 ,$36.03 ,$34.94 ,$33.42 ,$116.25 ,$110.05 ,$110.05 ,$34.94 ,$110.05 ,$134.85 ,$134.85 ,$134.85 , N/A ,$139.50 ,$89.13 ,$131.75 ,$33.42 ,$155.00 ,$86.96 ,$33.42 ,$64.17 ,$29.54 ,$26.85 ,$34.94 ,$131.75 ,$66.39 ,$85.10 ,$43.40 ,$139.50 ,$155.00 ,$33.42 ,$134.85 ,$28.82 ,$155.00 ,$28.82 ,$35.65 ,$100.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200890,86644,HC CMV AB-90,302,1 ,$154.00 ,$110.88 ,$23.49 ,$154.00 ,$88.55 ,$97.02 ,$92.40 ,$33.20 ,$43.12 ,$89.32 ,$34.71 ,$93.94 ,$37.73 ,$84.55 ,$84.55 ,$39.24 ,$100.10 ,$68.44 ,$23.49 ,$35.98 ,$34.71 ,$33.20 ,$115.50 ,$109.34 ,$109.34 ,$34.71 ,$109.34 ,$133.98 ,$133.98 ,$133.98 , N/A ,$138.60 ,$88.55 ,$130.90 ,$33.20 ,$154.00 ,$86.39 ,$33.20 ,$63.76 ,$29.54 ,$26.85 ,$34.71 ,$130.90 ,$65.95 ,$84.55 ,$43.12 ,$138.60 ,$154.00 ,$33.20 ,$133.98 ,$28.78 ,$154.00 ,$28.78 ,$35.42 ,$100.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200891,86645,HC CMV AB IGM-90,302,1 ,$193.00 ,$138.96 ,$26.85 ,$193.00 ,$110.98 ,$121.59 ,$115.80 ,$41.61 ,$54.04 ,$111.94 ,$43.50 ,$117.73 ,$47.28 ,$105.96 ,$105.96 ,$49.18 ,$125.45 ,$85.77 ,$27.49 ,$42.13 ,$43.50 ,$41.61 ,$144.75 ,$137.03 ,$137.03 ,$43.50 ,$137.03 ,$167.91 ,$167.91 ,$167.91 , N/A ,$173.70 ,$110.98 ,$164.05 ,$41.61 ,$193.00 ,$108.27 ,$41.61 ,$79.90 ,$29.54 ,$26.85 ,$43.50 ,$164.05 ,$82.65 ,$105.96 ,$54.04 ,$173.70 ,$193.00 ,$41.61 ,$167.91 ,$33.70 ,$193.00 ,$33.70 ,$44.39 ,$125.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200892,86648,HC DIPTHERIA-90,302,1 ,$152.00 ,$109.44 ,$25.20 ,$152.00 ,$87.40 ,$95.76 ,$91.20 ,$32.77 ,$42.56 ,$88.16 ,$34.26 ,$92.72 ,$37.24 ,$83.45 ,$83.45 ,$38.73 ,$98.80 ,$67.55 ,$25.20 ,$38.03 ,$34.26 ,$32.77 ,$114.00 ,$107.92 ,$107.92 ,$34.26 ,$107.92 ,$132.24 ,$132.24 ,$132.24 , N/A ,$136.80 ,$87.40 ,$129.20 ,$32.77 ,$152.00 ,$85.27 ,$32.77 ,$62.93 ,$29.54 ,$26.85 ,$34.26 ,$129.20 ,$65.09 ,$83.45 ,$42.56 ,$136.80 ,$152.00 ,$32.77 ,$132.24 ,$30.42 ,$152.00 ,$30.42 ,$34.96 ,$98.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$21.19 ,$32.58 ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 ,$29.54 ,$26.85 ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$26.06 ,$45.00 ,$26.06 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200898,86663,HC EBV EARLY AG-90,302,1 ,$79.00 ,$56.88 ,$17.03 ,$79.00 ,$45.43 ,$49.77 ,$47.40 ,$17.03 ,$22.12 ,$45.82 ,$17.81 ,$48.19 ,$19.35 ,$43.37 ,$43.37 ,$20.13 ,$51.35 ,$35.11 ,$21.76 ,$32.80 ,$17.81 ,$17.03 ,$59.25 ,$56.09 ,$56.09 ,$17.81 ,$56.09 ,$68.73 ,$68.73 ,$68.73 , N/A ,$71.10 ,$45.43 ,$67.15 ,$17.03 ,$79.00 ,$44.32 ,$17.03 ,$32.71 ,$29.54 ,$26.85 ,$17.81 ,$67.15 ,$33.83 ,$43.37 ,$22.12 ,$71.10 ,$79.00 ,$17.03 ,$68.73 ,$26.24 ,$79.00 ,$26.24 ,$18.17 ,$51.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$183.00 ,$131.76 ,$25.20 ,$183.00 ,$105.23 ,$115.29 ,$109.80 ,$39.45 ,$51.24 ,$105.52 ,$41.25 ,$110.43 ,$44.83 ,$100.47 ,$100.47 ,$46.63 ,$118.95 ,$81.33 ,$25.20 ,$38.23 ,$41.25 ,$39.45 ,$137.25 ,$129.93 ,$129.93 ,$41.25 ,$129.93 ,$159.21 ,$159.21 ,$159.21 , N/A ,$164.70 ,$105.23 ,$155.55 ,$39.45 ,$183.00 ,$102.66 ,$39.45 ,$75.76 ,$29.54 ,$26.85 ,$41.25 ,$155.55 ,$78.37 ,$100.47 ,$51.24 ,$164.70 ,$183.00 ,$39.45 ,$159.21 ,$30.58 ,$183.00 ,$30.58 ,$42.09 ,$118.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$131.00 ,$94.32 ,$26.85 ,$131.00 ,$75.33 ,$82.53 ,$78.60 ,$28.24 ,$36.68 ,$75.98 ,$29.53 ,$79.91 ,$32.09 ,$71.92 ,$71.92 ,$33.38 ,$85.15 ,$58.22 ,$29.79 ,$45.35 ,$29.53 ,$28.24 ,$98.25 ,$93.01 ,$93.01 ,$29.53 ,$93.01 ,$113.97 ,$113.97 ,$113.97 , N/A ,$117.90 ,$75.33 ,$111.35 ,$28.24 ,$131.00 ,$73.49 ,$28.24 ,$54.23 ,$29.54 ,$26.85 ,$29.53 ,$111.35 ,$56.10 ,$71.92 ,$36.68 ,$117.90 ,$131.00 ,$28.24 ,$113.97 ,$36.28 ,$131.00 ,$36.28 ,$30.13 ,$85.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200901,86666,HC EHRLICHIA AB-90,302,1 ,$155.00 ,$111.60 ,$16.61 ,$155.00 ,$89.13 ,$97.65 ,$93.00 ,$33.42 ,$43.40 ,$70.18 ,$34.94 ,$73.44 ,$37.97 ,$85.10 ,$85.10 ,$39.49 ,$100.75 ,$68.88 ,$16.61 ,$25.45 ,$34.94 ,$33.42 ,$116.25 ,$110.05 ,$110.05 ,$34.94 ,$110.05 ,$134.85 ,$134.85 ,$134.85 , N/A ,$139.50 ,$89.13 ,$131.75 ,$33.42 ,$155.00 ,$86.96 ,$33.42 ,$64.17 ,$29.54 ,$26.85 ,$34.94 ,$131.75 ,$66.39 ,$85.10 ,$43.40 ,$139.50 ,$155.00 ,$33.42 ,$134.85 ,$20.36 ,$155.00 ,$20.36 ,$35.65 ,$100.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$100.00 ,$72.00 ,$15.58 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$20.05 ,$30.63 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$17.14 ,$15.58 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$24.50 ,$100.00 ,$24.50 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200906,86682,HC HELMINTH ANTIBODY-90,302,1 ,$94.00 ,$67.68 ,$15.58 ,$94.00 ,$54.05 ,$59.22 ,$56.40 ,$20.27 ,$26.32 ,$54.52 ,$21.19 ,$57.34 ,$23.03 ,$51.61 ,$51.61 ,$23.95 ,$61.10 ,$41.77 ,$21.19 ,$32.53 ,$21.19 ,$20.27 ,$70.50 ,$66.74 ,$66.74 ,$21.19 ,$66.74 ,$81.78 ,$81.78 ,$81.78 , N/A ,$84.60 ,$54.05 ,$79.90 ,$20.27 ,$94.00 ,$52.73 ,$20.27 ,$38.92 ,$17.14 ,$15.58 ,$21.19 ,$79.90 ,$40.26 ,$51.61 ,$26.32 ,$84.60 ,$94.00 ,$20.27 ,$81.78 ,$26.02 ,$94.00 ,$26.02 ,$21.62 ,$61.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200907,86684,HC HAEMOPHILUS INFLUENZA AB-90,302,1 ,$152.00 ,$109.44 ,$15.58 ,$152.00 ,$87.40 ,$95.76 ,$91.20 ,$32.77 ,$42.56 ,$88.16 ,$34.26 ,$92.72 ,$37.24 ,$83.45 ,$83.45 ,$38.73 ,$98.80 ,$67.55 ,$25.78 ,$39.60 ,$34.26 ,$32.77 ,$114.00 ,$107.92 ,$107.92 ,$34.26 ,$107.92 ,$132.24 ,$132.24 ,$132.24 , N/A ,$136.80 ,$87.40 ,$129.20 ,$32.77 ,$152.00 ,$85.27 ,$32.77 ,$62.93 ,$17.14 ,$15.58 ,$34.26 ,$129.20 ,$65.09 ,$83.45 ,$42.56 ,$136.80 ,$152.00 ,$32.77 ,$132.24 ,$31.68 ,$152.00 ,$31.68 ,$34.96 ,$98.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200909,86689,HC HTLV OR HIV AB CONF-90,302,1 ,$323.00 ,$232.56 ,$26.85 ,$323.00 ,$185.73 ,$203.49 ,$193.80 ,$69.64 ,$90.44 ,$133.64 ,$72.80 ,$139.86 ,$79.13 ,$177.33 ,$177.33 ,$82.30 ,$209.95 ,$143.54 ,$31.50 ,$48.38 ,$72.80 ,$69.64 ,$242.25 ,$229.33 ,$229.33 ,$72.80 ,$229.33 ,$281.01 ,$281.01 ,$281.01 , N/A ,$290.70 ,$185.73 ,$274.55 ,$69.64 ,$323.00 ,$181.20 ,$69.64 ,$133.72 ,$29.54 ,$26.85 ,$72.80 ,$274.55 ,$138.33 ,$177.33 ,$90.44 ,$290.70 ,$323.00 ,$69.64 ,$281.01 ,$38.70 ,$323.00 ,$38.70 ,$74.29 ,$209.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200910,86692,HC HEPATITIS D AB-90,302,1 ,$23.00 ,$16.56 ,$4.96 ,$42.90 ,$13.23 ,$14.49 ,$13.80 ,$4.96 ,$6.44 ,$13.34 ,$5.18 ,$14.03 ,$5.63 ,$12.63 ,$12.63 ,$5.86 ,$14.95 ,$10.22 ,$23.00 ,$42.90 ,$5.18 ,$4.96 ,$17.25 ,$16.33 ,$16.33 ,$5.18 ,$16.33 ,$20.01 ,$20.01 ,$20.01 , N/A ,$20.70 ,$13.23 ,$19.55 ,$4.96 ,$23.00 ,$12.90 ,$4.96 ,$9.52 ,$17.14 ,$15.58 ,$5.18 ,$19.55 ,$9.85 ,$12.63 ,$6.44 ,$20.70 ,$23.00 ,$4.96 ,$20.01 ,$23.00 ,$23.00 ,$23.00 ,$5.29 ,$14.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200911,86694,HC HERPES SIMPLEX AB-90,302,1 ,$233.00 ,$167.76 ,$23.49 ,$233.00 ,$133.98 ,$146.79 ,$139.80 ,$50.23 ,$65.24 ,$99.33 ,$52.52 ,$103.95 ,$57.08 ,$127.92 ,$127.92 ,$59.37 ,$151.45 ,$103.55 ,$23.49 ,$35.98 ,$52.52 ,$50.23 ,$174.75 ,$165.43 ,$165.43 ,$52.52 ,$165.43 ,$202.71 ,$202.71 ,$202.71 , N/A ,$209.70 ,$133.98 ,$198.05 ,$50.23 ,$233.00 ,$130.71 ,$50.23 ,$96.46 ,$29.54 ,$26.85 ,$52.52 ,$198.05 ,$99.78 ,$127.92 ,$65.24 ,$209.70 ,$233.00 ,$50.23 ,$202.71 ,$28.78 ,$233.00 ,$28.78 ,$53.59 ,$151.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$174.00 ,$125.28 ,$21.76 ,$174.00 ,$100.05 ,$109.62 ,$104.40 ,$37.51 ,$48.72 ,$90.99 ,$39.22 ,$95.22 ,$42.63 ,$95.53 ,$95.53 ,$44.34 ,$113.10 ,$77.33 ,$21.76 ,$32.98 ,$39.22 ,$37.51 ,$130.50 ,$123.54 ,$123.54 ,$39.22 ,$123.54 ,$151.38 ,$151.38 ,$151.38 , N/A ,$156.60 ,$100.05 ,$147.90 ,$37.51 ,$174.00 ,$97.61 ,$37.51 ,$72.04 ,$29.54 ,$26.85 ,$39.22 ,$147.90 ,$74.52 ,$95.53 ,$48.72 ,$156.60 ,$174.00 ,$37.51 ,$151.38 ,$26.38 ,$174.00 ,$26.38 ,$40.02 ,$113.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$108.00 ,$77.76 ,$15.58 ,$108.00 ,$62.10 ,$68.04 ,$64.80 ,$23.28 ,$30.24 ,$62.64 ,$24.34 ,$65.88 ,$26.46 ,$59.29 ,$59.29 ,$27.52 ,$70.20 ,$48.00 ,$31.50 ,$48.38 ,$24.34 ,$23.28 ,$81.00 ,$76.68 ,$76.68 ,$24.34 ,$76.68 ,$93.96 ,$93.96 ,$93.96 , N/A ,$97.20 ,$62.10 ,$91.80 ,$23.28 ,$108.00 ,$60.59 ,$23.28 ,$44.71 ,$17.14 ,$15.58 ,$24.34 ,$91.80 ,$46.26 ,$59.29 ,$30.24 ,$97.20 ,$108.00 ,$23.28 ,$93.96 ,$38.70 ,$108.00 ,$38.70 ,$24.84 ,$70.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$22.91 ,$34.48 ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 ,$29.54 ,$26.85 ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$27.58 ,$45.00 ,$27.58 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200915,86701,HC HIV-1 AB-90,302,1 ,$92.00 ,$66.24 ,$14.33 ,$92.00 ,$52.90 ,$57.96 ,$55.20 ,$19.84 ,$25.76 ,$53.36 ,$20.74 ,$56.12 ,$22.54 ,$50.51 ,$50.51 ,$23.44 ,$59.80 ,$40.88 ,$14.33 ,$22.23 ,$20.74 ,$19.84 ,$69.00 ,$65.32 ,$65.32 ,$20.74 ,$65.32 ,$80.04 ,$80.04 ,$80.04 , N/A ,$82.80 ,$52.90 ,$78.20 ,$19.84 ,$92.00 ,$51.61 ,$19.84 ,$38.09 ,$17.14 ,$15.58 ,$20.74 ,$78.20 ,$39.40 ,$50.51 ,$25.76 ,$82.80 ,$92.00 ,$19.84 ,$80.04 ,$17.78 ,$92.00 ,$17.78 ,$21.16 ,$59.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200918,86702,HC HIV-2 AB-90,302,1 ,$99.00 ,$71.28 ,$15.58 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$22.34 ,$33.80 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$17.14 ,$15.58 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$27.04 ,$99.00 ,$27.04 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200923,86707,HC HEP B E AB-90,302,1 ,$65.00 ,$46.80 ,$14.01 ,$65.00 ,$37.38 ,$40.95 ,$39.00 ,$14.01 ,$18.20 ,$37.70 ,$14.65 ,$39.65 ,$15.92 ,$35.69 ,$35.69 ,$16.56 ,$42.25 ,$28.89 ,$18.90 ,$28.93 ,$14.65 ,$14.01 ,$48.75 ,$46.15 ,$46.15 ,$14.65 ,$46.15 ,$56.55 ,$56.55 ,$56.55 , N/A ,$58.50 ,$37.38 ,$55.25 ,$14.01 ,$65.00 ,$36.47 ,$14.01 ,$26.91 ,$17.14 ,$15.58 ,$14.65 ,$55.25 ,$27.84 ,$35.69 ,$18.20 ,$58.50 ,$65.00 ,$14.01 ,$56.55 ,$23.14 ,$65.00 ,$23.14 ,$14.95 ,$42.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$207.00 ,$149.04 ,$15.58 ,$207.00 ,$119.03 ,$130.41 ,$124.20 ,$44.63 ,$57.96 ,$85.48 ,$46.66 ,$89.46 ,$50.70 ,$113.64 ,$113.64 ,$52.74 ,$134.55 ,$91.99 ,$20.63 ,$30.98 ,$46.66 ,$44.63 ,$155.25 ,$146.97 ,$146.97 ,$46.66 ,$146.97 ,$180.09 ,$180.09 ,$180.09 , N/A ,$186.30 ,$119.03 ,$175.95 ,$44.63 ,$207.00 ,$116.13 ,$44.63 ,$85.70 ,$17.14 ,$15.58 ,$46.66 ,$175.95 ,$88.65 ,$113.64 ,$57.96 ,$186.30 ,$207.00 ,$44.63 ,$180.09 ,$24.78 ,$207.00 ,$24.78 ,$47.61 ,$134.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200925,86709,HC HEP A AB IGM-90,302,1 ,$183.00 ,$131.76 ,$15.58 ,$183.00 ,$105.23 ,$115.29 ,$109.80 ,$39.45 ,$51.24 ,$77.74 ,$41.25 ,$81.36 ,$44.83 ,$100.47 ,$100.47 ,$46.63 ,$118.95 ,$81.33 ,$18.32 ,$28.15 ,$41.25 ,$39.45 ,$137.25 ,$129.93 ,$129.93 ,$41.25 ,$129.93 ,$159.21 ,$159.21 ,$159.21 , N/A ,$164.70 ,$105.23 ,$155.55 ,$39.45 ,$183.00 ,$102.66 ,$39.45 ,$75.76 ,$17.14 ,$15.58 ,$41.25 ,$155.55 ,$78.37 ,$100.47 ,$51.24 ,$164.70 ,$183.00 ,$39.45 ,$159.21 ,$22.52 ,$183.00 ,$22.52 ,$42.09 ,$118.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200926,86710,HC INFLUENZA AB-90,302,1 ,$121.00 ,$87.12 ,$15.58 ,$121.00 ,$69.58 ,$76.23 ,$72.60 ,$26.09 ,$33.88 ,$70.18 ,$27.27 ,$73.81 ,$29.64 ,$66.43 ,$66.43 ,$30.83 ,$78.65 ,$53.77 ,$22.34 ,$33.88 ,$27.27 ,$26.09 ,$90.75 ,$85.91 ,$85.91 ,$27.27 ,$85.91 ,$105.27 ,$105.27 ,$105.27 , N/A ,$108.90 ,$69.58 ,$102.85 ,$26.09 ,$121.00 ,$67.88 ,$26.09 ,$50.09 ,$17.14 ,$15.58 ,$27.27 ,$102.85 ,$51.82 ,$66.43 ,$33.88 ,$108.90 ,$121.00 ,$26.09 ,$105.27 ,$27.10 ,$121.00 ,$27.10 ,$27.83 ,$78.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200927,86713,HC LEGIONELLA AB-90,302,1 ,$72.00 ,$51.84 ,$15.52 ,$72.00 ,$41.40 ,$45.36 ,$43.20 ,$15.52 ,$20.16 ,$41.76 ,$16.23 ,$43.92 ,$17.64 ,$39.53 ,$39.53 ,$18.35 ,$46.80 ,$32.00 ,$25.20 ,$38.25 ,$16.23 ,$15.52 ,$54.00 ,$51.12 ,$51.12 ,$16.23 ,$51.12 ,$62.64 ,$62.64 ,$62.64 , N/A ,$64.80 ,$41.40 ,$61.20 ,$15.52 ,$72.00 ,$40.39 ,$15.52 ,$29.81 ,$29.54 ,$26.85 ,$16.23 ,$61.20 ,$30.83 ,$39.53 ,$20.16 ,$64.80 ,$72.00 ,$15.52 ,$62.64 ,$30.60 ,$72.00 ,$30.60 ,$16.56 ,$46.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200931,86735,HC MUMPS AB-90,302,1 ,$157.00 ,$113.04 ,$15.58 ,$157.00 ,$90.28 ,$98.91 ,$94.20 ,$33.85 ,$43.96 ,$90.04 ,$35.39 ,$94.23 ,$38.46 ,$86.19 ,$86.19 ,$40.00 ,$102.05 ,$69.77 ,$21.19 ,$32.63 ,$35.39 ,$33.85 ,$117.75 ,$111.47 ,$111.47 ,$35.39 ,$111.47 ,$136.59 ,$136.59 ,$136.59 , N/A ,$141.30 ,$90.28 ,$133.45 ,$33.85 ,$157.00 ,$88.08 ,$33.85 ,$65.00 ,$17.14 ,$15.58 ,$35.39 ,$133.45 ,$67.24 ,$86.19 ,$43.96 ,$141.30 ,$157.00 ,$33.85 ,$136.59 ,$26.10 ,$157.00 ,$26.10 ,$36.11 ,$102.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$21.76 ,$33.10 ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 ,$29.54 ,$26.85 ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$26.48 ,$48.00 ,$26.48 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$309.00 ,$222.48 ,$24.62 ,$309.00 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$103.72 ,$69.65 ,$108.54 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$200.85 ,$137.32 ,$24.62 ,$37.58 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$309.00 ,$173.35 ,$66.62 ,$127.93 ,$29.54 ,$26.85 ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$30.06 ,$309.00 ,$30.06 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200937,86753,HC PROTOZOA AB-90,302,1 ,$115.00 ,$82.80 ,$15.58 ,$115.00 ,$66.13 ,$72.45 ,$69.00 ,$24.79 ,$32.20 ,$66.70 ,$25.92 ,$70.15 ,$28.16 ,$63.14 ,$63.14 ,$29.30 ,$74.75 ,$51.11 ,$20.63 ,$30.98 ,$25.92 ,$24.79 ,$86.25 ,$81.65 ,$81.65 ,$25.92 ,$81.65 ,$100.05 ,$100.05 ,$100.05 , N/A ,$103.50 ,$66.13 ,$97.75 ,$24.79 ,$115.00 ,$64.52 ,$24.79 ,$47.61 ,$17.14 ,$15.58 ,$25.92 ,$97.75 ,$49.25 ,$63.14 ,$32.20 ,$103.50 ,$115.00 ,$24.79 ,$100.05 ,$24.78 ,$115.00 ,$24.78 ,$26.45 ,$74.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200939,86757,HC RICKETTSIA AB-90,302,1 ,$122.00 ,$87.84 ,$26.30 ,$122.00 ,$70.15 ,$76.86 ,$73.20 ,$26.30 ,$34.16 ,$70.76 ,$27.50 ,$74.42 ,$29.89 ,$66.98 ,$66.98 ,$31.09 ,$79.30 ,$54.22 ,$31.50 ,$48.38 ,$27.50 ,$26.30 ,$91.50 ,$86.62 ,$86.62 ,$27.50 ,$86.62 ,$106.14 ,$106.14 ,$106.14 , N/A ,$109.80 ,$70.15 ,$103.70 ,$26.30 ,$122.00 ,$68.44 ,$26.30 ,$50.51 ,$29.54 ,$26.85 ,$27.50 ,$103.70 ,$52.24 ,$66.98 ,$34.16 ,$109.80 ,$122.00 ,$26.30 ,$106.14 ,$38.70 ,$122.00 ,$38.70 ,$28.06 ,$79.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200941,86765,HC RUBEOLA AB-90,302,1 ,$123.00 ,$88.56 ,$15.58 ,$123.00 ,$70.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$79.95 ,$54.66 ,$21.19 ,$32.20 ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$70.73 ,$104.55 ,$26.52 ,$123.00 ,$69.00 ,$26.52 ,$50.92 ,$17.14 ,$15.58 ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$26.52 ,$107.01 ,$25.76 ,$123.00 ,$25.76 ,$28.29 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200943,86774,HC TETANUS AB-90,302,1 ,$45.00 ,$32.40 ,$9.70 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$29.25 ,$20.00 ,$24.07 ,$37.00 ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 ,$29.54 ,$26.85 ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$29.60 ,$45.00 ,$29.60 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200944,86777,HC TOXOPLASMA AB-90,302,1 ,$55.00 ,$39.60 ,$11.86 ,$55.00 ,$31.63 ,$34.65 ,$33.00 ,$11.86 ,$15.40 ,$31.90 ,$12.40 ,$33.55 ,$13.47 ,$30.20 ,$30.20 ,$14.01 ,$35.75 ,$24.44 ,$23.49 ,$35.98 ,$12.40 ,$11.86 ,$41.25 ,$39.05 ,$39.05 ,$12.40 ,$39.05 ,$47.85 ,$47.85 ,$47.85 , N/A ,$49.50 ,$31.63 ,$46.75 ,$11.86 ,$55.00 ,$30.86 ,$11.86 ,$22.77 ,$29.54 ,$26.85 ,$12.40 ,$46.75 ,$23.56 ,$30.20 ,$15.40 ,$49.50 ,$55.00 ,$11.86 ,$47.85 ,$28.78 ,$55.00 ,$28.78 ,$12.65 ,$35.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$55.00 ,$39.60 ,$11.86 ,$55.00 ,$31.63 ,$34.65 ,$33.00 ,$11.86 ,$15.40 ,$31.90 ,$12.40 ,$33.55 ,$13.47 ,$30.20 ,$30.20 ,$14.01 ,$35.75 ,$24.44 ,$23.49 ,$36.03 ,$12.40 ,$11.86 ,$41.25 ,$39.05 ,$39.05 ,$12.40 ,$39.05 ,$47.85 ,$47.85 ,$47.85 , N/A ,$49.50 ,$31.63 ,$46.75 ,$11.86 ,$55.00 ,$30.86 ,$11.86 ,$22.77 ,$29.54 ,$26.85 ,$12.40 ,$46.75 ,$23.56 ,$30.20 ,$15.40 ,$49.50 ,$55.00 ,$11.86 ,$47.85 ,$28.82 ,$55.00 ,$28.82 ,$12.65 ,$35.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$140.00 ,$100.80 ,$21.76 ,$140.00 ,$80.50 ,$88.20 ,$84.00 ,$30.18 ,$39.20 ,$81.20 ,$31.56 ,$85.40 ,$34.30 ,$76.86 ,$76.86 ,$35.67 ,$91.00 ,$62.22 ,$21.76 ,$33.10 ,$31.56 ,$30.18 ,$105.00 ,$99.40 ,$99.40 ,$31.56 ,$99.40 ,$121.80 ,$121.80 ,$121.80 , N/A ,$126.00 ,$80.50 ,$119.00 ,$30.18 ,$140.00 ,$78.54 ,$30.18 ,$57.96 ,$29.54 ,$26.85 ,$31.56 ,$119.00 ,$59.96 ,$76.86 ,$39.20 ,$126.00 ,$140.00 ,$30.18 ,$121.80 ,$26.48 ,$140.00 ,$26.48 ,$32.20 ,$91.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$331.00 ,$238.32 ,$15.58 ,$331.00 ,$190.33 ,$208.53 ,$198.60 ,$71.36 ,$92.68 ,$88.92 ,$74.61 ,$93.06 ,$81.09 ,$181.72 ,$181.72 ,$84.34 ,$215.15 ,$147.10 ,$21.19 ,$32.20 ,$74.61 ,$71.36 ,$248.25 ,$235.01 ,$235.01 ,$74.61 ,$235.01 ,$287.97 ,$287.97 ,$287.97 , N/A ,$297.90 ,$190.33 ,$281.35 ,$71.36 ,$331.00 ,$185.69 ,$71.36 ,$137.03 ,$17.14 ,$15.58 ,$74.61 ,$281.35 ,$141.76 ,$181.72 ,$92.68 ,$297.90 ,$331.00 ,$71.36 ,$287.97 ,$25.76 ,$331.00 ,$25.76 ,$76.13 ,$215.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200949,86788,HC WEST NILE VIRUS AB IGM-90,302,1 ,$100.00 ,$72.00 ,$21.56 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$27.49 ,$42.13 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$29.54 ,$26.85 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$33.70 ,$100.00 ,$33.70 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200950,86789,HC WEST NILE AB-90,302,1 ,$98.00 ,$70.56 ,$21.13 ,$98.00 ,$56.35 ,$61.74 ,$58.80 ,$21.13 ,$27.44 ,$56.84 ,$22.09 ,$59.78 ,$24.01 ,$53.80 ,$53.80 ,$24.97 ,$63.70 ,$43.55 ,$23.49 ,$35.98 ,$22.09 ,$21.13 ,$73.50 ,$69.58 ,$69.58 ,$22.09 ,$69.58 ,$85.26 ,$85.26 ,$85.26 , N/A ,$88.20 ,$56.35 ,$83.30 ,$21.13 ,$98.00 ,$54.98 ,$21.13 ,$40.57 ,$29.54 ,$26.85 ,$22.09 ,$83.30 ,$41.97 ,$53.80 ,$27.44 ,$88.20 ,$98.00 ,$21.13 ,$85.26 ,$28.78 ,$98.00 ,$28.78 ,$22.54 ,$63.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200951,86790,HC VIRUS AB NOT SPECIFIED-90,302,1 ,$99.00 ,$71.28 ,$15.58 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$21.19 ,$32.20 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$17.14 ,$15.58 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$25.76 ,$99.00 ,$25.76 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$243.00 ,$174.96 ,$26.35 ,$243.00 ,$139.73 ,$153.09 ,$145.80 ,$52.39 ,$68.04 ,$109.82 ,$54.77 ,$114.93 ,$59.53 ,$133.41 ,$133.41 ,$61.92 ,$157.95 ,$107.99 ,$26.35 ,$39.78 ,$54.77 ,$52.39 ,$182.25 ,$172.53 ,$172.53 ,$54.77 ,$172.53 ,$211.41 ,$211.41 ,$211.41 , N/A ,$218.70 ,$139.73 ,$206.55 ,$52.39 ,$243.00 ,$136.32 ,$52.39 ,$100.60 ,$44.78 ,$40.71 ,$54.77 ,$206.55 ,$104.07 ,$133.41 ,$68.04 ,$218.70 ,$243.00 ,$52.39 ,$211.41 ,$31.82 ,$243.00 ,$31.82 ,$55.89 ,$157.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200954,86803,HC HEP C AB-90,302,1 ,$10.00 ,$7.20 ,$2.16 ,$29.54 ,$5.75 ,$6.30 ,$6.00 ,$2.16 ,$2.80 ,$5.80 ,$2.25 ,$6.10 ,$2.45 ,$5.49 ,$5.49 ,$2.55 ,$6.50 ,$4.44 ,$10.00 ,$25.00 ,$2.25 ,$2.16 ,$7.50 ,$7.10 ,$7.10 ,$2.25 ,$7.10 ,$8.70 ,$8.70 ,$8.70 , N/A ,$9.00 ,$5.75 ,$8.50 ,$2.16 ,$10.00 ,$5.61 ,$2.16 ,$4.14 ,$29.54 ,$26.85 ,$2.25 ,$8.50 ,$4.28 ,$5.49 ,$2.80 ,$9.00 ,$10.00 ,$2.16 ,$8.70 ,$10.00 ,$10.00 ,$10.00 ,$2.30 ,$6.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$182.00 ,$131.04 ,$39.24 ,$182.00 ,$104.65 ,$114.66 ,$109.20 ,$39.24 ,$50.96 ,$105.56 ,$41.02 ,$111.02 ,$44.59 ,$99.92 ,$99.92 ,$46.37 ,$118.30 ,$80.88 ,$42.39 ,$64.53 ,$41.02 ,$39.24 ,$136.50 ,$129.22 ,$129.22 ,$41.02 ,$129.22 ,$158.34 ,$158.34 ,$158.34 , N/A ,$163.80 ,$104.65 ,$154.70 ,$39.24 ,$182.00 ,$102.10 ,$39.24 ,$75.35 ,$69.16 ,$62.87 ,$41.02 ,$154.70 ,$77.94 ,$99.92 ,$50.96 ,$163.80 ,$182.00 ,$39.24 ,$158.34 ,$51.62 ,$182.00 ,$51.62 ,$41.86 ,$118.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200966,86850,HC AB SCREEN-90,302,1 ,$97.00 ,$69.84 ,$15.58 ,$125.35 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$54.61 ,$21.86 ,$57.15 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$16.04 ,$125.35 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$17.14 ,$15.58 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$19.54 ,$97.00 ,$19.54 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200970,86860,HC ELUTION-90,302,1 ,$233.00 ,$167.76 ,$15.58 ,$393.13 ,$133.98 ,$146.79 ,$139.80 ,$50.23 ,$65.24 ,$135.14 ,$52.52 ,$142.13 ,$57.08 ,$127.92 ,$127.92 ,$59.37 ,$151.45 ,$103.55 ,$53.84 ,$393.13 ,$52.52 ,$50.23 ,$174.75 ,$165.43 ,$165.43 ,$52.52 ,$165.43 ,$202.71 ,$202.71 ,$202.71 , N/A ,$209.70 ,$133.98 ,$198.05 ,$50.23 ,$233.00 ,$130.71 ,$50.23 ,$96.46 ,$17.14 ,$15.58 ,$52.52 ,$198.05 ,$99.78 ,$127.92 ,$65.24 ,$209.70 ,$233.00 ,$50.23 ,$202.71 ,$233.00 ,$233.00 ,$233.00 ,$53.59 ,$151.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200974,86870,HC RBC AB ID PANEL-90,302,1 ,$191.00 ,$137.52 ,$15.58 ,$810.28 ,$109.83 ,$120.33 ,$114.60 ,$41.18 ,$53.48 ,$110.78 ,$43.05 ,$116.51 ,$46.79 ,$104.86 ,$104.86 ,$48.67 ,$124.15 ,$84.88 ,$73.31 ,$810.28 ,$43.05 ,$41.18 ,$143.25 ,$135.61 ,$135.61 ,$43.05 ,$135.61 ,$166.17 ,$166.17 ,$166.17 , N/A ,$171.90 ,$109.83 ,$162.35 ,$41.18 ,$191.00 ,$107.15 ,$41.18 ,$79.07 ,$17.14 ,$15.58 ,$43.05 ,$162.35 ,$81.80 ,$104.86 ,$53.48 ,$171.90 ,$191.00 ,$41.18 ,$166.17 ,$191.00 ,$191.00 ,$191.00 ,$43.93 ,$124.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200976,86880,HC COOMBS DIRECT-90,302,1 ,$90.00 ,$64.80 ,$8.59 ,$143.70 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$37.15 ,$20.29 ,$38.88 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$8.59 ,$143.70 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$17.14 ,$15.58 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$10.78 ,$90.00 ,$10.78 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200978,86886,HC INDIRECT TITER-90,302,1 ,$217.00 ,$156.24 ,$8.59 ,$393.13 ,$124.78 ,$136.71 ,$130.20 ,$46.79 ,$60.76 ,$35.69 ,$48.91 ,$37.35 ,$53.16 ,$119.13 ,$119.13 ,$55.29 ,$141.05 ,$96.43 ,$8.59 ,$393.13 ,$48.91 ,$46.79 ,$162.75 ,$154.07 ,$154.07 ,$48.91 ,$154.07 ,$188.79 ,$188.79 ,$188.79 , N/A ,$195.30 ,$124.78 ,$184.45 ,$46.79 ,$217.00 ,$121.74 ,$46.79 ,$89.84 ,$17.14 ,$15.58 ,$48.91 ,$184.45 ,$92.93 ,$119.13 ,$60.76 ,$195.30 ,$217.00 ,$46.79 ,$188.79 ,$10.36 ,$217.00 ,$10.36 ,$49.91 ,$141.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200981,86900,HC BLOOD TYPING ABO-90,302,1 ,$73.00 ,$52.56 ,$5.15 ,$290.28 ,$41.98 ,$45.99 ,$43.80 ,$15.74 ,$20.44 ,$20.64 ,$16.45 ,$21.60 ,$17.88 ,$40.08 ,$40.08 ,$18.60 ,$47.45 ,$32.44 ,$5.15 ,$290.28 ,$16.45 ,$15.74 ,$54.75 ,$51.83 ,$51.83 ,$16.45 ,$51.83 ,$63.51 ,$63.51 ,$63.51 , N/A ,$65.70 ,$41.98 ,$62.05 ,$15.74 ,$73.00 ,$40.95 ,$15.74 ,$30.22 ,$10.62 ,$9.65 ,$16.45 ,$62.05 ,$31.26 ,$40.08 ,$20.44 ,$65.70 ,$73.00 ,$15.74 ,$63.51 ,$5.98 ,$73.00 ,$5.98 ,$16.79 ,$47.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200983,86901,HC BLOOD TYPING RH-90,302,1 ,$73.00 ,$52.56 ,$5.15 ,$84.90 ,$41.98 ,$45.99 ,$43.80 ,$15.74 ,$20.44 ,$20.64 ,$16.45 ,$21.60 ,$17.88 ,$40.08 ,$40.08 ,$18.60 ,$47.45 ,$32.44 ,$5.15 ,$84.90 ,$16.45 ,$15.74 ,$54.75 ,$51.83 ,$51.83 ,$16.45 ,$51.83 ,$63.51 ,$63.51 ,$63.51 , N/A ,$65.70 ,$41.98 ,$62.05 ,$15.74 ,$73.00 ,$40.95 ,$15.74 ,$30.22 ,$10.62 ,$9.65 ,$16.45 ,$62.05 ,$31.26 ,$40.08 ,$20.44 ,$65.70 ,$73.00 ,$15.74 ,$63.51 ,$5.98 ,$73.00 ,$5.98 ,$16.79 ,$47.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200989,86902,HC RBC AG SCR RGT SERUM-90,302,1 ,$97.00 ,$69.84 ,$9.65 ,$810.28 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$35.52 ,$21.86 ,$37.17 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$10.31 ,$810.28 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$10.62 ,$9.65 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$12.70 ,$97.00 ,$12.70 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200997,86905,HC RBC AG TYPING NON ABO/RH-90,302,1 ,$97.00 ,$69.84 ,$6.30 ,$810.28 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$26.40 ,$21.86 ,$27.63 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$6.30 ,$810.28 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$10.62 ,$9.65 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$7.66 ,$97.00 ,$7.66 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200998,86906,HC RH PHENOTYPE COMPLETE-90,302,1 ,$110.00 ,$79.20 ,$9.65 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$53.49 ,$24.79 ,$55.98 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 ,$12.60 ,$84.90 ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$10.62 ,$9.65 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$15.50 ,$110.00 ,$15.50 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30200999,86906,HC RH PHENOTYPE COMPLETE,302,1 ,$96.00 ,$69.12 ,$9.65 ,$96.00 ,$55.20 ,$60.48 ,$57.60 ,$20.70 ,$26.88 ,$53.49 ,$21.64 ,$55.98 ,$23.52 ,$52.70 ,$52.70 ,$24.46 ,$62.40 ,$42.66 ,$12.60 ,$84.90 ,$21.64 ,$20.70 ,$72.00 ,$68.16 ,$68.16 ,$21.64 ,$68.16 ,$83.52 ,$83.52 ,$83.52 , N/A ,$86.40 ,$55.20 ,$81.60 ,$20.70 ,$96.00 ,$53.86 ,$20.70 ,$39.74 ,$10.62 ,$9.65 ,$21.64 ,$81.60 ,$41.11 ,$52.70 ,$26.88 ,$86.40 ,$96.00 ,$20.70 ,$83.52 ,$15.50 ,$96.00 ,$15.50 ,$22.08 ,$62.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201003,86970,HC RBC PRETREAT CHEM-90,302,1 ,$196.00 ,$141.12 ,$42.26 ,$196.00 ,$112.70 ,$123.48 ,$117.60 ,$42.26 ,$54.88 ,$113.68 ,$44.18 ,$119.56 ,$48.02 ,$107.60 ,$107.60 ,$49.94 ,$127.40 ,$87.10 ,$49.84 ,$84.90 ,$44.18 ,$42.26 ,$147.00 ,$139.16 ,$139.16 ,$44.18 ,$139.16 ,$170.52 ,$170.52 ,$170.52 , N/A ,$176.40 ,$112.70 ,$166.60 ,$42.26 ,$196.00 ,$109.96 ,$42.26 ,$81.14 ,$69.16 ,$62.87 ,$44.18 ,$166.60 ,$83.94 ,$107.60 ,$54.88 ,$176.40 ,$196.00 ,$42.26 ,$170.52 ,$67.68 ,$196.00 ,$67.68 ,$45.08 ,$127.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201005,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$97.00 ,$69.84 ,$20.91 ,$810.28 ,$55.78 ,$61.11 ,$58.20 ,$20.91 ,$27.16 ,$56.26 ,$21.86 ,$59.17 ,$23.76 ,$53.25 ,$53.25 ,$24.72 ,$63.05 ,$43.11 ,$39.53 ,$810.28 ,$21.86 ,$20.91 ,$72.75 ,$68.87 ,$68.87 ,$21.86 ,$68.87 ,$84.39 ,$84.39 ,$84.39 , N/A ,$87.30 ,$55.78 ,$82.45 ,$20.91 ,$97.00 ,$54.42 ,$20.91 ,$40.16 ,$69.16 ,$62.87 ,$21.86 ,$82.45 ,$41.54 ,$53.25 ,$27.16 ,$87.30 ,$97.00 ,$20.91 ,$84.39 ,$97.00 ,$97.00 ,$97.00 ,$22.31 ,$63.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201007,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$110.00 ,$79.20 ,$23.72 ,$393.13 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 ,$69.32 ,$393.13 ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$69.16 ,$62.87 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$110.00 ,$110.00 ,$110.00 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201009,86975,HC INCUBATION OF SERUM W/DRUG-90,302,1 ,$158.00 ,$113.76 ,$34.06 ,$943.93 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$102.70 ,$70.22 ,$53.84 ,$943.93 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$158.00 ,$88.64 ,$34.06 ,$65.41 ,$69.16 ,$62.87 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$158.00 ,$158.00 ,$158.00 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201016,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT-90,302,1 ,$168.00 ,$120.96 ,$36.22 ,$393.13 ,$96.60 ,$105.84 ,$100.80 ,$36.22 ,$47.04 ,$97.44 ,$37.87 ,$102.48 ,$41.16 ,$92.23 ,$92.23 ,$42.81 ,$109.20 ,$74.66 ,$59.58 ,$393.13 ,$37.87 ,$36.22 ,$126.00 ,$119.28 ,$119.28 ,$37.87 ,$119.28 ,$146.16 ,$146.16 ,$146.16 , N/A ,$151.20 ,$96.60 ,$142.80 ,$36.22 ,$168.00 ,$94.25 ,$36.22 ,$69.55 ,$69.16 ,$62.87 ,$37.87 ,$142.80 ,$71.95 ,$92.23 ,$47.04 ,$151.20 ,$168.00 ,$36.22 ,$146.16 ,$168.00 ,$168.00 ,$168.00 ,$38.64 ,$109.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201018,86978,HC RBC PRETREAT ABSOR AUTO,302,1 ,$125.00 ,$90.00 ,$9.65 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$59.58 ,$84.90 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$10.62 ,$9.65 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$67.68 ,$125.00 ,$67.68 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201020,86978,HC RBC PRETREAT ABSOR-90,302,1 ,$185.00 ,$133.20 ,$9.65 ,$185.00 ,$106.38 ,$116.55 ,$111.00 ,$39.89 ,$51.80 ,$107.30 ,$41.70 ,$112.85 ,$45.32 ,$101.57 ,$101.57 ,$47.14 ,$120.25 ,$82.21 ,$59.58 ,$84.90 ,$41.70 ,$39.89 ,$138.75 ,$131.35 ,$131.35 ,$41.70 ,$131.35 ,$160.95 ,$160.95 ,$160.95 , N/A ,$166.50 ,$106.38 ,$157.25 ,$39.89 ,$185.00 ,$103.79 ,$39.89 ,$76.59 ,$10.62 ,$9.65 ,$41.70 ,$157.25 ,$79.23 ,$101.57 ,$51.80 ,$166.50 ,$185.00 ,$39.89 ,$160.95 ,$67.68 ,$185.00 ,$67.68 ,$42.55 ,$120.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201022,87801,HC INFECT MLT ORG AMP-90,302,1 ,$331.00 ,$238.32 ,$12.42 ,$331.00 ,$190.33 ,$208.53 ,$198.60 ,$71.36 ,$92.68 ,$191.98 ,$74.61 ,$201.91 ,$81.09 ,$181.72 ,$181.72 ,$84.34 ,$215.15 ,$147.10 ,$115.13 ,$175.50 ,$74.61 ,$71.36 ,$248.25 ,$235.01 ,$235.01 ,$74.61 ,$235.01 ,$287.97 ,$287.97 ,$287.97 , N/A ,$297.90 ,$190.33 ,$281.35 ,$71.36 ,$331.00 ,$185.69 ,$71.36 ,$137.03 ,$13.66 ,$12.42 ,$74.61 ,$281.35 ,$141.76 ,$181.72 ,$92.68 ,$297.90 ,$331.00 ,$71.36 ,$287.97 ,$140.40 ,$331.00 ,$140.40 ,$76.13 ,$215.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$52.00 ,$35.55 ,$34.36 ,$52.03 ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$19.13 ,$17.39 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$41.62 ,$80.00 ,$41.62 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201026,86317,HC INFECTIOUS AB QN-90,302,1 ,$411.00 ,$295.92 ,$24.62 ,$411.00 ,$236.33 ,$258.93 ,$246.60 ,$88.61 ,$115.08 ,$103.46 ,$92.64 ,$108.27 ,$100.69 ,$225.64 ,$225.64 ,$104.72 ,$267.15 ,$182.65 ,$24.62 ,$37.48 ,$92.64 ,$88.61 ,$308.25 ,$291.81 ,$291.81 ,$92.64 ,$291.81 ,$357.57 ,$357.57 ,$357.57 , N/A ,$369.90 ,$236.33 ,$349.35 ,$88.61 ,$411.00 ,$230.57 ,$88.61 ,$170.15 ,$29.54 ,$26.85 ,$92.64 ,$349.35 ,$176.02 ,$225.64 ,$115.08 ,$369.90 ,$411.00 ,$88.61 ,$357.57 ,$29.98 ,$411.00 ,$29.98 ,$94.53 ,$267.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201030,86332,HC IMMUNE COMPLEX ASSAY-90,302,1 ,$90.00 ,$64.80 ,$19.40 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$40.10 ,$60.93 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$29.54 ,$26.85 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$48.74 ,$90.00 ,$48.74 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$287.00 ,$206.64 ,$17.53 ,$287.00 ,$165.03 ,$180.81 ,$172.20 ,$61.88 ,$80.36 ,$154.20 ,$64.69 ,$161.37 ,$70.31 ,$157.56 ,$157.56 ,$73.13 ,$17.53 ,$127.54 ,$36.67 ,$55.85 ,$64.69 ,$61.88 ,$215.25 ,$203.77 ,$203.77 ,$64.69 ,$203.77 ,$249.69 ,$249.69 ,$249.69 , N/A ,$258.30 ,$165.03 ,$243.95 ,$61.88 ,$287.00 ,$161.01 ,$61.88 ,$118.82 ,$29.54 ,$26.85 ,$64.69 ,$243.95 ,$122.91 ,$157.56 ,$80.36 ,$258.30 ,$287.00 ,$61.88 ,$249.69 ,$44.68 ,$287.00 ,$44.68 ,$66.01 ,$186.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201032,86335,HC IMMUNOFIX ELECTRO OTH-90,302,1 ,$176.00 ,$126.72 ,$17.53 ,$176.00 ,$101.20 ,$110.88 ,$105.60 ,$37.95 ,$49.28 ,$102.08 ,$39.67 ,$107.36 ,$43.12 ,$96.62 ,$96.62 ,$44.84 ,$17.53 ,$78.21 ,$48.11 ,$73.38 ,$39.67 ,$37.95 ,$132.00 ,$124.96 ,$124.96 ,$39.67 ,$124.96 ,$153.12 ,$153.12 ,$153.12 , N/A ,$158.40 ,$101.20 ,$149.60 ,$37.95 ,$176.00 ,$98.74 ,$37.95 ,$72.86 ,$29.54 ,$26.85 ,$39.67 ,$149.60 ,$75.37 ,$96.62 ,$49.28 ,$158.40 ,$176.00 ,$37.95 ,$153.12 ,$58.70 ,$176.00 ,$58.70 ,$40.48 ,$114.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201033,86336,HC INHIBIN A-90,302,1 ,$114.00 ,$82.08 ,$17.39 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$66.12 ,$25.70 ,$69.54 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$74.10 ,$50.66 ,$25.78 ,$38.98 ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 ,$19.13 ,$17.39 ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 ,$31.18 ,$114.00 ,$31.18 ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201034,86337,HC INSULIN AB-90,302,1 ,$128.00 ,$92.16 ,$27.60 ,$128.00 ,$73.60 ,$80.64 ,$76.80 ,$27.60 ,$35.84 ,$74.24 ,$28.85 ,$78.08 ,$31.36 ,$70.27 ,$70.27 ,$32.61 ,$83.20 ,$56.88 ,$34.94 ,$53.53 ,$28.85 ,$27.60 ,$96.00 ,$90.88 ,$90.88 ,$28.85 ,$90.88 ,$111.36 ,$111.36 ,$111.36 , N/A ,$115.20 ,$73.60 ,$108.80 ,$27.60 ,$128.00 ,$71.81 ,$27.60 ,$52.99 ,$44.78 ,$40.71 ,$28.85 ,$108.80 ,$54.82 ,$70.27 ,$35.84 ,$115.20 ,$128.00 ,$27.60 ,$111.36 ,$42.82 ,$128.00 ,$42.82 ,$29.44 ,$83.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$183.00 ,$131.76 ,$24.62 ,$183.00 ,$105.23 ,$115.29 ,$109.80 ,$39.45 ,$51.24 ,$104.06 ,$41.25 ,$108.90 ,$44.83 ,$100.47 ,$100.47 ,$46.63 ,$118.95 ,$81.33 ,$24.62 ,$37.70 ,$41.25 ,$39.45 ,$137.25 ,$129.93 ,$129.93 ,$41.25 ,$129.93 ,$159.21 ,$159.21 ,$159.21 , N/A ,$164.70 ,$105.23 ,$155.55 ,$39.45 ,$183.00 ,$102.66 ,$39.45 ,$75.76 ,$44.78 ,$40.71 ,$41.25 ,$155.55 ,$78.37 ,$100.47 ,$51.24 ,$164.70 ,$183.00 ,$39.45 ,$159.21 ,$30.16 ,$183.00 ,$30.16 ,$42.09 ,$118.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201036,86341,HC ISLET CELL AB-90,302,1 ,$177.00 ,$127.44 ,$26.85 ,$177.00 ,$101.78 ,$111.51 ,$106.20 ,$38.16 ,$49.56 ,$102.66 ,$39.90 ,$107.97 ,$43.36 ,$97.17 ,$97.17 ,$45.10 ,$115.05 ,$78.66 ,$38.95 ,$58.93 ,$39.90 ,$38.16 ,$132.75 ,$125.67 ,$125.67 ,$39.90 ,$125.67 ,$153.99 ,$153.99 ,$153.99 , N/A ,$159.30 ,$101.78 ,$150.45 ,$38.16 ,$177.00 ,$99.30 ,$38.16 ,$73.28 ,$29.54 ,$26.85 ,$39.90 ,$150.45 ,$75.80 ,$97.17 ,$49.56 ,$159.30 ,$177.00 ,$38.16 ,$153.99 ,$47.14 ,$177.00 ,$47.14 ,$40.71 ,$115.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201037,86343,HC LEUKOCYTE HISTAMINE RELEASE-90,302,1 ,$280.00 ,$201.60 ,$20.63 ,$280.00 ,$161.00 ,$176.40 ,$168.00 ,$60.37 ,$78.40 ,$86.00 ,$63.11 ,$90.00 ,$68.60 ,$153.72 ,$153.72 ,$71.34 ,$182.00 ,$124.43 ,$20.63 ,$31.15 ,$63.11 ,$60.37 ,$210.00 ,$198.80 ,$198.80 ,$63.11 ,$198.80 ,$243.60 ,$243.60 ,$243.60 , N/A ,$252.00 ,$161.00 ,$238.00 ,$60.37 ,$280.00 ,$157.08 ,$60.37 ,$115.92 ,$29.54 ,$26.85 ,$63.11 ,$238.00 ,$119.91 ,$153.72 ,$78.40 ,$252.00 ,$280.00 ,$60.37 ,$243.60 ,$24.92 ,$280.00 ,$24.92 ,$64.40 ,$182.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$174.00 ,$125.28 ,$26.85 ,$174.00 ,$100.05 ,$109.62 ,$104.40 ,$37.51 ,$48.72 ,$100.92 ,$39.22 ,$106.14 ,$42.63 ,$95.53 ,$95.53 ,$44.34 ,$113.10 ,$77.33 ,$61.87 ,$94.33 ,$39.22 ,$37.51 ,$130.50 ,$123.54 ,$123.54 ,$39.22 ,$123.54 ,$151.38 ,$151.38 ,$151.38 , N/A ,$156.60 ,$100.05 ,$147.90 ,$37.51 ,$174.00 ,$97.61 ,$37.51 ,$72.04 ,$29.54 ,$26.85 ,$39.22 ,$147.90 ,$74.52 ,$95.53 ,$48.72 ,$156.60 ,$174.00 ,$37.51 ,$151.38 ,$75.46 ,$174.00 ,$75.46 ,$40.02 ,$113.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201042,86357,HC CD8 TOTAL COUNT-90,302,1 ,$168.00 ,$120.96 ,$26.85 ,$168.00 ,$96.60 ,$105.84 ,$100.80 ,$36.22 ,$47.04 ,$97.44 ,$37.87 ,$102.48 ,$41.16 ,$92.23 ,$92.23 ,$42.81 ,$109.20 ,$74.66 ,$61.87 ,$94.33 ,$37.87 ,$36.22 ,$126.00 ,$119.28 ,$119.28 ,$37.87 ,$119.28 ,$146.16 ,$146.16 ,$146.16 , N/A ,$151.20 ,$96.60 ,$142.80 ,$36.22 ,$168.00 ,$94.25 ,$36.22 ,$69.55 ,$29.54 ,$26.85 ,$37.87 ,$142.80 ,$71.95 ,$92.23 ,$47.04 ,$151.20 ,$168.00 ,$36.22 ,$146.16 ,$75.46 ,$168.00 ,$75.46 ,$38.64 ,$109.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$113.00 ,$81.36 ,$24.36 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$73.45 ,$50.22 ,$61.87 ,$94.33 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$29.54 ,$26.85 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$75.46 ,$113.00 ,$75.46 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$176.00 ,$126.72 ,$26.85 ,$176.00 ,$101.20 ,$110.88 ,$105.60 ,$37.95 ,$49.28 ,$102.08 ,$39.67 ,$107.36 ,$43.12 ,$96.62 ,$96.62 ,$44.84 ,$114.40 ,$78.21 ,$77.33 ,$117.45 ,$39.67 ,$37.95 ,$132.00 ,$124.96 ,$124.96 ,$39.67 ,$124.96 ,$153.12 ,$153.12 ,$153.12 , N/A ,$158.40 ,$101.20 ,$149.60 ,$37.95 ,$176.00 ,$98.74 ,$37.95 ,$72.86 ,$29.54 ,$26.85 ,$39.67 ,$149.60 ,$75.37 ,$96.62 ,$49.28 ,$158.40 ,$176.00 ,$37.95 ,$153.12 ,$93.96 ,$176.00 ,$93.96 ,$40.48 ,$114.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201046,86361,HC T CELLS CD4 COUNT-90,302,1 ,$42.00 ,$30.24 ,$9.06 ,$66.95 ,$24.15 ,$26.46 ,$25.20 ,$9.06 ,$11.76 ,$24.36 ,$9.47 ,$25.62 ,$10.29 ,$23.06 ,$23.06 ,$10.70 ,$27.30 ,$18.66 ,$42.00 ,$66.95 ,$9.47 ,$9.06 ,$31.50 ,$29.82 ,$29.82 ,$9.47 ,$29.82 ,$36.54 ,$36.54 ,$36.54 , N/A ,$37.80 ,$24.15 ,$35.70 ,$9.06 ,$42.00 ,$23.56 ,$9.06 ,$17.39 ,$29.54 ,$26.85 ,$9.47 ,$35.70 ,$17.98 ,$23.06 ,$11.76 ,$37.80 ,$42.00 ,$9.06 ,$36.54 ,$42.00 ,$42.00 ,$42.00 ,$9.66 ,$27.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201047,86376,HC MICROSOMAL AB-90,302,1 ,$243.00 ,$174.96 ,$24.07 ,$243.00 ,$139.73 ,$153.09 ,$145.80 ,$52.39 ,$68.04 ,$100.36 ,$54.77 ,$105.03 ,$59.53 ,$133.41 ,$133.41 ,$61.92 ,$157.95 ,$107.99 ,$24.07 ,$36.38 ,$54.77 ,$52.39 ,$182.25 ,$172.53 ,$172.53 ,$54.77 ,$172.53 ,$211.41 ,$211.41 ,$211.41 , N/A ,$218.70 ,$139.73 ,$206.55 ,$52.39 ,$243.00 ,$136.32 ,$52.39 ,$100.60 ,$44.78 ,$40.71 ,$54.77 ,$206.55 ,$104.07 ,$133.41 ,$68.04 ,$218.70 ,$243.00 ,$52.39 ,$211.41 ,$29.10 ,$243.00 ,$29.10 ,$55.89 ,$157.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201049,86403,HC PARTICLE AGG SCREEN-90,302,1 ,$29.00 ,$20.88 ,$6.25 ,$29.00 ,$16.68 ,$18.27 ,$17.40 ,$6.25 ,$8.12 ,$16.82 ,$6.54 ,$17.69 ,$7.09 ,$15.92 ,$15.92 ,$7.39 ,$18.85 ,$12.89 ,$18.90 ,$28.85 ,$6.54 ,$6.25 ,$21.75 ,$20.59 ,$20.59 ,$6.54 ,$20.59 ,$25.23 ,$25.23 ,$25.23 , N/A ,$26.10 ,$16.68 ,$24.65 ,$6.25 ,$29.00 ,$16.27 ,$6.25 ,$12.01 ,$17.14 ,$15.58 ,$6.54 ,$24.65 ,$12.42 ,$15.92 ,$8.12 ,$26.10 ,$29.00 ,$6.25 ,$25.23 ,$23.08 ,$29.00 ,$23.08 ,$6.67 ,$18.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201051,86406,HC PARTICLE AGGLUT TITER-90,302,1 ,$103.00 ,$74.16 ,$15.58 ,$103.00 ,$59.23 ,$64.89 ,$61.80 ,$22.21 ,$28.84 ,$59.74 ,$23.22 ,$62.83 ,$25.23 ,$56.55 ,$56.55 ,$26.24 ,$66.95 ,$45.77 ,$17.19 ,$26.60 ,$23.22 ,$22.21 ,$77.25 ,$73.13 ,$73.13 ,$23.22 ,$73.13 ,$89.61 ,$89.61 ,$89.61 , N/A ,$92.70 ,$59.23 ,$87.55 ,$22.21 ,$103.00 ,$57.78 ,$22.21 ,$42.64 ,$17.14 ,$15.58 ,$23.22 ,$87.55 ,$44.11 ,$56.55 ,$28.84 ,$92.70 ,$103.00 ,$22.21 ,$89.61 ,$21.28 ,$103.00 ,$21.28 ,$23.69 ,$66.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201052,86431,HC RHEUMATOID FACTOR QN-90,302,1 ,$4.80 ,$3.46 ,$1.04 ,$17.14 ,$2.75 ,$3.02 ,$2.88 ,$1.04 ,$1.34 ,$2.78 ,$1.08 ,$2.93 ,$1.18 ,$2.64 ,$2.64 ,$1.22 ,$3.12 ,$2.14 ,$4.80 ,$12.00 ,$1.08 ,$1.04 ,$3.60 ,$3.41 ,$3.41 ,$1.08 ,$3.41 ,$4.18 ,$4.18 ,$4.18 , N/A ,$4.32 ,$2.75 ,$4.08 ,$1.04 ,$4.80 ,$2.69 ,$1.04 ,$1.99 ,$17.14 ,$15.58 ,$1.08 ,$4.08 ,$2.05 ,$2.64 ,$1.34 ,$4.32 ,$4.80 ,$1.04 ,$4.18 ,$4.80 ,$4.80 ,$4.80 ,$1.10 ,$3.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201053,86480,HC TB QUANTIFERON GOLD-90,302,1 ,$250.00 ,$180.00 ,$26.85 ,$250.00 ,$143.75 ,$157.50 ,$150.00 ,$53.90 ,$70.00 ,$145.00 ,$56.35 ,$152.50 ,$61.25 ,$137.25 ,$137.25 ,$63.70 ,$162.50 ,$111.10 ,$101.95 ,$154.95 ,$56.35 ,$53.90 ,$187.50 ,$177.50 ,$177.50 ,$56.35 ,$177.50 ,$217.50 ,$217.50 ,$217.50 , N/A ,$225.00 ,$143.75 ,$212.50 ,$53.90 ,$250.00 ,$140.25 ,$53.90 ,$103.50 ,$29.54 ,$26.85 ,$56.35 ,$212.50 ,$107.06 ,$137.25 ,$70.00 ,$225.00 ,$250.00 ,$53.90 ,$217.50 ,$123.96 ,$250.00 ,$123.96 ,$57.50 ,$162.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$101.00 ,$72.72 ,$6.88 ,$101.00 ,$58.08 ,$63.63 ,$60.60 ,$21.78 ,$28.28 ,$29.50 ,$22.77 ,$30.87 ,$24.74 ,$55.45 ,$55.45 ,$25.73 ,$65.65 ,$44.88 ,$6.88 ,$10.68 ,$22.77 ,$21.78 ,$75.75 ,$71.71 ,$71.71 ,$22.77 ,$71.71 ,$87.87 ,$87.87 ,$87.87 , N/A ,$90.90 ,$58.08 ,$85.85 ,$21.78 ,$101.00 ,$56.66 ,$21.78 ,$41.81 ,$17.14 ,$15.58 ,$22.77 ,$85.85 ,$43.26 ,$55.45 ,$28.28 ,$90.90 ,$101.00 ,$21.78 ,$87.87 ,$8.54 ,$101.00 ,$8.54 ,$23.23 ,$65.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$21.19 ,$32.18 ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 ,$29.54 ,$26.85 ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$25.74 ,$48.00 ,$25.74 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$56.00 ,$40.32 ,$12.07 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$32.48 ,$12.62 ,$34.16 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$24.62 ,$37.63 ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 ,$29.54 ,$26.85 ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$30.10 ,$56.00 ,$30.10 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$154.00 ,$110.88 ,$16.61 ,$154.00 ,$88.55 ,$97.02 ,$92.40 ,$33.20 ,$43.12 ,$70.18 ,$34.71 ,$73.44 ,$37.73 ,$84.55 ,$84.55 ,$39.24 ,$100.10 ,$68.44 ,$16.61 ,$25.45 ,$34.71 ,$33.20 ,$115.50 ,$109.34 ,$109.34 ,$34.71 ,$109.34 ,$133.98 ,$133.98 ,$133.98 , N/A ,$138.60 ,$88.55 ,$130.90 ,$33.20 ,$154.00 ,$86.39 ,$33.20 ,$63.76 ,$29.54 ,$26.85 ,$34.71 ,$130.90 ,$65.95 ,$84.55 ,$43.12 ,$138.60 ,$154.00 ,$33.20 ,$133.98 ,$20.36 ,$154.00 ,$20.36 ,$35.42 ,$100.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$21.19 ,$32.25 ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 ,$29.54 ,$26.85 ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$25.80 ,$48.00 ,$25.80 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201061,86615,HC BORDETELLA AB-90,302,1 ,$125.00 ,$90.00 ,$21.76 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$21.76 ,$32.98 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$29.54 ,$26.85 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$26.38 ,$125.00 ,$26.38 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$257.00 ,$185.04 ,$25.20 ,$257.00 ,$147.78 ,$161.91 ,$154.20 ,$55.41 ,$71.96 ,$106.90 ,$57.93 ,$111.87 ,$62.96 ,$141.09 ,$141.09 ,$65.48 ,$167.05 ,$114.21 ,$25.20 ,$38.73 ,$57.93 ,$55.41 ,$192.75 ,$182.47 ,$182.47 ,$57.93 ,$182.47 ,$223.59 ,$223.59 ,$223.59 , N/A ,$231.30 ,$147.78 ,$218.45 ,$55.41 ,$257.00 ,$144.18 ,$55.41 ,$106.40 ,$29.54 ,$26.85 ,$57.93 ,$218.45 ,$110.06 ,$141.09 ,$71.96 ,$231.30 ,$257.00 ,$55.41 ,$223.59 ,$30.98 ,$257.00 ,$30.98 ,$59.11 ,$167.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201063,86618,HC LYME AB-90,302,1 ,$131.00 ,$94.32 ,$26.85 ,$131.00 ,$75.33 ,$82.53 ,$78.60 ,$28.24 ,$36.68 ,$75.98 ,$29.53 ,$79.91 ,$32.09 ,$71.92 ,$71.92 ,$33.38 ,$85.15 ,$58.22 ,$28.06 ,$42.58 ,$29.53 ,$28.24 ,$98.25 ,$93.01 ,$93.01 ,$29.53 ,$93.01 ,$113.97 ,$113.97 ,$113.97 , N/A ,$117.90 ,$75.33 ,$111.35 ,$28.24 ,$131.00 ,$73.49 ,$28.24 ,$54.23 ,$29.54 ,$26.85 ,$29.53 ,$111.35 ,$56.10 ,$71.92 ,$36.68 ,$117.90 ,$131.00 ,$28.24 ,$113.97 ,$34.06 ,$131.00 ,$34.06 ,$30.13 ,$85.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201065,86622,HC BRUCELLA AB-90,302,1 ,$33.00 ,$23.76 ,$7.11 ,$33.00 ,$18.98 ,$20.79 ,$19.80 ,$7.11 ,$9.24 ,$19.14 ,$7.44 ,$20.13 ,$8.08 ,$18.12 ,$18.12 ,$8.41 ,$21.45 ,$14.67 ,$14.89 ,$22.33 ,$7.44 ,$7.11 ,$24.75 ,$23.43 ,$23.43 ,$7.44 ,$23.43 ,$28.71 ,$28.71 ,$28.71 , N/A ,$29.70 ,$18.98 ,$28.05 ,$7.11 ,$33.00 ,$18.51 ,$7.11 ,$13.66 ,$29.54 ,$26.85 ,$7.44 ,$28.05 ,$14.13 ,$18.12 ,$9.24 ,$29.70 ,$33.00 ,$7.11 ,$28.71 ,$17.86 ,$33.00 ,$17.86 ,$7.59 ,$21.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201066,86628,HC CANDIDA AB-90,302,1 ,$12.00 ,$8.64 ,$2.59 ,$30.00 ,$6.90 ,$7.56 ,$7.20 ,$2.59 ,$3.36 ,$6.96 ,$2.70 ,$7.32 ,$2.94 ,$6.59 ,$6.59 ,$3.06 ,$7.80 ,$5.33 ,$12.00 ,$30.00 ,$2.70 ,$2.59 ,$9.00 ,$8.52 ,$8.52 ,$2.70 ,$8.52 ,$10.44 ,$10.44 ,$10.44 , N/A ,$10.80 ,$6.90 ,$10.20 ,$2.59 ,$12.00 ,$6.73 ,$2.59 ,$4.97 ,$13.66 ,$12.42 ,$2.70 ,$10.20 ,$5.14 ,$6.59 ,$3.36 ,$10.80 ,$12.00 ,$2.59 ,$10.44 ,$12.00 ,$12.00 ,$12.00 ,$2.76 ,$7.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201067,86631,HC CHLAMYDIA AB-90,302,1 ,$85.00 ,$61.20 ,$12.42 ,$85.00 ,$48.88 ,$53.55 ,$51.00 ,$18.33 ,$23.80 ,$49.30 ,$19.16 ,$51.85 ,$20.82 ,$46.67 ,$46.67 ,$21.66 ,$55.25 ,$37.77 ,$19.48 ,$29.55 ,$19.16 ,$18.33 ,$63.75 ,$60.35 ,$60.35 ,$19.16 ,$60.35 ,$73.95 ,$73.95 ,$73.95 , N/A ,$76.50 ,$48.88 ,$72.25 ,$18.33 ,$85.00 ,$47.69 ,$18.33 ,$35.19 ,$13.66 ,$12.42 ,$19.16 ,$72.25 ,$36.41 ,$46.67 ,$23.80 ,$76.50 ,$85.00 ,$18.33 ,$73.95 ,$23.64 ,$85.00 ,$23.64 ,$19.55 ,$55.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201074,86695,HC HERPES SIMPLEX AB I W/O TITER-90,302,1 ,$7.00 ,$5.04 ,$1.51 ,$29.54 ,$4.03 ,$4.41 ,$4.20 ,$1.51 ,$1.96 ,$4.06 ,$1.58 ,$4.27 ,$1.71 ,$3.84 ,$3.84 ,$1.78 ,$4.55 ,$3.11 ,$7.00 ,$17.50 ,$1.58 ,$1.51 ,$5.25 ,$4.97 ,$4.97 ,$1.58 ,$4.97 ,$6.09 ,$6.09 ,$6.09 , N/A ,$6.30 ,$4.03 ,$5.95 ,$1.51 ,$7.00 ,$3.93 ,$1.51 ,$2.90 ,$29.54 ,$26.85 ,$1.58 ,$5.95 ,$3.00 ,$3.84 ,$1.96 ,$6.30 ,$7.00 ,$1.51 ,$6.09 ,$7.00 ,$7.00 ,$7.00 ,$1.61 ,$4.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201088,86008,HC ALLERGEN IGE QN/SEMI-QN RECOMB/COMP EA-90,302,1 ,$11.00 ,$7.92 ,$2.37 ,$27.50 ,$6.33 ,$6.93 ,$6.60 ,$2.37 ,$3.08 ,$6.38 ,$2.48 ,$6.71 ,$2.69 ,$6.04 ,$6.04 ,$2.80 ,$7.15 ,$4.89 ,$11.00 ,$27.50 ,$2.48 ,$2.37 ,$8.25 ,$7.81 ,$7.81 ,$2.48 ,$7.81 ,$9.57 ,$9.57 ,$9.57 , N/A ,$9.90 ,$6.33 ,$9.35 ,$2.37 ,$11.00 ,$6.17 ,$2.37 ,$4.55 ,$17.14 ,$15.58 ,$2.48 ,$9.35 ,$4.71 ,$6.04 ,$3.08 ,$9.90 ,$11.00 ,$2.37 ,$9.57 ,$11.00 ,$11.00 ,$11.00 ,$2.53 ,$7.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201092,86593,HC SYPHILIS VDRL RPR QN-90,302,1 ,$55.00 ,$39.60 ,$7.45 ,$55.00 ,$31.63 ,$34.65 ,$33.00 ,$11.86 ,$15.40 ,$30.44 ,$12.40 ,$31.86 ,$13.47 ,$30.20 ,$30.20 ,$14.01 ,$35.75 ,$24.44 ,$7.45 ,$11.00 ,$12.40 ,$11.86 ,$41.25 ,$39.05 ,$39.05 ,$12.40 ,$39.05 ,$47.85 ,$47.85 ,$47.85 , N/A ,$49.50 ,$31.63 ,$46.75 ,$11.86 ,$55.00 ,$30.86 ,$11.86 ,$22.77 ,$17.14 ,$15.58 ,$12.40 ,$46.75 ,$23.56 ,$30.20 ,$15.40 ,$49.50 ,$55.00 ,$11.86 ,$47.85 ,$8.80 ,$55.00 ,$8.80 ,$12.65 ,$35.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201093,86003,HC ALLERGEN IGE QN EA,302,1 ,$120.00 ,$86.40 ,$8.59 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$36.03 ,$27.05 ,$37.71 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$8.59 ,$13.05 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$17.14 ,$15.58 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$10.44 ,$120.00 ,$10.44 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201096,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$219.00 ,$157.68 ,$15.58 ,$219.00 ,$125.93 ,$137.97 ,$131.40 ,$47.22 ,$61.32 ,$89.35 ,$49.36 ,$93.51 ,$53.65 ,$120.23 ,$120.23 ,$55.80 ,$142.35 ,$97.32 ,$21.19 ,$32.38 ,$49.36 ,$47.22 ,$164.25 ,$155.49 ,$155.49 ,$49.36 ,$155.49 ,$190.53 ,$190.53 ,$190.53 , N/A ,$197.10 ,$125.93 ,$186.15 ,$47.22 ,$219.00 ,$122.86 ,$47.22 ,$90.67 ,$17.14 ,$15.58 ,$49.36 ,$186.15 ,$93.79 ,$120.23 ,$61.32 ,$197.10 ,$219.00 ,$47.22 ,$190.53 ,$25.90 ,$219.00 ,$25.90 ,$50.37 ,$142.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201101,86304,HC TUMOR AG CA 125,302,1 ,$138.00 ,$99.36 ,$29.75 ,$138.00 ,$79.35 ,$86.94 ,$82.80 ,$29.75 ,$38.64 ,$80.04 ,$31.11 ,$84.18 ,$33.81 ,$75.76 ,$75.76 ,$35.16 ,$89.70 ,$61.33 ,$34.36 ,$52.03 ,$31.11 ,$29.75 ,$103.50 ,$97.98 ,$97.98 ,$31.11 ,$97.98 ,$120.06 ,$120.06 ,$120.06 , N/A ,$124.20 ,$79.35 ,$117.30 ,$29.75 ,$138.00 ,$77.42 ,$29.75 ,$57.13 ,$45.41 ,$41.28 ,$31.11 ,$117.30 ,$59.10 ,$75.76 ,$38.64 ,$124.20 ,$138.00 ,$29.75 ,$120.06 ,$41.62 ,$138.00 ,$41.62 ,$31.74 ,$89.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201108,86431,HC RHEUMATOID FACTOR QN,302,1 ,$147.00 ,$105.84 ,$9.16 ,$147.00 ,$84.53 ,$92.61 ,$88.20 ,$31.69 ,$41.16 ,$39.13 ,$33.13 ,$40.95 ,$36.01 ,$80.70 ,$80.70 ,$37.46 ,$95.55 ,$65.33 ,$9.16 ,$14.18 ,$33.13 ,$31.69 ,$110.25 ,$104.37 ,$104.37 ,$33.13 ,$104.37 ,$127.89 ,$127.89 ,$127.89 , N/A ,$132.30 ,$84.53 ,$124.95 ,$31.69 ,$147.00 ,$82.47 ,$31.69 ,$60.86 ,$17.14 ,$15.58 ,$33.13 ,$124.95 ,$62.96 ,$80.70 ,$41.16 ,$132.30 ,$147.00 ,$31.69 ,$127.89 ,$11.34 ,$147.00 ,$11.34 ,$33.81 ,$95.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201109,86480,HC TB QUANTIFERON GOLD,302,1 ,$272.00 ,$195.84 ,$26.85 ,$272.00 ,$156.40 ,$171.36 ,$163.20 ,$58.64 ,$76.16 ,$157.76 ,$61.31 ,$165.92 ,$66.64 ,$149.33 ,$149.33 ,$69.31 ,$176.80 ,$120.88 ,$101.95 ,$154.95 ,$61.31 ,$58.64 ,$204.00 ,$193.12 ,$193.12 ,$61.31 ,$193.12 ,$236.64 ,$236.64 ,$236.64 , N/A ,$244.80 ,$156.40 ,$231.20 ,$58.64 ,$272.00 ,$152.59 ,$58.64 ,$112.61 ,$29.54 ,$26.85 ,$61.31 ,$231.20 ,$116.48 ,$149.33 ,$76.16 ,$244.80 ,$272.00 ,$58.64 ,$236.64 ,$123.96 ,$272.00 ,$123.96 ,$62.56 ,$176.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201122,86705,HC HEP B CORE IGM,302,1 ,$317.00 ,$228.24 ,$15.58 ,$317.00 ,$182.28 ,$199.71 ,$190.20 ,$68.35 ,$88.76 ,$81.27 ,$71.45 ,$85.05 ,$77.66 ,$174.03 ,$174.03 ,$80.77 ,$206.05 ,$140.87 ,$19.48 ,$29.43 ,$71.45 ,$68.35 ,$237.75 ,$225.07 ,$225.07 ,$71.45 ,$225.07 ,$275.79 ,$275.79 ,$275.79 , N/A ,$285.30 ,$182.28 ,$269.45 ,$68.35 ,$317.00 ,$177.84 ,$68.35 ,$131.24 ,$17.14 ,$15.58 ,$71.45 ,$269.45 ,$135.76 ,$174.03 ,$88.76 ,$285.30 ,$317.00 ,$68.35 ,$275.79 ,$23.54 ,$317.00 ,$23.54 ,$72.91 ,$206.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201123,86706,HC HEP B SURFACE AB,302,1 ,$106.00 ,$76.32 ,$15.58 ,$106.00 ,$60.95 ,$66.78 ,$63.60 ,$22.85 ,$29.68 ,$61.48 ,$23.89 ,$64.66 ,$25.97 ,$58.19 ,$58.19 ,$27.01 ,$68.90 ,$47.11 ,$17.75 ,$26.85 ,$23.89 ,$22.85 ,$79.50 ,$75.26 ,$75.26 ,$23.89 ,$75.26 ,$92.22 ,$92.22 ,$92.22 , N/A ,$95.40 ,$60.95 ,$90.10 ,$22.85 ,$106.00 ,$59.47 ,$22.85 ,$43.88 ,$17.14 ,$15.58 ,$23.89 ,$90.10 ,$45.39 ,$58.19 ,$29.68 ,$95.40 ,$106.00 ,$22.85 ,$92.22 ,$21.48 ,$106.00 ,$21.48 ,$24.38 ,$68.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201125,86709,HC HEP A AB (HAAB) IGM,302,1 ,$242.00 ,$174.24 ,$15.58 ,$242.00 ,$139.15 ,$152.46 ,$145.20 ,$52.18 ,$67.76 ,$77.74 ,$54.55 ,$81.36 ,$59.29 ,$132.86 ,$132.86 ,$61.66 ,$157.30 ,$107.54 ,$18.32 ,$28.15 ,$54.55 ,$52.18 ,$181.50 ,$171.82 ,$171.82 ,$54.55 ,$171.82 ,$210.54 ,$210.54 ,$210.54 , N/A ,$217.80 ,$139.15 ,$205.70 ,$52.18 ,$242.00 ,$135.76 ,$52.18 ,$100.19 ,$17.14 ,$15.58 ,$54.55 ,$205.70 ,$103.63 ,$132.86 ,$67.76 ,$217.80 ,$242.00 ,$52.18 ,$210.54 ,$22.52 ,$242.00 ,$22.52 ,$55.66 ,$157.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201127,86762,HC RUBELLA AB,302,1 ,$126.00 ,$90.72 ,$15.58 ,$126.00 ,$72.45 ,$79.38 ,$75.60 ,$27.17 ,$35.28 ,$73.08 ,$28.40 ,$76.86 ,$30.87 ,$69.17 ,$69.17 ,$32.10 ,$81.90 ,$55.99 ,$23.49 ,$35.98 ,$28.40 ,$27.17 ,$94.50 ,$89.46 ,$89.46 ,$28.40 ,$89.46 ,$109.62 ,$109.62 ,$109.62 , N/A ,$113.40 ,$72.45 ,$107.10 ,$27.17 ,$126.00 ,$70.69 ,$27.17 ,$52.16 ,$17.14 ,$15.58 ,$28.40 ,$107.10 ,$53.96 ,$69.17 ,$35.28 ,$113.40 ,$126.00 ,$27.17 ,$109.62 ,$28.78 ,$126.00 ,$28.78 ,$28.98 ,$81.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201129,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$277.00 ,$199.44 ,$21.76 ,$277.00 ,$159.28 ,$174.51 ,$166.20 ,$59.72 ,$77.56 ,$123.67 ,$62.44 ,$129.42 ,$67.86 ,$152.07 ,$152.07 ,$70.58 ,$180.05 ,$123.10 ,$21.76 ,$33.10 ,$62.44 ,$59.72 ,$207.75 ,$196.67 ,$196.67 ,$62.44 ,$196.67 ,$240.99 ,$240.99 ,$240.99 , N/A ,$249.30 ,$159.28 ,$235.45 ,$59.72 ,$277.00 ,$155.40 ,$59.72 ,$114.68 ,$29.54 ,$26.85 ,$62.44 ,$235.45 ,$118.63 ,$152.07 ,$77.56 ,$249.30 ,$277.00 ,$59.72 ,$240.99 ,$26.48 ,$277.00 ,$26.48 ,$63.71 ,$180.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201132,86803,HC HEP C AB,302,1 ,$576.00 ,$414.72 ,$23.49 ,$576.00 ,$331.20 ,$362.88 ,$345.60 ,$124.19 ,$161.28 ,$133.30 ,$129.83 ,$139.50 ,$141.12 ,$316.22 ,$316.22 ,$146.76 ,$374.40 ,$255.97 ,$23.49 ,$35.68 ,$129.83 ,$124.19 ,$432.00 ,$408.96 ,$408.96 ,$129.83 ,$408.96 ,$501.12 ,$501.12 ,$501.12 , N/A ,$518.40 ,$331.20 ,$489.60 ,$124.19 ,$576.00 ,$323.14 ,$124.19 ,$238.46 ,$29.54 ,$26.85 ,$129.83 ,$489.60 ,$246.68 ,$316.22 ,$161.28 ,$518.40 ,$576.00 ,$124.19 ,$501.12 ,$28.54 ,$576.00 ,$28.54 ,$132.48 ,$374.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201135,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$169.00 ,$121.68 ,$9.65 ,$810.28 ,$97.18 ,$106.47 ,$101.40 ,$36.44 ,$47.32 ,$35.52 ,$38.09 ,$37.17 ,$41.40 ,$92.78 ,$92.78 ,$43.06 ,$109.85 ,$75.10 ,$10.31 ,$810.28 ,$38.09 ,$36.44 ,$126.75 ,$119.99 ,$119.99 ,$38.09 ,$119.99 ,$147.03 ,$147.03 ,$147.03 , N/A ,$152.10 ,$97.18 ,$143.65 ,$36.44 ,$169.00 ,$94.81 ,$36.44 ,$69.97 ,$10.62 ,$9.65 ,$38.09 ,$143.65 ,$72.37 ,$92.78 ,$47.32 ,$152.10 ,$169.00 ,$36.44 ,$147.03 ,$12.70 ,$169.00 ,$12.70 ,$38.87 ,$109.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201136,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$218.00 ,$156.96 ,$9.65 ,$810.28 ,$125.35 ,$137.34 ,$130.80 ,$47.00 ,$61.04 ,$35.52 ,$49.14 ,$37.17 ,$53.41 ,$119.68 ,$119.68 ,$55.55 ,$141.70 ,$96.88 ,$10.31 ,$810.28 ,$49.14 ,$47.00 ,$163.50 ,$154.78 ,$154.78 ,$49.14 ,$154.78 ,$189.66 ,$189.66 ,$189.66 , N/A ,$196.20 ,$125.35 ,$185.30 ,$47.00 ,$218.00 ,$122.30 ,$47.00 ,$90.25 ,$10.62 ,$9.65 ,$49.14 ,$185.30 ,$93.36 ,$119.68 ,$61.04 ,$196.20 ,$218.00 ,$47.00 ,$189.66 ,$12.70 ,$218.00 ,$12.70 ,$50.14 ,$141.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201137,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$268.00 ,$192.96 ,$9.65 ,$810.28 ,$154.10 ,$168.84 ,$160.80 ,$57.78 ,$75.04 ,$35.52 ,$60.41 ,$37.17 ,$65.66 ,$147.13 ,$147.13 ,$68.29 ,$174.20 ,$119.10 ,$10.31 ,$810.28 ,$60.41 ,$57.78 ,$201.00 ,$190.28 ,$190.28 ,$60.41 ,$190.28 ,$233.16 ,$233.16 ,$233.16 , N/A ,$241.20 ,$154.10 ,$227.80 ,$57.78 ,$268.00 ,$150.35 ,$57.78 ,$110.95 ,$10.62 ,$9.65 ,$60.41 ,$227.80 ,$114.78 ,$147.13 ,$75.04 ,$241.20 ,$268.00 ,$57.78 ,$233.16 ,$12.70 ,$268.00 ,$12.70 ,$61.64 ,$174.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201139,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$169.00 ,$121.68 ,$6.30 ,$810.28 ,$97.18 ,$106.47 ,$101.40 ,$36.44 ,$47.32 ,$26.40 ,$38.09 ,$27.63 ,$41.40 ,$92.78 ,$92.78 ,$43.06 ,$109.85 ,$75.10 ,$6.30 ,$810.28 ,$38.09 ,$36.44 ,$126.75 ,$119.99 ,$119.99 ,$38.09 ,$119.99 ,$147.03 ,$147.03 ,$147.03 , N/A ,$152.10 ,$97.18 ,$143.65 ,$36.44 ,$169.00 ,$94.81 ,$36.44 ,$69.97 ,$10.62 ,$9.65 ,$38.09 ,$143.65 ,$72.37 ,$92.78 ,$47.32 ,$152.10 ,$169.00 ,$36.44 ,$147.03 ,$7.66 ,$169.00 ,$7.66 ,$38.87 ,$109.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201140,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$218.00 ,$156.96 ,$6.30 ,$810.28 ,$125.35 ,$137.34 ,$130.80 ,$47.00 ,$61.04 ,$26.40 ,$49.14 ,$27.63 ,$53.41 ,$119.68 ,$119.68 ,$55.55 ,$141.70 ,$96.88 ,$6.30 ,$810.28 ,$49.14 ,$47.00 ,$163.50 ,$154.78 ,$154.78 ,$49.14 ,$154.78 ,$189.66 ,$189.66 ,$189.66 , N/A ,$196.20 ,$125.35 ,$185.30 ,$47.00 ,$218.00 ,$122.30 ,$47.00 ,$90.25 ,$10.62 ,$9.65 ,$49.14 ,$185.30 ,$93.36 ,$119.68 ,$61.04 ,$196.20 ,$218.00 ,$47.00 ,$189.66 ,$7.66 ,$218.00 ,$7.66 ,$50.14 ,$141.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201141,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$268.00 ,$192.96 ,$6.30 ,$810.28 ,$154.10 ,$168.84 ,$160.80 ,$57.78 ,$75.04 ,$26.40 ,$60.41 ,$27.63 ,$65.66 ,$147.13 ,$147.13 ,$68.29 ,$174.20 ,$119.10 ,$6.30 ,$810.28 ,$60.41 ,$57.78 ,$201.00 ,$190.28 ,$190.28 ,$60.41 ,$190.28 ,$233.16 ,$233.16 ,$233.16 , N/A ,$241.20 ,$154.10 ,$227.80 ,$57.78 ,$268.00 ,$150.35 ,$57.78 ,$110.95 ,$10.62 ,$9.65 ,$60.41 ,$227.80 ,$114.78 ,$147.13 ,$75.04 ,$241.20 ,$268.00 ,$57.78 ,$233.16 ,$7.66 ,$268.00 ,$7.66 ,$61.64 ,$174.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201148,83986,HC PH BODY FLUID,302,1 ,$89.00 ,$64.08 ,$5.72 ,$89.00 ,$51.18 ,$56.07 ,$53.40 ,$19.19 ,$24.92 ,$33.45 ,$20.06 ,$35.01 ,$21.80 ,$48.86 ,$48.86 ,$22.68 ,$57.85 ,$39.55 ,$5.72 ,$8.95 ,$20.06 ,$19.19 ,$66.75 ,$63.19 ,$63.19 ,$20.06 ,$63.19 ,$77.43 ,$77.43 ,$77.43 , N/A ,$80.10 ,$51.18 ,$75.65 ,$19.19 ,$89.00 ,$49.93 ,$19.19 ,$36.85 ,$8.51 ,$7.74 ,$20.06 ,$75.65 ,$38.11 ,$48.86 ,$24.92 ,$80.10 ,$89.00 ,$19.19 ,$77.43 ,$7.16 ,$89.00 ,$7.16 ,$20.47 ,$57.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201152,86255,HC FLUOR AB SCR AQUAPORIN-90,302,1 ,$36.00 ,$25.92 ,$7.76 ,$36.00 ,$20.70 ,$22.68 ,$21.60 ,$7.76 ,$10.08 ,$20.88 ,$8.11 ,$21.96 ,$8.82 ,$19.76 ,$19.76 ,$9.17 ,$17.53 ,$16.00 ,$20.05 ,$30.13 ,$8.11 ,$7.76 ,$27.00 ,$25.56 ,$25.56 ,$8.11 ,$25.56 ,$31.32 ,$31.32 ,$31.32 , N/A ,$32.40 ,$20.70 ,$30.60 ,$7.76 ,$36.00 ,$20.20 ,$7.76 ,$14.90 ,$29.54 ,$26.85 ,$8.11 ,$30.60 ,$15.42 ,$19.76 ,$10.08 ,$32.40 ,$36.00 ,$7.76 ,$31.32 ,$24.10 ,$36.00 ,$24.10 ,$8.28 ,$23.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201163,87427,HC SHIGA-LIKE TOXIN -90,302,1 ,$36.00 ,$25.92 ,$7.76 ,$36.00 ,$20.70 ,$22.68 ,$21.60 ,$7.76 ,$10.08 ,$20.88 ,$8.11 ,$21.96 ,$8.82 ,$19.76 ,$19.76 ,$9.17 ,$23.40 ,$16.00 ,$19.48 ,$29.95 ,$8.11 ,$7.76 ,$27.00 ,$25.56 ,$25.56 ,$8.11 ,$25.56 ,$31.32 ,$31.32 ,$31.32 , N/A ,$32.40 ,$20.70 ,$30.60 ,$7.76 ,$36.00 ,$20.20 ,$7.76 ,$14.90 ,$17.14 ,$15.58 ,$8.11 ,$30.60 ,$15.42 ,$19.76 ,$10.08 ,$32.40 ,$36.00 ,$7.76 ,$31.32 ,$23.96 ,$36.00 ,$23.96 ,$8.28 ,$23.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201166,86780,HC ANTIBODY TREPONEMA PALLIDUM-90,302,1 ,$12.00 ,$8.64 ,$2.59 ,$30.00 ,$6.90 ,$7.56 ,$7.20 ,$2.59 ,$3.36 ,$6.96 ,$2.70 ,$7.32 ,$2.94 ,$6.59 ,$6.59 ,$3.06 ,$7.80 ,$5.33 ,$12.00 ,$30.00 ,$2.70 ,$2.59 ,$9.00 ,$8.52 ,$8.52 ,$2.70 ,$8.52 ,$10.44 ,$10.44 ,$10.44 , N/A ,$10.80 ,$6.90 ,$10.20 ,$2.59 ,$12.00 ,$6.73 ,$2.59 ,$4.97 ,$29.54 ,$26.85 ,$2.70 ,$10.20 ,$5.14 ,$6.59 ,$3.36 ,$10.80 ,$12.00 ,$2.59 ,$10.44 ,$12.00 ,$12.00 ,$12.00 ,$2.76 ,$7.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201170,86481,HC TB ANTIGEN RESPONSE GAMMA INTER T-CELL SUSP-90,302,1 ,$56.00 ,$40.32 ,$12.07 ,$140.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$32.48 ,$12.62 ,$34.16 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$56.00 ,$140.00 ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 ,$29.54 ,$26.85 ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$56.00 ,$56.00 ,$56.00 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201174,86160,HC COMPLIMENT AG,302,1 ,$160.00 ,$115.20 ,$15.58 ,$160.00 ,$92.00 ,$100.80 ,$96.00 ,$34.50 ,$44.80 ,$82.82 ,$36.06 ,$86.67 ,$39.20 ,$87.84 ,$87.84 ,$40.77 ,$104.00 ,$71.10 ,$19.48 ,$30.00 ,$36.06 ,$34.50 ,$120.00 ,$113.60 ,$113.60 ,$36.06 ,$113.60 ,$139.20 ,$139.20 ,$139.20 , N/A ,$144.00 ,$92.00 ,$136.00 ,$34.50 ,$160.00 ,$89.76 ,$34.50 ,$66.24 ,$17.14 ,$15.58 ,$36.06 ,$136.00 ,$68.52 ,$87.84 ,$44.80 ,$144.00 ,$160.00 ,$34.50 ,$139.20 ,$24.00 ,$160.00 ,$24.00 ,$36.80 ,$104.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201186,86628,HC ANTIBODY CANDIDA-90,302,1 ,$202.00 ,$145.44 ,$12.42 ,$202.00 ,$116.15 ,$127.26 ,$121.20 ,$43.55 ,$56.56 ,$82.82 ,$45.53 ,$86.67 ,$49.49 ,$110.90 ,$110.90 ,$51.47 ,$131.30 ,$89.77 ,$19.48 ,$30.03 ,$45.53 ,$43.55 ,$151.50 ,$143.42 ,$143.42 ,$45.53 ,$143.42 ,$175.74 ,$175.74 ,$175.74 , N/A ,$181.80 ,$116.15 ,$171.70 ,$43.55 ,$202.00 ,$113.32 ,$43.55 ,$83.63 ,$13.66 ,$12.42 ,$45.53 ,$171.70 ,$86.50 ,$110.90 ,$56.56 ,$181.80 ,$202.00 ,$43.55 ,$175.74 ,$24.02 ,$202.00 ,$24.02 ,$46.46 ,$131.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201189,86015,HC ACTIN SMOOTH MUSC ANTIBODY- 90,302,1 ,$121.00 ,$87.12 ,$15.58 ,$121.00 ,$69.58 ,$76.23 ,$72.60 ,$26.09 ,$33.88 ,$70.18 ,$27.27 ,$73.81 ,$29.64 ,$66.43 ,$66.43 ,$30.83 ,$78.65 ,$53.77 ,$84.70 ,$30.13 ,$27.27 ,$26.09 ,$90.75 ,$85.91 ,$85.91 ,$27.27 ,$85.91 ,$105.27 ,$105.27 ,$105.27 , N/A ,$108.90 ,$69.58 ,$102.85 ,$26.09 ,$121.00 ,$67.88 ,$26.09 ,$50.09 ,$17.14 ,$15.58 ,$27.27 ,$102.85 ,$51.82 ,$66.43 ,$33.88 ,$108.90 ,$121.00 ,$26.09 ,$105.27 ,$23.06 ,$121.00 ,$23.06 ,$27.83 ,$78.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201190,86036,HC ANTINEUTROPHIL CYTO ANTB SCREEN- 90,302,1 ,$223.00 ,$160.56 ,$15.58 ,$223.00 ,$128.23 ,$140.49 ,$133.80 ,$48.08 ,$62.44 ,$129.34 ,$50.26 ,$136.03 ,$54.63 ,$122.43 ,$122.43 ,$56.82 ,$144.95 ,$99.10 ,$156.10 ,$30.13 ,$50.26 ,$48.08 ,$167.25 ,$158.33 ,$158.33 ,$50.26 ,$158.33 ,$194.01 ,$194.01 ,$194.01 , N/A ,$200.70 ,$128.23 ,$189.55 ,$48.08 ,$223.00 ,$125.10 ,$48.08 ,$92.32 ,$17.14 ,$15.58 ,$50.26 ,$189.55 ,$95.50 ,$122.43 ,$62.44 ,$200.70 ,$223.00 ,$48.08 ,$194.01 ,$24.10 ,$223.00 ,$24.10 ,$51.29 ,$144.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201191,86037,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY TITER- 90,302,1 ,$56.00 ,$40.32 ,$12.07 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$32.48 ,$12.62 ,$34.16 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$39.20 ,$30.13 ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 ,$17.14 ,$15.58 ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$24.10 ,$56.00 ,$24.10 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201192,86364,HC TISS TRANSGLUTAMINASE EA IMMUNO- 90,302,1 ,$121.00 ,$87.12 ,$15.58 ,$121.00 ,$69.58 ,$76.23 ,$72.60 ,$26.09 ,$33.88 ,$70.18 ,$27.27 ,$73.81 ,$29.64 ,$66.43 ,$66.43 ,$30.83 ,$78.65 ,$53.77 ,$84.70 ,$28.83 ,$27.27 ,$26.09 ,$90.75 ,$85.91 ,$85.91 ,$27.27 ,$85.91 ,$105.27 ,$105.27 ,$105.27 , N/A ,$108.90 ,$69.58 ,$102.85 ,$26.09 ,$121.00 ,$67.88 ,$26.09 ,$50.09 ,$17.14 ,$15.58 ,$27.27 ,$102.85 ,$51.82 ,$66.43 ,$33.88 ,$108.90 ,$121.00 ,$26.09 ,$105.27 ,$23.06 ,$121.00 ,$23.06 ,$27.83 ,$78.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201193,86231,HC EMA EACH IG CLASS- 90,302,1 ,$184.00 ,$132.48 ,$15.58 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$128.80 ,$30.23 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$17.14 ,$15.58 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$24.18 ,$184.00 ,$24.18 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201194,86258,HC GLIADIN ANTIBODY EA- 90,302,1 ,$121.00 ,$87.12 ,$15.58 ,$121.00 ,$69.58 ,$76.23 ,$72.60 ,$26.09 ,$33.88 ,$70.18 ,$27.27 ,$73.81 ,$29.64 ,$66.43 ,$66.43 ,$30.83 ,$78.65 ,$53.77 ,$84.70 ,$30.13 ,$27.27 ,$26.09 ,$90.75 ,$85.91 ,$85.91 ,$27.27 ,$85.91 ,$105.27 ,$105.27 ,$105.27 , N/A ,$108.90 ,$69.58 ,$102.85 ,$26.09 ,$121.00 ,$67.88 ,$26.09 ,$50.09 ,$17.14 ,$15.58 ,$27.27 ,$102.85 ,$51.82 ,$66.43 ,$33.88 ,$108.90 ,$121.00 ,$26.09 ,$105.27 ,$23.06 ,$121.00 ,$23.06 ,$27.83 ,$78.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201195,86381,HC MITOCHONDRIAL ANTIBODY- 90,302,1 ,$184.00 ,$132.48 ,$15.58 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$128.80 ,$63.63 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$17.14 ,$15.58 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$50.90 ,$184.00 ,$50.90 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201201,86596,HC VOLTAGE GTG CALCIUM CHNL- 90,302,1 ,$55.00 ,$39.60 ,$11.86 ,$55.00 ,$31.63 ,$34.65 ,$33.00 ,$11.86 ,$15.40 ,$31.90 ,$12.40 ,$33.55 ,$13.47 ,$30.20 ,$30.20 ,$14.01 ,$35.75 ,$24.44 ,$38.50 ,$30.13 ,$12.40 ,$11.86 ,$41.25 ,$39.05 ,$39.05 ,$12.40 ,$39.05 ,$47.85 ,$47.85 ,$47.85 , N/A ,$49.50 ,$31.63 ,$46.75 ,$11.86 ,$55.00 ,$30.86 ,$11.86 ,$22.77 ,$17.14 ,$15.58 ,$12.40 ,$46.75 ,$23.56 ,$30.20 ,$15.40 ,$49.50 ,$55.00 ,$11.86 ,$47.85 ,$36.80 ,$55.00 ,$36.80 ,$12.65 ,$35.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201202,86052,HC AQUAPORIN 4- 90,302,1 ,$36.00 ,$25.92 ,$7.76 ,$36.00 ,$20.70 ,$22.68 ,$21.60 ,$7.76 ,$10.08 ,$20.88 ,$8.11 ,$21.96 ,$8.82 ,$19.76 ,$19.76 ,$9.17 ,$23.40 ,$16.00 ,$25.20 ,$30.13 ,$8.11 ,$7.76 ,$27.00 ,$25.56 ,$25.56 ,$8.11 ,$25.56 ,$31.32 ,$31.32 ,$31.32 , N/A ,$32.40 ,$20.70 ,$30.60 ,$7.76 ,$36.00 ,$20.20 ,$7.76 ,$14.90 ,$17.14 ,$15.58 ,$8.11 ,$30.60 ,$15.42 ,$19.76 ,$10.08 ,$32.40 ,$36.00 ,$7.76 ,$31.32 ,$24.10 ,$36.00 ,$24.10 ,$8.28 ,$23.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201209,N/A,HC IMMUNOASSAY TUMOR OTHER-90,302,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$52.00 ,$35.55 ,$56.00 , N/A ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 , N/A , N/A ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$40.00 ,$80.00 ,$40.00 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201210,86481,HC TB AG RESPONSE T-CELL SUSP-90,302,1 ,$96.00 ,$69.12 ,$20.70 ,$240.00 ,$55.20 ,$60.48 ,$57.60 ,$20.70 ,$26.88 ,$55.68 ,$21.64 ,$58.56 ,$23.52 ,$52.70 ,$52.70 ,$24.46 ,$62.40 ,$42.66 ,$96.00 ,$240.00 ,$21.64 ,$20.70 ,$72.00 ,$68.16 ,$68.16 ,$21.64 ,$68.16 ,$83.52 ,$83.52 ,$83.52 , N/A ,$86.40 ,$55.20 ,$81.60 ,$20.70 ,$96.00 ,$53.86 ,$20.70 ,$39.74 ,$29.54 ,$26.85 ,$21.64 ,$81.60 ,$41.11 ,$52.70 ,$26.88 ,$86.40 ,$96.00 ,$20.70 ,$83.52 ,$96.00 ,$96.00 ,$96.00 ,$22.08 ,$62.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201211,86235,HC NUCLEAR ANTIGEN ANTIBODY-90,302,1 ,$164.00 ,$118.08 ,$26.85 ,$164.00 ,$94.30 ,$103.32 ,$98.40 ,$35.36 ,$45.92 ,$95.12 ,$36.97 ,$100.04 ,$40.18 ,$90.04 ,$90.04 ,$41.79 ,$106.60 ,$72.88 ,$29.21 ,$44.83 ,$36.97 ,$35.36 ,$123.00 ,$116.44 ,$116.44 ,$36.97 ,$116.44 ,$142.68 ,$142.68 ,$142.68 , N/A ,$147.60 ,$94.30 ,$139.40 ,$35.36 ,$164.00 ,$92.00 ,$35.36 ,$67.90 ,$29.54 ,$26.85 ,$36.97 ,$139.40 ,$70.24 ,$90.04 ,$45.92 ,$147.60 ,$164.00 ,$35.36 ,$142.68 ,$35.86 ,$164.00 ,$35.86 ,$37.72 ,$106.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30201233,86317,HC IMMUNOASSAY INFECTIOUS AGENT-90,302,1 ,$11.66 ,$8.40 ,$2.52 ,$29.54 ,$6.70 ,$7.35 ,$7.00 ,$2.52 ,$3.26 ,$6.76 ,$2.63 ,$7.11 ,$2.86 ,$6.40 ,$6.40 ,$2.97 ,$7.58 ,$5.19 ,$11.66 ,$29.15 ,$2.63 ,$2.52 ,$8.75 ,$8.28 ,$8.28 ,$2.63 ,$8.28 ,$10.14 ,$10.14 ,$10.14 , N/A ,$10.49 ,$6.70 ,$9.91 ,$2.52 ,$11.66 ,$6.54 ,$2.52 ,$4.83 ,$29.54 ,$26.85 ,$2.63 ,$9.91 ,$4.99 ,$6.40 ,$3.26 ,$10.49 ,$11.66 ,$2.52 ,$10.14 ,$11.66 ,$11.66 ,$11.66 ,$2.68 ,$7.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$245.00 ,$176.40 ,$6.30 ,$245.00 ,$140.88 ,$154.35 ,$147.00 ,$52.82 ,$68.60 ,$32.08 ,$55.22 ,$33.57 ,$60.02 ,$134.51 ,$134.51 ,$62.43 ,$159.25 ,$108.88 ,$6.30 ,$9.50 ,$55.22 ,$52.82 ,$183.75 ,$173.95 ,$173.95 ,$55.22 ,$173.95 ,$213.15 ,$213.15 ,$213.15 , N/A ,$220.50 ,$140.88 ,$208.25 ,$52.82 ,$245.00 ,$137.45 ,$52.82 ,$101.43 ,$11.88 ,$10.80 ,$55.22 ,$208.25 ,$104.93 ,$134.51 ,$68.60 ,$220.50 ,$245.00 ,$52.82 ,$213.15 ,$7.60 ,$245.00 ,$7.60 ,$56.35 ,$159.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500104,85014,HC HEMATOCRIT,305,1 ,$423.00 ,$304.56 ,$2.37 ,$423.00 ,$243.23 ,$266.49 ,$253.80 ,$91.20 ,$118.44 ,$22.19 ,$95.34 ,$23.22 ,$103.63 ,$232.23 ,$232.23 ,$107.78 ,$274.95 ,$187.98 ,$4.01 ,$5.93 ,$95.34 ,$91.20 ,$317.25 ,$300.33 ,$300.33 ,$95.34 ,$300.33 ,$368.01 ,$368.01 ,$368.01 , N/A ,$380.70 ,$243.23 ,$359.55 ,$91.20 ,$2.37 ,$237.30 ,$91.20 ,$175.12 ,$11.88 ,$10.80 ,$95.34 ,$359.55 ,$181.15 ,$232.23 ,$118.44 ,$380.70 ,$423.00 ,$91.20 ,$368.01 ,$4.74 ,$423.00 ,$4.74 ,$97.29 ,$274.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500106,85018,HC HGB,305,1 ,$506.00 ,$364.32 ,$2.37 ,$506.00 ,$290.95 ,$318.78 ,$303.60 ,$109.09 ,$141.68 ,$22.19 ,$114.05 ,$23.22 ,$123.97 ,$277.79 ,$277.79 ,$128.93 ,$328.90 ,$224.87 ,$4.01 ,$5.93 ,$114.05 ,$109.09 ,$379.50 ,$359.26 ,$359.26 ,$114.05 ,$359.26 ,$440.22 ,$440.22 ,$440.22 , N/A ,$455.40 ,$290.95 ,$430.10 ,$109.09 ,$2.37 ,$283.87 ,$109.09 ,$209.48 ,$11.88 ,$10.80 ,$114.05 ,$430.10 ,$216.70 ,$277.79 ,$141.68 ,$455.40 ,$506.00 ,$109.09 ,$440.22 ,$4.74 ,$506.00 ,$4.74 ,$116.38 ,$328.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$147.00 ,$105.84 ,$7.77 ,$147.00 ,$84.53 ,$92.61 ,$88.20 ,$31.69 ,$41.16 ,$72.58 ,$33.13 ,$75.96 ,$36.01 ,$80.70 ,$80.70 ,$37.46 ,$95.55 ,$65.33 ,$12.60 ,$19.43 ,$33.13 ,$31.69 ,$110.25 ,$104.37 ,$104.37 ,$33.13 ,$104.37 ,$127.89 ,$127.89 ,$127.89 , N/A ,$132.30 ,$84.53 ,$124.95 ,$31.69 ,$7.77 ,$82.47 ,$31.69 ,$60.86 ,$11.88 ,$10.80 ,$33.13 ,$124.95 ,$62.96 ,$80.70 ,$41.16 ,$132.30 ,$147.00 ,$31.69 ,$127.89 ,$15.54 ,$147.00 ,$15.54 ,$33.81 ,$95.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500108,85027,HC CBC W/O DIFF,305,1 ,$506.00 ,$364.32 ,$6.47 ,$506.00 ,$290.95 ,$318.78 ,$303.60 ,$109.09 ,$141.68 ,$60.37 ,$114.05 ,$63.18 ,$123.97 ,$277.79 ,$277.79 ,$128.93 ,$328.90 ,$224.87 ,$10.89 ,$16.18 ,$114.05 ,$109.09 ,$379.50 ,$359.26 ,$359.26 ,$114.05 ,$359.26 ,$440.22 ,$440.22 ,$440.22 , N/A ,$455.40 ,$290.95 ,$430.10 ,$109.09 ,$6.47 ,$283.87 ,$109.09 ,$209.48 ,$11.88 ,$10.80 ,$114.05 ,$430.10 ,$216.70 ,$277.79 ,$141.68 ,$455.40 ,$506.00 ,$109.09 ,$440.22 ,$12.94 ,$506.00 ,$12.94 ,$116.38 ,$328.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500111,85045,HC RETIC COUNT AUTO,305,1 ,$277.00 ,$199.44 ,$6.30 ,$277.00 ,$159.28 ,$174.51 ,$166.20 ,$59.72 ,$77.56 ,$37.32 ,$62.44 ,$39.06 ,$67.86 ,$152.07 ,$152.07 ,$70.58 ,$180.05 ,$123.10 ,$6.30 ,$9.98 ,$62.44 ,$59.72 ,$207.75 ,$196.67 ,$196.67 ,$62.44 ,$196.67 ,$240.99 ,$240.99 ,$240.99 , N/A ,$249.30 ,$159.28 ,$235.45 ,$59.72 ,$277.00 ,$155.40 ,$59.72 ,$114.68 ,$11.88 ,$10.80 ,$62.44 ,$235.45 ,$118.63 ,$152.07 ,$77.56 ,$249.30 ,$277.00 ,$59.72 ,$240.99 ,$7.98 ,$277.00 ,$7.98 ,$63.71 ,$180.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$486.00 ,$349.92 ,$4.01 ,$486.00 ,$279.45 ,$306.18 ,$291.60 ,$104.78 ,$136.08 ,$23.65 ,$109.54 ,$24.75 ,$119.07 ,$266.81 ,$266.81 ,$123.83 ,$315.90 ,$215.98 ,$4.01 ,$6.35 ,$109.54 ,$104.78 ,$364.50 ,$345.06 ,$345.06 ,$109.54 ,$345.06 ,$422.82 ,$422.82 ,$422.82 , N/A ,$437.40 ,$279.45 ,$413.10 ,$104.78 ,$486.00 ,$272.65 ,$104.78 ,$201.20 ,$11.88 ,$10.80 ,$109.54 ,$413.10 ,$208.13 ,$266.81 ,$136.08 ,$437.40 ,$486.00 ,$104.78 ,$422.82 ,$5.08 ,$486.00 ,$5.08 ,$111.78 ,$315.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$629.00 ,$452.88 ,$7.45 ,$629.00 ,$361.68 ,$396.27 ,$377.40 ,$135.61 ,$176.12 ,$41.88 ,$141.78 ,$43.83 ,$154.10 ,$345.32 ,$345.32 ,$160.27 ,$408.85 ,$279.53 ,$7.45 ,$11.20 ,$141.78 ,$135.61 ,$471.75 ,$446.59 ,$446.59 ,$141.78 ,$446.59 ,$547.23 ,$547.23 ,$547.23 , N/A ,$566.10 ,$361.68 ,$534.65 ,$135.61 ,$629.00 ,$352.87 ,$135.61 ,$260.41 ,$11.88 ,$10.80 ,$141.78 ,$534.65 ,$269.37 ,$345.32 ,$176.12 ,$566.10 ,$629.00 ,$135.61 ,$547.23 ,$8.96 ,$629.00 ,$8.96 ,$144.67 ,$408.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500116,85097,HC BONE MARROW SMEAR INTERP,305,1 ,$490.00 ,$352.80 ,$47.74 ,"$1,941.28 ",$281.75 ,$308.70 ,$294.00 ,$105.64 ,$137.20 ,$284.20 ,$110.45 ,$298.90 ,$120.05 ,$269.01 ,$269.01 ,$124.85 ,$47.74 ,$217.76 ,$57.56 ,"$1,941.28 ",$110.45 ,$105.64 ,$367.50 ,$347.90 ,$347.90 ,$110.45 ,$347.90 ,$426.30 ,$426.30 ,$426.30 , N/A ,$441.00 ,$281.75 ,$416.50 ,$105.64 ,$490.00 ,$274.89 ,$105.64 ,$202.86 ,$54.66 ,$49.69 ,$110.45 ,$416.50 ,$209.85 ,$269.01 ,$137.20 ,$441.00 ,$490.00 ,$105.64 ,$426.30 ,$490.00 ,$490.00 ,$490.00 ,$112.70 ,$318.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500175,85379,HC D DIMER QN,305,1 ,$490.00 ,$352.80 ,$16.61 ,$490.00 ,$281.75 ,$308.70 ,$294.00 ,$105.64 ,$137.20 ,$70.18 ,$110.45 ,$73.44 ,$120.05 ,$269.01 ,$269.01 ,$124.85 ,$318.50 ,$217.76 ,$16.61 ,$25.45 ,$110.45 ,$105.64 ,$367.50 ,$347.90 ,$347.90 ,$110.45 ,$347.90 ,$426.30 ,$426.30 ,$426.30 , N/A ,$441.00 ,$281.75 ,$416.50 ,$105.64 ,$490.00 ,$274.89 ,$105.64 ,$202.86 ,$20.60 ,$18.73 ,$110.45 ,$416.50 ,$209.85 ,$269.01 ,$137.20 ,$441.00 ,$490.00 ,$105.64 ,$426.30 ,$20.36 ,$490.00 ,$20.36 ,$112.70 ,$318.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500187,85520,HC HEPARIN ASSAY,305,1 ,$223.00 ,$160.56 ,$18.73 ,$223.00 ,$128.23 ,$140.49 ,$133.80 ,$48.08 ,$62.44 ,$90.30 ,$50.26 ,$94.50 ,$54.63 ,$122.43 ,$122.43 ,$56.82 ,$144.95 ,$99.10 ,$21.76 ,$32.73 ,$50.26 ,$48.08 ,$167.25 ,$158.33 ,$158.33 ,$50.26 ,$158.33 ,$194.01 ,$194.01 ,$194.01 , N/A ,$200.70 ,$128.23 ,$189.55 ,$48.08 ,$223.00 ,$125.10 ,$48.08 ,$92.32 ,$20.60 ,$18.73 ,$50.26 ,$189.55 ,$95.50 ,$122.43 ,$62.44 ,$200.70 ,$223.00 ,$48.08 ,$194.01 ,$26.18 ,$223.00 ,$26.18 ,$51.29 ,$144.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500192,85576,HC PLATELET AGGREGATION EA,305,1 ,$147.00 ,$105.84 ,$17.53 ,$147.00 ,$84.53 ,$92.61 ,$88.20 ,$31.69 ,$41.16 ,$85.26 ,$33.13 ,$89.67 ,$36.01 ,$80.70 ,$80.70 ,$37.46 ,$17.53 ,$65.33 ,$40.66 ,$62.28 ,$33.13 ,$31.69 ,$110.25 ,$104.37 ,$104.37 ,$33.13 ,$104.37 ,$127.89 ,$127.89 ,$127.89 , N/A ,$132.30 ,$84.53 ,$124.95 ,$31.69 ,$147.00 ,$82.47 ,$31.69 ,$60.86 ,$20.60 ,$18.73 ,$33.13 ,$124.95 ,$62.96 ,$80.70 ,$41.16 ,$132.30 ,$147.00 ,$31.69 ,$127.89 ,$49.82 ,$147.00 ,$49.82 ,$33.81 ,$95.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$147.00 ,$105.84 ,$6.31 ,$147.00 ,$84.53 ,$92.61 ,$88.20 ,$31.69 ,$41.16 ,$36.72 ,$33.13 ,$38.43 ,$36.01 ,$80.70 ,$80.70 ,$37.46 ,$95.55 ,$65.33 ,$6.88 ,$10.73 ,$33.13 ,$31.69 ,$110.25 ,$104.37 ,$104.37 ,$33.13 ,$104.37 ,$127.89 ,$127.89 ,$127.89 , N/A ,$132.30 ,$84.53 ,$124.95 ,$31.69 ,$147.00 ,$82.47 ,$31.69 ,$60.86 ,$6.94 ,$6.31 ,$33.13 ,$124.95 ,$62.96 ,$80.70 ,$41.16 ,$132.30 ,$147.00 ,$31.69 ,$127.89 ,$8.58 ,$147.00 ,$8.58 ,$33.81 ,$95.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500205,85652,HC SED RATE AUTO,305,1 ,$223.00 ,$160.56 ,$4.59 ,$223.00 ,$128.23 ,$140.49 ,$133.80 ,$48.08 ,$62.44 ,$25.20 ,$50.26 ,$26.37 ,$54.63 ,$122.43 ,$122.43 ,$56.82 ,$144.95 ,$99.10 ,$4.59 ,$6.75 ,$50.26 ,$48.08 ,$167.25 ,$158.33 ,$158.33 ,$50.26 ,$158.33 ,$194.01 ,$194.01 ,$194.01 , N/A ,$200.70 ,$128.23 ,$189.55 ,$48.08 ,$223.00 ,$125.10 ,$48.08 ,$92.32 ,$11.88 ,$10.80 ,$50.26 ,$189.55 ,$95.50 ,$122.43 ,$62.44 ,$200.70 ,$223.00 ,$48.08 ,$194.01 ,$5.40 ,$223.00 ,$5.40 ,$51.29 ,$144.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500211,85730,HC PTT,305,1 ,$223.00 ,$160.56 ,$6.31 ,$223.00 ,$128.23 ,$140.49 ,$133.80 ,$48.08 ,$62.44 ,$56.16 ,$50.26 ,$58.77 ,$54.63 ,$122.43 ,$122.43 ,$56.82 ,$144.95 ,$99.10 ,$9.74 ,$15.03 ,$50.26 ,$48.08 ,$167.25 ,$158.33 ,$158.33 ,$50.26 ,$158.33 ,$194.01 ,$194.01 ,$194.01 , N/A ,$200.70 ,$128.23 ,$189.55 ,$48.08 ,$223.00 ,$125.10 ,$48.08 ,$92.32 ,$6.94 ,$6.31 ,$50.26 ,$189.55 ,$95.50 ,$122.43 ,$62.44 ,$200.70 ,$223.00 ,$48.08 ,$194.01 ,$12.02 ,$223.00 ,$12.02 ,$51.29 ,$144.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500234,85014,HC HEMATOCRIT-90,305,1 ,$32.00 ,$23.04 ,$2.37 ,$32.00 ,$18.40 ,$20.16 ,$19.20 ,$6.90 ,$8.96 ,$18.56 ,$7.21 ,$19.52 ,$7.84 ,$17.57 ,$17.57 ,$8.15 ,$20.80 ,$14.22 ,$4.01 ,$5.93 ,$7.21 ,$6.90 ,$24.00 ,$22.72 ,$22.72 ,$7.21 ,$22.72 ,$27.84 ,$27.84 ,$27.84 , N/A ,$28.80 ,$18.40 ,$27.20 ,$6.90 ,$2.37 ,$17.95 ,$6.90 ,$13.25 ,$11.88 ,$10.80 ,$7.21 ,$27.20 ,$13.70 ,$17.57 ,$8.96 ,$28.80 ,$32.00 ,$6.90 ,$27.84 ,$4.74 ,$32.00 ,$4.74 ,$7.36 ,$20.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500238,85018,HC HGB-90,305,1 ,$32.00 ,$23.04 ,$2.37 ,$32.00 ,$18.40 ,$20.16 ,$19.20 ,$6.90 ,$8.96 ,$18.56 ,$7.21 ,$19.52 ,$7.84 ,$17.57 ,$17.57 ,$8.15 ,$20.80 ,$14.22 ,$4.01 ,$5.93 ,$7.21 ,$6.90 ,$24.00 ,$22.72 ,$22.72 ,$7.21 ,$22.72 ,$27.84 ,$27.84 ,$27.84 , N/A ,$28.80 ,$18.40 ,$27.20 ,$6.90 ,$2.37 ,$17.95 ,$6.90 ,$13.25 ,$11.88 ,$10.80 ,$7.21 ,$27.20 ,$13.70 ,$17.57 ,$8.96 ,$28.80 ,$32.00 ,$6.90 ,$27.84 ,$4.74 ,$32.00 ,$4.74 ,$7.36 ,$20.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$24.00 ,$17.28 ,$5.15 ,$24.00 ,$13.80 ,$15.12 ,$14.40 ,$5.17 ,$6.72 ,$13.92 ,$5.41 ,$14.64 ,$5.88 ,$13.18 ,$13.18 ,$6.12 ,$15.60 ,$10.67 ,$5.15 ,$7.55 ,$5.41 ,$5.17 ,$18.00 ,$17.04 ,$17.04 ,$5.41 ,$17.04 ,$20.88 ,$20.88 ,$20.88 , N/A ,$21.60 ,$13.80 ,$20.40 ,$5.17 ,$24.00 ,$13.46 ,$5.17 ,$9.94 ,$11.88 ,$10.80 ,$5.41 ,$20.40 ,$10.28 ,$13.18 ,$6.72 ,$21.60 ,$24.00 ,$5.17 ,$20.88 ,$6.04 ,$24.00 ,$6.04 ,$5.52 ,$15.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500249,85210,HC FACTOR II PROTHROM SPEC-90,305,1 ,$125.00 ,$90.00 ,$6.31 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$21.19 ,$32.45 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$6.94 ,$6.31 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$25.96 ,$125.00 ,$25.96 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500250,85220,HC FACTOR V CLOTTING FACTOR-90,305,1 ,$240.00 ,$172.80 ,$18.73 ,$240.00 ,$138.00 ,$151.20 ,$144.00 ,$51.74 ,$67.20 ,$121.78 ,$54.10 ,$127.44 ,$58.80 ,$131.76 ,$131.76 ,$61.15 ,$156.00 ,$106.66 ,$29.21 ,$44.13 ,$54.10 ,$51.74 ,$180.00 ,$170.40 ,$170.40 ,$54.10 ,$170.40 ,$208.80 ,$208.80 ,$208.80 , N/A ,$216.00 ,$138.00 ,$204.00 ,$51.74 ,$240.00 ,$134.64 ,$51.74 ,$99.36 ,$20.60 ,$18.73 ,$54.10 ,$204.00 ,$102.78 ,$131.76 ,$67.20 ,$216.00 ,$240.00 ,$51.74 ,$208.80 ,$35.30 ,$240.00 ,$35.30 ,$55.20 ,$156.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500252,85240,HC FACTOR VIII AHG 1 STAGE-90,305,1 ,$139.00 ,$100.08 ,$18.73 ,$139.00 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$90.35 ,$61.77 ,$29.21 ,$44.75 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 ,$20.60 ,$18.73 ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$35.80 ,$139.00 ,$35.80 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500253,85245,HC FACTOR VIII VW RISTOCTN-90,305,1 ,$103.00 ,$74.16 ,$18.73 ,$103.00 ,$59.23 ,$64.89 ,$61.80 ,$22.21 ,$28.84 ,$59.74 ,$23.22 ,$62.83 ,$25.23 ,$56.55 ,$56.55 ,$26.24 ,$66.95 ,$45.77 ,$37.80 ,$57.35 ,$23.22 ,$22.21 ,$77.25 ,$73.13 ,$73.13 ,$23.22 ,$73.13 ,$89.61 ,$89.61 ,$89.61 , N/A ,$92.70 ,$59.23 ,$87.55 ,$22.21 ,$103.00 ,$57.78 ,$22.21 ,$42.64 ,$20.60 ,$18.73 ,$23.22 ,$87.55 ,$44.11 ,$56.55 ,$28.84 ,$92.70 ,$103.00 ,$22.21 ,$89.61 ,$45.88 ,$103.00 ,$45.88 ,$23.69 ,$66.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500254,85246,HC FACTOR VIII VW ANTIGEN-90,305,1 ,$126.00 ,$90.72 ,$18.73 ,$126.00 ,$72.45 ,$79.38 ,$75.60 ,$27.17 ,$35.28 ,$73.08 ,$28.40 ,$76.86 ,$30.87 ,$69.17 ,$69.17 ,$32.10 ,$81.90 ,$55.99 ,$37.80 ,$57.35 ,$28.40 ,$27.17 ,$94.50 ,$89.46 ,$89.46 ,$28.40 ,$89.46 ,$109.62 ,$109.62 ,$109.62 , N/A ,$113.40 ,$72.45 ,$107.10 ,$27.17 ,$126.00 ,$70.69 ,$27.17 ,$52.16 ,$20.60 ,$18.73 ,$28.40 ,$107.10 ,$53.96 ,$69.17 ,$35.28 ,$113.40 ,$126.00 ,$27.17 ,$109.62 ,$45.88 ,$126.00 ,$45.88 ,$28.98 ,$81.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500255,85247,HC FACTOR VIII VW MULTIM ANALY-90,305,1 ,$122.00 ,$87.84 ,$18.73 ,$122.00 ,$70.15 ,$76.86 ,$73.20 ,$26.30 ,$34.16 ,$70.76 ,$27.50 ,$74.42 ,$29.89 ,$66.98 ,$66.98 ,$31.09 ,$79.30 ,$54.22 ,$37.80 ,$57.35 ,$27.50 ,$26.30 ,$91.50 ,$86.62 ,$86.62 ,$27.50 ,$86.62 ,$106.14 ,$106.14 ,$106.14 , N/A ,$109.80 ,$70.15 ,$103.70 ,$26.30 ,$122.00 ,$68.44 ,$26.30 ,$50.51 ,$20.60 ,$18.73 ,$27.50 ,$103.70 ,$52.24 ,$66.98 ,$34.16 ,$109.80 ,$122.00 ,$26.30 ,$106.14 ,$45.88 ,$122.00 ,$45.88 ,$28.06 ,$79.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500256,85250,HC FACTOR IX (PTC OR CHRISTMAS)-90,305,1 ,$110.00 ,$79.20 ,$18.73 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 ,$31.50 ,$47.60 ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$20.60 ,$18.73 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$38.08 ,$110.00 ,$38.08 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500257,85260,HC FACTOR X (STUART-POWER)-90,305,1 ,$125.00 ,$90.00 ,$18.73 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$72.50 ,$28.16 ,$76.25 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$29.21 ,$44.75 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$20.60 ,$18.73 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$35.80 ,$125.00 ,$35.80 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500259,85280,HC FACTOR XII HAGEMAN-90,305,1 ,$52.00 ,$37.44 ,$11.21 ,$52.00 ,$29.90 ,$32.76 ,$31.20 ,$11.21 ,$14.56 ,$30.16 ,$11.72 ,$31.72 ,$12.74 ,$28.55 ,$28.55 ,$13.25 ,$33.80 ,$23.11 ,$31.50 ,$48.38 ,$11.72 ,$11.21 ,$39.00 ,$36.92 ,$36.92 ,$11.72 ,$36.92 ,$45.24 ,$45.24 ,$45.24 , N/A ,$46.80 ,$29.90 ,$44.20 ,$11.21 ,$52.00 ,$29.17 ,$11.21 ,$21.53 ,$20.60 ,$18.73 ,$11.72 ,$44.20 ,$22.27 ,$28.55 ,$14.56 ,$46.80 ,$52.00 ,$11.21 ,$45.24 ,$38.70 ,$52.00 ,$38.70 ,$11.96 ,$33.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$109.00 ,$78.48 ,$18.73 ,$109.00 ,$62.68 ,$68.67 ,$65.40 ,$23.50 ,$30.52 ,$63.22 ,$24.57 ,$66.49 ,$26.70 ,$59.84 ,$59.84 ,$27.77 ,$70.85 ,$48.44 ,$19.48 ,$29.63 ,$24.57 ,$23.50 ,$81.75 ,$77.39 ,$77.39 ,$24.57 ,$77.39 ,$94.83 ,$94.83 ,$94.83 , N/A ,$98.10 ,$62.68 ,$92.65 ,$23.50 ,$109.00 ,$61.15 ,$23.50 ,$45.13 ,$20.60 ,$18.73 ,$24.57 ,$92.65 ,$46.68 ,$59.84 ,$30.52 ,$98.10 ,$109.00 ,$23.50 ,$94.83 ,$23.70 ,$109.00 ,$23.70 ,$25.07 ,$70.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$40.00 ,$28.80 ,$8.62 ,$40.00 ,$23.00 ,$25.20 ,$24.00 ,$8.62 ,$11.20 ,$23.20 ,$9.02 ,$24.40 ,$9.80 ,$21.96 ,$21.96 ,$10.19 ,$26.00 ,$17.78 ,$17.75 ,$27.03 ,$9.02 ,$8.62 ,$30.00 ,$28.40 ,$28.40 ,$9.02 ,$28.40 ,$34.80 ,$34.80 ,$34.80 , N/A ,$36.00 ,$23.00 ,$34.00 ,$8.62 ,$40.00 ,$22.44 ,$8.62 ,$16.56 ,$20.60 ,$18.73 ,$9.02 ,$34.00 ,$17.13 ,$21.96 ,$11.20 ,$36.00 ,$40.00 ,$8.62 ,$34.80 ,$21.62 ,$40.00 ,$21.62 ,$9.20 ,$26.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500263,85302,HC PROTEIN C AG-90,305,1 ,$237.00 ,$170.64 ,$18.73 ,$237.00 ,$136.28 ,$149.31 ,$142.20 ,$51.10 ,$66.36 ,$82.90 ,$53.42 ,$86.76 ,$58.06 ,$130.11 ,$130.11 ,$60.39 ,$154.05 ,$105.32 ,$19.48 ,$30.03 ,$53.42 ,$51.10 ,$177.75 ,$168.27 ,$168.27 ,$53.42 ,$168.27 ,$206.19 ,$206.19 ,$206.19 , N/A ,$213.30 ,$136.28 ,$201.45 ,$51.10 ,$237.00 ,$132.96 ,$51.10 ,$98.12 ,$20.60 ,$18.73 ,$53.42 ,$201.45 ,$101.50 ,$130.11 ,$66.36 ,$213.30 ,$237.00 ,$51.10 ,$206.19 ,$24.02 ,$237.00 ,$24.02 ,$54.51 ,$154.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$179.00 ,$128.88 ,$18.73 ,$179.00 ,$102.93 ,$112.77 ,$107.40 ,$38.59 ,$50.12 ,$95.46 ,$40.35 ,$99.90 ,$43.85 ,$98.27 ,$98.27 ,$45.61 ,$116.35 ,$79.55 ,$22.91 ,$34.60 ,$40.35 ,$38.59 ,$134.25 ,$127.09 ,$127.09 ,$40.35 ,$127.09 ,$155.73 ,$155.73 ,$155.73 , N/A ,$161.10 ,$102.93 ,$152.15 ,$38.59 ,$179.00 ,$100.42 ,$38.59 ,$74.11 ,$20.60 ,$18.73 ,$40.35 ,$152.15 ,$76.66 ,$98.27 ,$50.12 ,$161.10 ,$179.00 ,$38.59 ,$155.73 ,$27.68 ,$179.00 ,$27.68 ,$41.17 ,$116.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$290.00 ,$208.80 ,$18.73 ,$290.00 ,$166.75 ,$182.70 ,$174.00 ,$62.52 ,$81.20 ,$80.07 ,$65.37 ,$83.79 ,$71.05 ,$159.21 ,$159.21 ,$73.89 ,$188.50 ,$128.88 ,$18.90 ,$29.03 ,$65.37 ,$62.52 ,$217.50 ,$205.90 ,$205.90 ,$65.37 ,$205.90 ,$252.30 ,$252.30 ,$252.30 , N/A ,$261.00 ,$166.75 ,$246.50 ,$62.52 ,$290.00 ,$162.69 ,$62.52 ,$120.06 ,$20.60 ,$18.73 ,$65.37 ,$246.50 ,$124.20 ,$159.21 ,$81.20 ,$261.00 ,$290.00 ,$62.52 ,$252.30 ,$23.22 ,$290.00 ,$23.22 ,$66.70 ,$188.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500266,85306,HC PROTEIN S FREE-90,305,1 ,$167.00 ,$120.24 ,$18.73 ,$167.00 ,$96.03 ,$105.21 ,$100.20 ,$36.01 ,$46.76 ,$96.86 ,$37.64 ,$101.87 ,$40.91 ,$91.68 ,$91.68 ,$42.55 ,$108.55 ,$74.21 ,$25.20 ,$38.30 ,$37.64 ,$36.01 ,$125.25 ,$118.57 ,$118.57 ,$37.64 ,$118.57 ,$145.29 ,$145.29 ,$145.29 , N/A ,$150.30 ,$96.03 ,$141.95 ,$36.01 ,$167.00 ,$93.69 ,$36.01 ,$69.14 ,$20.60 ,$18.73 ,$37.64 ,$141.95 ,$71.52 ,$91.68 ,$46.76 ,$150.30 ,$167.00 ,$36.01 ,$145.29 ,$30.64 ,$167.00 ,$30.64 ,$38.41 ,$108.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$57.00 ,$41.04 ,$12.29 ,$57.00 ,$32.78 ,$35.91 ,$34.20 ,$12.29 ,$15.96 ,$33.06 ,$12.85 ,$34.77 ,$13.95 ,$31.29 ,$31.29 ,$14.52 ,$37.05 ,$25.33 ,$25.20 ,$38.30 ,$12.85 ,$12.29 ,$42.75 ,$40.47 ,$40.47 ,$12.85 ,$40.47 ,$49.59 ,$49.59 ,$49.59 , N/A ,$51.30 ,$32.78 ,$48.45 ,$12.29 ,$57.00 ,$31.98 ,$12.29 ,$23.60 ,$19.13 ,$17.39 ,$12.85 ,$48.45 ,$24.41 ,$31.29 ,$15.96 ,$51.30 ,$57.00 ,$12.29 ,$49.59 ,$30.64 ,$57.00 ,$30.64 ,$13.11 ,$37.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500268,85335,HC FACTOR INHIBITOR-90,305,1 ,$292.00 ,$210.24 ,$18.73 ,$292.00 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$88.84 ,$65.82 ,$92.97 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$189.80 ,$129.76 ,$21.19 ,$32.18 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 ,$20.60 ,$18.73 ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$25.74 ,$292.00 ,$25.74 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500276,85397,HC COAGUL/FIBRINOLYSIS CLOT ACT-90,305,1 ,$250.00 ,$180.00 ,$18.73 ,$250.00 ,$143.75 ,$157.50 ,$150.00 ,$53.90 ,$70.00 ,$145.00 ,$56.35 ,$152.50 ,$61.25 ,$137.25 ,$137.25 ,$63.70 ,$162.50 ,$111.10 ,$50.40 ,$77.15 ,$56.35 ,$53.90 ,$187.50 ,$177.50 ,$177.50 ,$56.35 ,$177.50 ,$217.50 ,$217.50 ,$217.50 , N/A ,$225.00 ,$143.75 ,$212.50 ,$53.90 ,$250.00 ,$140.25 ,$53.90 ,$103.50 ,$20.60 ,$18.73 ,$56.35 ,$212.50 ,$107.06 ,$137.25 ,$70.00 ,$225.00 ,$250.00 ,$53.90 ,$217.50 ,$61.72 ,$250.00 ,$61.72 ,$57.50 ,$162.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500283,85520,HC HEPARIN ASSAY-90,305,1 ,$159.00 ,$114.48 ,$18.73 ,$159.00 ,$91.43 ,$100.17 ,$95.40 ,$34.28 ,$44.52 ,$90.30 ,$35.84 ,$94.50 ,$38.95 ,$87.29 ,$87.29 ,$40.51 ,$103.35 ,$70.66 ,$21.76 ,$32.73 ,$35.84 ,$34.28 ,$119.25 ,$112.89 ,$112.89 ,$35.84 ,$112.89 ,$138.33 ,$138.33 ,$138.33 , N/A ,$143.10 ,$91.43 ,$135.15 ,$34.28 ,$159.00 ,$89.20 ,$34.28 ,$65.83 ,$20.60 ,$18.73 ,$35.84 ,$135.15 ,$68.09 ,$87.29 ,$44.52 ,$143.10 ,$159.00 ,$34.28 ,$138.33 ,$26.18 ,$159.00 ,$26.18 ,$36.57 ,$103.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500287,85549,HC MURAMIDASE-90,305,1 ,$58.00 ,$41.76 ,$12.50 ,$58.00 ,$33.35 ,$36.54 ,$34.80 ,$12.50 ,$16.24 ,$33.64 ,$13.07 ,$35.38 ,$14.21 ,$31.84 ,$31.84 ,$14.78 ,$37.70 ,$25.78 ,$30.92 ,$46.88 ,$13.07 ,$12.50 ,$43.50 ,$41.18 ,$41.18 ,$13.07 ,$41.18 ,$50.46 ,$50.46 ,$50.46 , N/A ,$52.20 ,$33.35 ,$49.30 ,$12.50 ,$58.00 ,$32.54 ,$12.50 ,$24.01 ,$19.13 ,$17.39 ,$13.07 ,$49.30 ,$24.84 ,$31.84 ,$16.24 ,$52.20 ,$58.00 ,$12.50 ,$50.46 ,$37.50 ,$58.00 ,$37.50 ,$13.34 ,$37.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$117.00 ,$84.24 ,$18.73 ,$117.00 ,$67.28 ,$73.71 ,$70.20 ,$25.23 ,$32.76 ,$67.86 ,$26.37 ,$71.37 ,$28.66 ,$64.23 ,$64.23 ,$29.81 ,$76.05 ,$51.99 ,$29.79 ,$44.95 ,$26.37 ,$25.23 ,$87.75 ,$83.07 ,$83.07 ,$26.37 ,$83.07 ,$101.79 ,$101.79 ,$101.79 , N/A ,$105.30 ,$67.28 ,$99.45 ,$25.23 ,$117.00 ,$65.64 ,$25.23 ,$48.44 ,$20.60 ,$18.73 ,$26.37 ,$99.45 ,$50.11 ,$64.23 ,$32.76 ,$105.30 ,$117.00 ,$25.23 ,$101.79 ,$35.96 ,$117.00 ,$35.96 ,$26.91 ,$76.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$139.00 ,$100.08 ,$18.73 ,$139.00 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$90.35 ,$61.77 ,$29.79 ,$44.95 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 ,$20.60 ,$18.73 ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$35.96 ,$139.00 ,$35.96 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$189.00 ,$136.08 ,$15.46 ,$189.00 ,$108.68 ,$119.07 ,$113.40 ,$40.75 ,$52.92 ,$66.13 ,$42.60 ,$69.21 ,$46.30 ,$103.76 ,$103.76 ,$48.16 ,$122.85 ,$83.99 ,$15.46 ,$23.95 ,$42.60 ,$40.75 ,$141.75 ,$134.19 ,$134.19 ,$42.60 ,$134.19 ,$164.43 ,$164.43 ,$164.43 , N/A ,$170.10 ,$108.68 ,$160.65 ,$40.75 ,$189.00 ,$106.03 ,$40.75 ,$78.25 ,$20.60 ,$18.73 ,$42.60 ,$160.65 ,$80.94 ,$103.76 ,$52.92 ,$170.10 ,$189.00 ,$40.75 ,$164.43 ,$19.16 ,$189.00 ,$19.16 ,$43.47 ,$122.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$56.00 ,$40.32 ,$6.31 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$32.48 ,$12.62 ,$34.16 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$36.40 ,$24.89 ,$9.74 ,$14.43 ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 ,$6.94 ,$6.31 ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$11.54 ,$56.00 ,$11.54 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500305,85730,HC PTT-90,305,1 ,$120.00 ,$86.40 ,$6.31 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$56.16 ,$27.05 ,$58.77 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$9.74 ,$15.03 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$6.94 ,$6.31 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$12.02 ,$120.00 ,$12.02 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500310,85810,HC VISCOSITY-90,305,1 ,$210.00 ,$151.20 ,$16.44 ,$210.00 ,$120.75 ,$132.30 ,$126.00 ,$45.28 ,$58.80 ,$80.58 ,$47.33 ,$84.33 ,$51.45 ,$115.29 ,$115.29 ,$53.51 ,$136.50 ,$93.32 ,$18.90 ,$29.18 ,$47.33 ,$45.28 ,$157.50 ,$149.10 ,$149.10 ,$47.33 ,$149.10 ,$182.70 ,$182.70 ,$182.70 , N/A ,$189.00 ,$120.75 ,$178.50 ,$45.28 ,$210.00 ,$117.81 ,$45.28 ,$86.94 ,$18.08 ,$16.44 ,$47.33 ,$178.50 ,$89.93 ,$115.29 ,$58.80 ,$189.00 ,$210.00 ,$45.28 ,$182.70 ,$23.34 ,$210.00 ,$23.34 ,$48.30 ,$136.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500323,85008,HC BLOOD COUNT W/O MAN DIFF WBC,305,1 ,$44.00 ,$31.68 ,$5.72 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 ,$25.52 ,$9.92 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$5.72 ,$8.58 ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$11.88 ,$10.80 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 ,$6.86 ,$44.00 ,$6.86 ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500327,85041,HC BLOOD COUNT RBS AUTO,305,1 ,$117.00 ,$84.24 ,$5.15 ,$117.00 ,$67.28 ,$73.71 ,$70.20 ,$25.23 ,$32.76 ,$28.21 ,$26.37 ,$29.52 ,$28.66 ,$64.23 ,$64.23 ,$29.81 ,$76.05 ,$51.99 ,$5.15 ,$7.55 ,$26.37 ,$25.23 ,$87.75 ,$83.07 ,$83.07 ,$26.37 ,$83.07 ,$101.79 ,$101.79 ,$101.79 , N/A ,$105.30 ,$67.28 ,$99.45 ,$25.23 ,$117.00 ,$65.64 ,$25.23 ,$48.44 ,$11.88 ,$10.80 ,$26.37 ,$99.45 ,$50.11 ,$64.23 ,$32.76 ,$105.30 ,$117.00 ,$25.23 ,$101.79 ,$6.04 ,$117.00 ,$6.04 ,$26.91 ,$76.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500831,85384,HC FIBRINOGEN,305,1 ,$116.00 ,$83.52 ,$6.31 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$58.65 ,$26.15 ,$61.38 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$16.04 ,$24.30 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$6.94 ,$6.31 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$19.44 ,$116.00 ,$19.44 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500832,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$247.00 ,$177.84 ,$12.60 ,$247.00 ,$142.03 ,$155.61 ,$148.20 ,$53.25 ,$69.16 ,$53.41 ,$55.67 ,$55.89 ,$60.51 ,$135.60 ,$135.60 ,$62.94 ,$160.55 ,$109.77 ,$12.60 ,$19.33 ,$55.67 ,$53.25 ,$185.25 ,$175.37 ,$175.37 ,$55.67 ,$175.37 ,$214.89 ,$214.89 ,$214.89 , N/A ,$222.30 ,$142.03 ,$209.95 ,$53.25 ,$247.00 ,$138.57 ,$53.25 ,$102.26 ,$18.08 ,$16.44 ,$55.67 ,$209.95 ,$105.78 ,$135.60 ,$69.16 ,$222.30 ,$247.00 ,$53.25 ,$214.89 ,$15.46 ,$247.00 ,$15.46 ,$56.81 ,$160.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500833,85520,HC HEPARIN ASSAY,305,1 ,$183.00 ,$131.76 ,$18.73 ,$183.00 ,$105.23 ,$115.29 ,$109.80 ,$39.45 ,$51.24 ,$90.30 ,$41.25 ,$94.50 ,$44.83 ,$100.47 ,$100.47 ,$46.63 ,$118.95 ,$81.33 ,$21.76 ,$32.73 ,$41.25 ,$39.45 ,$137.25 ,$129.93 ,$129.93 ,$41.25 ,$129.93 ,$159.21 ,$159.21 ,$159.21 , N/A ,$164.70 ,$105.23 ,$155.55 ,$39.45 ,$183.00 ,$102.66 ,$39.45 ,$75.76 ,$20.60 ,$18.73 ,$41.25 ,$155.55 ,$78.37 ,$100.47 ,$51.24 ,$164.70 ,$183.00 ,$39.45 ,$159.21 ,$26.18 ,$183.00 ,$26.18 ,$42.09 ,$118.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500834,85540,HC LEUKOCYTE ALK PHOSPHATASE,305,1 ,$120.00 ,$86.40 ,$10.80 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$59.34 ,$27.05 ,$62.10 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$14.33 ,$21.50 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$11.88 ,$10.80 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$17.20 ,$120.00 ,$17.20 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500836,85610,HC PROTHROMBIN TIME (PT),305,1 ,$147.00 ,$105.84 ,$6.31 ,$147.00 ,$84.53 ,$92.61 ,$88.20 ,$31.69 ,$41.16 ,$36.72 ,$33.13 ,$38.43 ,$36.01 ,$80.70 ,$80.70 ,$37.46 ,$95.55 ,$65.33 ,$6.88 ,$10.73 ,$33.13 ,$31.69 ,$110.25 ,$104.37 ,$104.37 ,$33.13 ,$104.37 ,$127.89 ,$127.89 ,$127.89 , N/A ,$132.30 ,$84.53 ,$124.95 ,$31.69 ,$147.00 ,$82.47 ,$31.69 ,$60.86 ,$6.94 ,$6.31 ,$33.13 ,$124.95 ,$62.96 ,$80.70 ,$41.16 ,$132.30 ,$147.00 ,$31.69 ,$127.89 ,$8.58 ,$147.00 ,$8.58 ,$33.81 ,$95.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500838,85730,HC PARTIAL THROMBO TIME (PTT),305,1 ,$223.00 ,$160.56 ,$6.31 ,$223.00 ,$128.23 ,$140.49 ,$133.80 ,$48.08 ,$62.44 ,$56.16 ,$50.26 ,$58.77 ,$54.63 ,$122.43 ,$122.43 ,$56.82 ,$144.95 ,$99.10 ,$9.74 ,$15.03 ,$50.26 ,$48.08 ,$167.25 ,$158.33 ,$158.33 ,$50.26 ,$158.33 ,$194.01 ,$194.01 ,$194.01 , N/A ,$200.70 ,$128.23 ,$189.55 ,$48.08 ,$223.00 ,$125.10 ,$48.08 ,$92.32 ,$6.94 ,$6.31 ,$50.26 ,$189.55 ,$95.50 ,$122.43 ,$62.44 ,$200.70 ,$223.00 ,$48.08 ,$194.01 ,$12.02 ,$223.00 ,$12.02 ,$51.29 ,$144.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30500842,85660,HC SICKLE CELL RBC,305,1 ,$88.00 ,$63.36 ,$9.16 ,$88.00 ,$50.60 ,$55.44 ,$52.80 ,$18.97 ,$24.64 ,$38.01 ,$19.84 ,$39.78 ,$21.56 ,$48.31 ,$48.31 ,$22.42 ,$57.20 ,$39.11 ,$9.16 ,$13.78 ,$19.84 ,$18.97 ,$66.00 ,$62.48 ,$62.48 ,$19.84 ,$62.48 ,$76.56 ,$76.56 ,$76.56 , N/A ,$79.20 ,$50.60 ,$74.80 ,$18.97 ,$88.00 ,$49.37 ,$18.97 ,$36.43 ,$11.88 ,$10.80 ,$19.84 ,$74.80 ,$37.69 ,$48.31 ,$24.64 ,$79.20 ,$88.00 ,$18.97 ,$76.56 ,$11.02 ,$88.00 ,$11.02 ,$20.24 ,$57.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30530180,85999,HC URINE EOSINOPHIL COUNT- 90,305,1 ,$8.00 ,$5.76 ,$1.72 ,$11.88 ,$4.60 ,$5.04 ,$4.80 ,$1.72 ,$2.24 ,$4.64 ,$1.80 ,$4.88 ,$4.80 ,$4.39 ,$4.39 , N/A ,$5.20 , N/A ,$8.00 ,$5.60 ,$1.80 , N/A ,$6.00 ,$5.68 ,$5.68 , N/A ,$5.68 ,$6.96 ,$6.96 ,$6.96 , N/A ,$7.20 ,$4.60 ,$6.80 ,$1.72 ,$8.00 ,$4.49 ,$1.72 ,$3.31 ,$11.88 ,$10.80 ,$1.80 ,$6.80 ,$3.43 ,$4.39 ,$2.24 ,$7.20 ,$8.00 ,$1.72 ,$6.96 , N/A ,$8.00 , N/A ,$8.00 ,$5.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$275.00 ,$198.00 ,$10.89 ,$275.00 ,$158.13 ,$173.25 ,$165.00 ,$59.29 ,$77.00 ,$46.10 ,$61.98 ,$48.24 ,$67.37 ,$150.98 ,$150.98 ,$70.07 ,$178.75 ,$122.21 ,$10.89 ,$16.70 ,$61.98 ,$59.29 ,$206.25 ,$195.25 ,$195.25 ,$61.98 ,$195.25 ,$239.25 ,$239.25 ,$239.25 , N/A ,$247.50 ,$158.13 ,$233.75 ,$59.29 ,$275.00 ,$154.28 ,$59.29 ,$113.85 ,$13.66 ,$12.42 ,$61.98 ,$233.75 ,$117.78 ,$150.98 ,$77.00 ,$247.50 ,$275.00 ,$59.29 ,$239.25 ,$13.36 ,$275.00 ,$13.36 ,$63.25 ,$178.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600102,87040,HC BLOOD CULTURE,306,1 ,$275.00 ,$198.00 ,$17.19 ,$275.00 ,$158.13 ,$173.25 ,$165.00 ,$59.29 ,$77.00 ,$71.21 ,$61.98 ,$74.52 ,$67.37 ,$150.98 ,$150.98 ,$70.07 ,$178.75 ,$122.21 ,$17.19 ,$25.80 ,$61.98 ,$59.29 ,$206.25 ,$195.25 ,$195.25 ,$61.98 ,$195.25 ,$239.25 ,$239.25 ,$239.25 , N/A ,$247.50 ,$158.13 ,$233.75 ,$59.29 ,$275.00 ,$154.28 ,$59.29 ,$113.85 ,$45.41 ,$41.28 ,$61.98 ,$233.75 ,$117.78 ,$150.98 ,$77.00 ,$247.50 ,$275.00 ,$59.29 ,$239.25 ,$20.64 ,$275.00 ,$20.64 ,$63.25 ,$178.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600109,87070,HC BODY FLUID CULTURE,306,1 ,$242.00 ,$174.24 ,$12.42 ,$242.00 ,$139.15 ,$152.46 ,$145.20 ,$52.18 ,$67.76 ,$80.50 ,$54.55 ,$84.24 ,$59.29 ,$132.86 ,$132.86 ,$61.66 ,$157.30 ,$107.54 ,$14.33 ,$21.55 ,$54.55 ,$52.18 ,$181.50 ,$171.82 ,$171.82 ,$54.55 ,$171.82 ,$210.54 ,$210.54 ,$210.54 , N/A ,$217.80 ,$139.15 ,$205.70 ,$52.18 ,$242.00 ,$135.76 ,$52.18 ,$100.19 ,$13.66 ,$12.42 ,$54.55 ,$205.70 ,$103.63 ,$132.86 ,$67.76 ,$217.80 ,$242.00 ,$52.18 ,$210.54 ,$17.24 ,$242.00 ,$17.24 ,$55.66 ,$157.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600162,87169,HC PARASITE ID,306,1 ,$69.00 ,$49.68 ,$6.88 ,$69.00 ,$39.68 ,$43.47 ,$41.40 ,$14.88 ,$19.32 ,$29.50 ,$15.55 ,$30.87 ,$16.90 ,$37.88 ,$37.88 ,$17.58 ,$44.85 ,$30.66 ,$6.88 ,$10.78 ,$15.55 ,$14.88 ,$51.75 ,$48.99 ,$48.99 ,$15.55 ,$48.99 ,$60.03 ,$60.03 ,$60.03 , N/A ,$62.10 ,$39.68 ,$58.65 ,$14.88 ,$69.00 ,$38.71 ,$14.88 ,$28.57 ,$13.66 ,$12.42 ,$15.55 ,$58.65 ,$29.55 ,$37.88 ,$19.32 ,$62.10 ,$69.00 ,$14.88 ,$60.03 ,$8.62 ,$69.00 ,$8.62 ,$15.87 ,$44.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600163,87172,HC PINWORM EXAM,306,1 ,$124.00 ,$89.28 ,$6.88 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$39.90 ,$27.95 ,$41.76 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$6.88 ,$10.68 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$13.66 ,$12.42 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$8.54 ,$124.00 ,$8.54 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$112.00 ,$80.64 ,$6.88 ,$112.00 ,$64.40 ,$70.56 ,$67.20 ,$24.15 ,$31.36 ,$39.90 ,$25.24 ,$41.76 ,$27.44 ,$61.49 ,$61.49 ,$28.54 ,$72.80 ,$49.77 ,$6.88 ,$10.68 ,$25.24 ,$24.15 ,$84.00 ,$79.52 ,$79.52 ,$25.24 ,$79.52 ,$97.44 ,$97.44 ,$97.44 , N/A ,$100.80 ,$64.40 ,$95.20 ,$24.15 ,$112.00 ,$62.83 ,$24.15 ,$46.37 ,$13.66 ,$12.42 ,$25.24 ,$95.20 ,$47.96 ,$61.49 ,$31.36 ,$100.80 ,$112.00 ,$24.15 ,$97.44 ,$8.54 ,$112.00 ,$8.54 ,$25.76 ,$72.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600183,87210,HC SMEAR WET MOUNT,306,1 ,$102.00 ,$73.44 ,$9.74 ,$102.00 ,$58.65 ,$64.26 ,$61.20 ,$21.99 ,$28.56 ,$44.03 ,$22.99 ,$46.08 ,$24.99 ,$56.00 ,$56.00 ,$25.99 ,$66.30 ,$45.33 ,$9.74 ,$14.55 ,$22.99 ,$21.99 ,$76.50 ,$72.42 ,$72.42 ,$22.99 ,$72.42 ,$88.74 ,$88.74 ,$88.74 , N/A ,$91.80 ,$58.65 ,$86.70 ,$21.99 ,$102.00 ,$57.22 ,$21.99 ,$42.23 ,$13.66 ,$12.42 ,$22.99 ,$86.70 ,$43.68 ,$56.00 ,$28.56 ,$91.80 ,$102.00 ,$21.99 ,$88.74 ,$11.64 ,$102.00 ,$11.64 ,$23.46 ,$66.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600185,87220,HC TISSUE KOH PREP,306,1 ,$101.00 ,$72.72 ,$6.88 ,$101.00 ,$58.08 ,$63.63 ,$60.60 ,$21.78 ,$28.28 ,$39.90 ,$22.77 ,$41.76 ,$24.74 ,$55.45 ,$55.45 ,$25.73 ,$65.65 ,$44.88 ,$6.88 ,$10.68 ,$22.77 ,$21.78 ,$75.75 ,$71.71 ,$71.71 ,$22.77 ,$71.71 ,$87.87 ,$87.87 ,$87.87 , N/A ,$90.90 ,$58.08 ,$85.85 ,$21.78 ,$101.00 ,$56.66 ,$21.78 ,$41.81 ,$13.66 ,$12.42 ,$22.77 ,$85.85 ,$43.26 ,$55.45 ,$28.28 ,$90.90 ,$101.00 ,$21.78 ,$87.87 ,$8.54 ,$101.00 ,$8.54 ,$23.23 ,$65.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$263.00 ,$189.36 ,$15.58 ,$263.00 ,$151.23 ,$165.69 ,$157.80 ,$56.70 ,$73.64 ,$82.73 ,$59.28 ,$86.58 ,$64.43 ,$144.39 ,$144.39 ,$67.01 ,$170.95 ,$116.88 ,$19.48 ,$29.95 ,$59.28 ,$56.70 ,$197.25 ,$186.73 ,$186.73 ,$59.28 ,$186.73 ,$228.81 ,$228.81 ,$228.81 , N/A ,$236.70 ,$151.23 ,$223.55 ,$56.70 ,$263.00 ,$147.54 ,$56.70 ,$108.88 ,$17.14 ,$15.58 ,$59.28 ,$223.55 ,$112.63 ,$144.39 ,$73.64 ,$236.70 ,$263.00 ,$56.70 ,$228.81 ,$23.96 ,$263.00 ,$23.96 ,$60.49 ,$170.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600227,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$192.00 ,$138.24 ,$15.58 ,$192.00 ,$110.40 ,$120.96 ,$115.20 ,$41.40 ,$53.76 ,$82.73 ,$43.28 ,$86.58 ,$47.04 ,$105.41 ,$105.41 ,$48.92 ,$124.80 ,$85.32 ,$19.48 ,$29.95 ,$43.28 ,$41.40 ,$144.00 ,$136.32 ,$136.32 ,$43.28 ,$136.32 ,$167.04 ,$167.04 ,$167.04 , N/A ,$172.80 ,$110.40 ,$163.20 ,$41.40 ,$192.00 ,$107.71 ,$41.40 ,$79.49 ,$17.14 ,$15.58 ,$43.28 ,$163.20 ,$82.22 ,$105.41 ,$53.76 ,$172.80 ,$192.00 ,$41.40 ,$167.04 ,$23.96 ,$192.00 ,$23.96 ,$44.16 ,$124.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600269,87807,HC QL RSV,306,1 ,$266.00 ,$191.52 ,$12.42 ,$266.00 ,$152.95 ,$167.58 ,$159.60 ,$57.35 ,$74.48 ,$111.97 ,$59.96 ,$117.18 ,$65.17 ,$146.03 ,$146.03 ,$67.78 ,$172.90 ,$118.21 ,$21.76 ,$32.75 ,$59.96 ,$57.35 ,$199.50 ,$188.86 ,$188.86 ,$59.96 ,$188.86 ,$231.42 ,$231.42 ,$231.42 , N/A ,$239.40 ,$152.95 ,$226.10 ,$57.35 ,$266.00 ,$149.23 ,$57.35 ,$110.12 ,$13.66 ,$12.42 ,$59.96 ,$226.10 ,$113.92 ,$146.03 ,$74.48 ,$239.40 ,$266.00 ,$57.35 ,$231.42 ,$26.20 ,$266.00 ,$26.20 ,$61.18 ,$172.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600270,87880,HC OPTICAL STREP,306,1 ,$165.00 ,$118.80 ,$12.42 ,$165.00 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$107.25 ,$73.33 ,$26.93 ,$41.33 ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 ,$13.66 ,$12.42 ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$33.06 ,$165.00 ,$33.06 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600271,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$377.00 ,$271.44 ,$12.42 ,$377.00 ,$216.78 ,$237.51 ,$226.20 ,$81.28 ,$105.56 ,$121.60 ,$84.98 ,$127.26 ,$92.36 ,$206.97 ,$206.97 ,$96.06 ,$245.05 ,$167.54 ,$26.35 ,$40.18 ,$84.98 ,$81.28 ,$282.75 ,$267.67 ,$267.67 ,$84.98 ,$267.67 ,$327.99 ,$327.99 ,$327.99 , N/A ,$339.30 ,$216.78 ,$320.45 ,$81.28 ,$377.00 ,$211.50 ,$81.28 ,$156.08 ,$13.66 ,$12.42 ,$84.98 ,$320.45 ,$161.45 ,$206.97 ,$105.56 ,$339.30 ,$377.00 ,$81.28 ,$327.99 ,$32.14 ,$377.00 ,$32.14 ,$86.71 ,$245.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600283,87804,HC QL INFLUENZA A/B,306,1 ,$256.00 ,$184.32 ,$12.42 ,$256.00 ,$147.20 ,$161.28 ,$153.60 ,$55.19 ,$71.68 ,$125.22 ,$57.70 ,$131.04 ,$62.72 ,$140.54 ,$140.54 ,$65.23 ,$166.40 ,$113.77 ,$26.93 ,$41.38 ,$57.70 ,$55.19 ,$192.00 ,$181.76 ,$181.76 ,$57.70 ,$181.76 ,$222.72 ,$222.72 ,$222.72 , N/A ,$230.40 ,$147.20 ,$217.60 ,$55.19 ,$256.00 ,$143.62 ,$55.19 ,$105.98 ,$13.66 ,$12.42 ,$57.70 ,$217.60 ,$109.63 ,$140.54 ,$71.68 ,$230.40 ,$256.00 ,$55.19 ,$222.72 ,$33.10 ,$256.00 ,$33.10 ,$58.88 ,$166.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$90.00 ,$64.80 ,$15.58 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$19.48 ,$29.95 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$17.14 ,$15.58 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$23.96 ,$90.00 ,$23.96 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$220.00 ,$158.40 ,$41.28 ,$220.00 ,$126.50 ,$138.60 ,$132.00 ,$47.43 ,$61.60 ,$127.60 ,$49.59 ,$134.20 ,$53.90 ,$120.78 ,$120.78 ,$56.06 ,$143.00 ,$97.77 ,$57.85 ,$87.73 ,$49.59 ,$47.43 ,$165.00 ,$156.20 ,$156.20 ,$49.59 ,$156.20 ,$191.40 ,$191.40 ,$191.40 , N/A ,$198.00 ,$126.50 ,$187.00 ,$47.43 ,$220.00 ,$123.42 ,$47.43 ,$91.08 ,$45.41 ,$41.28 ,$49.59 ,$187.00 ,$94.22 ,$120.78 ,$61.60 ,$198.00 ,$220.00 ,$47.43 ,$191.40 ,$70.18 ,$220.00 ,$70.18 ,$50.60 ,$143.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600353,87015,HC CONCENTRATION INFECTIOUS AGENT-90,306,1 ,$48.00 ,$34.56 ,$10.35 ,$48.00 ,$27.60 ,$30.24 ,$28.80 ,$10.35 ,$13.44 ,$27.84 ,$10.82 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$12.23 ,$31.20 ,$21.33 ,$10.89 ,$16.70 ,$10.82 ,$10.35 ,$36.00 ,$34.08 ,$34.08 ,$10.82 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$27.60 ,$40.80 ,$10.35 ,$48.00 ,$26.93 ,$10.35 ,$19.87 ,$13.66 ,$12.42 ,$10.82 ,$40.80 ,$20.56 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$10.35 ,$41.76 ,$13.36 ,$48.00 ,$13.36 ,$11.04 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600359,87081,HC CULTURE SCR PRESUMP PATHOGENS-90,306,1 ,$129.00 ,$92.88 ,$10.89 ,$129.00 ,$74.18 ,$81.27 ,$77.40 ,$27.81 ,$36.12 ,$61.92 ,$29.08 ,$64.80 ,$31.60 ,$70.82 ,$70.82 ,$32.87 ,$83.85 ,$57.33 ,$10.89 ,$16.58 ,$29.08 ,$27.81 ,$96.75 ,$91.59 ,$91.59 ,$29.08 ,$91.59 ,$112.23 ,$112.23 ,$112.23 , N/A ,$116.10 ,$74.18 ,$109.65 ,$27.81 ,$129.00 ,$72.37 ,$27.81 ,$53.41 ,$13.66 ,$12.42 ,$29.08 ,$109.65 ,$55.24 ,$70.82 ,$36.12 ,$116.10 ,$129.00 ,$27.81 ,$112.23 ,$13.26 ,$129.00 ,$13.26 ,$29.67 ,$83.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$111.00 ,$79.92 ,$10.89 ,$111.00 ,$63.83 ,$69.93 ,$66.60 ,$23.93 ,$31.08 ,$61.92 ,$25.02 ,$64.80 ,$27.19 ,$60.94 ,$60.94 ,$28.28 ,$72.15 ,$49.33 ,$10.89 ,$16.58 ,$25.02 ,$23.93 ,$83.25 ,$78.81 ,$78.81 ,$25.02 ,$78.81 ,$96.57 ,$96.57 ,$96.57 , N/A ,$99.90 ,$63.83 ,$94.35 ,$23.93 ,$111.00 ,$62.27 ,$23.93 ,$45.95 ,$13.66 ,$12.42 ,$25.02 ,$94.35 ,$47.54 ,$60.94 ,$31.08 ,$99.90 ,$111.00 ,$23.93 ,$96.57 ,$13.26 ,$111.00 ,$13.26 ,$25.53 ,$72.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600363,87103,HC CULTURE FUNGUS BLOOD-90,306,1 ,$84.00 ,$60.48 ,$18.11 ,$84.00 ,$48.30 ,$52.92 ,$50.40 ,$18.11 ,$23.52 ,$48.72 ,$18.93 ,$51.24 ,$20.58 ,$46.12 ,$46.12 ,$21.40 ,$54.60 ,$37.33 ,$33.80 ,$51.15 ,$18.93 ,$18.11 ,$63.00 ,$59.64 ,$59.64 ,$18.93 ,$59.64 ,$73.08 ,$73.08 ,$73.08 , N/A ,$75.60 ,$48.30 ,$71.40 ,$18.11 ,$84.00 ,$47.12 ,$18.11 ,$34.78 ,$45.41 ,$41.28 ,$18.93 ,$71.40 ,$35.98 ,$46.12 ,$23.52 ,$75.60 ,$84.00 ,$18.11 ,$73.08 ,$40.92 ,$84.00 ,$40.92 ,$19.32 ,$54.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600364,87106,HC CULTURE FUNGUS ID YEAST-90,306,1 ,$86.00 ,$61.92 ,$12.42 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$55.90 ,$38.22 ,$17.19 ,$25.80 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$13.66 ,$12.42 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$20.64 ,$86.00 ,$20.64 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600365,87107,HC CULTURE FUNGUS ID MOLD-90,306,1 ,$16.00 ,$11.52 ,$3.45 ,$45.41 ,$9.20 ,$10.08 ,$9.60 ,$3.45 ,$4.48 ,$9.28 ,$3.61 ,$9.76 ,$3.92 ,$8.78 ,$8.78 ,$4.08 ,$10.40 ,$7.11 ,$16.00 ,$25.80 ,$3.61 ,$3.45 ,$12.00 ,$11.36 ,$11.36 ,$3.61 ,$11.36 ,$13.92 ,$13.92 ,$13.92 , N/A ,$14.40 ,$9.20 ,$13.60 ,$3.45 ,$16.00 ,$8.98 ,$3.45 ,$6.62 ,$45.41 ,$41.28 ,$3.61 ,$13.60 ,$6.85 ,$8.78 ,$4.48 ,$14.40 ,$16.00 ,$3.45 ,$13.92 ,$16.00 ,$16.00 ,$16.00 ,$3.68 ,$10.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600366,87109,HC CULTURE MYCOPLASMA-90,306,1 ,$112.00 ,$80.64 ,$24.15 ,$112.00 ,$64.40 ,$70.56 ,$67.20 ,$24.15 ,$31.36 ,$64.96 ,$25.24 ,$68.32 ,$27.44 ,$61.49 ,$61.49 ,$28.54 ,$72.80 ,$49.77 ,$25.20 ,$38.48 ,$25.24 ,$24.15 ,$84.00 ,$79.52 ,$79.52 ,$25.24 ,$79.52 ,$97.44 ,$97.44 ,$97.44 , N/A ,$100.80 ,$64.40 ,$95.20 ,$24.15 ,$112.00 ,$62.83 ,$24.15 ,$46.37 ,$45.41 ,$41.28 ,$25.24 ,$95.20 ,$47.96 ,$61.49 ,$31.36 ,$100.80 ,$112.00 ,$24.15 ,$97.44 ,$30.78 ,$112.00 ,$30.78 ,$25.76 ,$72.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600367,87110,HC CULTURE CHLAMYDIA-90,306,1 ,$272.00 ,$195.84 ,$12.42 ,$272.00 ,$156.40 ,$171.36 ,$163.20 ,$58.64 ,$76.16 ,$135.19 ,$61.31 ,$141.48 ,$66.64 ,$149.33 ,$149.33 ,$69.31 ,$176.80 ,$120.88 ,$32.08 ,$49.00 ,$61.31 ,$58.64 ,$204.00 ,$193.12 ,$193.12 ,$61.31 ,$193.12 ,$236.64 ,$236.64 ,$236.64 , N/A ,$244.80 ,$156.40 ,$231.20 ,$58.64 ,$272.00 ,$152.59 ,$58.64 ,$112.61 ,$13.66 ,$12.42 ,$61.31 ,$231.20 ,$116.48 ,$149.33 ,$76.16 ,$244.80 ,$272.00 ,$58.64 ,$236.64 ,$39.20 ,$272.00 ,$39.20 ,$62.56 ,$176.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$76.00 ,$54.72 ,$16.39 ,$76.00 ,$43.70 ,$47.88 ,$45.60 ,$16.39 ,$21.28 ,$44.08 ,$17.13 ,$46.36 ,$18.62 ,$41.72 ,$41.72 ,$19.36 ,$49.40 ,$33.77 ,$17.75 ,$27.00 ,$17.13 ,$16.39 ,$57.00 ,$53.96 ,$53.96 ,$17.13 ,$53.96 ,$66.12 ,$66.12 ,$66.12 , N/A ,$68.40 ,$43.70 ,$64.60 ,$16.39 ,$76.00 ,$42.64 ,$16.39 ,$31.46 ,$45.41 ,$41.28 ,$17.13 ,$64.60 ,$32.55 ,$41.72 ,$21.28 ,$68.40 ,$76.00 ,$16.39 ,$66.12 ,$21.60 ,$76.00 ,$21.60 ,$17.48 ,$49.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600369,87118,HC CULTURE MYCOBACTERIA ID-90,306,1 ,$100.00 ,$72.00 ,$21.56 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$24.07 ,$36.53 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$45.41 ,$41.28 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$29.22 ,$100.00 ,$29.22 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$36.00 ,$25.92 ,$7.76 ,$45.41 ,$20.70 ,$22.68 ,$21.60 ,$7.76 ,$10.08 ,$20.88 ,$8.11 ,$21.96 ,$8.82 ,$19.76 ,$19.76 ,$9.17 ,$23.40 ,$16.00 ,$9.16 ,$13.93 ,$8.11 ,$7.76 ,$27.00 ,$25.56 ,$25.56 ,$8.11 ,$25.56 ,$31.32 ,$31.32 ,$31.32 , N/A ,$32.40 ,$20.70 ,$30.60 ,$7.76 ,$36.00 ,$20.20 ,$7.76 ,$14.90 ,$45.41 ,$41.28 ,$8.11 ,$30.60 ,$15.42 ,$19.76 ,$10.08 ,$32.40 ,$36.00 ,$7.76 ,$31.32 ,$11.14 ,$36.00 ,$11.14 ,$8.28 ,$23.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600375,87149,HC CULTURE TYPING ID NUCLEIC ACID-90,306,1 ,$110.00 ,$79.20 ,$12.42 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 ,$32.65 ,$50.13 ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$13.66 ,$12.42 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$40.10 ,$110.00 ,$40.10 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$146.00 ,$105.12 ,$12.42 ,$146.00 ,$83.95 ,$91.98 ,$87.60 ,$31.48 ,$40.88 ,$83.16 ,$32.91 ,$87.03 ,$35.77 ,$80.15 ,$80.15 ,$37.20 ,$94.90 ,$64.88 ,$14.89 ,$22.25 ,$32.91 ,$31.48 ,$109.50 ,$103.66 ,$103.66 ,$32.91 ,$103.66 ,$127.02 ,$127.02 ,$127.02 , N/A ,$131.40 ,$83.95 ,$124.10 ,$31.48 ,$146.00 ,$81.91 ,$31.48 ,$60.44 ,$13.66 ,$12.42 ,$32.91 ,$124.10 ,$62.52 ,$80.15 ,$40.88 ,$131.40 ,$146.00 ,$31.48 ,$127.02 ,$17.80 ,$146.00 ,$17.80 ,$33.58 ,$94.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600388,87186,HC SENSITIVITY MIC INIT PLATE-90,306,1 ,$188.00 ,$135.36 ,$12.42 ,$188.00 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$59.68 ,$42.38 ,$62.46 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$122.20 ,$83.55 ,$14.33 ,$21.63 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$13.66 ,$12.42 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$17.30 ,$188.00 ,$17.30 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$184.00 ,$132.48 ,$8.59 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$50.31 ,$41.47 ,$52.65 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$119.60 ,$81.77 ,$8.59 ,$13.48 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$13.66 ,$12.42 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$10.78 ,$184.00 ,$10.78 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$80.00 ,$57.60 ,$9.74 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$41.37 ,$18.03 ,$43.29 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$17.53 ,$35.55 ,$9.74 ,$14.98 ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$13.66 ,$12.42 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$11.98 ,$80.00 ,$11.98 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600399,87209,HC OVA AND PARASITE W/STAIN-90,306,1 ,$51.00 ,$36.72 ,$11.00 ,$51.00 ,$29.33 ,$32.13 ,$30.60 ,$11.00 ,$14.28 ,$29.58 ,$11.50 ,$31.11 ,$12.49 ,$28.00 ,$28.00 ,$12.99 ,$33.15 ,$22.66 ,$29.79 ,$44.95 ,$11.50 ,$11.00 ,$38.25 ,$36.21 ,$36.21 ,$11.50 ,$36.21 ,$44.37 ,$44.37 ,$44.37 , N/A ,$45.90 ,$29.33 ,$43.35 ,$11.00 ,$51.00 ,$28.61 ,$11.00 ,$21.11 ,$45.41 ,$41.28 ,$11.50 ,$43.35 ,$21.84 ,$28.00 ,$14.28 ,$45.90 ,$51.00 ,$11.00 ,$44.37 ,$35.96 ,$51.00 ,$35.96 ,$11.73 ,$33.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600402,87252,HC CULTURE VIRUS ID TISSUE-90,306,1 ,$170.00 ,$122.40 ,$36.65 ,$170.00 ,$97.75 ,$107.10 ,$102.00 ,$36.65 ,$47.60 ,$98.60 ,$38.32 ,$103.70 ,$41.65 ,$93.33 ,$93.33 ,$43.32 ,$110.50 ,$75.55 ,$42.97 ,$65.18 ,$38.32 ,$36.65 ,$127.50 ,$120.70 ,$120.70 ,$38.32 ,$120.70 ,$147.90 ,$147.90 ,$147.90 , N/A ,$153.00 ,$97.75 ,$144.50 ,$36.65 ,$170.00 ,$95.37 ,$36.65 ,$70.38 ,$45.41 ,$41.28 ,$38.32 ,$144.50 ,$72.80 ,$93.33 ,$47.60 ,$153.00 ,$170.00 ,$36.65 ,$147.90 ,$52.14 ,$170.00 ,$52.14 ,$39.10 ,$110.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600403,87253,HC CULTURE VIRUS ID ADDL EA-90,306,1 ,$82.00 ,$59.04 ,$17.68 ,$82.00 ,$47.15 ,$51.66 ,$49.20 ,$17.68 ,$22.96 ,$47.56 ,$18.48 ,$50.02 ,$20.09 ,$45.02 ,$45.02 ,$20.89 ,$53.30 ,$36.44 ,$33.23 ,$50.50 ,$18.48 ,$17.68 ,$61.50 ,$58.22 ,$58.22 ,$18.48 ,$58.22 ,$71.34 ,$71.34 ,$71.34 , N/A ,$73.80 ,$47.15 ,$69.70 ,$17.68 ,$82.00 ,$46.00 ,$17.68 ,$33.95 ,$45.41 ,$41.28 ,$18.48 ,$69.70 ,$35.11 ,$45.02 ,$22.96 ,$73.80 ,$82.00 ,$17.68 ,$71.34 ,$40.40 ,$82.00 ,$40.40 ,$18.86 ,$53.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$91.00 ,$65.52 ,$19.62 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$59.15 ,$40.44 ,$32.08 ,$48.90 ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 ,$45.41 ,$41.28 ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$39.12 ,$91.00 ,$39.12 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600407,87260,HC IF ADENOVIRUS AG-90,306,1 ,$50.00 ,$36.00 ,$10.78 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$23.49 ,$36.08 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$17.14 ,$15.58 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$28.86 ,$50.00 ,$28.86 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600413,87290,HC IF VARICELLA ZOETER AG-90,306,1 ,$36.00 ,$25.92 ,$7.76 ,$36.00 ,$20.70 ,$22.68 ,$21.60 ,$7.76 ,$10.08 ,$20.88 ,$8.11 ,$21.96 ,$8.82 ,$19.76 ,$19.76 ,$9.17 ,$23.40 ,$16.00 ,$21.76 ,$33.55 ,$8.11 ,$7.76 ,$27.00 ,$25.56 ,$25.56 ,$8.11 ,$25.56 ,$31.32 ,$31.32 ,$31.32 , N/A ,$32.40 ,$20.70 ,$30.60 ,$7.76 ,$36.00 ,$20.20 ,$7.76 ,$14.90 ,$17.14 ,$15.58 ,$8.11 ,$30.60 ,$15.42 ,$19.76 ,$10.08 ,$32.40 ,$36.00 ,$7.76 ,$31.32 ,$26.84 ,$36.00 ,$26.84 ,$8.28 ,$23.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600414,87299,HC ANTIBODY DETECT IF NOS-90,306,1 ,$93.00 ,$66.96 ,$15.58 ,$93.00 ,$53.48 ,$58.59 ,$55.80 ,$20.05 ,$26.04 ,$53.94 ,$20.96 ,$56.73 ,$22.78 ,$51.06 ,$51.06 ,$23.70 ,$60.45 ,$41.33 ,$26.35 ,$40.25 ,$20.96 ,$20.05 ,$69.75 ,$66.03 ,$66.03 ,$20.96 ,$66.03 ,$80.91 ,$80.91 ,$80.91 , N/A ,$83.70 ,$53.48 ,$79.05 ,$20.05 ,$93.00 ,$52.17 ,$20.05 ,$38.50 ,$17.14 ,$15.58 ,$20.96 ,$79.05 ,$39.83 ,$51.06 ,$26.04 ,$83.70 ,$93.00 ,$20.05 ,$80.91 ,$32.20 ,$93.00 ,$32.20 ,$21.39 ,$60.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600418,87328,HC EIA QL CRYPTOSPORIDIUM AG-90,306,1 ,$109.00 ,$78.48 ,$15.58 ,$109.00 ,$62.68 ,$68.67 ,$65.40 ,$23.50 ,$30.52 ,$63.22 ,$24.57 ,$66.49 ,$26.70 ,$59.84 ,$59.84 ,$27.77 ,$70.85 ,$48.44 ,$22.91 ,$34.55 ,$24.57 ,$23.50 ,$81.75 ,$77.39 ,$77.39 ,$24.57 ,$77.39 ,$94.83 ,$94.83 ,$94.83 , N/A ,$98.10 ,$62.68 ,$92.65 ,$23.50 ,$109.00 ,$61.15 ,$23.50 ,$45.13 ,$17.14 ,$15.58 ,$24.57 ,$92.65 ,$46.68 ,$59.84 ,$30.52 ,$98.10 ,$109.00 ,$23.50 ,$94.83 ,$27.64 ,$109.00 ,$27.64 ,$25.07 ,$70.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600419,87338,HC EIA QL H PYLORI AG STOOL-90,306,1 ,$282.00 ,$203.04 ,$15.58 ,$282.00 ,$162.15 ,$177.66 ,$169.20 ,$60.80 ,$78.96 ,$134.42 ,$63.56 ,$140.67 ,$69.09 ,$154.82 ,$154.82 ,$71.85 ,$183.30 ,$125.32 ,$23.49 ,$35.95 ,$63.56 ,$60.80 ,$211.50 ,$200.22 ,$200.22 ,$63.56 ,$200.22 ,$245.34 ,$245.34 ,$245.34 , N/A ,$253.80 ,$162.15 ,$239.70 ,$60.80 ,$282.00 ,$158.20 ,$60.80 ,$116.75 ,$17.14 ,$15.58 ,$63.56 ,$239.70 ,$120.77 ,$154.82 ,$78.96 ,$253.80 ,$282.00 ,$60.80 ,$245.34 ,$28.76 ,$282.00 ,$28.76 ,$64.86 ,$183.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$96.00 ,$69.12 ,$15.58 ,$96.00 ,$55.20 ,$60.48 ,$57.60 ,$20.70 ,$26.88 ,$55.68 ,$21.64 ,$58.56 ,$23.52 ,$52.70 ,$52.70 ,$24.46 ,$62.40 ,$42.66 ,$18.90 ,$28.83 ,$21.64 ,$20.70 ,$72.00 ,$68.16 ,$68.16 ,$21.64 ,$68.16 ,$83.52 ,$83.52 ,$83.52 , N/A ,$86.40 ,$55.20 ,$81.60 ,$20.70 ,$96.00 ,$53.86 ,$20.70 ,$39.74 ,$17.14 ,$15.58 ,$21.64 ,$81.60 ,$41.11 ,$52.70 ,$26.88 ,$86.40 ,$96.00 ,$20.70 ,$83.52 ,$23.06 ,$96.00 ,$23.06 ,$22.08 ,$62.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$174.00 ,$125.28 ,$15.58 ,$174.00 ,$100.05 ,$109.62 ,$104.40 ,$37.51 ,$48.72 ,$82.73 ,$39.22 ,$86.58 ,$42.63 ,$95.53 ,$95.53 ,$44.34 ,$113.10 ,$77.33 ,$21.76 ,$33.13 ,$39.22 ,$37.51 ,$130.50 ,$123.54 ,$123.54 ,$39.22 ,$123.54 ,$151.38 ,$151.38 ,$151.38 , N/A ,$156.60 ,$100.05 ,$147.90 ,$37.51 ,$174.00 ,$97.61 ,$37.51 ,$72.04 ,$17.14 ,$15.58 ,$39.22 ,$147.90 ,$74.52 ,$95.53 ,$48.72 ,$156.60 ,$174.00 ,$37.51 ,$151.38 ,$26.50 ,$174.00 ,$26.50 ,$40.02 ,$113.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$78.00 ,$56.16 ,$15.58 ,$78.00 ,$44.85 ,$49.14 ,$46.80 ,$16.82 ,$21.84 ,$45.24 ,$17.58 ,$47.58 ,$19.11 ,$42.82 ,$42.82 ,$19.87 ,$50.70 ,$34.66 ,$19.48 ,$29.95 ,$17.58 ,$16.82 ,$58.50 ,$55.38 ,$55.38 ,$17.58 ,$55.38 ,$67.86 ,$67.86 ,$67.86 , N/A ,$70.20 ,$44.85 ,$66.30 ,$16.82 ,$78.00 ,$43.76 ,$16.82 ,$32.29 ,$17.14 ,$15.58 ,$17.58 ,$66.30 ,$33.41 ,$42.82 ,$21.84 ,$70.20 ,$78.00 ,$16.82 ,$67.86 ,$23.96 ,$78.00 ,$23.96 ,$17.94 ,$50.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600436,87471,HC INF AGT BARTONELLA HENSELAE-90,306,1 ,$322.00 ,$231.84 ,$41.28 ,$322.00 ,$185.15 ,$202.86 ,$193.20 ,$69.42 ,$90.16 ,$186.76 ,$72.58 ,$196.42 ,$78.89 ,$176.78 ,$176.78 ,$82.05 ,$209.30 ,$143.10 ,$57.85 ,$87.73 ,$72.58 ,$69.42 ,$241.50 ,$228.62 ,$228.62 ,$72.58 ,$228.62 ,$280.14 ,$280.14 ,$280.14 , N/A ,$289.80 ,$185.15 ,$273.70 ,$69.42 ,$322.00 ,$180.64 ,$69.42 ,$133.31 ,$45.41 ,$41.28 ,$72.58 ,$273.70 ,$137.90 ,$176.78 ,$90.16 ,$289.80 ,$322.00 ,$69.42 ,$280.14 ,$70.18 ,$322.00 ,$70.18 ,$74.06 ,$209.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$95.00 ,$68.40 ,$15.58 ,$95.00 ,$54.63 ,$59.85 ,$57.00 ,$20.48 ,$26.60 ,$55.10 ,$21.41 ,$57.95 ,$23.27 ,$52.16 ,$52.16 ,$24.21 ,$61.75 ,$42.22 ,$57.85 ,$87.73 ,$21.41 ,$20.48 ,$71.25 ,$67.45 ,$67.45 ,$21.41 ,$67.45 ,$82.65 ,$82.65 ,$82.65 , N/A ,$85.50 ,$54.63 ,$80.75 ,$20.48 ,$95.00 ,$53.30 ,$20.48 ,$39.33 ,$17.14 ,$15.58 ,$21.41 ,$80.75 ,$40.69 ,$52.16 ,$26.60 ,$85.50 ,$95.00 ,$20.48 ,$82.65 ,$70.18 ,$95.00 ,$70.18 ,$21.85 ,$61.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600440,87493,HC CLOSTRIDUM DIFFICILE-90,306,1 ,$212.00 ,$152.64 ,$15.58 ,$212.00 ,$121.90 ,$133.56 ,$127.20 ,$45.71 ,$59.36 ,$122.96 ,$47.78 ,$129.32 ,$51.94 ,$116.39 ,$116.39 ,$54.02 ,$137.80 ,$94.21 ,$61.29 ,$93.18 ,$47.78 ,$45.71 ,$159.00 ,$150.52 ,$150.52 ,$47.78 ,$150.52 ,$184.44 ,$184.44 ,$184.44 , N/A ,$190.80 ,$121.90 ,$180.20 ,$45.71 ,$212.00 ,$118.93 ,$45.71 ,$87.77 ,$17.14 ,$15.58 ,$47.78 ,$180.20 ,$90.79 ,$116.39 ,$59.36 ,$190.80 ,$212.00 ,$45.71 ,$184.44 ,$74.54 ,$212.00 ,$74.54 ,$48.76 ,$137.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600441,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$217.00 ,$156.24 ,$15.58 ,$217.00 ,$124.78 ,$136.71 ,$130.20 ,$46.79 ,$60.76 ,$125.86 ,$48.91 ,$132.37 ,$53.16 ,$119.13 ,$119.13 ,$55.29 ,$141.05 ,$96.43 ,$61.29 ,$93.18 ,$48.91 ,$46.79 ,$162.75 ,$154.07 ,$154.07 ,$48.91 ,$154.07 ,$188.79 ,$188.79 ,$188.79 , N/A ,$195.30 ,$124.78 ,$184.45 ,$46.79 ,$217.00 ,$121.74 ,$46.79 ,$89.84 ,$17.14 ,$15.58 ,$48.91 ,$184.45 ,$92.93 ,$119.13 ,$60.76 ,$195.30 ,$217.00 ,$46.79 ,$188.79 ,$74.54 ,$217.00 ,$74.54 ,$49.91 ,$141.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$143.00 ,$102.96 ,$30.83 ,$143.00 ,$82.23 ,$90.09 ,$85.80 ,$30.83 ,$40.04 ,$82.94 ,$32.23 ,$87.23 ,$35.03 ,$78.51 ,$78.51 ,$36.44 ,$92.95 ,$63.55 ,$57.85 ,$87.73 ,$32.23 ,$30.83 ,$107.25 ,$101.53 ,$101.53 ,$32.23 ,$101.53 ,$124.41 ,$124.41 ,$124.41 , N/A ,$128.70 ,$82.23 ,$121.55 ,$30.83 ,$143.00 ,$80.22 ,$30.83 ,$59.20 ,$45.41 ,$41.28 ,$32.23 ,$121.55 ,$61.24 ,$78.51 ,$40.04 ,$128.70 ,$143.00 ,$30.83 ,$124.41 ,$70.18 ,$143.00 ,$70.18 ,$32.89 ,$92.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600443,87497,HC CMV QN-90,306,1 ,$350.00 ,$252.00 ,$41.28 ,$350.00 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$227.50 ,$155.54 ,$70.45 ,$107.10 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$45.41 ,$41.28 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$85.68 ,$350.00 ,$85.68 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600444,87498,HC ENTEROVIRUS AMP PROBE-90,306,1 ,$463.00 ,$333.36 ,$41.28 ,$463.00 ,$266.23 ,$291.69 ,$277.80 ,$99.82 ,$129.64 ,$242.18 ,$104.36 ,$253.44 ,$113.43 ,$254.19 ,$254.19 ,$117.97 ,$300.95 ,$205.76 ,$57.85 ,$87.73 ,$104.36 ,$99.82 ,$347.25 ,$328.73 ,$328.73 ,$104.36 ,$328.73 ,$402.81 ,$402.81 ,$402.81 , N/A ,$416.70 ,$266.23 ,$393.55 ,$99.82 ,$463.00 ,$259.74 ,$99.82 ,$191.68 ,$45.41 ,$41.28 ,$104.36 ,$393.55 ,$198.28 ,$254.19 ,$129.64 ,$416.70 ,$463.00 ,$99.82 ,$402.81 ,$70.18 ,$463.00 ,$70.18 ,$106.49 ,$300.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600446,87502,HC INFLUENZA VIRUS MULTIPLE DNA/RNA-90,306,1 ,$165.00 ,$118.80 ,$26.85 ,$239.50 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$107.25 ,$73.33 ,$157.52 ,$239.50 ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 ,$29.54 ,$26.85 ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$165.00 ,$165.00 ,$165.00 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600448,87517,HC HEPATITIS B QN-90,306,1 ,$280.00 ,$201.60 ,$41.28 ,$280.00 ,$161.00 ,$176.40 ,$168.00 ,$60.37 ,$78.40 ,$162.40 ,$63.11 ,$170.80 ,$68.60 ,$153.72 ,$153.72 ,$71.34 ,$182.00 ,$124.43 ,$70.45 ,$107.10 ,$63.11 ,$60.37 ,$210.00 ,$198.80 ,$198.80 ,$63.11 ,$198.80 ,$243.60 ,$243.60 ,$243.60 , N/A ,$252.00 ,$161.00 ,$238.00 ,$60.37 ,$280.00 ,$157.08 ,$60.37 ,$115.92 ,$45.41 ,$41.28 ,$63.11 ,$238.00 ,$119.91 ,$153.72 ,$78.40 ,$252.00 ,$280.00 ,$60.37 ,$243.60 ,$85.68 ,$280.00 ,$85.68 ,$64.40 ,$182.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600451,87522,HC HEPATITIS C QN-90,306,1 ,$500.00 ,$360.00 ,$41.28 ,$500.00 ,$287.50 ,$315.00 ,$300.00 ,$107.80 ,$140.00 ,$290.00 ,$112.70 ,$305.00 ,$122.50 ,$274.50 ,$274.50 ,$127.40 ,$325.00 ,$222.20 ,$70.45 ,$107.10 ,$112.70 ,$107.80 ,$375.00 ,$355.00 ,$355.00 ,$112.70 ,$355.00 ,$435.00 ,$435.00 ,$435.00 , N/A ,$450.00 ,$287.50 ,$425.00 ,$107.80 ,$500.00 ,$280.50 ,$107.80 ,$207.00 ,$45.41 ,$41.28 ,$112.70 ,$425.00 ,$214.13 ,$274.50 ,$140.00 ,$450.00 ,$500.00 ,$107.80 ,$435.00 ,$85.68 ,$500.00 ,$85.68 ,$115.00 ,$325.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$246.00 ,$177.12 ,$41.28 ,$246.00 ,$141.45 ,$154.98 ,$147.60 ,$53.04 ,$68.88 ,$142.68 ,$55.45 ,$150.06 ,$60.27 ,$135.05 ,$135.05 ,$62.68 ,$159.90 ,$109.32 ,$57.85 ,$87.73 ,$55.45 ,$53.04 ,$184.50 ,$174.66 ,$174.66 ,$55.45 ,$174.66 ,$214.02 ,$214.02 ,$214.02 , N/A ,$221.40 ,$141.45 ,$209.10 ,$53.04 ,$246.00 ,$138.01 ,$53.04 ,$101.84 ,$45.41 ,$41.28 ,$55.45 ,$209.10 ,$105.35 ,$135.05 ,$68.88 ,$221.40 ,$246.00 ,$53.04 ,$214.02 ,$70.18 ,$246.00 ,$70.18 ,$56.58 ,$159.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600454,87530,HC HSV QUANT-90,306,1 ,$330.00 ,$237.60 ,$41.28 ,$330.00 ,$189.75 ,$207.90 ,$198.00 ,$71.15 ,$92.40 ,$191.40 ,$74.38 ,$201.30 ,$80.85 ,$181.17 ,$181.17 ,$84.08 ,$214.50 ,$146.65 ,$70.45 ,$107.10 ,$74.38 ,$71.15 ,$247.50 ,$234.30 ,$234.30 ,$74.38 ,$234.30 ,$287.10 ,$287.10 ,$287.10 , N/A ,$297.00 ,$189.75 ,$280.50 ,$71.15 ,$330.00 ,$185.13 ,$71.15 ,$136.62 ,$45.41 ,$41.28 ,$74.38 ,$280.50 ,$141.33 ,$181.17 ,$92.40 ,$297.00 ,$330.00 ,$71.15 ,$287.10 ,$85.68 ,$330.00 ,$85.68 ,$75.90 ,$214.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600458,87536,HC HIV-1 QN-90,306,1 ,$271.00 ,$195.12 ,$41.28 ,$271.00 ,$155.83 ,$170.73 ,$162.60 ,$58.43 ,$75.88 ,$157.18 ,$61.08 ,$165.31 ,$66.39 ,$148.78 ,$148.78 ,$69.05 ,$176.15 ,$120.43 ,$139.77 ,$212.75 ,$61.08 ,$58.43 ,$203.25 ,$192.41 ,$192.41 ,$61.08 ,$192.41 ,$235.77 ,$235.77 ,$235.77 , N/A ,$243.90 ,$155.83 ,$230.35 ,$58.43 ,$271.00 ,$152.03 ,$58.43 ,$112.19 ,$45.41 ,$41.28 ,$61.08 ,$230.35 ,$116.06 ,$148.78 ,$75.88 ,$243.90 ,$271.00 ,$58.43 ,$235.77 ,$170.20 ,$271.00 ,$170.20 ,$62.33 ,$176.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600460,87591,HC NEISSERIA AMP-90,306,1 ,$95.00 ,$68.40 ,$20.48 ,$95.00 ,$54.63 ,$59.85 ,$57.00 ,$20.48 ,$26.60 ,$55.10 ,$21.41 ,$57.95 ,$23.27 ,$52.16 ,$52.16 ,$24.21 ,$61.75 ,$42.22 ,$57.85 ,$87.73 ,$21.41 ,$20.48 ,$71.25 ,$67.45 ,$67.45 ,$21.41 ,$67.45 ,$82.65 ,$82.65 ,$82.65 , N/A ,$85.50 ,$54.63 ,$80.75 ,$20.48 ,$95.00 ,$53.30 ,$20.48 ,$39.33 ,$45.41 ,$41.28 ,$21.41 ,$80.75 ,$40.69 ,$52.16 ,$26.60 ,$85.50 ,$95.00 ,$20.48 ,$82.65 ,$70.18 ,$95.00 ,$70.18 ,$21.85 ,$61.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600469,87661,HC TRICHOMONAS VAG AMP PROBE-90,306,1 ,$173.00 ,$124.56 ,$37.30 ,$173.00 ,$99.48 ,$108.99 ,$103.80 ,$37.30 ,$48.44 ,$100.34 ,$38.99 ,$105.53 ,$42.38 ,$94.98 ,$94.98 ,$44.08 ,$112.45 ,$76.88 ,$57.85 ,$87.73 ,$38.99 ,$37.30 ,$129.75 ,$122.83 ,$122.83 ,$38.99 ,$122.83 ,$150.51 ,$150.51 ,$150.51 , N/A ,$155.70 ,$99.48 ,$147.05 ,$37.30 ,$173.00 ,$97.05 ,$37.30 ,$71.62 ,$45.41 ,$41.28 ,$38.99 ,$147.05 ,$74.09 ,$94.98 ,$48.44 ,$155.70 ,$173.00 ,$37.30 ,$150.51 ,$70.18 ,$173.00 ,$70.18 ,$39.79 ,$112.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600471,87798,HC INFECT AMP-90,306,1 ,$404.00 ,$290.88 ,$41.28 ,$404.00 ,$232.30 ,$254.52 ,$242.40 ,$87.10 ,$113.12 ,$234.32 ,$91.06 ,$246.44 ,$98.98 ,$221.80 ,$221.80 ,$102.94 ,$262.60 ,$179.54 ,$57.85 ,$87.73 ,$91.06 ,$87.10 ,$303.00 ,$286.84 ,$286.84 ,$91.06 ,$286.84 ,$351.48 ,$351.48 ,$351.48 , N/A ,$363.60 ,$232.30 ,$343.40 ,$87.10 ,$404.00 ,$226.64 ,$87.10 ,$167.26 ,$45.41 ,$41.28 ,$91.06 ,$343.40 ,$173.02 ,$221.80 ,$113.12 ,$363.60 ,$404.00 ,$87.10 ,$351.48 ,$70.18 ,$404.00 ,$70.18 ,$92.92 ,$262.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600475,87798,HC PROBE VZV DNA QUAL RT PCR-90,306,1 ,$200.00 ,$144.00 ,$41.28 ,$200.00 ,$115.00 ,$126.00 ,$120.00 ,$43.12 ,$56.00 ,$116.00 ,$45.08 ,$122.00 ,$49.00 ,$109.80 ,$109.80 ,$50.96 ,$130.00 ,$88.88 ,$57.85 ,$87.73 ,$45.08 ,$43.12 ,$150.00 ,$142.00 ,$142.00 ,$45.08 ,$142.00 ,$174.00 ,$174.00 ,$174.00 , N/A ,$180.00 ,$115.00 ,$170.00 ,$43.12 ,$200.00 ,$112.20 ,$43.12 ,$82.80 ,$45.41 ,$41.28 ,$45.08 ,$170.00 ,$85.65 ,$109.80 ,$56.00 ,$180.00 ,$200.00 ,$43.12 ,$174.00 ,$70.18 ,$200.00 ,$70.18 ,$46.00 ,$130.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600476,87798,HC INFECT AMP T1,306,1 ,$464.00 ,$334.08 ,$41.28 ,$464.00 ,$266.80 ,$292.32 ,$278.40 ,$100.04 ,$129.92 ,$242.18 ,$104.59 ,$253.44 ,$113.68 ,$254.74 ,$254.74 ,$118.23 ,$301.60 ,$206.20 ,$57.85 ,$87.73 ,$104.59 ,$100.04 ,$348.00 ,$329.44 ,$329.44 ,$104.59 ,$329.44 ,$403.68 ,$403.68 ,$403.68 , N/A ,$417.60 ,$266.80 ,$394.40 ,$100.04 ,$464.00 ,$260.30 ,$100.04 ,$192.10 ,$45.41 ,$41.28 ,$104.59 ,$394.40 ,$198.71 ,$254.74 ,$129.92 ,$417.60 ,$464.00 ,$100.04 ,$403.68 ,$70.18 ,$464.00 ,$70.18 ,$106.72 ,$301.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600478,87799,HC INFECT AGENT QN-90,306,1 ,$213.00 ,$153.36 ,$41.28 ,$213.00 ,$122.48 ,$134.19 ,$127.80 ,$45.92 ,$59.64 ,$123.54 ,$48.01 ,$129.93 ,$52.18 ,$116.94 ,$116.94 ,$54.27 ,$138.45 ,$94.66 ,$70.45 ,$107.10 ,$48.01 ,$45.92 ,$159.75 ,$151.23 ,$151.23 ,$48.01 ,$151.23 ,$185.31 ,$185.31 ,$185.31 , N/A ,$191.70 ,$122.48 ,$181.05 ,$45.92 ,$213.00 ,$119.49 ,$45.92 ,$88.18 ,$45.41 ,$41.28 ,$48.01 ,$181.05 ,$91.22 ,$116.94 ,$59.64 ,$191.70 ,$213.00 ,$45.92 ,$185.31 ,$85.68 ,$213.00 ,$85.68 ,$48.99 ,$138.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600480,87899,HC INFECT AGENT DETECT OPTICAL-90,306,1 ,$271.00 ,$195.12 ,$12.42 ,$271.00 ,$155.83 ,$170.73 ,$162.60 ,$58.43 ,$75.88 ,$121.60 ,$61.08 ,$127.26 ,$66.39 ,$148.78 ,$148.78 ,$69.05 ,$176.15 ,$120.43 ,$26.35 ,$40.18 ,$61.08 ,$58.43 ,$203.25 ,$192.41 ,$192.41 ,$61.08 ,$192.41 ,$235.77 ,$235.77 ,$235.77 , N/A ,$243.90 ,$155.83 ,$230.35 ,$58.43 ,$271.00 ,$152.03 ,$58.43 ,$112.19 ,$13.66 ,$12.42 ,$61.08 ,$230.35 ,$116.06 ,$148.78 ,$75.88 ,$243.90 ,$271.00 ,$58.43 ,$235.77 ,$32.14 ,$271.00 ,$32.14 ,$62.33 ,$176.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600481,87900,HC PHENOTYPE INFCT AGT DRG SUS-90,306,1 ,$448.00 ,$322.56 ,$41.28 ,$448.00 ,$257.60 ,$282.24 ,$268.80 ,$96.59 ,$125.44 ,$259.84 ,$100.98 ,$273.28 ,$109.76 ,$245.95 ,$245.95 ,$114.15 ,$291.20 ,$199.09 ,$214.24 ,$325.88 ,$100.98 ,$96.59 ,$336.00 ,$318.08 ,$318.08 ,$100.98 ,$318.08 ,$389.76 ,$389.76 ,$389.76 , N/A ,$403.20 ,$257.60 ,$380.80 ,$96.59 ,$448.00 ,$251.33 ,$96.59 ,$185.47 ,$45.41 ,$41.28 ,$100.98 ,$380.80 ,$191.86 ,$245.95 ,$125.44 ,$403.20 ,$448.00 ,$96.59 ,$389.76 ,$260.70 ,$448.00 ,$260.70 ,$103.04 ,$291.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600482,87901,HC GENOTYPE HIV 1-90,306,1 ,$775.00 ,$558.00 ,$41.28 ,$775.00 ,$445.63 ,$488.25 ,$465.00 ,$167.09 ,$217.00 ,$449.50 ,$174.68 ,$472.75 ,$189.87 ,$425.48 ,$425.48 ,$197.47 ,$503.75 ,$344.41 ,$422.73 ,$643.63 ,$174.68 ,$167.09 ,$581.25 ,$550.25 ,$550.25 ,$174.68 ,$550.25 ,$674.25 ,$674.25 ,$674.25 , N/A ,$697.50 ,$445.63 ,$658.75 ,$167.09 ,$775.00 ,$434.78 ,$167.09 ,$320.85 ,$45.41 ,$41.28 ,$174.68 ,$658.75 ,$331.91 ,$425.48 ,$217.00 ,$697.50 ,$775.00 ,$167.09 ,$674.25 ,$514.90 ,$775.00 ,$514.90 ,$178.25 ,$503.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600483,87902,HC GENTOYPE HEP C-90,306,1 ,$495.00 ,$356.40 ,$41.28 ,$643.63 ,$284.63 ,$311.85 ,$297.00 ,$106.72 ,$138.60 ,$287.10 ,$111.57 ,$301.95 ,$121.27 ,$271.76 ,$271.76 ,$126.13 ,$321.75 ,$219.98 ,$422.73 ,$643.63 ,$111.57 ,$106.72 ,$371.25 ,$351.45 ,$351.45 ,$111.57 ,$351.45 ,$430.65 ,$430.65 ,$430.65 , N/A ,$445.50 ,$284.63 ,$420.75 ,$106.72 ,$495.00 ,$277.70 ,$106.72 ,$204.93 ,$45.41 ,$41.28 ,$111.57 ,$420.75 ,$211.99 ,$271.76 ,$138.60 ,$445.50 ,$495.00 ,$106.72 ,$430.65 ,$495.00 ,$495.00 ,$495.00 ,$113.85 ,$321.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600490,87272,HC IF CRYPTOSPORIDIUM AG-90,306,1 ,$98.00 ,$70.56 ,$15.58 ,$98.00 ,$56.35 ,$61.74 ,$58.80 ,$21.13 ,$27.44 ,$56.84 ,$22.09 ,$59.78 ,$24.01 ,$53.80 ,$53.80 ,$24.97 ,$63.70 ,$43.55 ,$19.48 ,$29.95 ,$22.09 ,$21.13 ,$73.50 ,$69.58 ,$69.58 ,$22.09 ,$69.58 ,$85.26 ,$85.26 ,$85.26 , N/A ,$88.20 ,$56.35 ,$83.30 ,$21.13 ,$98.00 ,$54.98 ,$21.13 ,$40.57 ,$17.14 ,$15.58 ,$22.09 ,$83.30 ,$41.97 ,$53.80 ,$27.44 ,$88.20 ,$98.00 ,$21.13 ,$85.26 ,$23.96 ,$98.00 ,$23.96 ,$22.54 ,$63.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600503,87389,HC HIV-1 AG W/HIV-1 AND HIV-2 AB-90,306,1 ,$375.00 ,$270.00 ,$15.58 ,$375.00 ,$215.63 ,$236.25 ,$225.00 ,$80.85 ,$105.00 ,$217.50 ,$84.52 ,$228.75 ,$91.87 ,$205.88 ,$205.88 ,$95.55 ,$243.75 ,$166.65 ,$39.53 ,$60.20 ,$84.52 ,$80.85 ,$281.25 ,$266.25 ,$266.25 ,$84.52 ,$266.25 ,$326.25 ,$326.25 ,$326.25 , N/A ,$337.50 ,$215.63 ,$318.75 ,$80.85 ,$375.00 ,$210.38 ,$80.85 ,$155.25 ,$17.14 ,$15.58 ,$84.52 ,$318.75 ,$160.60 ,$205.88 ,$105.00 ,$337.50 ,$375.00 ,$80.85 ,$326.25 ,$48.16 ,$375.00 ,$48.16 ,$86.25 ,$243.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600516,87040,HC BACTERIA BLOOD CULTURE T1,306,1 ,$124.00 ,$89.28 ,$17.19 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$71.21 ,$27.95 ,$74.52 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$17.19 ,$25.80 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$45.41 ,$41.28 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$20.64 ,$124.00 ,$20.64 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600517,87045,HC STOOL CULTURE,306,1 ,$120.00 ,$86.40 ,$12.42 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$65.19 ,$27.05 ,$68.22 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$15.46 ,$23.60 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$13.66 ,$12.42 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$18.88 ,$120.00 ,$18.88 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600518,87046,HC STOOL CULTURE OTH SRC,306,1 ,$125.00 ,$90.00 ,$12.42 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$65.19 ,$28.16 ,$68.22 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$15.46 ,$23.60 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$13.66 ,$12.42 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$18.88 ,$125.00 ,$18.88 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600519,87070,HC BODY FLUID CULTURE,306,1 ,$172.00 ,$123.84 ,$12.42 ,$172.00 ,$98.90 ,$108.36 ,$103.20 ,$37.08 ,$48.16 ,$80.50 ,$38.77 ,$84.24 ,$42.14 ,$94.43 ,$94.43 ,$43.83 ,$111.80 ,$76.44 ,$14.33 ,$21.55 ,$38.77 ,$37.08 ,$129.00 ,$122.12 ,$122.12 ,$38.77 ,$122.12 ,$149.64 ,$149.64 ,$149.64 , N/A ,$154.80 ,$98.90 ,$146.20 ,$37.08 ,$172.00 ,$96.49 ,$37.08 ,$71.21 ,$13.66 ,$12.42 ,$38.77 ,$146.20 ,$73.66 ,$94.43 ,$48.16 ,$154.80 ,$172.00 ,$37.08 ,$149.64 ,$17.24 ,$172.00 ,$17.24 ,$39.56 ,$111.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600520,87071,HC CULTURE AEROBIC OTH QN,306,1 ,$220.00 ,$158.40 ,$12.42 ,$220.00 ,$126.50 ,$138.60 ,$132.00 ,$47.43 ,$61.60 ,$65.19 ,$49.59 ,$68.22 ,$53.90 ,$120.78 ,$120.78 ,$56.06 ,$143.00 ,$97.77 ,$16.04 ,$24.73 ,$49.59 ,$47.43 ,$165.00 ,$156.20 ,$156.20 ,$49.59 ,$156.20 ,$191.40 ,$191.40 ,$191.40 , N/A ,$198.00 ,$126.50 ,$187.00 ,$47.43 ,$220.00 ,$123.42 ,$47.43 ,$91.08 ,$13.66 ,$12.42 ,$49.59 ,$187.00 ,$94.22 ,$120.78 ,$61.60 ,$198.00 ,$220.00 ,$47.43 ,$191.40 ,$19.78 ,$220.00 ,$19.78 ,$50.60 ,$143.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600521,87073,HC CULTURE ANAEROBIC OTHER SOURCE QN,306,1 ,$161.00 ,$115.92 ,$16.04 ,$161.00 ,$92.58 ,$101.43 ,$96.60 ,$34.71 ,$45.08 ,$65.19 ,$36.29 ,$68.22 ,$39.44 ,$88.39 ,$88.39 ,$41.02 ,$104.65 ,$71.55 ,$16.04 ,$24.15 ,$36.29 ,$34.71 ,$120.75 ,$114.31 ,$114.31 ,$36.29 ,$114.31 ,$140.07 ,$140.07 ,$140.07 , N/A ,$144.90 ,$92.58 ,$136.85 ,$34.71 ,$161.00 ,$90.32 ,$34.71 ,$66.65 ,$45.41 ,$41.28 ,$36.29 ,$136.85 ,$68.95 ,$88.39 ,$45.08 ,$144.90 ,$161.00 ,$34.71 ,$140.07 ,$19.32 ,$161.00 ,$19.32 ,$37.03 ,$104.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600522,87075,HC CULTURE ANAEROBIC,306,1 ,$474.00 ,$341.28 ,$12.42 ,$474.00 ,$272.55 ,$298.62 ,$284.40 ,$102.19 ,$132.72 ,$65.36 ,$106.84 ,$68.40 ,$116.13 ,$260.23 ,$260.23 ,$120.78 ,$308.10 ,$210.65 ,$15.46 ,$23.68 ,$106.84 ,$102.19 ,$355.50 ,$336.54 ,$336.54 ,$106.84 ,$336.54 ,$412.38 ,$412.38 ,$412.38 , N/A ,$426.60 ,$272.55 ,$402.90 ,$102.19 ,$474.00 ,$265.91 ,$102.19 ,$196.24 ,$13.66 ,$12.42 ,$106.84 ,$402.90 ,$203.00 ,$260.23 ,$132.72 ,$426.60 ,$474.00 ,$102.19 ,$412.38 ,$18.94 ,$474.00 ,$18.94 ,$109.02 ,$308.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600523,87076,HC CULTURE ANAEROBIC ID,306,1 ,$121.00 ,$87.12 ,$12.42 ,$121.00 ,$69.58 ,$76.23 ,$72.60 ,$26.09 ,$33.88 ,$55.73 ,$27.27 ,$58.32 ,$29.64 ,$66.43 ,$66.43 ,$30.83 ,$78.65 ,$53.77 ,$13.18 ,$20.20 ,$27.27 ,$26.09 ,$90.75 ,$85.91 ,$85.91 ,$27.27 ,$85.91 ,$105.27 ,$105.27 ,$105.27 , N/A ,$108.90 ,$69.58 ,$102.85 ,$26.09 ,$121.00 ,$67.88 ,$26.09 ,$50.09 ,$13.66 ,$12.42 ,$27.27 ,$102.85 ,$51.82 ,$66.43 ,$33.88 ,$108.90 ,$121.00 ,$26.09 ,$105.27 ,$16.16 ,$121.00 ,$16.16 ,$27.83 ,$78.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600524,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$148.00 ,$106.56 ,$12.42 ,$148.00 ,$85.10 ,$93.24 ,$88.80 ,$31.91 ,$41.44 ,$75.42 ,$33.36 ,$78.93 ,$36.26 ,$81.25 ,$81.25 ,$37.71 ,$96.20 ,$65.77 ,$13.18 ,$20.20 ,$33.36 ,$31.91 ,$111.00 ,$105.08 ,$105.08 ,$33.36 ,$105.08 ,$128.76 ,$128.76 ,$128.76 , N/A ,$133.20 ,$85.10 ,$125.80 ,$31.91 ,$148.00 ,$83.03 ,$31.91 ,$61.27 ,$13.66 ,$12.42 ,$33.36 ,$125.80 ,$63.39 ,$81.25 ,$41.44 ,$133.20 ,$148.00 ,$31.91 ,$128.76 ,$16.16 ,$148.00 ,$16.16 ,$34.04 ,$96.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600526,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$111.00 ,$79.92 ,$10.89 ,$111.00 ,$63.83 ,$69.93 ,$66.60 ,$23.93 ,$31.08 ,$61.92 ,$25.02 ,$64.80 ,$27.19 ,$60.94 ,$60.94 ,$28.28 ,$72.15 ,$49.33 ,$10.89 ,$16.58 ,$25.02 ,$23.93 ,$83.25 ,$78.81 ,$78.81 ,$25.02 ,$78.81 ,$96.57 ,$96.57 ,$96.57 , N/A ,$99.90 ,$63.83 ,$94.35 ,$23.93 ,$111.00 ,$62.27 ,$23.93 ,$45.95 ,$13.66 ,$12.42 ,$25.02 ,$94.35 ,$47.54 ,$60.94 ,$31.08 ,$99.90 ,$111.00 ,$23.93 ,$96.57 ,$13.26 ,$111.00 ,$13.26 ,$25.53 ,$72.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600527,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$213.00 ,$153.36 ,$12.42 ,$213.00 ,$122.48 ,$134.19 ,$127.80 ,$45.92 ,$59.64 ,$75.34 ,$48.01 ,$78.84 ,$52.18 ,$116.94 ,$116.94 ,$54.27 ,$138.45 ,$94.66 ,$13.18 ,$20.18 ,$48.01 ,$45.92 ,$159.75 ,$151.23 ,$151.23 ,$48.01 ,$151.23 ,$185.31 ,$185.31 ,$185.31 , N/A ,$191.70 ,$122.48 ,$181.05 ,$45.92 ,$213.00 ,$119.49 ,$45.92 ,$88.18 ,$13.66 ,$12.42 ,$48.01 ,$181.05 ,$91.22 ,$116.94 ,$59.64 ,$191.70 ,$213.00 ,$45.92 ,$185.31 ,$16.14 ,$213.00 ,$16.14 ,$48.99 ,$138.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600528,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$142.00 ,$102.24 ,$12.42 ,$142.00 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$75.59 ,$32.01 ,$79.11 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$92.30 ,$63.10 ,$13.18 ,$20.23 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$142.00 ,$79.66 ,$30.62 ,$58.79 ,$13.66 ,$12.42 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$16.18 ,$142.00 ,$16.18 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600530,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$216.00 ,$155.52 ,$12.42 ,$216.00 ,$124.20 ,$136.08 ,$129.60 ,$46.57 ,$60.48 ,$53.15 ,$48.69 ,$55.62 ,$52.92 ,$118.58 ,$118.58 ,$55.04 ,$140.40 ,$95.99 ,$12.60 ,$19.28 ,$48.69 ,$46.57 ,$162.00 ,$153.36 ,$153.36 ,$48.69 ,$153.36 ,$187.92 ,$187.92 ,$187.92 , N/A ,$194.40 ,$124.20 ,$183.60 ,$46.57 ,$216.00 ,$121.18 ,$46.57 ,$89.42 ,$13.66 ,$12.42 ,$48.69 ,$183.60 ,$92.50 ,$118.58 ,$60.48 ,$194.40 ,$216.00 ,$46.57 ,$187.92 ,$15.42 ,$216.00 ,$15.42 ,$49.68 ,$140.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600531,87102,HC CULTURE FUNGUS OTHER,306,1 ,$266.00 ,$191.52 ,$12.42 ,$266.00 ,$152.95 ,$167.58 ,$159.60 ,$57.35 ,$74.48 ,$58.05 ,$59.96 ,$60.75 ,$65.17 ,$146.03 ,$146.03 ,$67.78 ,$172.90 ,$118.21 ,$13.75 ,$21.03 ,$59.96 ,$57.35 ,$199.50 ,$188.86 ,$188.86 ,$59.96 ,$188.86 ,$231.42 ,$231.42 ,$231.42 , N/A ,$239.40 ,$152.95 ,$226.10 ,$57.35 ,$266.00 ,$149.23 ,$57.35 ,$110.12 ,$13.66 ,$12.42 ,$59.96 ,$226.10 ,$113.92 ,$146.03 ,$74.48 ,$239.40 ,$266.00 ,$57.35 ,$231.42 ,$16.82 ,$266.00 ,$16.82 ,$61.18 ,$172.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600533,87106,HC CULTURE FUNGUS ID YEAST,306,1 ,$91.00 ,$65.52 ,$12.42 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$52.78 ,$20.51 ,$55.51 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$59.15 ,$40.44 ,$17.19 ,$25.80 ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 ,$13.66 ,$12.42 ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$20.64 ,$91.00 ,$20.64 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600536,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$19.00 ,$13.68 ,$4.10 ,$19.00 ,$10.93 ,$11.97 ,$11.40 ,$4.10 ,$5.32 ,$11.02 ,$4.28 ,$11.59 ,$4.65 ,$10.43 ,$10.43 ,$4.84 ,$12.35 ,$8.44 ,$8.59 ,$12.95 ,$4.28 ,$4.10 ,$14.25 ,$13.49 ,$13.49 ,$4.28 ,$13.49 ,$16.53 ,$16.53 ,$16.53 , N/A ,$17.10 ,$10.93 ,$16.15 ,$4.10 ,$19.00 ,$10.66 ,$4.10 ,$7.87 ,$13.66 ,$12.42 ,$4.28 ,$16.15 ,$8.13 ,$10.43 ,$5.32 ,$17.10 ,$19.00 ,$4.10 ,$16.53 ,$10.36 ,$19.00 ,$10.36 ,$4.37 ,$12.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600537,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$94.00 ,$67.68 ,$12.42 ,$94.00 ,$54.05 ,$59.22 ,$56.40 ,$20.27 ,$26.32 ,$54.52 ,$21.19 ,$57.34 ,$23.03 ,$51.61 ,$51.61 ,$23.95 ,$61.10 ,$41.77 ,$32.65 ,$50.13 ,$21.19 ,$20.27 ,$70.50 ,$66.74 ,$66.74 ,$21.19 ,$66.74 ,$81.78 ,$81.78 ,$81.78 , N/A ,$84.60 ,$54.05 ,$79.90 ,$20.27 ,$94.00 ,$52.73 ,$20.27 ,$38.92 ,$13.66 ,$12.42 ,$21.19 ,$79.90 ,$40.26 ,$51.61 ,$26.32 ,$84.60 ,$94.00 ,$20.27 ,$81.78 ,$40.10 ,$94.00 ,$40.10 ,$21.62 ,$61.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600542,87176,HC HOMOGENIZATION TISSUE,306,1 ,$67.00 ,$48.24 ,$9.74 ,$67.00 ,$38.53 ,$42.21 ,$40.20 ,$14.45 ,$18.76 ,$38.86 ,$15.10 ,$40.87 ,$16.41 ,$36.78 ,$36.78 ,$17.07 ,$43.55 ,$29.77 ,$9.74 ,$14.70 ,$15.10 ,$14.45 ,$50.25 ,$47.57 ,$47.57 ,$15.10 ,$47.57 ,$58.29 ,$58.29 ,$58.29 , N/A ,$60.30 ,$38.53 ,$56.95 ,$14.45 ,$67.00 ,$37.59 ,$14.45 ,$27.74 ,$13.66 ,$12.42 ,$15.10 ,$56.95 ,$28.69 ,$36.78 ,$18.76 ,$60.30 ,$67.00 ,$14.45 ,$58.29 ,$11.76 ,$67.00 ,$11.76 ,$15.41 ,$43.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600543,87177,HC SMEAR OVA PARASITE CONC/ID,306,1 ,$168.00 ,$120.96 ,$12.42 ,$168.00 ,$96.60 ,$105.84 ,$100.80 ,$36.22 ,$47.04 ,$83.16 ,$37.87 ,$87.03 ,$41.16 ,$92.23 ,$92.23 ,$42.81 ,$109.20 ,$74.66 ,$14.89 ,$22.25 ,$37.87 ,$36.22 ,$126.00 ,$119.28 ,$119.28 ,$37.87 ,$119.28 ,$146.16 ,$146.16 ,$146.16 , N/A ,$151.20 ,$96.60 ,$142.80 ,$36.22 ,$168.00 ,$94.25 ,$36.22 ,$69.55 ,$13.66 ,$12.42 ,$37.87 ,$142.80 ,$71.95 ,$92.23 ,$47.04 ,$151.20 ,$168.00 ,$36.22 ,$146.16 ,$17.80 ,$168.00 ,$17.80 ,$38.64 ,$109.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600544,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$29.00 ,$20.88 ,$6.25 ,$29.00 ,$16.68 ,$18.27 ,$17.40 ,$6.25 ,$8.12 ,$16.82 ,$6.54 ,$17.69 ,$7.09 ,$15.92 ,$15.92 ,$7.39 ,$18.85 ,$12.89 ,$8.03 ,$11.88 ,$6.54 ,$6.25 ,$21.75 ,$20.59 ,$20.59 ,$6.54 ,$20.59 ,$25.23 ,$25.23 ,$25.23 , N/A ,$26.10 ,$16.68 ,$24.65 ,$6.25 ,$29.00 ,$16.27 ,$6.25 ,$12.01 ,$13.66 ,$12.42 ,$6.54 ,$24.65 ,$12.42 ,$15.92 ,$8.12 ,$26.10 ,$29.00 ,$6.25 ,$25.23 ,$9.50 ,$29.00 ,$9.50 ,$6.67 ,$18.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600545,87184,HC SENSITIVITY DISK KB,306,1 ,$111.00 ,$79.92 ,$12.02 ,$111.00 ,$63.83 ,$69.93 ,$66.60 ,$23.93 ,$31.08 ,$64.38 ,$25.02 ,$67.41 ,$27.19 ,$60.94 ,$60.94 ,$28.28 ,$72.15 ,$49.33 ,$12.02 ,$18.70 ,$25.02 ,$23.93 ,$83.25 ,$78.81 ,$78.81 ,$25.02 ,$78.81 ,$96.57 ,$96.57 ,$96.57 , N/A ,$99.90 ,$63.83 ,$94.35 ,$23.93 ,$111.00 ,$62.27 ,$23.93 ,$45.95 ,$13.66 ,$12.42 ,$25.02 ,$94.35 ,$47.54 ,$60.94 ,$31.08 ,$99.90 ,$111.00 ,$23.93 ,$96.57 ,$14.96 ,$111.00 ,$14.96 ,$25.53 ,$72.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600546,87185,HC BETA LACTAMASE,306,1 ,$86.00 ,$61.92 ,$8.03 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$32.77 ,$19.38 ,$34.29 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$55.90 ,$38.22 ,$8.03 ,$11.88 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$13.66 ,$12.42 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$9.50 ,$86.00 ,$9.50 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600547,87186,HC SENSITIVITY MIC,306,1 ,$188.00 ,$135.36 ,$12.42 ,$188.00 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$59.68 ,$42.38 ,$62.46 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$122.20 ,$83.55 ,$14.33 ,$21.63 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$13.66 ,$12.42 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$17.30 ,$188.00 ,$17.30 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600551,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$104.00 ,$74.88 ,$6.88 ,$104.00 ,$59.80 ,$65.52 ,$62.40 ,$22.42 ,$29.12 ,$39.90 ,$23.44 ,$41.76 ,$25.48 ,$57.10 ,$57.10 ,$26.50 ,$67.60 ,$46.22 ,$6.88 ,$10.68 ,$23.44 ,$22.42 ,$78.00 ,$73.84 ,$73.84 ,$23.44 ,$73.84 ,$90.48 ,$90.48 ,$90.48 , N/A ,$93.60 ,$59.80 ,$88.40 ,$22.42 ,$104.00 ,$58.34 ,$22.42 ,$43.06 ,$13.66 ,$12.42 ,$23.44 ,$88.40 ,$44.54 ,$57.10 ,$29.12 ,$93.60 ,$104.00 ,$22.42 ,$90.48 ,$8.54 ,$104.00 ,$8.54 ,$23.92 ,$67.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600552,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$65.00 ,$46.80 ,$8.59 ,$65.00 ,$37.38 ,$40.95 ,$39.00 ,$14.01 ,$18.20 ,$37.70 ,$14.65 ,$39.65 ,$15.92 ,$35.69 ,$35.69 ,$16.56 ,$42.25 ,$28.89 ,$8.59 ,$13.48 ,$14.65 ,$14.01 ,$48.75 ,$46.15 ,$46.15 ,$14.65 ,$46.15 ,$56.55 ,$56.55 ,$56.55 , N/A ,$58.50 ,$37.38 ,$55.25 ,$14.01 ,$65.00 ,$36.47 ,$14.01 ,$26.91 ,$13.66 ,$12.42 ,$14.65 ,$55.25 ,$27.84 ,$35.69 ,$18.20 ,$58.50 ,$65.00 ,$14.01 ,$56.55 ,$10.78 ,$65.00 ,$10.78 ,$14.95 ,$42.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$124.00 ,$89.28 ,$26.73 ,$124.00 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$71.92 ,$27.95 ,$75.64 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$80.60 ,$55.11 ,$55.57 ,$84.65 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$45.41 ,$41.28 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$67.72 ,$124.00 ,$67.72 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600557,87329,HC EIA QL GIARDIA AG,306,1 ,$109.00 ,$78.48 ,$15.58 ,$109.00 ,$62.68 ,$68.67 ,$65.40 ,$23.50 ,$30.52 ,$63.22 ,$24.57 ,$66.49 ,$26.70 ,$59.84 ,$59.84 ,$27.77 ,$70.85 ,$48.44 ,$19.48 ,$29.95 ,$24.57 ,$23.50 ,$81.75 ,$77.39 ,$77.39 ,$24.57 ,$77.39 ,$94.83 ,$94.83 ,$94.83 , N/A ,$98.10 ,$62.68 ,$92.65 ,$23.50 ,$109.00 ,$61.15 ,$23.50 ,$45.13 ,$17.14 ,$15.58 ,$24.57 ,$92.65 ,$46.68 ,$59.84 ,$30.52 ,$98.10 ,$109.00 ,$23.50 ,$94.83 ,$23.96 ,$109.00 ,$23.96 ,$25.07 ,$70.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600559,87340,HC EIA QL HEPATITIS B AG,306,1 ,$151.00 ,$108.72 ,$15.58 ,$151.00 ,$86.83 ,$95.13 ,$90.60 ,$32.56 ,$42.28 ,$71.29 ,$34.04 ,$74.61 ,$36.99 ,$82.90 ,$82.90 ,$38.47 ,$98.15 ,$67.10 ,$17.19 ,$25.83 ,$34.04 ,$32.56 ,$113.25 ,$107.21 ,$107.21 ,$34.04 ,$107.21 ,$131.37 ,$131.37 ,$131.37 , N/A ,$135.90 ,$86.83 ,$128.35 ,$32.56 ,$151.00 ,$84.71 ,$32.56 ,$62.51 ,$17.14 ,$15.58 ,$34.04 ,$128.35 ,$64.67 ,$82.90 ,$42.28 ,$135.90 ,$151.00 ,$32.56 ,$131.37 ,$20.66 ,$151.00 ,$20.66 ,$34.73 ,$98.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600563,87427,HC SHIGELLA LIKE TOXIN AG,306,1 ,$99.00 ,$71.28 ,$15.58 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$19.48 ,$29.95 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 ,$17.14 ,$15.58 ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$23.96 ,$99.00 ,$23.96 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600566,87480,HC CANDIDA SPECIES DNA SCREEN,306,1 ,$134.00 ,$96.48 ,$15.58 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$77.72 ,$30.20 ,$81.74 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 ,$32.65 ,$50.13 ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 ,$17.14 ,$15.58 ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$40.10 ,$134.00 ,$40.10 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600568,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$116.00 ,$83.52 ,$25.01 ,$116.00 ,$66.70 ,$73.08 ,$69.60 ,$25.01 ,$32.48 ,$67.28 ,$26.15 ,$70.76 ,$28.42 ,$63.68 ,$63.68 ,$29.56 ,$75.40 ,$51.55 ,$57.85 ,$87.73 ,$26.15 ,$25.01 ,$87.00 ,$82.36 ,$82.36 ,$26.15 ,$82.36 ,$100.92 ,$100.92 ,$100.92 , N/A ,$104.40 ,$66.70 ,$98.60 ,$25.01 ,$116.00 ,$65.08 ,$25.01 ,$48.02 ,$45.41 ,$41.28 ,$26.15 ,$98.60 ,$49.68 ,$63.68 ,$32.48 ,$104.40 ,$116.00 ,$25.01 ,$100.92 ,$70.18 ,$116.00 ,$70.18 ,$26.68 ,$75.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600569,87490,HC CHLAMYDIA TRACH DNA DIR PROBE -90,306,1 ,$120.00 ,$86.40 ,$15.58 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$37.22 ,$56.88 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$17.14 ,$15.58 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$45.50 ,$120.00 ,$45.50 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600570,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$274.00 ,$197.28 ,$15.58 ,$274.00 ,$157.55 ,$172.62 ,$164.40 ,$59.07 ,$76.72 ,$158.92 ,$61.76 ,$167.14 ,$67.13 ,$150.43 ,$150.43 ,$69.82 ,$178.10 ,$121.77 ,$57.85 ,$87.73 ,$61.76 ,$59.07 ,$205.50 ,$194.54 ,$194.54 ,$61.76 ,$194.54 ,$238.38 ,$238.38 ,$238.38 , N/A ,$246.60 ,$157.55 ,$232.90 ,$59.07 ,$274.00 ,$153.71 ,$59.07 ,$113.44 ,$17.14 ,$15.58 ,$61.76 ,$232.90 ,$117.35 ,$150.43 ,$76.72 ,$246.60 ,$274.00 ,$59.07 ,$238.38 ,$70.18 ,$274.00 ,$70.18 ,$63.02 ,$178.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600571,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$791.00 ,$569.52 ,$41.28 ,"$1,041.95 ",$454.83 ,$498.33 ,$474.60 ,$170.54 ,$221.48 ,$458.78 ,$178.29 ,$482.51 ,$193.79 ,$434.26 ,$434.26 ,$201.55 ,$514.15 ,$351.52 ,$683.93 ,"$1,041.95 ",$178.29 ,$170.54 ,$593.25 ,$561.61 ,$561.61 ,$178.29 ,$561.61 ,$688.17 ,$688.17 ,$688.17 , N/A ,$711.90 ,$454.83 ,$672.35 ,$170.54 ,$791.00 ,$443.75 ,$170.54 ,$327.47 ,$45.41 ,$41.28 ,$178.29 ,$672.35 ,$338.76 ,$434.26 ,$221.48 ,$711.90 ,$791.00 ,$170.54 ,$688.17 ,$791.00 ,$791.00 ,$791.00 ,$181.93 ,$514.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600572,87510,HC G VAGINALIS DNA SCREEN,306,1 ,$134.00 ,$96.48 ,$28.89 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$77.72 ,$30.20 ,$81.74 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 ,$32.65 ,$50.13 ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 ,$45.41 ,$41.28 ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$40.10 ,$134.00 ,$40.10 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600573,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$462.00 ,$332.64 ,$41.28 ,$462.00 ,$265.65 ,$291.06 ,$277.20 ,$99.61 ,$129.36 ,$242.18 ,$104.13 ,$253.44 ,$113.19 ,$253.64 ,$253.64 ,$117.72 ,$300.30 ,$205.31 ,$57.85 ,$87.73 ,$104.13 ,$99.61 ,$346.50 ,$328.02 ,$328.02 ,$104.13 ,$328.02 ,$401.94 ,$401.94 ,$401.94 , N/A ,$415.80 ,$265.65 ,$392.70 ,$99.61 ,$462.00 ,$259.18 ,$99.61 ,$191.27 ,$45.41 ,$41.28 ,$104.13 ,$392.70 ,$197.85 ,$253.64 ,$129.36 ,$415.80 ,$462.00 ,$99.61 ,$401.94 ,$70.18 ,$462.00 ,$70.18 ,$106.26 ,$300.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600574,87590,HC NEISSERIA DIR PROBE -90,306,1 ,$106.00 ,$76.32 ,$22.85 ,$106.00 ,$60.95 ,$66.78 ,$63.60 ,$22.85 ,$29.68 ,$61.48 ,$23.89 ,$64.66 ,$25.97 ,$58.19 ,$58.19 ,$27.01 ,$68.90 ,$47.11 ,$44.10 ,$67.20 ,$23.89 ,$22.85 ,$79.50 ,$75.26 ,$75.26 ,$23.89 ,$75.26 ,$92.22 ,$92.22 ,$92.22 , N/A ,$95.40 ,$60.95 ,$90.10 ,$22.85 ,$106.00 ,$59.47 ,$22.85 ,$43.88 ,$45.41 ,$41.28 ,$23.89 ,$90.10 ,$45.39 ,$58.19 ,$29.68 ,$95.40 ,$106.00 ,$22.85 ,$92.22 ,$53.76 ,$106.00 ,$53.76 ,$24.38 ,$68.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600575,87591,HC NEISSERIA AMP,306,1 ,$242.00 ,$174.24 ,$41.28 ,$242.00 ,$139.15 ,$152.46 ,$145.20 ,$52.18 ,$67.76 ,$140.36 ,$54.55 ,$147.62 ,$59.29 ,$132.86 ,$132.86 ,$61.66 ,$157.30 ,$107.54 ,$57.85 ,$87.73 ,$54.55 ,$52.18 ,$181.50 ,$171.82 ,$171.82 ,$54.55 ,$171.82 ,$210.54 ,$210.54 ,$210.54 , N/A ,$217.80 ,$139.15 ,$205.70 ,$52.18 ,$242.00 ,$135.76 ,$52.18 ,$100.19 ,$45.41 ,$41.28 ,$54.55 ,$205.70 ,$103.63 ,$132.86 ,$67.76 ,$217.80 ,$242.00 ,$52.18 ,$210.54 ,$70.18 ,$242.00 ,$70.18 ,$55.66 ,$157.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600576,87624,HC HPV HIGH RISK ALL OTHERS,306,1 ,$310.00 ,$223.20 ,$35.09 ,$310.00 ,$178.25 ,$195.30 ,$186.00 ,$66.84 ,$86.80 ,$179.80 ,$69.87 ,$189.10 ,$75.95 ,$170.19 ,$170.19 ,$78.99 ,$201.50 ,$137.76 ,$57.85 ,$87.73 ,$69.87 ,$66.84 ,$232.50 ,$220.10 ,$220.10 ,$69.87 ,$220.10 ,$269.70 ,$269.70 ,$269.70 , N/A ,$279.00 ,$178.25 ,$263.50 ,$66.84 ,$35.09 ,$173.91 ,$66.84 ,$128.34 ,$45.41 ,$41.28 ,$69.87 ,$263.50 ,$132.76 ,$170.19 ,$86.80 ,$279.00 ,$310.00 ,$66.84 ,$269.70 ,$70.18 ,$310.00 ,$70.18 ,$71.30 ,$201.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600577,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,"$1,375.00 ",$990.00 ,$41.28 ,"$1,375.00 ",$790.63 ,$866.25 ,$825.00 ,$296.45 ,$385.00 ,$797.50 ,$309.92 ,$838.75 ,$336.87 ,$754.88 ,$754.88 ,$350.35 ,$893.75 ,$611.05 ,$683.93 ,"$1,041.95 ",$309.92 ,$296.45 ,"$1,031.25 ",$976.25 ,$976.25 ,$309.92 ,$976.25 ,"$1,196.25 ","$1,196.25 ","$1,196.25 ", N/A ,"$1,237.50 ",$790.63 ,"$1,168.75 ",$296.45 ,"$1,375.00 ",$771.38 ,$296.45 ,$569.25 ,$45.41 ,$41.28 ,$309.92 ,"$1,168.75 ",$588.86 ,$754.88 ,$385.00 ,"$1,237.50 ","$1,375.00 ",$296.45 ,"$1,196.25 ",$833.56 ,"$1,375.00 ",$833.56 ,$316.25 ,$893.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600580,87660,HC TRICHOMONAS DNA SCREEN,306,1 ,$134.00 ,$96.48 ,$28.89 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$77.72 ,$30.20 ,$81.74 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 ,$32.65 ,$50.13 ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 ,$45.41 ,$41.28 ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$40.10 ,$134.00 ,$40.10 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600581,87798,HC INFECT AMP,306,1 ,$442.00 ,$318.24 ,$41.28 ,$442.00 ,$254.15 ,$278.46 ,$265.20 ,$95.30 ,$123.76 ,$242.18 ,$99.63 ,$253.44 ,$108.29 ,$242.66 ,$242.66 ,$112.62 ,$287.30 ,$196.42 ,$57.85 ,$87.73 ,$99.63 ,$95.30 ,$331.50 ,$313.82 ,$313.82 ,$99.63 ,$313.82 ,$384.54 ,$384.54 ,$384.54 , N/A ,$397.80 ,$254.15 ,$375.70 ,$95.30 ,$442.00 ,$247.96 ,$95.30 ,$182.99 ,$45.41 ,$41.28 ,$99.63 ,$375.70 ,$189.29 ,$242.66 ,$123.76 ,$397.80 ,$442.00 ,$95.30 ,$384.54 ,$70.18 ,$442.00 ,$70.18 ,$101.66 ,$287.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600583,87808,HC TRICHOMONAS VAGINITIS OPTICAL,306,1 ,$167.00 ,$120.24 ,$12.42 ,$167.00 ,$96.03 ,$105.21 ,$100.20 ,$36.01 ,$46.76 ,$96.86 ,$37.64 ,$101.87 ,$40.91 ,$91.68 ,$91.68 ,$42.55 ,$108.55 ,$74.21 ,$25.20 ,$38.23 ,$37.64 ,$36.01 ,$125.25 ,$118.57 ,$118.57 ,$37.64 ,$118.57 ,$145.29 ,$145.29 ,$145.29 , N/A ,$150.30 ,$96.03 ,$141.95 ,$36.01 ,$167.00 ,$93.69 ,$36.01 ,$69.14 ,$13.66 ,$12.42 ,$37.64 ,$141.95 ,$71.52 ,$91.68 ,$46.76 ,$150.30 ,$167.00 ,$36.01 ,$145.29 ,$30.58 ,$167.00 ,$30.58 ,$38.41 ,$108.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600590,87328,HC EIA QL CRYPTOSPORIDIUM AG,306,1 ,$109.00 ,$78.48 ,$15.58 ,$109.00 ,$62.68 ,$68.67 ,$65.40 ,$23.50 ,$30.52 ,$63.22 ,$24.57 ,$66.49 ,$26.70 ,$59.84 ,$59.84 ,$27.77 ,$70.85 ,$48.44 ,$22.91 ,$34.55 ,$24.57 ,$23.50 ,$81.75 ,$77.39 ,$77.39 ,$24.57 ,$77.39 ,$94.83 ,$94.83 ,$94.83 , N/A ,$98.10 ,$62.68 ,$92.65 ,$23.50 ,$109.00 ,$61.15 ,$23.50 ,$45.13 ,$17.14 ,$15.58 ,$24.57 ,$92.65 ,$46.68 ,$59.84 ,$30.52 ,$98.10 ,$109.00 ,$23.50 ,$94.83 ,$27.64 ,$109.00 ,$27.64 ,$25.07 ,$70.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600592,87486,HC CHLAMYDIA PNEUM AMP PROBE-90,306,1 ,$106.00 ,$76.32 ,$22.85 ,$106.00 ,$60.95 ,$66.78 ,$63.60 ,$22.85 ,$29.68 ,$61.48 ,$23.89 ,$64.66 ,$25.97 ,$58.19 ,$58.19 ,$27.01 ,$68.90 ,$47.11 ,$57.85 ,$87.73 ,$23.89 ,$22.85 ,$79.50 ,$75.26 ,$75.26 ,$23.89 ,$75.26 ,$92.22 ,$92.22 ,$92.22 , N/A ,$95.40 ,$60.95 ,$90.10 ,$22.85 ,$106.00 ,$59.47 ,$22.85 ,$43.88 ,$45.41 ,$41.28 ,$23.89 ,$90.10 ,$45.39 ,$58.19 ,$29.68 ,$95.40 ,$106.00 ,$22.85 ,$92.22 ,$70.18 ,$106.00 ,$70.18 ,$24.38 ,$68.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600593,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$182.00 ,$131.04 ,$12.42 ,$182.00 ,$104.65 ,$114.66 ,$109.20 ,$39.24 ,$50.96 ,$105.56 ,$41.02 ,$111.02 ,$44.59 ,$99.92 ,$99.92 ,$46.37 ,$118.30 ,$80.88 ,$26.35 ,$40.18 ,$41.02 ,$39.24 ,$136.50 ,$129.22 ,$129.22 ,$41.02 ,$129.22 ,$158.34 ,$158.34 ,$158.34 , N/A ,$163.80 ,$104.65 ,$154.70 ,$39.24 ,$182.00 ,$102.10 ,$39.24 ,$75.35 ,$13.66 ,$12.42 ,$41.02 ,$154.70 ,$77.94 ,$99.92 ,$50.96 ,$163.80 ,$182.00 ,$39.24 ,$158.34 ,$32.14 ,$182.00 ,$32.14 ,$41.86 ,$118.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600606,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE-90,306,1 ,$230.00 ,$165.60 ,$41.28 ,$230.00 ,$132.25 ,$144.90 ,$138.00 ,$49.59 ,$64.40 ,$133.40 ,$51.84 ,$140.30 ,$56.35 ,$126.27 ,$126.27 ,$58.60 ,$149.50 ,$102.21 ,$57.85 ,$87.73 ,$51.84 ,$49.59 ,$172.50 ,$163.30 ,$163.30 ,$51.84 ,$163.30 ,$200.10 ,$200.10 ,$200.10 , N/A ,$207.00 ,$132.25 ,$195.50 ,$49.59 ,$230.00 ,$129.03 ,$49.59 ,$95.22 ,$45.41 ,$41.28 ,$51.84 ,$195.50 ,$98.50 ,$126.27 ,$64.40 ,$207.00 ,$230.00 ,$49.59 ,$200.10 ,$70.18 ,$230.00 ,$70.18 ,$52.90 ,$149.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600607,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$226.00 ,$162.72 ,$41.28 ,$226.00 ,$129.95 ,$142.38 ,$135.60 ,$48.73 ,$63.28 ,$131.08 ,$50.94 ,$137.86 ,$55.37 ,$124.07 ,$124.07 ,$57.58 ,$146.90 ,$100.43 ,$57.85 ,$87.73 ,$50.94 ,$48.73 ,$169.50 ,$160.46 ,$160.46 ,$50.94 ,$160.46 ,$196.62 ,$196.62 ,$196.62 , N/A ,$203.40 ,$129.95 ,$192.10 ,$48.73 ,$226.00 ,$126.79 ,$48.73 ,$93.56 ,$45.41 ,$41.28 ,$50.94 ,$192.10 ,$96.78 ,$124.07 ,$63.28 ,$203.40 ,$226.00 ,$48.73 ,$196.62 ,$70.18 ,$226.00 ,$70.18 ,$51.98 ,$146.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600610,87632,HC RESP VIRUS AMP 6-11 TARGETS-90,306,1 ,"$1,705.00 ","$1,227.60 ",$41.28 ,"$1,705.00 ",$980.38 ,"$1,074.15 ","$1,023.00 ",$367.60 ,$477.40 ,$988.90 ,$384.31 ,"$1,040.05 ",$417.72 ,$936.05 ,$936.05 ,$434.43 ,"$1,108.25 ",$757.70 ,$358.00 ,$545.15 ,$384.31 ,$367.60 ,"$1,278.75 ","$1,210.55 ","$1,210.55 ",$384.31 ,"$1,210.55 ","$1,483.35 ","$1,483.35 ","$1,483.35 ", N/A ,"$1,534.50 ",$980.38 ,"$1,449.25 ",$367.60 ,"$1,705.00 ",$956.51 ,$367.60 ,$705.87 ,$45.41 ,$41.28 ,$384.31 ,"$1,449.25 ",$730.19 ,$936.05 ,$477.40 ,"$1,534.50 ","$1,705.00 ",$367.60 ,"$1,483.35 ",$436.12 ,"$1,705.00 ",$436.12 ,$392.15 ,"$1,108.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,30600613,87205,HC URINE FOR EOSINOPHILS-90,306,1 ,$25.00 ,$18.00 ,$5.39 ,$25.00 ,$14.38 ,$15.75 ,$15.00 ,$5.39 ,$7.00 ,$14.50 ,$5.63 ,$15.25 ,$6.12 ,$13.73 ,$13.73 ,$6.37 ,$16.25 ,$11.11 ,$6.88 ,$10.68 ,$5.63 ,$5.39 ,$18.75 ,$17.75 ,$17.75 ,$5.63 ,$17.75 ,$21.75 ,$21.75 ,$21.75 , N/A ,$22.50 ,$14.38 ,$21.25 ,$5.39 ,$25.00 ,$14.03 ,$5.39 ,$10.35 ,$13.66 ,$12.42 ,$5.63 ,$21.25 ,$10.71 ,$13.73 ,$7.00 ,$22.50 ,$25.00 ,$5.39 ,$21.75 ,$8.54 ,$25.00 ,$8.54 ,$5.75 ,$16.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600614,87220,HC TISSUE KOH PREP,306,1 ,$100.00 ,$72.00 ,$6.88 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$39.90 ,$22.54 ,$41.76 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 ,$6.88 ,$10.68 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$13.66 ,$12.42 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$8.54 ,$100.00 ,$8.54 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600615,87169,HC PARASITE ID-90,306,1 ,$22.00 ,$15.84 ,$4.74 ,$22.00 ,$12.65 ,$13.86 ,$13.20 ,$4.74 ,$6.16 ,$12.76 ,$4.96 ,$13.42 ,$5.39 ,$12.08 ,$12.08 ,$5.61 ,$14.30 ,$9.78 ,$6.88 ,$10.78 ,$4.96 ,$4.74 ,$16.50 ,$15.62 ,$15.62 ,$4.96 ,$15.62 ,$19.14 ,$19.14 ,$19.14 , N/A ,$19.80 ,$12.65 ,$18.70 ,$4.74 ,$22.00 ,$12.34 ,$4.74 ,$9.11 ,$13.66 ,$12.42 ,$4.96 ,$18.70 ,$9.42 ,$12.08 ,$6.16 ,$19.80 ,$22.00 ,$4.74 ,$19.14 ,$8.62 ,$22.00 ,$8.62 ,$5.06 ,$14.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$482.00 ,$347.04 ,$41.28 ,$482.00 ,$277.15 ,$303.66 ,$289.20 ,$103.92 ,$134.96 ,$51.31 ,$108.64 ,$51.31 ,$118.09 ,$264.62 ,$264.62 ,$122.81 ,$313.30 ,$214.20 ,$51.31 ,$128.28 ,$108.64 ,$103.92 ,$361.50 ,$342.22 ,$342.22 ,$108.64 ,$342.22 ,$419.34 ,$419.34 ,$419.34 , N/A ,$433.80 ,$277.15 ,$409.70 ,$103.92 ,$51.31 ,$270.40 ,$103.92 ,$199.55 ,$45.41 ,$41.28 ,$108.64 ,$409.70 ,$206.42 ,$264.62 ,$134.96 ,$433.80 ,$482.00 ,$103.92 ,$419.34 ,$102.62 ,$482.00 ,$102.62 ,$110.86 ,$313.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$125.00 ,$90.00 ,$12.42 ,$125.00 ,$71.88 ,$78.75 ,$75.00 ,$26.95 ,$35.00 ,$41.38 ,$28.16 ,$41.38 ,$30.62 ,$68.63 ,$68.63 ,$31.85 ,$81.25 ,$55.55 ,$87.50 ,$103.45 ,$28.16 ,$26.95 ,$93.75 ,$88.75 ,$88.75 ,$28.16 ,$88.75 ,$108.75 ,$108.75 ,$108.75 , N/A ,$112.50 ,$71.88 ,$106.25 ,$26.95 ,$125.00 ,$70.13 ,$26.95 ,$51.75 ,$13.66 ,$12.42 ,$28.16 ,$106.25 ,$53.54 ,$68.63 ,$35.00 ,$112.50 ,$125.00 ,$26.95 ,$108.75 ,$83.04 ,$125.00 ,$83.04 ,$28.75 ,$81.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$482.00 ,$347.04 ,$41.28 ,$482.00 ,$277.15 ,$303.66 ,$289.20 ,$103.92 ,$134.96 ,$51.31 ,$108.64 ,$51.31 ,$118.09 ,$264.62 ,$264.62 ,$122.81 ,$313.30 ,$214.20 ,$51.31 ,$128.28 ,$108.64 ,$103.92 ,$361.50 ,$342.22 ,$342.22 ,$108.64 ,$342.22 ,$419.34 ,$419.34 ,$419.34 , N/A ,$433.80 ,$277.15 ,$409.70 ,$103.92 ,$51.31 ,$270.40 ,$103.92 ,$199.55 ,$45.41 ,$41.28 ,$108.64 ,$409.70 ,$206.42 ,$264.62 ,$134.96 ,$433.80 ,$482.00 ,$103.92 ,$419.34 ,$102.62 ,$482.00 ,$102.62 ,$110.86 ,$313.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600638,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION - 90,306,1 ,$90.00 ,$64.80 ,$19.40 ,$128.28 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$51.31 ,$20.29 ,$51.31 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$51.31 ,$128.28 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$51.31 ,$50.49 ,$19.40 ,$37.26 ,$45.41 ,$41.28 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$90.00 ,$90.00 ,$90.00 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600642,81513,HC APTIMA BV MAAA SPEC CD,306,1 ,$267.00 ,$192.24 ,$57.57 ,$356.58 ,$153.53 ,$168.21 ,$160.20 ,$57.57 ,$74.76 ,$154.86 ,$60.18 ,$162.87 ,$65.41 ,$146.58 ,$146.58 ,$68.03 ,$173.55 ,$118.65 ,$234.27 ,$356.58 ,$60.18 ,$57.57 ,$200.25 ,$189.57 ,$189.57 ,$60.18 ,$189.57 ,$232.29 ,$232.29 ,$232.29 , N/A ,$240.30 ,$153.53 ,$226.95 ,$57.57 ,$267.00 ,$149.79 ,$57.57 ,$110.54 ,$67.90 ,$61.73 ,$60.18 ,$226.95 ,$114.35 ,$146.58 ,$74.76 ,$240.30 ,$267.00 ,$57.57 ,$232.29 ,$267.00 ,$267.00 ,$267.00 ,$61.41 ,$173.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600643,87425,HC EIA QL ROTAVIRUS AG- 90,306,1 ,$192.00 ,$138.24 ,$15.58 ,$192.00 ,$110.40 ,$120.96 ,$115.20 ,$41.40 ,$53.76 ,$82.73 ,$43.28 ,$86.58 ,$47.04 ,$105.41 ,$105.41 ,$48.92 ,$124.80 ,$85.32 ,$19.48 ,$29.95 ,$43.28 ,$41.40 ,$144.00 ,$136.32 ,$136.32 ,$43.28 ,$136.32 ,$167.04 ,$167.04 ,$167.04 , N/A ,$172.80 ,$110.40 ,$163.20 ,$41.40 ,$192.00 ,$107.71 ,$41.40 ,$79.49 ,$17.14 ,$15.58 ,$43.28 ,$163.20 ,$82.22 ,$105.41 ,$53.76 ,$172.80 ,$192.00 ,$41.40 ,$167.04 ,$23.96 ,$192.00 ,$23.96 ,$44.16 ,$124.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600649,87449,HC NOS EACH ORGANISM AG IA-90,306,1 ,$360.00 ,$259.20 ,$15.58 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$111.97 ,$81.14 ,$117.18 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$234.00 ,$159.98 ,$19.48 ,$29.95 ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 ,$17.14 ,$15.58 ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$23.96 ,$360.00 ,$23.96 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600653,87389,HC HIV-1 AG W/HIB-1 AND -2 AB AG IA-90,306,1 ,$23.00 ,$16.56 ,$4.96 ,$57.50 ,$13.23 ,$14.49 ,$13.80 ,$4.96 ,$6.44 ,$13.34 ,$5.18 ,$14.03 ,$5.63 ,$12.63 ,$12.63 ,$5.86 ,$14.95 ,$10.22 ,$23.00 ,$57.50 ,$5.18 ,$4.96 ,$17.25 ,$16.33 ,$16.33 ,$5.18 ,$16.33 ,$20.01 ,$20.01 ,$20.01 , N/A ,$20.70 ,$13.23 ,$19.55 ,$4.96 ,$23.00 ,$12.90 ,$4.96 ,$9.52 ,$17.14 ,$15.58 ,$5.18 ,$19.55 ,$9.85 ,$12.63 ,$6.44 ,$20.70 ,$23.00 ,$4.96 ,$20.01 ,$23.00 ,$23.00 ,$23.00 ,$5.29 ,$14.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,30600662,87593,HC INFECT AMP ORTHOPOXVIRUS/MONKEYPOX DNA-90,306,1 ,$113.00 ,$81.36 ,$24.36 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$73.45 ,$50.22 ,$79.10 , N/A ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$45.41 ,$41.28 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$102.34 ,$113.00 ,$102.34 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682005,87430,HC RAPID STREP,306,1 ,$144.00 ,$103.68 ,$15.58 ,$144.00 ,$82.80 ,$90.72 ,$86.40 ,$31.05 ,$40.32 ,$83.52 ,$32.46 ,$87.84 ,$35.28 ,$79.06 ,$79.06 ,$36.69 ,$93.60 ,$63.99 ,$27.49 ,$42.03 ,$32.46 ,$31.05 ,$108.00 ,$102.24 ,$102.24 ,$32.46 ,$102.24 ,$125.28 ,$125.28 ,$125.28 , N/A ,$129.60 ,$82.80 ,$122.40 ,$31.05 ,$144.00 ,$80.78 ,$31.05 ,$59.62 ,$17.14 ,$15.58 ,$32.46 ,$122.40 ,$61.67 ,$79.06 ,$40.32 ,$129.60 ,$144.00 ,$31.05 ,$125.28 ,$33.62 ,$144.00 ,$33.62 ,$33.12 ,$93.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$482.00 ,$347.04 ,$41.28 ,$482.00 ,$277.15 ,$303.66 ,$289.20 ,$103.92 ,$134.96 ,$51.31 ,$108.64 ,$51.31 ,$118.09 ,$264.62 ,$264.62 ,$122.81 ,$313.30 ,$214.20 ,$51.31 ,$128.28 ,$108.64 ,$103.92 ,$361.50 ,$342.22 ,$342.22 ,$108.64 ,$342.22 ,$419.34 ,$419.34 ,$419.34 , N/A ,$433.80 ,$277.15 ,$409.70 ,$103.92 ,$51.31 ,$270.40 ,$103.92 ,$199.55 ,$45.41 ,$41.28 ,$108.64 ,$409.70 ,$206.42 ,$264.62 ,$134.96 ,$433.80 ,$482.00 ,$103.92 ,$419.34 ,$102.62 ,$482.00 ,$102.62 ,$110.86 ,$313.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682012,87635,HC COVID-19 LAB TEST,306,1 ,$482.00 ,$347.04 ,$41.28 ,$482.00 ,$277.15 ,$303.66 ,$289.20 ,$103.92 ,$134.96 ,$51.31 ,$108.64 ,$51.31 ,$118.09 ,$264.62 ,$264.62 ,$122.81 ,$313.30 ,$214.20 ,$51.31 ,$128.28 ,$108.64 ,$103.92 ,$361.50 ,$342.22 ,$342.22 ,$108.64 ,$342.22 ,$419.34 ,$419.34 ,$419.34 , N/A ,$433.80 ,$277.15 ,$409.70 ,$103.92 ,$51.31 ,$270.40 ,$103.92 ,$199.55 ,$45.41 ,$41.28 ,$108.64 ,$409.70 ,$206.42 ,$264.62 ,$134.96 ,$433.80 ,$482.00 ,$103.92 ,$419.34 ,$102.62 ,$482.00 ,$102.62 ,$110.86 ,$313.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$260.00 ,$187.20 ,$15.58 ,$260.00 ,$149.50 ,$163.80 ,$156.00 ,$56.06 ,$72.80 ,$42.13 ,$58.60 ,$42.13 ,$63.70 ,$142.74 ,$142.74 ,$66.25 ,$169.00 ,$115.54 ,$42.13 ,$105.33 ,$58.60 ,$56.06 ,$195.00 ,$184.60 ,$184.60 ,$58.60 ,$184.60 ,$226.20 ,$226.20 ,$226.20 , N/A ,$234.00 ,$149.50 ,$221.00 ,$56.06 ,$260.00 ,$145.86 ,$56.06 ,$107.64 ,$17.14 ,$15.58 ,$58.60 ,$221.00 ,$111.35 ,$142.74 ,$72.80 ,$234.00 ,$260.00 ,$56.06 ,$226.20 ,$84.26 ,$260.00 ,$84.26 ,$59.80 ,$169.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682023,87426,HC SARS COVID ANTIGEN TEST,306,1 ,$82.00 ,$59.04 ,$12.42 ,$88.33 ,$47.15 ,$51.66 ,$49.20 ,$17.68 ,$22.96 ,$35.23 ,$18.48 ,$35.23 ,$20.09 ,$45.02 ,$45.02 ,$20.89 ,$53.30 ,$36.44 ,$57.40 ,$88.33 ,$18.48 ,$17.68 ,$61.50 ,$58.22 ,$58.22 ,$18.48 ,$58.22 ,$71.34 ,$71.34 ,$71.34 , N/A ,$73.80 ,$47.15 ,$69.70 ,$17.68 ,$37.79 ,$46.00 ,$17.68 ,$33.95 ,$13.66 ,$12.42 ,$18.48 ,$69.70 ,$35.11 ,$45.02 ,$22.96 ,$73.80 ,$82.00 ,$17.68 ,$71.34 ,$82.00 ,$82.00 ,$82.00 ,$18.86 ,$53.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$90.00 ,$64.80 ,$19.40 ,$128.28 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$51.31 ,$20.29 ,$51.31 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$51.31 ,$128.28 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$51.31 ,$50.49 ,$19.40 ,$37.26 ,$45.41 ,$41.28 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$90.00 ,$90.00 ,$90.00 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$90.00 ,$64.80 ,$19.40 ,$128.28 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$51.31 ,$20.29 ,$51.31 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$58.50 ,$40.00 ,$51.31 ,$128.28 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$51.31 ,$50.49 ,$19.40 ,$37.26 ,$45.41 ,$41.28 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$90.00 ,$90.00 ,$90.00 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700101,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$137.00 ,$98.64 ,$3.17 ,$137.00 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 ,$29.67 ,$30.88 ,$31.05 ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$89.05 ,$60.88 ,$5.15 ,$7.93 ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$3.17 ,$76.86 ,$29.54 ,$56.72 ,$6.83 ,$6.21 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 ,$6.34 ,$137.00 ,$6.34 ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700104,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$96.00 ,$69.12 ,$3.44 ,$96.00 ,$55.20 ,$60.48 ,$57.60 ,$20.70 ,$26.88 ,$20.98 ,$21.64 ,$21.96 ,$23.52 ,$52.70 ,$52.70 ,$24.46 ,$62.40 ,$42.66 ,$3.44 ,$5.63 ,$21.64 ,$20.70 ,$72.00 ,$68.16 ,$68.16 ,$21.64 ,$68.16 ,$83.52 ,$83.52 ,$83.52 , N/A ,$86.40 ,$55.20 ,$81.60 ,$20.70 ,$96.00 ,$53.86 ,$20.70 ,$39.74 ,$4.31 ,$3.92 ,$21.64 ,$81.60 ,$41.11 ,$52.70 ,$26.88 ,$86.40 ,$96.00 ,$20.70 ,$83.52 ,$4.50 ,$96.00 ,$4.50 ,$22.08 ,$62.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700115,81015,HC URINALYSIS MICRO ONLY,307,1 ,$51.00 ,$36.72 ,$5.15 ,$51.00 ,$29.33 ,$32.13 ,$30.60 ,$11.00 ,$14.28 ,$28.47 ,$11.50 ,$29.79 ,$12.49 ,$28.00 ,$28.00 ,$12.99 ,$33.15 ,$22.66 ,$5.15 ,$7.63 ,$11.50 ,$11.00 ,$38.25 ,$36.21 ,$36.21 ,$11.50 ,$36.21 ,$44.37 ,$44.37 ,$44.37 , N/A ,$45.90 ,$29.33 ,$43.35 ,$11.00 ,$51.00 ,$28.61 ,$11.00 ,$21.11 ,$6.83 ,$6.21 ,$11.50 ,$43.35 ,$21.84 ,$28.00 ,$14.28 ,$45.90 ,$51.00 ,$11.00 ,$44.37 ,$6.10 ,$51.00 ,$6.10 ,$11.73 ,$33.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700116,81025,HC URINE PREGNANCY TEST,307,1 ,$186.00 ,$133.92 ,$6.21 ,$186.00 ,$106.95 ,$117.18 ,$111.60 ,$40.10 ,$52.08 ,$65.19 ,$41.92 ,$68.22 ,$45.57 ,$102.11 ,$102.11 ,$47.39 ,$120.90 ,$82.66 ,$14.33 ,$21.53 ,$41.92 ,$40.10 ,$139.50 ,$132.06 ,$132.06 ,$41.92 ,$132.06 ,$161.82 ,$161.82 ,$161.82 , N/A ,$167.40 ,$106.95 ,$158.10 ,$40.10 ,$8.61 ,$104.35 ,$40.10 ,$77.00 ,$6.83 ,$6.21 ,$41.92 ,$158.10 ,$79.65 ,$102.11 ,$52.08 ,$167.40 ,$186.00 ,$40.10 ,$161.82 ,$17.22 ,$186.00 ,$17.22 ,$42.78 ,$120.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700117,81050,HC VOLUME MEASUREMENT URINE,307,1 ,$62.00 ,$44.64 ,$5.72 ,$62.00 ,$35.65 ,$39.06 ,$37.20 ,$13.37 ,$17.36 ,$20.73 ,$13.97 ,$21.69 ,$15.19 ,$34.04 ,$34.04 ,$15.80 ,$40.30 ,$27.55 ,$5.72 ,$9.10 ,$13.97 ,$13.37 ,$46.50 ,$44.02 ,$44.02 ,$13.97 ,$44.02 ,$53.94 ,$53.94 ,$53.94 , N/A ,$55.80 ,$35.65 ,$52.70 ,$13.37 ,$62.00 ,$34.78 ,$13.37 ,$25.67 ,$6.83 ,$6.21 ,$13.97 ,$52.70 ,$26.55 ,$34.04 ,$17.36 ,$55.80 ,$62.00 ,$13.37 ,$53.94 ,$7.28 ,$62.00 ,$7.28 ,$14.26 ,$40.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700119,81005,HC URINALYSIS QL/SEMI QN,307,1 ,$161.00 ,$115.92 ,$3.44 ,$161.00 ,$92.58 ,$101.43 ,$96.60 ,$34.71 ,$45.08 ,$20.21 ,$36.29 ,$21.15 ,$39.44 ,$88.39 ,$88.39 ,$41.02 ,$104.65 ,$71.55 ,$3.44 ,$5.43 ,$36.29 ,$34.71 ,$120.75 ,$114.31 ,$114.31 ,$36.29 ,$114.31 ,$140.07 ,$140.07 ,$140.07 , N/A ,$144.90 ,$92.58 ,$136.85 ,$34.71 ,$161.00 ,$90.32 ,$34.71 ,$66.65 ,$6.83 ,$6.21 ,$36.29 ,$136.85 ,$68.95 ,$88.39 ,$45.08 ,$144.90 ,$161.00 ,$34.71 ,$140.07 ,$4.34 ,$161.00 ,$4.34 ,$37.03 ,$104.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700120,81002,HC URANALYSIS NON AUTO W/O MICRO,307,1 ,$50.00 ,$36.00 ,$3.92 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$26.32 ,$11.27 ,$27.54 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$5.72 ,$8.70 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$4.31 ,$3.92 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$6.96 ,$50.00 ,$6.96 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700127,81005,HC URINALYSIS QL/SEMI QN -90,307,1 ,$44.00 ,$31.68 ,$3.44 ,$44.00 ,$25.30 ,$27.72 ,$26.40 ,$9.49 ,$12.32 ,$20.21 ,$9.92 ,$21.15 ,$10.78 ,$24.16 ,$24.16 ,$11.21 ,$28.60 ,$19.55 ,$3.44 ,$5.43 ,$9.92 ,$9.49 ,$33.00 ,$31.24 ,$31.24 ,$9.92 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$25.30 ,$37.40 ,$9.49 ,$44.00 ,$24.68 ,$9.49 ,$18.22 ,$6.83 ,$6.21 ,$9.92 ,$37.40 ,$18.85 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$9.49 ,$38.28 ,$4.34 ,$44.00 ,$4.34 ,$10.12 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,30700132,81002,HC URANALYSIS NON AUTO W/O MICRO-QW,307,1 ,$50.00 ,$36.00 ,$3.92 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$26.32 ,$11.27 ,$27.54 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$5.72 ,$8.70 ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 ,$4.31 ,$3.92 ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$6.96 ,$50.00 ,$6.96 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000128,81162,HC BRCA1 AND BRCA2 FULL SEQ/DUPE/DEL ANALYSIS -90,310,1 ,"$4,589.00 ","$3,304.08 ",$570.26 ,"$4,589.00 ","$2,638.68 ","$2,891.07 ","$2,753.40 ",$989.39 ,"$1,284.92 ","$2,661.62 ","$1,034.36 ","$2,799.29 ","$1,124.30 ","$2,519.36 ","$2,519.36 ","$1,169.28 ","$2,982.85 ","$2,039.35 ","$3,212.30 ","$4,562.20 ","$1,034.36 ",$989.39 ,"$3,441.75 ","$3,258.19 ","$3,258.19 ","$1,034.36 ","$3,258.19 ","$3,992.43 ","$3,992.43 ","$3,992.43 ", N/A ,"$4,130.10 ","$2,638.68 ","$3,900.65 ",$989.39 ,"$4,589.00 ","$2,574.43 ",$989.39 ,"$1,899.85 ",$627.29 ,$570.26 ,"$1,034.36 ","$3,900.65 ","$1,965.28 ","$2,519.36 ","$1,284.92 ","$4,130.10 ","$4,589.00 ",$989.39 ,"$3,992.43 ","$3,649.76 ","$4,589.00 ","$3,649.76 ","$1,055.47 ","$2,982.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$205.00 ,$147.60 ,$44.20 ,$409.90 ,$117.88 ,$129.15 ,$123.00 ,$44.20 ,$57.40 ,$118.90 ,$46.21 ,$125.05 ,$50.22 ,$112.55 ,$112.55 ,$52.23 ,$133.25 ,$91.10 ,$143.50 ,$409.90 ,$46.21 ,$44.20 ,$153.75 ,$145.55 ,$145.55 ,$46.21 ,$145.55 ,$178.35 ,$178.35 ,$178.35 , N/A ,$184.50 ,$117.88 ,$174.25 ,$44.20 ,$205.00 ,$115.01 ,$44.20 ,$84.87 ,$221.05 ,$200.95 ,$46.21 ,$174.25 ,$87.80 ,$112.55 ,$57.40 ,$184.50 ,$205.00 ,$44.20 ,$178.35 ,$205.00 ,$205.00 ,$205.00 ,$47.15 ,$133.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$205.00 ,$147.60 ,$44.20 ,$362.10 ,$117.88 ,$129.15 ,$123.00 ,$44.20 ,$57.40 ,$118.90 ,$46.21 ,$125.05 ,$50.22 ,$112.55 ,$112.55 ,$52.23 ,$133.25 ,$91.10 ,$143.50 ,$362.10 ,$46.21 ,$44.20 ,$153.75 ,$145.55 ,$145.55 ,$46.21 ,$145.55 ,$178.35 ,$178.35 ,$178.35 , N/A ,$184.50 ,$117.88 ,$174.25 ,$44.20 ,$205.00 ,$115.01 ,$44.20 ,$84.87 ,$221.05 ,$200.95 ,$46.21 ,$174.25 ,$87.80 ,$112.55 ,$57.40 ,$184.50 ,$205.00 ,$44.20 ,$178.35 ,$205.00 ,$205.00 ,$205.00 ,$47.15 ,$133.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,$265.00 ,$190.80 ,$57.13 ,$662.50 ,$152.38 ,$166.95 ,$159.00 ,$57.13 ,$74.20 ,$153.70 ,$59.73 ,$161.65 ,$64.92 ,$145.49 ,$145.49 ,$67.52 ,$172.25 ,$117.77 ,$185.50 ,$662.50 ,$59.73 ,$57.13 ,$198.75 ,$188.15 ,$188.15 ,$59.73 ,$188.15 ,$230.55 ,$230.55 ,$230.55 , N/A ,$238.50 ,$152.38 ,$225.25 ,$57.13 ,$265.00 ,$148.67 ,$57.13 ,$109.71 ,$67.90 ,$61.73 ,$59.73 ,$225.25 ,$113.49 ,$145.49 ,$74.20 ,$238.50 ,$265.00 ,$57.13 ,$230.55 ,$265.00 ,$265.00 ,$265.00 ,$60.95 ,$172.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000139,81229,HC CYTOGENOMIC MICROARRY ASSAY-90,310,1 ,"$1,760.00 ","$1,267.20 ",$379.46 ,"$2,900.00 ","$1,012.00 ","$1,108.80 ","$1,056.00 ",$379.46 ,$492.80 ,"$1,020.80 ",$396.70 ,"$1,073.60 ",$431.20 ,$966.24 ,$966.24 ,$448.45 ,"$1,144.00 ",$782.14 ,"$1,232.00 ","$2,900.00 ",$396.70 ,$379.46 ,"$1,320.00 ","$1,249.60 ","$1,249.60 ",$396.70 ,"$1,249.60 ","$1,531.20 ","$1,531.20 ","$1,531.20 ", N/A ,"$1,584.00 ","$1,012.00 ","$1,496.00 ",$379.46 ,"$1,760.00 ",$987.36 ,$379.46 ,$728.64 ,$627.29 ,$570.26 ,$396.70 ,"$1,496.00 ",$753.74 ,$966.24 ,$492.80 ,"$1,584.00 ","$1,760.00 ",$379.46 ,"$1,531.20 ","$1,760.00 ","$1,760.00 ","$1,760.00 ",$404.80 ,"$1,144.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,31000140,81225,HC CYP2C19 GENE ANYL COMMON VARIANTS-90,310,1 ,$726.00 ,$522.72 ,$156.53 ,$728.40 ,$417.45 ,$457.38 ,$435.60 ,$156.53 ,$203.28 ,$421.08 ,$163.64 ,$442.86 ,$177.87 ,$398.57 ,$398.57 ,$184.98 ,$471.90 ,$322.63 ,$508.20 ,$728.40 ,$163.64 ,$156.53 ,$544.50 ,$515.46 ,$515.46 ,$163.64 ,$515.46 ,$631.62 ,$631.62 ,$631.62 , N/A ,$653.40 ,$417.45 ,$617.10 ,$156.53 ,$726.00 ,$407.29 ,$156.53 ,$300.56 ,$221.05 ,$200.95 ,$163.64 ,$617.10 ,$310.91 ,$398.57 ,$203.28 ,$653.40 ,$726.00 ,$156.53 ,$631.62 ,$582.72 ,$726.00 ,$582.72 ,$166.98 ,$471.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$384.00 ,$276.48 ,$61.73 ,$384.00 ,$220.80 ,$241.92 ,$230.40 ,$82.79 ,$107.52 ,$222.72 ,$86.55 ,$234.24 ,$94.08 ,$210.82 ,$210.82 ,$97.84 ,$249.60 ,$170.65 ,$268.80 ,$164.23 ,$86.55 ,$82.79 ,$288.00 ,$272.64 ,$272.64 ,$86.55 ,$272.64 ,$334.08 ,$334.08 ,$334.08 , N/A ,$345.60 ,$220.80 ,$326.40 ,$82.79 ,$384.00 ,$215.42 ,$82.79 ,$158.98 ,$67.90 ,$61.73 ,$86.55 ,$326.40 ,$164.45 ,$210.82 ,$107.52 ,$345.60 ,$384.00 ,$82.79 ,$334.08 ,$131.38 ,$384.00 ,$131.38 ,$88.32 ,$249.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$129.00 ,$92.88 ,$27.81 ,$183.43 ,$74.18 ,$81.27 ,$77.40 ,$27.81 ,$36.12 ,$74.82 ,$29.08 ,$78.69 ,$31.60 ,$70.82 ,$70.82 ,$32.87 ,$83.85 ,$57.33 ,$90.30 ,$183.43 ,$29.08 ,$27.81 ,$96.75 ,$91.59 ,$91.59 ,$29.08 ,$91.59 ,$112.23 ,$112.23 ,$112.23 , N/A ,$116.10 ,$74.18 ,$109.65 ,$27.81 ,$129.00 ,$72.37 ,$27.81 ,$53.41 ,$67.90 ,$61.73 ,$29.08 ,$109.65 ,$55.24 ,$70.82 ,$36.12 ,$116.10 ,$129.00 ,$27.81 ,$112.23 ,$129.00 ,$129.00 ,$129.00 ,$29.67 ,$83.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000146,81243,HC FMR1 GENE DETECTION -90,310,1 ,$293.00 ,$210.96 ,$61.73 ,$293.00 ,$168.48 ,$184.59 ,$175.80 ,$63.17 ,$82.04 ,$169.94 ,$66.04 ,$178.73 ,$175.80 ,$160.86 ,$160.86 , N/A ,$190.45 , N/A ,$205.10 ,$205.10 ,$66.04 , N/A ,$219.75 ,$208.03 ,$208.03 , N/A ,$208.03 ,$254.91 ,$254.91 ,$254.91 , N/A ,$263.70 ,$168.48 ,$249.05 ,$63.17 ,$293.00 ,$164.37 ,$63.17 ,$121.30 ,$67.90 ,$61.73 ,$66.04 ,$249.05 ,$125.48 ,$160.86 ,$82.04 ,$263.70 ,$293.00 ,$63.17 ,$254.91 ,$114.08 ,$293.00 ,$114.08 ,$85.00 ,$190.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000147,81244,HC FMR1 GENE CHARACTERIZATION - 90,310,1 ,$153.00 ,$110.16 ,$32.99 ,$153.00 ,$87.98 ,$96.39 ,$91.80 ,$32.99 ,$42.84 ,$88.74 ,$34.49 ,$93.33 ,$37.48 ,$84.00 ,$84.00 ,$38.98 ,$99.45 ,$67.99 ,$107.10 ,$112.23 ,$34.49 ,$32.99 ,$114.75 ,$108.63 ,$108.63 ,$34.49 ,$108.63 ,$133.11 ,$133.11 ,$133.11 , N/A ,$137.70 ,$87.98 ,$130.05 ,$32.99 ,$153.00 ,$85.83 ,$32.99 ,$63.34 ,$67.90 ,$61.73 ,$34.49 ,$130.05 ,$65.52 ,$84.00 ,$42.84 ,$137.70 ,$153.00 ,$32.99 ,$133.11 ,$89.78 ,$153.00 ,$89.78 ,$35.19 ,$99.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,$336.00 ,$241.92 ,$61.73 ,$336.00 ,$193.20 ,$211.68 ,$201.60 ,$72.44 ,$94.08 ,$194.88 ,$75.73 ,$204.96 ,$82.32 ,$184.46 ,$184.46 ,$85.61 ,$218.40 ,$149.32 ,$235.20 ,$163.40 ,$75.73 ,$72.44 ,$252.00 ,$238.56 ,$238.56 ,$75.73 ,$238.56 ,$292.32 ,$292.32 ,$292.32 , N/A ,$302.40 ,$193.20 ,$285.60 ,$72.44 ,$336.00 ,$188.50 ,$72.44 ,$139.10 ,$67.90 ,$61.73 ,$75.73 ,$285.60 ,$143.89 ,$184.46 ,$94.08 ,$302.40 ,$336.00 ,$72.44 ,$292.32 ,$130.72 ,$336.00 ,$130.72 ,$77.28 ,$218.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,$697.00 ,$501.84 ,$61.73 ,$697.00 ,$400.78 ,$439.11 ,$418.20 ,$150.27 ,$195.16 ,$404.26 ,$157.10 ,$425.17 ,$170.76 ,$382.65 ,$382.65 ,$177.60 ,$453.05 ,$309.75 ,$487.90 ,$229.15 ,$157.10 ,$150.27 ,$522.75 ,$494.87 ,$494.87 ,$157.10 ,$494.87 ,$606.39 ,$606.39 ,$606.39 , N/A ,$627.30 ,$400.78 ,$592.45 ,$150.27 ,$697.00 ,$391.02 ,$150.27 ,$288.56 ,$67.90 ,$61.73 ,$157.10 ,$592.45 ,$298.50 ,$382.65 ,$195.16 ,$627.30 ,$697.00 ,$150.27 ,$606.39 ,$183.32 ,$697.00 ,$183.32 ,$160.31 ,$453.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$297.00 ,$213.84 ,$61.73 ,$297.00 ,$170.78 ,$187.11 ,$178.20 ,$64.03 ,$83.16 ,$172.26 ,$66.94 ,$181.17 ,$72.76 ,$163.05 ,$163.05 ,$75.68 ,$193.05 ,$131.99 ,$207.90 ,$163.35 ,$66.94 ,$64.03 ,$222.75 ,$210.87 ,$210.87 ,$66.94 ,$210.87 ,$258.39 ,$258.39 ,$258.39 , N/A ,$267.30 ,$170.78 ,$252.45 ,$64.03 ,$297.00 ,$166.62 ,$64.03 ,$122.96 ,$67.90 ,$61.73 ,$66.94 ,$252.45 ,$127.19 ,$163.05 ,$83.16 ,$267.30 ,$297.00 ,$64.03 ,$258.39 ,$130.68 ,$297.00 ,$130.68 ,$68.31 ,$193.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000174,81372,HC CLASS 1 TYPING COMPLETE LOW RESOLUTION-90,310,1 ,$512.00 ,$368.64 ,$110.39 ,"$1,008.98 ",$294.40 ,$322.56 ,$307.20 ,$110.39 ,$143.36 ,$296.96 ,$115.40 ,$312.32 ,$125.44 ,$281.09 ,$281.09 ,$130.46 ,$332.80 ,$227.53 ,$358.40 ,"$1,008.98 ",$115.40 ,$110.39 ,$384.00 ,$363.52 ,$363.52 ,$115.40 ,$363.52 ,$445.44 ,$445.44 ,$445.44 , N/A ,$460.80 ,$294.40 ,$435.20 ,$110.39 ,$512.00 ,$287.23 ,$110.39 ,$211.97 ,$221.05 ,$200.95 ,$115.40 ,$435.20 ,$219.27 ,$281.09 ,$143.36 ,$460.80 ,$512.00 ,$110.39 ,$445.44 ,$512.00 ,$512.00 ,$512.00 ,$117.76 ,$332.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000178,81377,HC HLA CLASS 2 TYPE 1 AG EQV LR-90,310,1 ,$613.00 ,$441.36 ,$61.73 ,$613.00 ,$352.48 ,$386.19 ,$367.80 ,$132.16 ,$171.64 ,$355.54 ,$138.17 ,$373.93 ,$150.18 ,$336.54 ,$336.54 ,$156.19 ,$398.45 ,$272.42 ,$429.10 ,$236.85 ,$138.17 ,$132.16 ,$459.75 ,$435.23 ,$435.23 ,$138.17 ,$435.23 ,$533.31 ,$533.31 ,$533.31 , N/A ,$551.70 ,$352.48 ,$521.05 ,$132.16 ,$613.00 ,$343.89 ,$132.16 ,$253.78 ,$67.90 ,$61.73 ,$138.17 ,$521.05 ,$262.52 ,$336.54 ,$171.64 ,$551.70 ,$613.00 ,$132.16 ,$533.31 ,$189.48 ,$613.00 ,$189.48 ,$140.99 ,$398.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000179,81381,HC HLA 1 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$178.00 ,$128.16 ,$38.38 ,$424.75 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$124.60 ,$424.75 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$67.90 ,$61.73 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$178.00 ,$178.00 ,$178.00 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000180,81383,HC HLA 2 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$613.00 ,$441.36 ,$61.73 ,$613.00 ,$352.48 ,$386.19 ,$367.80 ,$132.16 ,$171.64 ,$355.54 ,$138.17 ,$373.93 ,$150.18 ,$336.54 ,$336.54 ,$156.19 ,$398.45 ,$272.42 ,$429.10 ,$272.83 ,$138.17 ,$132.16 ,$459.75 ,$435.23 ,$435.23 ,$138.17 ,$435.23 ,$533.31 ,$533.31 ,$533.31 , N/A ,$551.70 ,$352.48 ,$521.05 ,$132.16 ,$613.00 ,$343.89 ,$132.16 ,$253.78 ,$67.90 ,$61.73 ,$138.17 ,$521.05 ,$262.52 ,$336.54 ,$171.64 ,$551.70 ,$613.00 ,$132.16 ,$533.31 ,$218.26 ,$613.00 ,$218.26 ,$140.99 ,$398.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000181,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$750.00 ,$540.00 ,$61.73 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$357.50 ,$169.05 ,$374.13 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$487.50 ,$333.30 ,$525.00 ,$159.90 ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 ,$67.90 ,$61.73 ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$127.92 ,$750.00 ,$127.92 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,$588.00 ,$423.36 ,$61.73 ,$588.00 ,$338.10 ,$370.44 ,$352.80 ,$126.77 ,$164.64 ,$341.04 ,$132.54 ,$358.68 ,$352.80 ,$322.81 ,$322.81 , N/A ,$382.20 , N/A ,$411.60 ,$411.60 ,$132.54 , N/A ,$441.00 ,$417.48 ,$417.48 , N/A ,$417.48 ,$511.56 ,$511.56 ,$511.56 , N/A ,$529.20 ,$338.10 ,$499.80 ,$126.77 ,$588.00 ,$329.87 ,$126.77 ,$243.43 ,$67.90 ,$61.73 ,$132.54 ,$499.80 ,$251.82 ,$322.81 ,$164.64 ,$529.20 ,$588.00 ,$126.77 ,$511.56 ,$274.00 ,$588.00 ,$274.00 ,$85.00 ,$382.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,$694.00 ,$499.68 ,$61.73 ,$694.00 ,$399.05 ,$437.22 ,$416.40 ,$149.63 ,$194.32 ,$402.52 ,$156.43 ,$423.34 ,$416.40 ,$381.01 ,$381.01 , N/A ,$451.10 , N/A ,$485.80 ,$485.80 ,$156.43 , N/A ,$520.50 ,$492.74 ,$492.74 , N/A ,$492.74 ,$603.78 ,$603.78 ,$603.78 , N/A ,$624.60 ,$399.05 ,$589.90 ,$149.63 ,$694.00 ,$389.33 ,$149.63 ,$287.32 ,$67.90 ,$61.73 ,$156.43 ,$589.90 ,$297.21 ,$381.01 ,$194.32 ,$624.60 ,$694.00 ,$149.63 ,$603.78 ,$370.40 ,$694.00 ,$370.40 ,$85.00 ,$451.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000187,81405,HC MOLECULAR PATH PROC LEVEL 6-90,310,1 ,$909.00 ,$654.48 ,$61.73 ,$909.00 ,$522.68 ,$572.67 ,$545.40 ,$195.98 ,$254.52 ,$527.22 ,$204.89 ,$554.49 ,$545.40 ,$499.04 ,$499.04 , N/A ,$590.85 , N/A ,$636.30 ,$636.30 ,$204.89 , N/A ,$681.75 ,$645.39 ,$645.39 , N/A ,$645.39 ,$790.83 ,$790.83 ,$790.83 , N/A ,$818.10 ,$522.68 ,$772.65 ,$195.98 ,$909.00 ,$509.95 ,$195.98 ,$376.33 ,$67.90 ,$61.73 ,$204.89 ,$772.65 ,$389.29 ,$499.04 ,$254.52 ,$818.10 ,$909.00 ,$195.98 ,$790.83 ,$602.70 ,$909.00 ,$602.70 ,$85.00 ,$590.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000188,81406,HC MOLECULAR PATH PROC LEVEL 7-90,310,1 ,"$1,773.00 ","$1,276.56 ",$85.00 ,"$1,773.00 ","$1,019.48 ","$1,116.99 ","$1,063.80 ",$382.26 ,$496.44 ,"$1,028.34 ",$399.63 ,"$1,081.53 ","$1,063.80 ",$973.38 ,$973.38 , N/A ,"$1,152.45 ", N/A ,"$1,241.10 ","$1,241.10 ",$399.63 , N/A ,"$1,329.75 ","$1,258.83 ","$1,258.83 ", N/A ,"$1,258.83 ","$1,542.51 ","$1,542.51 ","$1,542.51 ", N/A ,"$1,595.70 ","$1,019.48 ","$1,507.05 ",$382.26 ,"$1,773.00 ",$994.65 ,$382.26 ,$734.02 ,$221.05 ,$200.95 ,$399.63 ,"$1,507.05 ",$759.30 ,$973.38 ,$496.44 ,"$1,595.70 ","$1,773.00 ",$382.26 ,"$1,542.51 ",$565.76 ,"$1,773.00 ",$565.76 ,$85.00 ,"$1,152.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,31000191,81479,HC IBD CELIAC UNLISTED MOLECULAR PATH-90,310,1 ,$593.00 ,$426.96 ,$30.10 ,$593.00 ,$340.98 ,$373.59 ,$355.80 ,$127.85 ,$166.04 ,$30.10 ,$133.66 ,$31.50 ,$355.80 ,$325.56 ,$325.56 , N/A ,$385.45 , N/A ,$415.10 ,$415.10 ,$133.66 , N/A ,$444.75 ,$421.03 ,$421.03 , N/A ,$421.03 ,$515.91 ,$515.91 ,$515.91 , N/A ,$533.70 ,$340.98 ,$504.05 ,$127.85 ,$593.00 ,$332.67 ,$127.85 ,$245.50 ,$67.90 ,$61.73 ,$133.66 ,$504.05 ,$253.96 ,$325.56 ,$166.04 ,$533.70 ,$593.00 ,$127.85 ,$515.91 , N/A ,$593.00 , N/A ,$85.00 ,$385.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000208,81402,HC MOLECULAR PATHOLOGY PROC LEVEL 3-90,310,1 ,$593.00 ,$426.96 ,$61.73 ,$593.00 ,$340.98 ,$373.59 ,$355.80 ,$127.85 ,$166.04 ,$343.94 ,$133.66 ,$361.73 ,$355.80 ,$325.56 ,$325.56 , N/A ,$385.45 , N/A ,$415.10 ,$415.10 ,$133.66 , N/A ,$444.75 ,$421.03 ,$421.03 , N/A ,$421.03 ,$515.91 ,$515.91 ,$515.91 , N/A ,$533.70 ,$340.98 ,$504.05 ,$127.85 ,$593.00 ,$332.67 ,$127.85 ,$245.50 ,$67.90 ,$61.73 ,$133.66 ,$504.05 ,$253.96 ,$325.56 ,$166.04 ,$533.70 ,$593.00 ,$127.85 ,$515.91 ,$300.66 ,$593.00 ,$300.66 ,$85.00 ,$385.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000209,81232,HC DPYD GENE ANALYSIS COMMON VARIANT-90,310,1 ,$270.00 ,$194.40 ,$58.21 ,$437.03 ,$155.25 ,$170.10 ,$162.00 ,$58.21 ,$75.60 ,$156.60 ,$60.86 ,$164.70 ,$66.15 ,$148.23 ,$148.23 ,$68.80 ,$175.50 ,$119.99 ,$189.00 ,$437.03 ,$60.86 ,$58.21 ,$202.50 ,$191.70 ,$191.70 ,$60.86 ,$191.70 ,$234.90 ,$234.90 ,$234.90 , N/A ,$243.00 ,$155.25 ,$229.50 ,$58.21 ,$270.00 ,$151.47 ,$58.21 ,$111.78 ,$221.05 ,$200.95 ,$60.86 ,$229.50 ,$115.63 ,$148.23 ,$75.60 ,$243.00 ,$270.00 ,$58.21 ,$234.90 ,$270.00 ,$270.00 ,$270.00 ,$62.10 ,$175.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000224,81335,HC TPMT GENE ANALYSIS COMMON VARIANTS-90,310,1 ,$178.00 ,$128.16 ,$38.38 ,$437.03 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$124.60 ,$437.03 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$221.05 ,$200.95 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$178.00 ,$178.00 ,$178.00 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000228,81350,HC UGT1A1 GENE ANALYSIS COM VARIANTS-90,310,1 ,$603.00 ,$434.16 ,$61.73 ,$603.00 ,$346.73 ,$379.89 ,$361.80 ,$130.01 ,$168.84 ,$349.74 ,$135.92 ,$367.83 ,$147.73 ,$331.05 ,$331.05 ,$153.64 ,$391.95 ,$267.97 ,$422.10 ,$585.00 ,$135.92 ,$130.01 ,$452.25 ,$428.13 ,$428.13 ,$135.92 ,$428.13 ,$524.61 ,$524.61 ,$524.61 , N/A ,$542.70 ,$346.73 ,$512.55 ,$130.01 ,$603.00 ,$338.28 ,$130.01 ,$249.64 ,$67.90 ,$61.73 ,$135.92 ,$512.55 ,$258.24 ,$331.05 ,$168.84 ,$542.70 ,$603.00 ,$130.01 ,$524.61 ,$468.00 ,$603.00 ,$468.00 ,$138.69 ,$391.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000243,81305,HC MYD99 GENE ANALYSIS VARIANT-90,310,1 ,$842.00 ,$606.24 ,$181.54 ,$842.00 ,$484.15 ,$530.46 ,$505.20 ,$181.54 ,$235.76 ,$488.36 ,$189.79 ,$513.62 ,$206.29 ,$462.26 ,$462.26 ,$214.54 ,$547.30 ,$374.18 ,$589.40 ,$438.50 ,$189.79 ,$181.54 ,$631.50 ,$597.82 ,$597.82 ,$189.79 ,$597.82 ,$732.54 ,$732.54 ,$732.54 , N/A ,$757.80 ,$484.15 ,$715.70 ,$181.54 ,$842.00 ,$472.36 ,$181.54 ,$348.59 ,$221.05 ,$200.95 ,$189.79 ,$715.70 ,$360.59 ,$462.26 ,$235.76 ,$757.80 ,$842.00 ,$181.54 ,$732.54 ,$350.80 ,$842.00 ,$350.80 ,$193.66 ,$547.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000245,81271,HC HTT GENE ANALYSIS DETECT ABNORMAL ALLELES-90,310,1 ,$552.00 ,$397.44 ,$61.73 ,$552.00 ,$317.40 ,$347.76 ,$331.20 ,$119.01 ,$154.56 ,$320.16 ,$124.42 ,$336.72 ,$135.24 ,$303.05 ,$303.05 ,$140.65 ,$358.80 ,$245.31 ,$386.40 ,$342.50 ,$124.42 ,$119.01 ,$414.00 ,$391.92 ,$391.92 ,$124.42 ,$391.92 ,$480.24 ,$480.24 ,$480.24 , N/A ,$496.80 ,$317.40 ,$469.20 ,$119.01 ,$552.00 ,$309.67 ,$119.01 ,$228.53 ,$67.90 ,$61.73 ,$124.42 ,$469.20 ,$236.40 ,$303.05 ,$154.56 ,$496.80 ,$552.00 ,$119.01 ,$480.24 ,$274.00 ,$552.00 ,$274.00 ,$126.96 ,$358.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000248,81226,HC CYP2D6 GENE COM VARIANTS-90,310,1 ,$270.00 ,$194.40 ,$58.21 ,$675.00 ,$155.25 ,$170.10 ,$162.00 ,$58.21 ,$75.60 ,$156.60 ,$60.86 ,$164.70 ,$66.15 ,$148.23 ,$148.23 ,$68.80 ,$175.50 ,$119.99 ,$189.00 ,$675.00 ,$60.86 ,$58.21 ,$202.50 ,$191.70 ,$191.70 ,$60.86 ,$191.70 ,$234.90 ,$234.90 ,$234.90 , N/A ,$243.00 ,$155.25 ,$229.50 ,$58.21 ,$270.00 ,$151.47 ,$58.21 ,$111.78 ,$627.29 ,$570.26 ,$60.86 ,$229.50 ,$115.63 ,$148.23 ,$75.60 ,$243.00 ,$270.00 ,$58.21 ,$234.90 ,$270.00 ,$270.00 ,$270.00 ,$62.10 ,$175.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000261,81227,HC CYP2C9 GENE COM VARIANTS-90,310,1 ,$270.00 ,$194.40 ,$58.21 ,$437.03 ,$155.25 ,$170.10 ,$162.00 ,$58.21 ,$75.60 ,$156.60 ,$60.86 ,$164.70 ,$66.15 ,$148.23 ,$148.23 ,$68.80 ,$175.50 ,$119.99 ,$189.00 ,$437.03 ,$60.86 ,$58.21 ,$202.50 ,$191.70 ,$191.70 ,$60.86 ,$191.70 ,$234.90 ,$234.90 ,$234.90 , N/A ,$243.00 ,$155.25 ,$229.50 ,$58.21 ,$270.00 ,$151.47 ,$58.21 ,$111.78 ,$221.05 ,$200.95 ,$60.86 ,$229.50 ,$115.63 ,$148.23 ,$75.60 ,$243.00 ,$270.00 ,$58.21 ,$234.90 ,$270.00 ,$270.00 ,$270.00 ,$62.10 ,$175.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000262,81230,HC CYP3A4 GENE COM VARIANTS-90,310,1 ,$270.00 ,$194.40 ,$58.21 ,$437.03 ,$155.25 ,$170.10 ,$162.00 ,$58.21 ,$75.60 ,$156.60 ,$60.86 ,$164.70 ,$66.15 ,$148.23 ,$148.23 ,$68.80 ,$175.50 ,$119.99 ,$189.00 ,$437.03 ,$60.86 ,$58.21 ,$202.50 ,$191.70 ,$191.70 ,$60.86 ,$191.70 ,$234.90 ,$234.90 ,$234.90 , N/A ,$243.00 ,$155.25 ,$229.50 ,$58.21 ,$270.00 ,$151.47 ,$58.21 ,$111.78 ,$67.90 ,$61.73 ,$60.86 ,$229.50 ,$115.63 ,$148.23 ,$75.60 ,$243.00 ,$270.00 ,$58.21 ,$234.90 ,$270.00 ,$270.00 ,$270.00 ,$62.10 ,$175.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000263,81231,HC CYP3A5 GENE COM VARIANTS-90,310,1 ,$270.00 ,$194.40 ,$58.21 ,$437.03 ,$155.25 ,$170.10 ,$162.00 ,$58.21 ,$75.60 ,$156.60 ,$60.86 ,$164.70 ,$66.15 ,$148.23 ,$148.23 ,$68.80 ,$175.50 ,$119.99 ,$189.00 ,$437.03 ,$60.86 ,$58.21 ,$202.50 ,$191.70 ,$191.70 ,$60.86 ,$191.70 ,$234.90 ,$234.90 ,$234.90 , N/A ,$243.00 ,$155.25 ,$229.50 ,$58.21 ,$270.00 ,$151.47 ,$58.21 ,$111.78 ,$221.05 ,$200.95 ,$60.86 ,$229.50 ,$115.63 ,$148.23 ,$75.60 ,$243.00 ,$270.00 ,$58.21 ,$234.90 ,$270.00 ,$270.00 ,$270.00 ,$62.10 ,$175.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000266,81355,HC VKORC1 GENE ANALYSIS COMMON VARIANTS-90,310,1 ,"$1,278.00 ",$920.16 ,$61.73 ,"$1,278.00 ",$734.85 ,$805.14 ,$766.80 ,$275.54 ,$357.84 ,$493.04 ,$288.06 ,$515.97 ,$313.11 ,$701.62 ,$701.62 ,$325.63 ,$830.70 ,$567.94 ,$894.60 ,$220.50 ,$288.06 ,$275.54 ,$958.50 ,$907.38 ,$907.38 ,$288.06 ,$907.38 ,"$1,111.86 ","$1,111.86 ","$1,111.86 ", N/A ,"$1,150.20 ",$734.85 ,"$1,086.30 ",$275.54 ,"$1,278.00 ",$716.96 ,$275.54 ,$529.09 ,$67.90 ,$61.73 ,$288.06 ,"$1,086.30 ",$547.32 ,$701.62 ,$357.84 ,"$1,150.20 ","$1,278.00 ",$275.54 ,"$1,111.86 ",$176.40 ,"$1,278.00 ",$176.40 ,$293.94 ,$830.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000267,81247,HC G6PD GENE ANALYSIS COMMON VARIANT-90,310,1 ,$178.00 ,$128.16 ,$38.38 ,$437.03 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$124.60 ,$437.03 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$221.05 ,$200.95 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$178.00 ,$178.00 ,$178.00 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000268,81306,HC NUDT15 GENE COMMON VARIANTS-90,310,1 ,$178.00 ,$128.16 ,$38.38 ,$445.00 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$124.60 ,$445.00 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$221.05 ,$200.95 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$178.00 ,$178.00 ,$178.00 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000269,81328,HC SLCO1B1 GENE COMMON VARIANTS-90,310,1 ,$178.00 ,$128.16 ,$38.38 ,$437.03 ,$102.35 ,$112.14 ,$106.80 ,$38.38 ,$49.84 ,$103.24 ,$40.12 ,$108.58 ,$43.61 ,$97.72 ,$97.72 ,$45.35 ,$115.70 ,$79.10 ,$124.60 ,$437.03 ,$40.12 ,$38.38 ,$133.50 ,$126.38 ,$126.38 ,$40.12 ,$126.38 ,$154.86 ,$154.86 ,$154.86 , N/A ,$160.20 ,$102.35 ,$151.30 ,$38.38 ,$178.00 ,$99.86 ,$38.38 ,$73.69 ,$221.05 ,$200.95 ,$40.12 ,$151.30 ,$76.23 ,$97.72 ,$49.84 ,$160.20 ,$178.00 ,$38.38 ,$154.86 ,$178.00 ,$178.00 ,$178.00 ,$40.94 ,$115.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31000270,81223,HC CYSTIC FIBROSIS FULL GENE ANALYSIS-90,310,1 ,"$4,986.00 ","$3,589.92 ",$61.73 ,"$4,986.00 ","$2,866.95 ","$3,141.18 ","$2,991.60 ","$1,074.98 ","$1,396.08 ","$2,789.41 ","$1,123.84 ","$2,919.15 ","$1,221.57 ","$2,737.31 ","$2,737.31 ","$1,270.43 ","$3,240.90 ","$2,215.78 ","$3,490.20 ","$1,247.50 ","$1,123.84 ","$1,074.98 ","$3,739.50 ","$3,540.06 ","$3,540.06 ","$1,123.84 ","$3,540.06 ","$4,337.82 ","$4,337.82 ","$4,337.82 ", N/A ,"$4,487.40 ","$2,866.95 ","$4,238.10 ","$1,074.98 ","$4,986.00 ","$2,797.15 ","$1,074.98 ","$2,064.20 ",$67.90 ,$61.73 ,"$1,123.84 ","$4,238.10 ","$2,135.30 ","$2,737.31 ","$1,396.08 ","$4,487.40 ","$4,986.00 ","$1,074.98 ","$4,337.82 ",$998.00 ,"$4,986.00 ",$998.00 ,"$1,146.78 ","$3,240.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,31000280,81403,HC MOLECULAR PATHOLOGY PROC LEVEL 4-90,310,1 ,$631.00 ,$454.32 ,$61.73 ,$631.00 ,$362.83 ,$397.53 ,$378.60 ,$136.04 ,$176.68 ,$365.98 ,$142.23 ,$384.91 ,$378.60 ,$346.42 ,$346.42 , N/A ,$410.15 , N/A ,$441.70 ,$441.70 ,$142.23 , N/A ,$473.25 ,$448.01 ,$448.01 , N/A ,$448.01 ,$548.97 ,$548.97 ,$548.97 , N/A ,$567.90 ,$362.83 ,$536.35 ,$136.04 ,$631.00 ,$353.99 ,$136.04 ,$261.23 ,$67.90 ,$61.73 ,$142.23 ,$536.35 ,$270.23 ,$346.42 ,$176.68 ,$567.90 ,$631.00 ,$136.04 ,$548.97 ,$370.40 ,$631.00 ,$370.40 ,$85.00 ,$410.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,31040111,81162,HC BRCA1 AND 2 GEN FULL SEQ DUP/DEL-90,310,1 ,$58.00 ,$41.76 ,$12.50 ,$627.29 ,$33.35 ,$36.54 ,$34.80 ,$12.50 ,$16.24 ,$33.64 ,$13.07 ,$35.38 ,$14.21 ,$31.84 ,$31.84 ,$14.78 ,$37.70 ,$25.78 ,$40.60 ,$145.00 ,$13.07 ,$12.50 ,$43.50 ,$41.18 ,$41.18 ,$13.07 ,$41.18 ,$50.46 ,$50.46 ,$50.46 , N/A ,$52.20 ,$33.35 ,$49.30 ,$12.50 ,$58.00 ,$32.54 ,$12.50 ,$24.01 ,$627.29 ,$570.26 ,$13.07 ,$49.30 ,$24.84 ,$31.84 ,$16.24 ,$52.20 ,$58.00 ,$12.50 ,$50.46 ,$58.00 ,$58.00 ,$58.00 ,$13.34 ,$37.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31040113,81256,HC HFE GENE-90,310,1 ,$172.00 ,$123.84 ,$37.08 ,$172.00 ,$98.90 ,$108.36 ,$103.20 ,$37.08 ,$48.16 ,$99.76 ,$38.77 ,$104.92 ,$42.14 ,$94.43 ,$94.43 ,$43.83 ,$111.80 ,$76.44 ,$120.40 ,$163.40 ,$38.77 ,$37.08 ,$129.00 ,$122.12 ,$122.12 ,$38.77 ,$122.12 ,$149.64 ,$149.64 ,$149.64 , N/A ,$154.80 ,$98.90 ,$146.20 ,$37.08 ,$172.00 ,$96.49 ,$37.08 ,$71.21 ,$67.90 ,$61.73 ,$38.77 ,$146.20 ,$73.66 ,$94.43 ,$48.16 ,$154.80 ,$172.00 ,$37.08 ,$149.64 ,$130.72 ,$172.00 ,$130.72 ,$39.56 ,$111.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$186.00 ,$133.92 ,$37.77 ,$186.00 ,$106.95 ,$117.18 ,$111.60 ,$40.10 ,$52.08 ,$107.88 ,$41.92 ,$113.46 ,$45.57 ,$102.11 ,$102.11 ,$47.39 ,$37.77 ,$82.66 ,$130.20 ,$125.35 ,$41.92 ,$40.10 ,$139.50 ,$132.06 ,$132.06 ,$41.92 ,$132.06 ,$161.82 ,$161.82 ,$161.82 , N/A ,$167.40 ,$106.95 ,$158.10 ,$40.10 ,$186.00 ,$104.35 ,$40.10 ,$77.00 ,$60.13 ,$54.66 ,$41.92 ,$158.10 ,$79.65 ,$102.11 ,$52.08 ,$167.40 ,$186.00 ,$40.10 ,$161.82 ,$99.52 ,$186.00 ,$99.52 ,$42.78 ,$120.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$460.00 ,$331.20 ,$19.81 ,$460.00 ,$264.50 ,$289.80 ,$276.00 ,$99.18 ,$128.80 ,$266.80 ,$103.68 ,$280.60 ,$112.70 ,$252.54 ,$252.54 ,$117.21 ,$19.81 ,$204.42 ,$322.00 ,$393.13 ,$103.68 ,$99.18 ,$345.00 ,$326.60 ,$326.60 ,$103.68 ,$326.60 ,$400.20 ,$400.20 ,$400.20 , N/A ,$414.00 ,$264.50 ,$391.00 ,$99.18 ,$22.01 ,$258.06 ,$99.18 ,$190.44 ,$54.66 ,$49.69 ,$103.68 ,$391.00 ,$197.00 ,$252.54 ,$128.80 ,$414.00 ,$460.00 ,$99.18 ,$400.20 ,$298.32 ,$460.00 ,$298.32 ,$105.80 ,$299.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100115,88173,HC FINE NEEDLE INTERP,311,1 ,$158.00 ,$113.76 ,$34.06 ,$158.00 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$88.69 ,$70.22 ,$110.60 ,$125.35 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$98.55 ,$88.64 ,$34.06 ,$65.41 ,$54.66 ,$49.69 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$99.52 ,$158.00 ,$99.52 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$80.00 ,$57.60 ,$17.25 ,$810.28 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$70.50 ,$35.55 ,$56.00 ,$810.28 ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$60.13 ,$54.66 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$80.00 ,$80.00 ,$80.00 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$22.38 ,$35.55 ,$56.00 , N/A ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 ,$60.13 ,$54.66 ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$46.06 ,$80.00 ,$46.06 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100248,88187,HC FLOW CYTO INT 2-8 MARKERS-90,311,1 ,$227.00 ,$163.44 ,$35.61 ,$227.00 ,$130.53 ,$143.01 ,$136.20 ,$48.94 ,$63.56 ,$131.66 ,$51.17 ,$138.47 ,$55.61 ,$124.62 ,$124.62 ,$57.84 ,$35.61 ,$100.88 ,$158.90 , N/A ,$51.17 ,$48.94 ,$170.25 ,$161.17 ,$161.17 ,$51.17 ,$161.17 ,$197.49 ,$197.49 ,$197.49 , N/A ,$204.30 ,$130.53 ,$192.95 ,$48.94 ,$227.00 ,$127.35 ,$48.94 ,$93.98 ,$54.66 ,$49.69 ,$51.17 ,$192.95 ,$97.22 ,$124.62 ,$63.56 ,$204.30 ,$227.00 ,$48.94 ,$197.49 ,$73.28 ,$227.00 ,$73.28 ,$52.21 ,$147.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100251,88230,HC TISSUE CULT NONNEO LYMPHOCYTE-90,311,1 ,$711.00 ,$511.92 ,$54.66 ,$711.00 ,$408.83 ,$447.93 ,$426.60 ,$153.29 ,$199.08 ,$412.38 ,$160.26 ,$433.71 ,$174.19 ,$390.34 ,$390.34 ,$181.16 ,$462.15 ,$315.97 ,$497.70 ,$291.23 ,$160.26 ,$153.29 ,$533.25 ,$504.81 ,$504.81 ,$160.26 ,$504.81 ,$618.57 ,$618.57 ,$618.57 , N/A ,$639.90 ,$408.83 ,$604.35 ,$153.29 ,$711.00 ,$398.87 ,$153.29 ,$294.35 ,$60.13 ,$54.66 ,$160.26 ,$604.35 ,$304.50 ,$390.34 ,$199.08 ,$639.90 ,$711.00 ,$153.29 ,$618.57 ,$232.98 ,$711.00 ,$232.98 ,$163.53 ,$462.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100252,88233,HC TISSUE CULT SKIN/OTH SOLID-90,311,1 ,$936.00 ,$673.92 ,$54.66 ,$936.00 ,$538.20 ,$589.68 ,$561.60 ,$201.80 ,$262.08 ,$542.88 ,$210.97 ,$570.96 ,$229.32 ,$513.86 ,$513.86 ,$238.49 ,$608.40 ,$415.96 ,$655.20 ,$351.83 ,$210.97 ,$201.80 ,$702.00 ,$664.56 ,$664.56 ,$210.97 ,$664.56 ,$814.32 ,$814.32 ,$814.32 , N/A ,$842.40 ,$538.20 ,$795.60 ,$201.80 ,$936.00 ,$525.10 ,$201.80 ,$387.50 ,$60.13 ,$54.66 ,$210.97 ,$795.60 ,$400.85 ,$513.86 ,$262.08 ,$842.40 ,$936.00 ,$201.80 ,$814.32 ,$281.46 ,$936.00 ,$281.46 ,$215.28 ,$608.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100257,88262,HC CHROM COUNT 15-20/2-90,311,1 ,$711.00 ,$511.92 ,$61.73 ,$711.00 ,$408.83 ,$447.93 ,$426.60 ,$153.29 ,$199.08 ,$412.38 ,$160.26 ,$433.71 ,$174.19 ,$390.34 ,$390.34 ,$181.16 ,$462.15 ,$315.97 ,$497.70 ,$313.73 ,$160.26 ,$153.29 ,$533.25 ,$504.81 ,$504.81 ,$160.26 ,$504.81 ,$618.57 ,$618.57 ,$618.57 , N/A ,$639.90 ,$408.83 ,$604.35 ,$153.29 ,$711.00 ,$398.87 ,$153.29 ,$294.35 ,$67.90 ,$61.73 ,$160.26 ,$604.35 ,$304.50 ,$390.34 ,$199.08 ,$639.90 ,$711.00 ,$153.29 ,$618.57 ,$250.98 ,$711.00 ,$250.98 ,$163.53 ,$462.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100262,88271,HC MCG DNA PROBE(BCR/ABL)-90,311,1 ,$163.00 ,$117.36 ,$35.14 ,$163.00 ,$93.73 ,$102.69 ,$97.80 ,$35.14 ,$45.64 ,$94.54 ,$36.74 ,$99.43 ,$39.93 ,$89.49 ,$89.49 ,$41.53 ,$105.95 ,$72.44 ,$114.10 ,$53.55 ,$36.74 ,$35.14 ,$122.25 ,$115.73 ,$115.73 ,$36.74 ,$115.73 ,$141.81 ,$141.81 ,$141.81 , N/A ,$146.70 ,$93.73 ,$138.55 ,$35.14 ,$163.00 ,$91.44 ,$35.14 ,$67.48 ,$67.90 ,$61.73 ,$36.74 ,$138.55 ,$69.81 ,$89.49 ,$45.64 ,$146.70 ,$163.00 ,$35.14 ,$141.81 ,$42.84 ,$163.00 ,$42.84 ,$37.49 ,$105.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100271,88275,HC MCG INTER INSIT BCR/ABL 100-90,311,1 ,$190.00 ,$136.80 ,$40.96 ,$190.00 ,$109.25 ,$119.70 ,$114.00 ,$40.96 ,$53.20 ,$110.20 ,$42.83 ,$115.90 ,$46.55 ,$104.31 ,$104.31 ,$48.41 ,$123.50 ,$84.44 ,$133.00 ,$127.98 ,$42.83 ,$40.96 ,$142.50 ,$134.90 ,$134.90 ,$42.83 ,$134.90 ,$165.30 ,$165.30 ,$165.30 , N/A ,$171.00 ,$109.25 ,$161.50 ,$40.96 ,$190.00 ,$106.59 ,$40.96 ,$78.66 ,$67.90 ,$61.73 ,$42.83 ,$161.50 ,$81.37 ,$104.31 ,$53.20 ,$171.00 ,$190.00 ,$40.96 ,$165.30 ,$102.38 ,$190.00 ,$102.38 ,$43.70 ,$123.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100274,88289,HC CHROM ADDL HIGH RES-90,311,1 ,$132.00 ,$95.04 ,$28.46 ,$132.00 ,$75.90 ,$83.16 ,$79.20 ,$28.46 ,$36.96 ,$76.56 ,$29.75 ,$80.52 ,$32.34 ,$72.47 ,$72.47 ,$33.63 ,$85.80 ,$58.66 ,$92.40 ,$86.08 ,$29.75 ,$28.46 ,$99.00 ,$93.72 ,$93.72 ,$29.75 ,$93.72 ,$114.84 ,$114.84 ,$114.84 , N/A ,$118.80 ,$75.90 ,$112.20 ,$28.46 ,$132.00 ,$74.05 ,$28.46 ,$54.65 ,$67.90 ,$61.73 ,$29.75 ,$112.20 ,$56.53 ,$72.47 ,$36.96 ,$118.80 ,$132.00 ,$28.46 ,$114.84 ,$68.86 ,$132.00 ,$68.86 ,$30.36 ,$85.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100275,88291,HC INTERPRETATION-90,311,1 ,$827.00 ,$595.44 ,$32.03 ,$827.00 ,$475.53 ,$521.01 ,$496.20 ,$178.30 ,$231.56 ,$366.19 ,$186.41 ,$383.22 ,$202.61 ,$454.02 ,$454.02 ,$210.72 ,$32.03 ,$367.52 ,$578.90 , N/A ,$186.41 ,$178.30 ,$620.25 ,$587.17 ,$587.17 ,$186.41 ,$587.17 ,$719.49 ,$719.49 ,$719.49 , N/A ,$744.30 ,$475.53 ,$702.95 ,$178.30 ,$827.00 ,$463.95 ,$178.30 ,$342.38 ,$67.90 ,$61.73 ,$186.41 ,$702.95 ,$354.17 ,$454.02 ,$231.56 ,$744.30 ,$827.00 ,$178.30 ,$719.49 ,$67.70 ,$827.00 ,$67.70 ,$190.21 ,$537.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100283,88120,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC-90,311,1 ,$406.00 ,$292.32 ,$54.66 ,$406.00 ,$233.45 ,$255.78 ,$243.60 ,$87.53 ,$113.68 ,$235.48 ,$91.51 ,$247.66 ,$99.47 ,$222.89 ,$222.89 ,$103.45 ,$406.00 ,$180.43 ,$284.20 ,$393.13 ,$91.51 ,$87.53 ,$304.50 ,$288.26 ,$288.26 ,$91.51 ,$288.26 ,$353.22 ,$353.22 ,$353.22 , N/A ,$365.40 ,$233.45 ,$345.10 ,$87.53 ,$406.00 ,$227.77 ,$87.53 ,$168.08 ,$60.13 ,$54.66 ,$91.51 ,$345.10 ,$173.87 ,$222.89 ,$113.68 ,$365.40 ,$406.00 ,$87.53 ,$353.22 ,$298.32 ,$406.00 ,$298.32 ,$93.38 ,$263.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100293,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$167.00 ,$120.24 ,$20.26 ,$167.00 ,$96.03 ,$105.21 ,$100.20 ,$36.01 ,$46.76 ,$96.86 ,$37.64 ,$101.87 ,$40.91 ,$91.68 ,$91.68 ,$42.55 ,$108.55 ,$74.21 ,$116.90 ,$66.53 ,$37.64 ,$36.01 ,$125.25 ,$118.57 ,$118.57 ,$37.64 ,$118.57 ,$145.29 ,$145.29 ,$145.29 , N/A ,$150.30 ,$96.03 ,$141.95 ,$36.01 ,$20.26 ,$93.69 ,$36.01 ,$69.14 ,$39.62 ,$36.02 ,$37.64 ,$141.95 ,$71.52 ,$91.68 ,$46.76 ,$150.30 ,$167.00 ,$36.01 ,$145.29 ,$53.22 ,$167.00 ,$53.22 ,$38.41 ,$108.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100294,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$117.00 ,$84.24 ,$25.23 ,$810.28 ,$67.28 ,$73.71 ,$70.20 ,$25.23 ,$32.76 ,$67.86 ,$26.37 ,$71.37 ,$28.66 ,$64.23 ,$64.23 ,$29.81 ,$70.50 ,$51.99 ,$81.90 ,$810.28 ,$26.37 ,$25.23 ,$87.75 ,$83.07 ,$83.07 ,$26.37 ,$83.07 ,$101.79 ,$101.79 ,$101.79 , N/A ,$105.30 ,$67.28 ,$99.45 ,$25.23 ,$117.00 ,$65.64 ,$25.23 ,$48.44 ,$60.13 ,$54.66 ,$26.37 ,$99.45 ,$50.11 ,$64.23 ,$32.76 ,$105.30 ,$117.00 ,$25.23 ,$101.79 ,$117.00 ,$117.00 ,$117.00 ,$26.91 ,$76.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100295,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$101.00 ,$72.72 ,$21.78 ,$101.00 ,$58.08 ,$63.63 ,$60.60 ,$21.78 ,$28.28 ,$58.58 ,$22.77 ,$61.61 ,$24.74 ,$55.45 ,$55.45 ,$25.73 ,$22.38 ,$44.88 ,$70.70 , N/A ,$22.77 ,$21.78 ,$75.75 ,$71.71 ,$71.71 ,$22.77 ,$71.71 ,$87.87 ,$87.87 ,$87.87 , N/A ,$90.90 ,$58.08 ,$85.85 ,$21.78 ,$101.00 ,$56.66 ,$21.78 ,$41.81 ,$60.13 ,$54.66 ,$22.77 ,$85.85 ,$43.26 ,$55.45 ,$28.28 ,$90.90 ,$101.00 ,$21.78 ,$87.87 ,$46.06 ,$101.00 ,$46.06 ,$23.23 ,$65.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100299,88104,HC CYTOPATH FLD SMEAR,311,1 ,$107.00 ,$77.04 ,$23.07 ,$107.00 ,$61.53 ,$67.41 ,$64.20 ,$23.07 ,$29.96 ,$62.06 ,$24.12 ,$65.27 ,$26.21 ,$58.74 ,$58.74 ,$27.26 ,$40.56 ,$47.55 ,$74.90 ,$84.90 ,$24.12 ,$23.07 ,$80.25 ,$75.97 ,$75.97 ,$24.12 ,$75.97 ,$93.09 ,$93.09 ,$93.09 , N/A ,$96.30 ,$61.53 ,$90.95 ,$23.07 ,$107.00 ,$60.03 ,$23.07 ,$44.30 ,$54.66 ,$49.69 ,$24.12 ,$90.95 ,$45.82 ,$58.74 ,$29.96 ,$96.30 ,$107.00 ,$23.07 ,$93.09 ,$67.68 ,$107.00 ,$67.68 ,$24.61 ,$69.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100300,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$92.00 ,$66.24 ,$19.84 ,$92.00 ,$52.90 ,$57.96 ,$55.20 ,$19.84 ,$25.76 ,$53.36 ,$20.74 ,$56.12 ,$22.54 ,$50.51 ,$50.51 ,$23.44 ,$48.17 ,$40.88 ,$64.40 ,$62.40 ,$20.74 ,$19.84 ,$69.00 ,$65.32 ,$65.32 ,$20.74 ,$65.32 ,$80.04 ,$80.04 ,$80.04 , N/A ,$82.80 ,$52.90 ,$78.20 ,$19.84 ,$92.00 ,$51.61 ,$19.84 ,$38.09 ,$54.66 ,$49.69 ,$20.74 ,$78.20 ,$39.40 ,$50.51 ,$25.76 ,$82.80 ,$92.00 ,$19.84 ,$80.04 ,$49.34 ,$92.00 ,$49.34 ,$21.16 ,$59.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100301,88175,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$228.00 ,$164.16 ,$20.26 ,$228.00 ,$131.10 ,$143.64 ,$136.80 ,$49.16 ,$63.84 ,$132.24 ,$51.39 ,$139.08 ,$55.86 ,$125.17 ,$125.17 ,$58.09 ,$148.20 ,$101.32 ,$159.60 ,$66.53 ,$51.39 ,$49.16 ,$171.00 ,$161.88 ,$161.88 ,$51.39 ,$161.88 ,$198.36 ,$198.36 ,$198.36 , N/A ,$205.20 ,$131.10 ,$193.80 ,$49.16 ,$20.26 ,$127.91 ,$49.16 ,$94.39 ,$39.62 ,$36.02 ,$51.39 ,$193.80 ,$97.65 ,$125.17 ,$63.84 ,$205.20 ,$228.00 ,$49.16 ,$198.36 ,$53.22 ,$228.00 ,$53.22 ,$52.44 ,$148.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100303,88172,HC FINE NEEDLE EVAL,311,1 ,$489.00 ,$352.08 ,$19.81 ,$489.00 ,$281.18 ,$308.07 ,$293.40 ,$105.43 ,$136.92 ,$283.62 ,$110.22 ,$298.29 ,$119.80 ,$268.46 ,$268.46 ,$124.60 ,$19.81 ,$217.31 ,$342.30 ,$393.13 ,$110.22 ,$105.43 ,$366.75 ,$347.19 ,$347.19 ,$110.22 ,$347.19 ,$425.43 ,$425.43 ,$425.43 , N/A ,$440.10 ,$281.18 ,$415.65 ,$105.43 ,$22.01 ,$274.33 ,$105.43 ,$202.45 ,$54.66 ,$49.69 ,$110.22 ,$415.65 ,$209.42 ,$268.46 ,$136.92 ,$440.10 ,$489.00 ,$105.43 ,$425.43 ,$298.32 ,$489.00 ,$298.32 ,$112.47 ,$317.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100304,88173,HC FINE NEEDLE INTERP,311,1 ,$158.00 ,$113.76 ,$34.06 ,$158.00 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$88.69 ,$70.22 ,$110.60 ,$125.35 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$98.55 ,$88.64 ,$34.06 ,$65.41 ,$54.66 ,$49.69 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$99.52 ,$158.00 ,$99.52 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100307,88177,HC FINE NEEDLE EVAL ADDL,311,1 ,$145.00 ,$104.40 ,$7.56 ,$145.00 ,$83.38 ,$91.35 ,$87.00 ,$31.26 ,$40.60 ,$84.10 ,$32.68 ,$88.45 ,$35.52 ,$79.61 ,$79.61 ,$36.95 ,$7.56 ,$64.44 ,$101.50 , N/A ,$32.68 ,$31.26 ,$108.75 ,$102.95 ,$102.95 ,$32.68 ,$102.95 ,$126.15 ,$126.15 ,$126.15 , N/A ,$130.50 ,$83.38 ,$123.25 ,$31.26 ,$8.40 ,$81.35 ,$31.26 ,$60.03 ,$54.66 ,$49.69 ,$32.68 ,$123.25 ,$62.10 ,$79.61 ,$40.60 ,$130.50 ,$145.00 ,$31.26 ,$126.15 ,$14.66 ,$145.00 ,$14.66 ,$33.35 ,$94.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100310,88121,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC COMP ASSIST-90,311,1 ,$427.00 ,$307.44 ,$54.66 ,$427.00 ,$245.53 ,$269.01 ,$256.20 ,$92.06 ,$119.56 ,$247.66 ,$96.25 ,$260.47 ,$104.61 ,$234.42 ,$234.42 ,$108.80 ,$350.72 ,$189.76 ,$298.90 ,$393.13 ,$96.25 ,$92.06 ,$320.25 ,$303.17 ,$303.17 ,$96.25 ,$303.17 ,$371.49 ,$371.49 ,$371.49 , N/A ,$384.30 ,$245.53 ,$362.95 ,$92.06 ,$427.00 ,$239.55 ,$92.06 ,$176.78 ,$60.13 ,$54.66 ,$96.25 ,$362.95 ,$182.87 ,$234.42 ,$119.56 ,$384.30 ,$427.00 ,$92.06 ,$371.49 ,$427.00 ,$427.00 ,$427.00 ,$98.21 ,$277.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100312,88189,HC FLOW CYTO INT >16 MARKERS-90,311,1 ,$707.00 ,$509.04 ,$49.69 ,$707.00 ,$406.53 ,$445.41 ,$424.20 ,$152.43 ,$197.96 ,$410.06 ,$159.36 ,$431.27 ,$173.21 ,$388.14 ,$388.14 ,$180.14 ,$83.71 ,$314.19 ,$494.90 , N/A ,$159.36 ,$152.43 ,$530.25 ,$501.97 ,$501.97 ,$159.36 ,$501.97 ,$615.09 ,$615.09 ,$615.09 , N/A ,$636.30 ,$406.53 ,$600.95 ,$152.43 ,$707.00 ,$396.63 ,$152.43 ,$292.70 ,$54.66 ,$49.69 ,$159.36 ,$600.95 ,$302.78 ,$388.14 ,$197.96 ,$636.30 ,$707.00 ,$152.43 ,$615.09 ,$170.28 ,$707.00 ,$170.28 ,$162.61 ,$459.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100313,88112,HC CYTOPATH CELL ENHANCE-90,311,1 ,$427.00 ,$307.44 ,$37.77 ,$427.00 ,$245.53 ,$269.01 ,$256.20 ,$92.06 ,$119.56 ,$247.66 ,$96.25 ,$260.47 ,$104.61 ,$234.42 ,$234.42 ,$108.80 ,$37.77 ,$189.76 ,$298.90 ,$125.35 ,$96.25 ,$92.06 ,$320.25 ,$303.17 ,$303.17 ,$96.25 ,$303.17 ,$371.49 ,$371.49 ,$371.49 , N/A ,$384.30 ,$245.53 ,$362.95 ,$92.06 ,$427.00 ,$239.55 ,$92.06 ,$176.78 ,$60.13 ,$54.66 ,$96.25 ,$362.95 ,$182.87 ,$234.42 ,$119.56 ,$384.30 ,$427.00 ,$92.06 ,$371.49 ,$99.52 ,$427.00 ,$99.52 ,$98.21 ,$277.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31100314,88142,HC THINPREP PAP,311,1 ,$138.00 ,$99.36 ,$20.26 ,$138.00 ,$79.35 ,$86.94 ,$82.80 ,$29.75 ,$38.64 ,$80.04 ,$31.11 ,$84.18 ,$33.81 ,$75.76 ,$75.76 ,$35.16 ,$89.70 ,$61.33 ,$96.60 ,$50.65 ,$31.11 ,$29.75 ,$103.50 ,$97.98 ,$97.98 ,$31.11 ,$97.98 ,$120.06 ,$120.06 ,$120.06 , N/A ,$124.20 ,$79.35 ,$117.30 ,$29.75 ,$20.26 ,$77.42 ,$29.75 ,$57.13 ,$39.62 ,$36.02 ,$31.11 ,$117.30 ,$59.10 ,$75.76 ,$38.64 ,$124.20 ,$138.00 ,$29.75 ,$120.06 ,$40.52 ,$138.00 ,$40.52 ,$31.74 ,$89.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$61.00 ,$43.92 ,$11.30 ,$62.40 ,$35.08 ,$38.43 ,$36.60 ,$13.15 ,$17.08 ,$35.38 ,$13.75 ,$37.21 ,$14.94 ,$33.49 ,$33.49 ,$15.54 ,$11.30 ,$27.11 ,$42.70 ,$62.40 ,$13.75 ,$13.15 ,$45.75 ,$43.31 ,$43.31 ,$13.75 ,$43.31 ,$53.07 ,$53.07 ,$53.07 , N/A ,$54.90 ,$35.08 ,$51.85 ,$13.15 ,$61.00 ,$34.22 ,$13.15 ,$25.25 ,$54.66 ,$49.69 ,$13.75 ,$51.85 ,$26.13 ,$33.49 ,$17.08 ,$54.90 ,$61.00 ,$13.15 ,$53.07 ,$49.34 ,$61.00 ,$49.34 ,$14.03 ,$39.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200102,88302,HC GROSS AND MICRO LEVEL II,312,1 ,$219.00 ,$157.68 ,$24.85 ,$219.00 ,$125.93 ,$137.97 ,$131.40 ,$47.22 ,$61.32 ,$127.02 ,$49.36 ,$133.59 ,$53.65 ,$120.23 ,$120.23 ,$55.80 ,$24.85 ,$97.32 ,$153.30 ,$62.40 ,$49.36 ,$47.22 ,$164.25 ,$155.49 ,$155.49 ,$49.36 ,$155.49 ,$190.53 ,$190.53 ,$190.53 , N/A ,$197.10 ,$125.93 ,$186.15 ,$47.22 ,$219.00 ,$122.86 ,$47.22 ,$90.67 ,$54.66 ,$49.69 ,$49.36 ,$186.15 ,$93.79 ,$120.23 ,$61.32 ,$197.10 ,$219.00 ,$47.22 ,$190.53 ,$49.34 ,$219.00 ,$49.34 ,$50.37 ,$142.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200103,88304,HC GROSS AND MICRO LEVEL III,312,1 ,$243.00 ,$174.96 ,$29.89 ,$243.00 ,$139.73 ,$153.09 ,$145.80 ,$52.39 ,$68.04 ,$140.94 ,$54.77 ,$148.23 ,$59.53 ,$133.41 ,$133.41 ,$61.92 ,$29.89 ,$107.99 ,$170.10 ,$125.35 ,$54.77 ,$52.39 ,$182.25 ,$172.53 ,$172.53 ,$54.77 ,$172.53 ,$211.41 ,$211.41 ,$211.41 , N/A ,$218.70 ,$139.73 ,$206.55 ,$52.39 ,$243.00 ,$136.32 ,$52.39 ,$100.60 ,$54.66 ,$49.69 ,$54.77 ,$206.55 ,$104.07 ,$133.41 ,$68.04 ,$218.70 ,$243.00 ,$52.39 ,$211.41 ,$99.52 ,$243.00 ,$99.52 ,$55.89 ,$157.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200108,88305,HC GROSS AND MICRO LEVEL IV,312,1 ,$362.00 ,$260.64 ,$33.04 ,$362.00 ,$208.15 ,$228.06 ,$217.20 ,$78.05 ,$101.36 ,$209.96 ,$81.59 ,$220.82 ,$88.69 ,$198.74 ,$198.74 ,$92.24 ,$33.04 ,$160.87 ,$253.40 ,$125.35 ,$81.59 ,$78.05 ,$271.50 ,$257.02 ,$257.02 ,$81.59 ,$257.02 ,$314.94 ,$314.94 ,$314.94 , N/A ,$325.80 ,$208.15 ,$307.70 ,$78.05 ,$36.72 ,$203.08 ,$78.05 ,$149.87 ,$54.66 ,$49.69 ,$81.59 ,$307.70 ,$155.03 ,$198.74 ,$101.36 ,$325.80 ,$362.00 ,$78.05 ,$314.94 ,$99.52 ,$362.00 ,$99.52 ,$83.26 ,$235.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200110,88307,HC GROSS AND MICRO LEVEL V,312,1 ,$415.00 ,$298.80 ,$54.66 ,$810.28 ,$238.63 ,$261.45 ,$249.00 ,$89.47 ,$116.20 ,$240.70 ,$93.54 ,$253.15 ,$101.67 ,$227.84 ,$227.84 ,$105.74 ,$198.04 ,$184.43 ,$290.50 ,$810.28 ,$93.54 ,$89.47 ,$311.25 ,$294.65 ,$294.65 ,$93.54 ,$294.65 ,$361.05 ,$361.05 ,$361.05 , N/A ,$373.50 ,$238.63 ,$352.75 ,$89.47 ,$220.02 ,$232.82 ,$89.47 ,$171.81 ,$60.13 ,$54.66 ,$93.54 ,$352.75 ,$177.73 ,$227.84 ,$116.20 ,$373.50 ,$415.00 ,$89.47 ,$361.05 ,$415.00 ,$415.00 ,$415.00 ,$95.45 ,$269.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200113,88309,HC GROSS AND MICRO LEVEL VI,312,1 ,$431.00 ,$310.32 ,$54.66 ,"$1,941.28 ",$247.83 ,$271.53 ,$258.60 ,$92.92 ,$120.68 ,$249.98 ,$97.15 ,$262.91 ,$105.59 ,$236.62 ,$236.62 ,$109.82 ,$279.35 ,$191.54 ,$301.70 ,"$1,941.28 ",$97.15 ,$92.92 ,$323.25 ,$306.01 ,$306.01 ,$97.15 ,$306.01 ,$374.97 ,$374.97 ,$374.97 , N/A ,$387.90 ,$247.83 ,$366.35 ,$92.92 ,$431.00 ,$241.79 ,$92.92 ,$178.43 ,$60.13 ,$54.66 ,$97.15 ,$366.35 ,$184.58 ,$236.62 ,$120.68 ,$387.90 ,$431.00 ,$92.92 ,$374.97 ,$431.00 ,$431.00 ,$431.00 ,$99.13 ,$280.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200116,88311,HC DECALCIFICATION,312,1 ,$110.00 ,$79.20 ,$8.15 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$8.15 ,$48.88 ,$77.00 , N/A ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$54.66 ,$49.69 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$17.44 ,$110.00 ,$17.44 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200123,88312,HC SPECIAL STAIN I,312,1 ,$158.00 ,$113.76 ,$34.06 ,$158.00 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$81.58 ,$70.22 ,$110.60 ,$125.35 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$158.00 ,$88.64 ,$34.06 ,$65.41 ,$54.66 ,$49.69 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$99.52 ,$158.00 ,$99.52 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200125,88313,HC SPECIAL STAIN II,312,1 ,$49.00 ,$35.28 ,$10.56 ,$84.90 ,$28.18 ,$30.87 ,$29.40 ,$10.56 ,$13.72 ,$28.42 ,$11.04 ,$29.89 ,$12.00 ,$26.90 ,$26.90 ,$12.49 ,$49.00 ,$21.78 ,$34.30 ,$84.90 ,$11.04 ,$10.56 ,$36.75 ,$34.79 ,$34.79 ,$11.04 ,$34.79 ,$42.63 ,$42.63 ,$42.63 , N/A ,$44.10 ,$28.18 ,$41.65 ,$10.56 ,$49.00 ,$27.49 ,$10.56 ,$20.29 ,$54.66 ,$49.69 ,$11.04 ,$41.65 ,$20.98 ,$26.90 ,$13.72 ,$44.10 ,$49.00 ,$10.56 ,$42.63 ,$49.00 ,$49.00 ,$49.00 ,$11.27 ,$31.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200171,88325,HC CONSULT PATH REV/REP,312,1 ,$158.00 ,$113.76 ,$34.06 ,$393.13 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$133.52 ,$70.22 ,$110.60 ,$393.13 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$158.00 ,$88.64 ,$34.06 ,$65.41 ,$54.66 ,$49.69 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$158.00 ,$158.00 ,$158.00 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200172,88329,HC CONSULT PATH SURGERY,312,1 ,$107.00 ,$77.04 ,$23.07 ,$107.00 ,$61.53 ,$67.41 ,$64.20 ,$23.07 ,$29.96 ,$62.06 ,$24.12 ,$65.27 ,$26.21 ,$58.74 ,$58.74 ,$27.26 ,$35.44 ,$47.55 ,$74.90 ,$84.90 ,$24.12 ,$23.07 ,$80.25 ,$75.97 ,$75.97 ,$24.12 ,$75.97 ,$93.09 ,$93.09 ,$93.09 , N/A ,$96.30 ,$61.53 ,$90.95 ,$23.07 ,$107.00 ,$60.03 ,$23.07 ,$44.30 ,$54.66 ,$49.69 ,$24.12 ,$90.95 ,$45.82 ,$58.74 ,$29.96 ,$96.30 ,$107.00 ,$23.07 ,$93.09 ,$67.68 ,$107.00 ,$67.68 ,$24.61 ,$69.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$183.00 ,$131.76 ,$39.03 ,$393.13 ,$105.23 ,$115.29 ,$109.80 ,$39.45 ,$51.24 ,$106.14 ,$41.25 ,$111.63 ,$44.83 ,$100.47 ,$100.47 ,$46.63 ,$39.03 ,$81.33 ,$128.10 ,$393.13 ,$41.25 ,$39.45 ,$137.25 ,$129.93 ,$129.93 ,$41.25 ,$129.93 ,$159.21 ,$159.21 ,$159.21 , N/A ,$164.70 ,$105.23 ,$155.55 ,$39.45 ,$43.37 ,$102.66 ,$39.45 ,$75.76 ,$54.66 ,$49.69 ,$41.25 ,$155.55 ,$78.37 ,$100.47 ,$51.24 ,$164.70 ,$183.00 ,$39.45 ,$159.21 ,$183.00 ,$183.00 ,$183.00 ,$42.09 ,$118.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$145.00 ,$104.40 ,$23.59 ,$145.00 ,$83.38 ,$91.35 ,$87.00 ,$31.26 ,$40.60 ,$84.10 ,$32.68 ,$88.45 ,$35.52 ,$79.61 ,$79.61 ,$36.95 ,$23.59 ,$64.44 ,$101.50 , N/A ,$32.68 ,$31.26 ,$108.75 ,$102.95 ,$102.95 ,$32.68 ,$102.95 ,$126.15 ,$126.15 ,$126.15 , N/A ,$130.50 ,$83.38 ,$123.25 ,$31.26 ,$26.21 ,$81.35 ,$31.26 ,$60.03 ,$54.66 ,$49.69 ,$32.68 ,$123.25 ,$62.10 ,$79.61 ,$40.60 ,$130.50 ,$145.00 ,$31.26 ,$126.15 ,$48.16 ,$145.00 ,$48.16 ,$33.35 ,$94.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200175,88333,HC CONSULT PATH SURG CYTO INIT,312,1 ,"$2,012.00 ","$1,448.64 ",$30.52 ,"$2,012.00 ","$1,156.90 ","$1,267.56 ","$1,207.20 ",$433.79 ,$563.36 ,$990.81 ,$453.50 ,"$1,036.89 ",$492.94 ,"$1,104.59 ","$1,104.59 ",$512.66 ,$30.52 ,$894.13 ,"$1,408.40 ","$1,941.28 ",$453.50 ,$433.79 ,"$1,509.00 ","$1,428.52 ","$1,428.52 ",$453.50 ,"$1,428.52 ","$1,750.44 ","$1,750.44 ","$1,750.44 ", N/A ,"$1,810.80 ","$1,156.90 ","$1,710.20 ",$433.79 ,"$2,012.00 ","$1,128.73 ",$433.79 ,$832.97 ,$54.66 ,$49.69 ,$453.50 ,"$1,710.20 ",$861.66 ,"$1,104.59 ",$563.36 ,"$1,810.80 ","$2,012.00 ",$433.79 ,"$1,750.44 ","$1,312.30 ","$2,012.00 ","$1,312.30 ",$462.76 ,"$1,307.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,31200176,88334,HC CONSULT PATH SURG EA ADDL,312,1 ,$154.00 ,$110.88 ,$18.28 ,$154.00 ,$88.55 ,$97.02 ,$92.40 ,$33.20 ,$43.12 ,$89.32 ,$34.71 ,$93.94 ,$37.73 ,$84.55 ,$84.55 ,$39.24 ,$18.28 ,$68.44 ,$107.80 , N/A ,$34.71 ,$33.20 ,$115.50 ,$109.34 ,$109.34 ,$34.71 ,$109.34 ,$133.98 ,$133.98 ,$133.98 , N/A ,$138.60 ,$88.55 ,$130.90 ,$33.20 ,$154.00 ,$86.39 ,$33.20 ,$63.76 ,$54.66 ,$49.69 ,$34.71 ,$130.90 ,$65.95 ,$84.55 ,$43.12 ,$138.60 ,$154.00 ,$33.20 ,$133.98 ,$38.38 ,$154.00 ,$38.38 ,$35.42 ,$100.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200261,88321,HC CONSULT REFERRED SLIDES-90,312,1 ,$480.00 ,$345.60 ,$49.69 ,$480.00 ,$276.00 ,$302.40 ,$288.00 ,$103.49 ,$134.40 ,$278.40 ,$108.19 ,$292.80 ,$117.60 ,$263.52 ,$263.52 ,$122.30 ,$83.23 ,$213.31 ,$336.00 ,$84.90 ,$108.19 ,$103.49 ,$360.00 ,$340.80 ,$340.80 ,$108.19 ,$340.80 ,$417.60 ,$417.60 ,$417.60 , N/A ,$432.00 ,$276.00 ,$408.00 ,$103.49 ,$480.00 ,$269.28 ,$103.49 ,$198.72 ,$54.66 ,$49.69 ,$108.19 ,$408.00 ,$205.56 ,$263.52 ,$134.40 ,$432.00 ,$480.00 ,$103.49 ,$417.60 ,$67.68 ,$480.00 ,$67.68 ,$110.40 ,$312.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200262,88323,HC CONSULT/SLIDE PREP-90,312,1 ,$480.00 ,$345.60 ,$26.74 ,$480.00 ,$276.00 ,$302.40 ,$288.00 ,$103.49 ,$134.40 ,$278.40 ,$108.19 ,$292.80 ,$117.60 ,$263.52 ,$263.52 ,$122.30 ,$26.74 ,$213.31 ,$336.00 ,$125.35 ,$108.19 ,$103.49 ,$360.00 ,$340.80 ,$340.80 ,$108.19 ,$340.80 ,$417.60 ,$417.60 ,$417.60 , N/A ,$432.00 ,$276.00 ,$408.00 ,$103.49 ,$480.00 ,$269.28 ,$103.49 ,$198.72 ,$54.66 ,$49.69 ,$108.19 ,$408.00 ,$205.56 ,$263.52 ,$134.40 ,$432.00 ,$480.00 ,$103.49 ,$417.60 ,$99.52 ,$480.00 ,$99.52 ,$110.40 ,$312.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200264,88325,HC CONSULT PATH REV/REP-90,312,1 ,$480.00 ,$345.60 ,$49.69 ,$480.00 ,$276.00 ,$302.40 ,$288.00 ,$103.49 ,$134.40 ,$278.40 ,$108.19 ,$292.80 ,$117.60 ,$263.52 ,$263.52 ,$122.30 ,$133.52 ,$213.31 ,$336.00 ,$393.13 ,$108.19 ,$103.49 ,$360.00 ,$340.80 ,$340.80 ,$108.19 ,$340.80 ,$417.60 ,$417.60 ,$417.60 , N/A ,$432.00 ,$276.00 ,$408.00 ,$103.49 ,$480.00 ,$269.28 ,$103.49 ,$198.72 ,$54.66 ,$49.69 ,$108.19 ,$408.00 ,$205.56 ,$263.52 ,$134.40 ,$432.00 ,$480.00 ,$103.49 ,$417.60 ,$298.32 ,$480.00 ,$298.32 ,$110.40 ,$312.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200265,88341,HC IMMUNOHISOCHEM EA AD SGL STN-90,312,1 ,$246.00 ,$177.12 ,$49.69 ,$246.00 ,$141.45 ,$154.98 ,$147.60 ,$53.04 ,$68.88 ,$142.68 ,$55.45 ,$150.06 ,$60.27 ,$135.05 ,$135.05 ,$62.68 ,$55.15 ,$109.32 ,$172.20 , N/A ,$55.45 ,$53.04 ,$184.50 ,$174.66 ,$174.66 ,$55.45 ,$174.66 ,$214.02 ,$214.02 ,$214.02 , N/A ,$221.40 ,$141.45 ,$209.10 ,$53.04 ,$61.26 ,$138.01 ,$53.04 ,$101.84 ,$54.66 ,$49.69 ,$55.45 ,$209.10 ,$105.35 ,$135.05 ,$68.88 ,$221.40 ,$246.00 ,$53.04 ,$214.02 ,$130.50 ,$246.00 ,$130.50 ,$56.58 ,$159.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200269,88342,HC IMMUNOHISOCHEMISTR EA AB INIT-90,312,1 ,$153.00 ,$110.16 ,$32.99 ,$393.13 ,$87.98 ,$96.39 ,$91.80 ,$32.99 ,$42.84 ,$88.74 ,$34.49 ,$93.33 ,$37.48 ,$84.00 ,$84.00 ,$38.98 ,$62.35 ,$67.99 ,$107.10 ,$393.13 ,$34.49 ,$32.99 ,$114.75 ,$108.63 ,$108.63 ,$34.49 ,$108.63 ,$133.11 ,$133.11 ,$133.11 , N/A ,$137.70 ,$87.98 ,$130.05 ,$32.99 ,$69.27 ,$85.83 ,$32.99 ,$63.34 ,$54.66 ,$49.69 ,$34.49 ,$130.05 ,$65.52 ,$84.00 ,$42.84 ,$137.70 ,$153.00 ,$32.99 ,$133.11 ,$153.00 ,$153.00 ,$153.00 ,$35.19 ,$99.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200271,88344,HC IMMUNOHISOCHEMISTR EA ADDL-90,312,1 ,$916.00 ,$659.52 ,$49.69 ,$916.00 ,$526.70 ,$577.08 ,$549.60 ,$197.49 ,$256.48 ,$531.28 ,$206.47 ,$558.76 ,$224.42 ,$502.88 ,$502.88 ,$233.40 ,$123.18 ,$407.07 ,$641.20 ,$810.28 ,$206.47 ,$197.49 ,$687.00 ,$650.36 ,$650.36 ,$206.47 ,$650.36 ,$796.92 ,$796.92 ,$796.92 , N/A ,$824.40 ,$526.70 ,$778.60 ,$197.49 ,$916.00 ,$513.88 ,$197.49 ,$379.22 ,$54.66 ,$49.69 ,$206.47 ,$778.60 ,$392.28 ,$502.88 ,$256.48 ,$824.40 ,$916.00 ,$197.49 ,$796.92 ,$582.52 ,$916.00 ,$582.52 ,$210.68 ,$595.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200272,88346,HC IF DIRECT-90,312,1 ,$124.00 ,$89.28 ,$26.73 ,$810.28 ,$71.30 ,$78.12 ,$74.40 ,$26.73 ,$34.72 ,$71.92 ,$27.95 ,$75.64 ,$30.38 ,$68.08 ,$68.08 ,$31.60 ,$110.26 ,$55.11 ,$86.80 ,$810.28 ,$27.95 ,$26.73 ,$93.00 ,$88.04 ,$88.04 ,$27.95 ,$88.04 ,$107.88 ,$107.88 ,$107.88 , N/A ,$111.60 ,$71.30 ,$105.40 ,$26.73 ,$124.00 ,$69.56 ,$26.73 ,$51.34 ,$54.66 ,$49.69 ,$27.95 ,$105.40 ,$53.11 ,$68.08 ,$34.72 ,$111.60 ,$124.00 ,$26.73 ,$107.88 ,$124.00 ,$124.00 ,$124.00 ,$28.52 ,$80.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200275,88360,HC MORPHO ANLYS TUMOR MAN-90,312,1 ,$142.00 ,$102.24 ,$30.62 ,$393.13 ,$81.65 ,$89.46 ,$85.20 ,$30.62 ,$39.76 ,$82.36 ,$32.01 ,$86.62 ,$34.79 ,$77.96 ,$77.96 ,$36.18 ,$73.07 ,$63.10 ,$99.40 ,$393.13 ,$32.01 ,$30.62 ,$106.50 ,$100.82 ,$100.82 ,$32.01 ,$100.82 ,$123.54 ,$123.54 ,$123.54 , N/A ,$127.80 ,$81.65 ,$120.70 ,$30.62 ,$81.17 ,$79.66 ,$30.62 ,$58.79 ,$60.13 ,$54.66 ,$32.01 ,$120.70 ,$60.81 ,$77.96 ,$39.76 ,$127.80 ,$142.00 ,$30.62 ,$123.54 ,$142.00 ,$142.00 ,$142.00 ,$32.66 ,$92.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200279,88365,HC IN SITU HYBRID (FISH)-90,312,1 ,$947.00 ,$681.84 ,$49.69 ,$947.00 ,$544.53 ,$596.61 ,$568.20 ,$204.17 ,$265.16 ,$549.26 ,$213.45 ,$577.67 ,$232.01 ,$519.90 ,$519.90 ,$241.30 ,$130.69 ,$420.85 ,$662.90 ,$393.13 ,$213.45 ,$204.17 ,$710.25 ,$672.37 ,$672.37 ,$213.45 ,$672.37 ,$823.89 ,$823.89 ,$823.89 , N/A ,$852.30 ,$544.53 ,$804.95 ,$204.17 ,$947.00 ,$531.27 ,$204.17 ,$392.06 ,$54.66 ,$49.69 ,$213.45 ,$804.95 ,$405.56 ,$519.90 ,$265.16 ,$852.30 ,$947.00 ,$204.17 ,$823.89 ,$298.32 ,$947.00 ,$298.32 ,$217.81 ,$615.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200284,88377,HC MORPH ANLZ INST HYB EA MTPL-90,312,1 ,"$2,724.00 ","$1,961.28 ",$54.66 ,"$2,724.00 ","$1,566.30 ","$1,716.12 ","$1,634.40 ",$587.29 ,$762.72 ,"$1,579.92 ",$613.99 ,"$1,661.64 ",$667.38 ,"$1,495.48 ","$1,495.48 ",$694.08 ,$314.43 ,"$1,210.55 ","$1,906.80 ",$393.13 ,$613.99 ,$587.29 ,"$2,043.00 ","$1,934.04 ","$1,934.04 ",$613.99 ,"$1,934.04 ","$2,369.88 ","$2,369.88 ","$2,369.88 ", N/A ,"$2,451.60 ","$1,566.30 ","$2,315.40 ",$587.29 ,"$2,724.00 ","$1,528.16 ",$587.29 ,"$1,127.74 ",$60.13 ,$54.66 ,$613.99 ,"$2,315.40 ","$1,166.58 ","$1,495.48 ",$762.72 ,"$2,451.60 ","$2,724.00 ",$587.29 ,"$2,369.88 ",$298.32 ,"$2,724.00 ",$298.32 ,$626.52 ,"$1,770.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,31200293,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$162.00 ,$116.64 ,$23.59 ,$162.00 ,$93.15 ,$102.06 ,$97.20 ,$34.93 ,$45.36 ,$93.96 ,$36.51 ,$98.82 ,$39.69 ,$88.94 ,$88.94 ,$41.28 ,$23.59 ,$71.99 ,$113.40 , N/A ,$36.51 ,$34.93 ,$121.50 ,$115.02 ,$115.02 ,$36.51 ,$115.02 ,$140.94 ,$140.94 ,$140.94 , N/A ,$145.80 ,$93.15 ,$137.70 ,$34.93 ,$26.21 ,$90.88 ,$34.93 ,$67.07 ,$54.66 ,$49.69 ,$36.51 ,$137.70 ,$69.37 ,$88.94 ,$45.36 ,$145.80 ,$162.00 ,$34.93 ,$140.94 ,$48.16 ,$162.00 ,$48.16 ,$37.26 ,$105.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200294,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$288.00 ,$207.36 ,$39.03 ,$393.13 ,$165.60 ,$181.44 ,$172.80 ,$62.09 ,$80.64 ,$167.04 ,$64.92 ,$175.68 ,$70.56 ,$158.11 ,$158.11 ,$73.38 ,$39.03 ,$127.99 ,$201.60 ,$393.13 ,$64.92 ,$62.09 ,$216.00 ,$204.48 ,$204.48 ,$64.92 ,$204.48 ,$250.56 ,$250.56 ,$250.56 , N/A ,$259.20 ,$165.60 ,$244.80 ,$62.09 ,$43.37 ,$161.57 ,$62.09 ,$119.23 ,$54.66 ,$49.69 ,$64.92 ,$244.80 ,$123.34 ,$158.11 ,$80.64 ,$259.20 ,$288.00 ,$62.09 ,$250.56 ,$288.00 ,$288.00 ,$288.00 ,$66.24 ,$187.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200295,88323,HC CONSULT/SLIDE PREP,312,1 ,$158.00 ,$113.76 ,$26.74 ,$158.00 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$26.74 ,$70.22 ,$110.60 ,$125.35 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$158.00 ,$88.64 ,$34.06 ,$65.41 ,$54.66 ,$49.69 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$99.52 ,$158.00 ,$99.52 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200296,88311,HC DECALCIFICATION,312,1 ,$110.00 ,$79.20 ,$8.15 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$8.15 ,$48.88 ,$77.00 , N/A ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 ,$54.66 ,$49.69 ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$17.44 ,$110.00 ,$17.44 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200297,88302,HC GROSS AND MICRO LEVEL II,312,1 ,$237.00 ,$170.64 ,$24.85 ,$237.00 ,$136.28 ,$149.31 ,$142.20 ,$51.10 ,$66.36 ,$137.46 ,$53.42 ,$144.57 ,$58.06 ,$130.11 ,$130.11 ,$60.39 ,$24.85 ,$105.32 ,$165.90 ,$62.40 ,$53.42 ,$51.10 ,$177.75 ,$168.27 ,$168.27 ,$53.42 ,$168.27 ,$206.19 ,$206.19 ,$206.19 , N/A ,$213.30 ,$136.28 ,$201.45 ,$51.10 ,$237.00 ,$132.96 ,$51.10 ,$98.12 ,$54.66 ,$49.69 ,$53.42 ,$201.45 ,$101.50 ,$130.11 ,$66.36 ,$213.30 ,$237.00 ,$51.10 ,$206.19 ,$49.34 ,$237.00 ,$49.34 ,$54.51 ,$154.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200298,88304,HC GROSS AND MICRO LEVEL III,312,1 ,$289.00 ,$208.08 ,$29.89 ,$289.00 ,$166.18 ,$182.07 ,$173.40 ,$62.31 ,$80.92 ,$167.62 ,$65.14 ,$176.29 ,$70.80 ,$158.66 ,$158.66 ,$73.64 ,$29.89 ,$128.43 ,$202.30 ,$125.35 ,$65.14 ,$62.31 ,$216.75 ,$205.19 ,$205.19 ,$65.14 ,$205.19 ,$251.43 ,$251.43 ,$251.43 , N/A ,$260.10 ,$166.18 ,$245.65 ,$62.31 ,$289.00 ,$162.13 ,$62.31 ,$119.65 ,$54.66 ,$49.69 ,$65.14 ,$245.65 ,$123.76 ,$158.66 ,$80.92 ,$260.10 ,$289.00 ,$62.31 ,$251.43 ,$99.52 ,$289.00 ,$99.52 ,$66.47 ,$187.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200299,88305,HC GROSS AND MICRO LEVEL IV,312,1 ,$358.00 ,$257.76 ,$33.04 ,$358.00 ,$205.85 ,$225.54 ,$214.80 ,$77.18 ,$100.24 ,$207.64 ,$80.69 ,$218.38 ,$87.71 ,$196.54 ,$196.54 ,$91.22 ,$33.04 ,$159.10 ,$250.60 ,$125.35 ,$80.69 ,$77.18 ,$268.50 ,$254.18 ,$254.18 ,$80.69 ,$254.18 ,$311.46 ,$311.46 ,$311.46 , N/A ,$322.20 ,$205.85 ,$304.30 ,$77.18 ,$36.72 ,$200.84 ,$77.18 ,$148.21 ,$54.66 ,$49.69 ,$80.69 ,$304.30 ,$153.32 ,$196.54 ,$100.24 ,$322.20 ,$358.00 ,$77.18 ,$311.46 ,$99.52 ,$358.00 ,$99.52 ,$82.34 ,$232.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200300,88307,HC GROSS AND MICRO LEVEL V,312,1 ,$762.00 ,$548.64 ,$54.66 ,$810.28 ,$438.15 ,$480.06 ,$457.20 ,$164.29 ,$213.36 ,$441.96 ,$171.75 ,$464.82 ,$186.69 ,$418.34 ,$418.34 ,$194.16 ,$198.04 ,$338.63 ,$533.40 ,$810.28 ,$171.75 ,$164.29 ,$571.50 ,$541.02 ,$541.02 ,$171.75 ,$541.02 ,$662.94 ,$662.94 ,$662.94 , N/A ,$685.80 ,$438.15 ,$647.70 ,$164.29 ,$220.02 ,$427.48 ,$164.29 ,$315.47 ,$60.13 ,$54.66 ,$171.75 ,$647.70 ,$326.33 ,$418.34 ,$213.36 ,$685.80 ,$762.00 ,$164.29 ,$662.94 ,$582.52 ,$762.00 ,$582.52 ,$175.26 ,$495.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200301,88309,HC GROSS AND MICRO LEVEL VI,312,1 ,"$1,099.00 ",$791.28 ,$54.66 ,"$1,941.28 ",$631.93 ,$692.37 ,$659.40 ,$236.94 ,$307.72 ,$637.42 ,$247.71 ,$670.39 ,$269.25 ,$603.35 ,$603.35 ,$280.03 ,$279.35 ,$488.40 ,$769.30 ,"$1,941.28 ",$247.71 ,$236.94 ,$824.25 ,$780.29 ,$780.29 ,$247.71 ,$780.29 ,$956.13 ,$956.13 ,$956.13 , N/A ,$989.10 ,$631.93 ,$934.15 ,$236.94 ,"$1,099.00 ",$616.54 ,$236.94 ,$454.99 ,$60.13 ,$54.66 ,$247.71 ,$934.15 ,$470.65 ,$603.35 ,$307.72 ,$989.10 ,"$1,099.00 ",$236.94 ,$956.13 ,"$1,099.00 ","$1,099.00 ","$1,099.00 ",$252.77 ,$714.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200302,88300,HC GROSS ONLY LEVEL I,312,1 ,$113.00 ,$81.36 ,$11.30 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$11.30 ,$50.22 ,$79.10 ,$62.40 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$54.66 ,$49.69 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$49.34 ,$113.00 ,$49.34 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200303,88312,HC SPECIAL STAIN I,312,1 ,$158.00 ,$113.76 ,$34.06 ,$158.00 ,$90.85 ,$99.54 ,$94.80 ,$34.06 ,$44.24 ,$91.64 ,$35.61 ,$96.38 ,$38.71 ,$86.74 ,$86.74 ,$40.26 ,$81.58 ,$70.22 ,$110.60 ,$125.35 ,$35.61 ,$34.06 ,$118.50 ,$112.18 ,$112.18 ,$35.61 ,$112.18 ,$137.46 ,$137.46 ,$137.46 , N/A ,$142.20 ,$90.85 ,$134.30 ,$34.06 ,$158.00 ,$88.64 ,$34.06 ,$65.41 ,$54.66 ,$49.69 ,$35.61 ,$134.30 ,$67.67 ,$86.74 ,$44.24 ,$142.20 ,$158.00 ,$34.06 ,$137.46 ,$99.52 ,$158.00 ,$99.52 ,$36.34 ,$102.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200304,88313,HC SPECIAL STAIN II,312,1 ,$77.00 ,$55.44 ,$16.60 ,$84.90 ,$44.28 ,$48.51 ,$46.20 ,$16.60 ,$21.56 ,$44.66 ,$17.36 ,$46.97 ,$18.86 ,$42.27 ,$42.27 ,$19.62 ,$66.14 ,$34.22 ,$53.90 ,$84.90 ,$17.36 ,$16.60 ,$57.75 ,$54.67 ,$54.67 ,$17.36 ,$54.67 ,$66.99 ,$66.99 ,$66.99 , N/A ,$69.30 ,$44.28 ,$65.45 ,$16.60 ,$77.00 ,$43.20 ,$16.60 ,$31.88 ,$54.66 ,$49.69 ,$17.36 ,$65.45 ,$32.98 ,$42.27 ,$21.56 ,$69.30 ,$77.00 ,$16.60 ,$66.99 ,$67.68 ,$77.00 ,$67.68 ,$17.71 ,$50.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200305,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$314.00 ,$226.08 ,$49.69 ,$393.13 ,$180.55 ,$197.82 ,$188.40 ,$67.70 ,$87.92 ,$182.12 ,$70.78 ,$191.54 ,$76.93 ,$172.39 ,$172.39 ,$80.01 ,$62.35 ,$139.54 ,$219.80 ,$393.13 ,$70.78 ,$67.70 ,$235.50 ,$222.94 ,$222.94 ,$70.78 ,$222.94 ,$273.18 ,$273.18 ,$273.18 , N/A ,$282.60 ,$180.55 ,$266.90 ,$67.70 ,$69.27 ,$176.15 ,$67.70 ,$130.00 ,$54.66 ,$49.69 ,$70.78 ,$266.90 ,$134.48 ,$172.39 ,$87.92 ,$282.60 ,$314.00 ,$67.70 ,$273.18 ,$298.32 ,$314.00 ,$298.32 ,$72.22 ,$204.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200306,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$707.00 ,$509.04 ,$49.69 ,$810.28 ,$406.53 ,$445.41 ,$424.20 ,$152.43 ,$197.96 ,$410.06 ,$159.36 ,$431.27 ,$173.21 ,$388.14 ,$388.14 ,$180.14 ,$123.18 ,$314.19 ,$494.90 ,$810.28 ,$159.36 ,$152.43 ,$530.25 ,$501.97 ,$501.97 ,$159.36 ,$501.97 ,$615.09 ,$615.09 ,$615.09 , N/A ,$636.30 ,$406.53 ,$600.95 ,$152.43 ,$707.00 ,$396.63 ,$152.43 ,$292.70 ,$54.66 ,$49.69 ,$159.36 ,$600.95 ,$302.78 ,$388.14 ,$197.96 ,$636.30 ,$707.00 ,$152.43 ,$615.09 ,$582.52 ,$707.00 ,$582.52 ,$162.61 ,$459.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200307,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$283.00 ,$203.76 ,$49.69 ,$283.00 ,$162.73 ,$178.29 ,$169.80 ,$61.01 ,$79.24 ,$164.14 ,$63.79 ,$172.63 ,$69.33 ,$155.37 ,$155.37 ,$72.11 ,$55.15 ,$125.77 ,$198.10 , N/A ,$63.79 ,$61.01 ,$212.25 ,$200.93 ,$200.93 ,$63.79 ,$200.93 ,$246.21 ,$246.21 ,$246.21 , N/A ,$254.70 ,$162.73 ,$240.55 ,$61.01 ,$61.26 ,$158.76 ,$61.01 ,$117.16 ,$54.66 ,$49.69 ,$63.79 ,$240.55 ,$121.20 ,$155.37 ,$79.24 ,$254.70 ,$283.00 ,$61.01 ,$246.21 ,$130.50 ,$283.00 ,$130.50 ,$65.09 ,$183.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200308,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$171.00 ,$123.12 ,$36.87 ,$171.00 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$37.77 ,$75.99 ,$119.70 ,$125.35 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$60.13 ,$54.66 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$99.52 ,$171.00 ,$99.52 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200319,88361,HC MORPHO ANLYS COMP ASSIST,312,1 ,$907.00 ,$653.04 ,$54.66 ,$907.00 ,$521.53 ,$571.41 ,$544.20 ,$195.55 ,$253.96 ,$526.06 ,$204.44 ,$553.27 ,$222.21 ,$497.94 ,$497.94 ,$231.10 ,$71.18 ,$403.07 ,$634.90 ,$810.28 ,$204.44 ,$195.55 ,$680.25 ,$643.97 ,$643.97 ,$204.44 ,$643.97 ,$789.09 ,$789.09 ,$789.09 , N/A ,$816.30 ,$521.53 ,$770.95 ,$195.55 ,$79.07 ,$508.83 ,$195.55 ,$375.50 ,$60.13 ,$54.66 ,$204.44 ,$770.95 ,$388.43 ,$497.94 ,$253.96 ,$816.30 ,$907.00 ,$195.55 ,$789.09 ,$582.52 ,$907.00 ,$582.52 ,$208.61 ,$589.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,31200320,G0416,HC PROSTATE NEEDLE BX SAMPLING 1-20 SPEC,312,1 ,$907.00 ,$653.04 ,$54.66 ,$907.00 ,$521.53 ,$571.41 ,$544.20 ,$195.55 ,$253.96 ,$526.06 ,$204.44 ,$553.27 ,$222.21 ,$497.94 ,$497.94 ,$231.10 ,$176.30 ,$403.07 ,$634.90 ,$810.28 ,$204.44 ,$195.55 ,$680.25 ,$643.97 ,$643.97 ,$204.44 ,$643.97 ,$789.09 ,$789.09 ,$789.09 , N/A ,$816.30 ,$521.53 ,$770.95 ,$195.55 ,$907.00 ,$508.83 ,$195.55 ,$375.50 ,$60.13 ,$54.66 ,$204.44 ,$770.95 ,$388.43 ,$497.94 ,$253.96 ,$816.30 ,$907.00 ,$195.55 ,$789.09 ,$582.52 ,$907.00 ,$582.52 ,$208.61 ,$589.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$461.00 ,$331.92 ,$51.70 ,$461.00 ,$265.08 ,$290.43 ,$276.60 ,$99.39 ,$129.08 ,$267.38 ,$103.91 ,$281.21 ,$112.94 ,$253.09 ,$253.09 ,$117.46 ,$51.70 ,$204.87 ,$322.70 , N/A ,$103.91 ,$99.39 ,$345.75 ,$327.31 ,$327.31 ,$103.91 ,$327.31 ,$401.07 ,$401.07 ,$401.07 , N/A ,$414.90 ,$265.08 ,$391.85 ,$99.39 ,$461.00 ,$258.62 ,$99.39 ,$190.85 , N/A , N/A ,$103.91 ,$391.85 ,$197.43 ,$253.09 ,$129.08 ,$414.90 ,$461.00 ,$99.39 ,$401.07 ,$461.00 ,$461.00 ,$461.00 ,$106.03 ,$299.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000010,24220,HC ARTHROGRAM INJ ELBOW,320,1 ,$264.00 ,$190.08 ,$56.92 ,$264.00 ,$151.80 ,$166.32 ,$158.40 ,$56.92 ,$73.92 ,$153.12 ,$59.51 ,$161.04 ,$64.68 ,$144.94 ,$144.94 ,$67.27 ,$68.95 ,$117.32 ,$184.80 , N/A ,$59.51 ,$56.92 ,$198.00 ,$187.44 ,$187.44 ,$59.51 ,$187.44 ,$229.68 ,$229.68 ,$229.68 , N/A ,$237.60 ,$151.80 ,$224.40 ,$56.92 ,$264.00 ,$148.10 ,$56.92 ,$109.30 , N/A , N/A ,$59.51 ,$224.40 ,$113.06 ,$144.94 ,$73.92 ,$237.60 ,$264.00 ,$56.92 ,$229.68 ,$264.00 ,$264.00 ,$264.00 ,$60.72 ,$171.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$284.00 ,$204.48 ,$61.23 ,$589.45 ,$163.30 ,$178.92 ,$170.40 ,$61.23 ,$79.52 ,$164.72 ,$64.01 ,$173.24 ,$69.58 ,$155.92 ,$155.92 ,$72.36 ,$74.96 ,$126.21 ,$198.80 , N/A ,$64.01 ,$61.23 ,$213.00 ,$201.64 ,$201.64 ,$64.01 ,$201.64 ,$247.08 ,$247.08 ,$247.08 , N/A ,$255.60 ,$163.30 ,$241.40 ,$61.23 ,$284.00 ,$159.32 ,$61.23 ,$117.58 ,$589.45 ,$535.86 ,$64.01 ,$241.40 ,$121.63 ,$155.92 ,$79.52 ,$255.60 ,$284.00 ,$61.23 ,$247.08 ,$284.00 ,$284.00 ,$284.00 ,$65.32 ,$184.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$461.00 ,$331.92 ,$71.63 ,$589.45 ,$265.08 ,$290.43 ,$276.60 ,$99.39 ,$129.08 ,$267.38 ,$103.91 ,$281.21 ,$112.94 ,$253.09 ,$253.09 ,$117.46 ,$71.63 ,$204.87 ,$322.70 , N/A ,$103.91 ,$99.39 ,$345.75 ,$327.31 ,$327.31 ,$103.91 ,$327.31 ,$401.07 ,$401.07 ,$401.07 , N/A ,$414.90 ,$265.08 ,$391.85 ,$99.39 ,$461.00 ,$258.62 ,$99.39 ,$190.85 ,$589.45 ,$535.86 ,$103.91 ,$391.85 ,$197.43 ,$253.09 ,$129.08 ,$414.90 ,$461.00 ,$99.39 ,$401.07 ,$461.00 ,$461.00 ,$461.00 ,$106.03 ,$299.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$191.00 ,$137.52 ,$41.18 ,$191.00 ,$109.83 ,$120.33 ,$114.60 ,$41.18 ,$53.48 ,$110.78 ,$43.05 ,$116.51 ,$46.79 ,$104.86 ,$104.86 ,$48.67 ,$42.33 ,$84.88 ,$133.70 , N/A ,$43.05 ,$41.18 ,$143.25 ,$135.61 ,$135.61 ,$43.05 ,$135.61 ,$166.17 ,$166.17 ,$166.17 , N/A ,$171.90 ,$109.83 ,$162.35 ,$41.18 ,$191.00 ,$107.15 ,$41.18 ,$79.07 , N/A , N/A ,$43.05 ,$162.35 ,$81.80 ,$104.86 ,$53.48 ,$171.90 ,$191.00 ,$41.18 ,$166.17 ,$191.00 ,$191.00 ,$191.00 ,$43.93 ,$124.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,"$4,893.00 ","$3,522.96 ",$165.79 ,"$4,893.00 ","$2,813.48 ","$3,082.59 ","$2,935.80 ","$1,054.93 ","$1,370.04 ","$2,837.94 ","$1,102.88 ","$2,984.73 ","$1,198.78 ","$2,686.26 ","$2,686.26 ","$1,246.74 ",$165.79 ,"$2,174.45 ","$3,425.10 ","$3,719.63 ","$1,102.88 ","$1,054.93 ","$3,669.75 ","$3,474.03 ","$3,474.03 ","$1,102.88 ","$3,474.03 ","$4,256.91 ","$4,256.91 ","$4,256.91 ", N/A ,"$4,403.70 ","$2,813.48 ","$4,159.05 ","$1,054.93 ","$4,893.00 ","$2,744.97 ","$1,054.93 ","$2,025.70 ","$1,174.58 ","$1,067.80 ","$1,102.88 ","$4,159.05 ","$2,095.48 ","$2,686.26 ","$1,370.04 ","$4,403.70 ","$4,893.00 ","$1,054.93 ","$4,256.91 ",$559.00 ,"$4,893.00 ",$559.00 ,"$1,125.39 ","$3,180.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$157.00 ,$113.04 ,$33.85 ,$157.00 ,$90.28 ,$98.91 ,$94.20 ,$33.85 ,$43.96 ,$91.06 ,$35.39 ,$95.77 ,$38.46 ,$86.19 ,$86.19 ,$40.00 ,$86.19 ,$69.77 , N/A , N/A ,$35.39 ,$33.85 ,$117.75 ,$111.47 ,$111.47 ,$35.39 ,$111.47 ,$136.59 ,$136.59 ,$136.59 , N/A ,$141.30 ,$90.28 ,$133.45 ,$33.85 ,$157.00 ,$88.08 ,$33.85 ,$65.00 ,$82.30 ,$74.82 ,$35.39 ,$133.45 ,$67.24 ,$86.19 ,$43.96 ,$141.30 ,$157.00 ,$33.85 ,$136.59 , N/A ,$157.00 , N/A ,$36.11 ,$102.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$606.00 ,$436.32 ,$36.73 ,"$2,890.06 ",$348.45 ,$381.78 ,$363.60 ,$130.65 ,$169.68 ,$351.48 ,$136.59 ,$369.66 ,$148.47 ,$332.69 ,$332.69 ,$154.41 ,$36.73 ,$269.31 ,$424.20 ,$516.43 ,$136.59 ,$130.65 ,$454.50 ,$430.26 ,$430.26 ,$136.59 ,$430.26 ,$527.22 ,$527.22 ,$527.22 , N/A ,$545.40 ,$348.45 ,$515.10 ,$130.65 ,$606.00 ,$339.97 ,$130.65 ,$250.88 ,"$2,890.06 ","$2,627.33 ",$136.59 ,$515.10 ,$259.52 ,$332.69 ,$169.68 ,$545.40 ,$606.00 ,$130.65 ,$527.22 ,$559.00 ,$606.00 ,$559.00 ,$139.38 ,$393.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000033,42550,HC SIALOGRAM INJECTION,320,1 ,$304.00 ,$218.88 ,$63.28 ,$589.45 ,$174.80 ,$191.52 ,$182.40 ,$65.54 ,$85.12 ,$176.32 ,$68.52 ,$185.44 ,$74.48 ,$166.90 ,$166.90 ,$77.46 ,$63.28 ,$135.10 ,$212.80 , N/A ,$68.52 ,$65.54 ,$228.00 ,$215.84 ,$215.84 ,$68.52 ,$215.84 ,$264.48 ,$264.48 ,$264.48 , N/A ,$273.60 ,$174.80 ,$258.40 ,$65.54 ,$304.00 ,$170.54 ,$65.54 ,$125.86 ,$589.45 ,$535.86 ,$68.52 ,$258.40 ,$130.19 ,$166.90 ,$85.12 ,$273.60 ,$304.00 ,$65.54 ,$264.48 ,$304.00 ,$304.00 ,$304.00 ,$69.92 ,$197.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,"$2,429.00 ","$1,748.88 ",$69.25 ,"$2,429.00 ","$1,396.68 ","$1,530.27 ","$1,457.40 ",$523.69 ,$680.12 ,"$1,408.82 ",$547.50 ,"$1,481.69 ",$595.10 ,"$1,333.52 ","$1,333.52 ",$618.91 ,$69.25 ,"$1,079.45 ","$1,700.30 ","$2,063.78 ",$547.50 ,$523.69 ,"$1,821.75 ","$1,724.59 ","$1,724.59 ",$547.50 ,"$1,724.59 ","$2,113.23 ","$2,113.23 ","$2,113.23 ", N/A ,"$2,186.10 ","$1,396.68 ","$2,064.65 ",$523.69 ,"$2,429.00 ","$1,362.67 ",$523.69 ,"$1,005.61 ","$1,022.38 ",$929.44 ,$547.50 ,"$2,064.65 ","$1,040.24 ","$1,333.52 ",$680.12 ,"$2,186.10 ","$2,429.00 ",$523.69 ,"$2,113.23 ",$559.00 ,"$2,429.00 ",$559.00 ,$558.67 ,"$1,578.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000061,49451,HC RPLC DUODEN/JEJUN TB FLUORO,320,1 ,"$2,479.00 ","$1,784.88 ",$91.09 ,"$2,479.00 ","$1,425.43 ","$1,561.77 ","$1,487.40 ",$534.47 ,$694.12 ,"$1,437.82 ",$558.77 ,"$1,512.19 ",$607.35 ,"$1,360.97 ","$1,360.97 ",$631.65 ,$91.09 ,"$1,101.67 ","$1,735.30 ","$2,063.78 ",$558.77 ,$534.47 ,"$1,859.25 ","$1,760.09 ","$1,760.09 ",$558.77 ,"$1,760.09 ","$2,156.73 ","$2,156.73 ","$2,156.73 ", N/A ,"$2,231.10 ","$1,425.43 ","$2,107.15 ",$534.47 ,"$2,479.00 ","$1,390.72 ",$534.47 ,"$1,026.31 ","$1,022.38 ",$929.44 ,$558.77 ,"$2,107.15 ","$1,061.65 ","$1,360.97 ",$694.12 ,"$2,231.10 ","$2,479.00 ",$534.47 ,"$2,156.73 ",$559.00 ,"$2,479.00 ",$559.00 ,$570.17 ,"$1,611.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$657.00 ,$473.04 ,$31.45 ,$657.00 ,$377.78 ,$413.91 ,$394.20 ,$141.65 ,$183.96 ,$381.06 ,$148.09 ,$400.77 ,$160.96 ,$360.69 ,$360.69 ,$167.40 ,$31.45 ,$291.97 ,$459.90 ,$583.80 ,$148.09 ,$141.65 ,$492.75 ,$466.47 ,$466.47 ,$148.09 ,$466.47 ,$571.59 ,$571.59 ,$571.59 , N/A ,$591.30 ,$377.78 ,$558.45 ,$141.65 ,$657.00 ,$368.58 ,$141.65 ,$272.00 ,$589.45 ,$535.86 ,$148.09 ,$558.45 ,$281.37 ,$360.69 ,$183.96 ,$591.30 ,$657.00 ,$141.65 ,$571.59 ,$559.00 ,$657.00 ,$559.00 ,$151.11 ,$427.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000085,51600,HC INJ CYSTOGRAM,320,1 ,"$1,130.00 ",$813.60 ,$45.43 ,"$1,130.00 ",$649.75 ,$711.90 ,$678.00 ,$243.63 ,$316.40 ,$655.40 ,$254.70 ,$689.30 ,$276.85 ,$620.37 ,$620.37 ,$287.92 ,$45.43 ,$502.17 ,$791.00 , N/A ,$254.70 ,$243.63 ,$847.50 ,$802.30 ,$802.30 ,$254.70 ,$802.30 ,$983.10 ,$983.10 ,$983.10 , N/A ,"$1,017.00 ",$649.75 ,$960.50 ,$243.63 ,"$1,130.00 ",$633.93 ,$243.63 ,$467.82 ,$589.45 ,$535.86 ,$254.70 ,$960.50 ,$483.93 ,$620.37 ,$316.40 ,"$1,017.00 ","$1,130.00 ",$243.63 ,$983.10 ,$559.00 ,"$1,130.00 ",$559.00 ,$259.90 ,$734.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$388.00 ,$279.36 ,$22.96 ,$388.00 ,$223.10 ,$244.44 ,$232.80 ,$83.65 ,$108.64 ,$225.04 ,$87.46 ,$236.68 ,$95.06 ,$213.01 ,$213.01 ,$98.86 ,$22.96 ,$172.43 ,$59.76 ,$217.20 ,$87.46 ,$83.65 ,$291.00 ,$275.48 ,$275.48 ,$87.46 ,$275.48 ,$337.56 ,$337.56 ,$337.56 , N/A ,$349.20 ,$223.10 ,$329.80 ,$83.65 ,$388.00 ,$217.67 ,$83.65 ,$160.63 ,$141.74 ,$128.85 ,$87.46 ,$329.80 ,$166.17 ,$213.01 ,$108.64 ,$349.20 ,$388.00 ,$83.65 ,$337.56 ,$388.00 ,$388.00 ,$388.00 ,$89.24 ,$252.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$388.00 ,$279.36 ,$22.96 ,$388.00 ,$223.10 ,$244.44 ,$232.80 ,$83.65 ,$108.64 ,$225.04 ,$87.46 ,$236.68 ,$95.06 ,$213.01 ,$213.01 ,$98.86 ,$22.96 ,$172.43 ,$59.76 ,$217.20 ,$87.46 ,$83.65 ,$291.00 ,$275.48 ,$275.48 ,$87.46 ,$275.48 ,$337.56 ,$337.56 ,$337.56 , N/A ,$349.20 ,$223.10 ,$329.80 ,$83.65 ,$388.00 ,$217.67 ,$83.65 ,$160.63 ,$141.74 ,$128.85 ,$87.46 ,$329.80 ,$166.17 ,$213.01 ,$108.64 ,$349.20 ,$388.00 ,$83.65 ,$337.56 ,$388.00 ,$388.00 ,$388.00 ,$89.24 ,$252.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$470.00 ,$338.40 ,$30.21 ,$470.00 ,$270.25 ,$296.10 ,$282.00 ,$101.33 ,$131.60 ,$272.60 ,$105.94 ,$286.70 ,$115.15 ,$258.03 ,$258.03 ,$119.76 ,$30.21 ,$208.87 ,$80.77 ,$267.20 ,$105.94 ,$101.33 ,$352.50 ,$333.70 ,$333.70 ,$105.94 ,$333.70 ,$408.90 ,$408.90 ,$408.90 , N/A ,$423.00 ,$270.25 ,$399.50 ,$101.33 ,$470.00 ,$263.67 ,$101.33 ,$194.58 ,$94.49 ,$85.90 ,$105.94 ,$399.50 ,$201.28 ,$258.03 ,$131.60 ,$423.00 ,$470.00 ,$101.33 ,$408.90 ,$470.00 ,$470.00 ,$470.00 ,$108.10 ,$305.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$366.00 ,$263.52 ,$21.70 ,$366.00 ,$210.45 ,$230.58 ,$219.60 ,$78.91 ,$102.48 ,$212.28 ,$82.50 ,$223.26 ,$89.67 ,$200.93 ,$200.93 ,$93.26 ,$21.70 ,$162.65 ,$57.15 ,$217.20 ,$82.50 ,$78.91 ,$274.50 ,$259.86 ,$259.86 ,$82.50 ,$259.86 ,$318.42 ,$318.42 ,$318.42 , N/A ,$329.40 ,$210.45 ,$311.10 ,$78.91 ,$366.00 ,$205.33 ,$78.91 ,$151.52 ,$94.49 ,$85.90 ,$82.50 ,$311.10 ,$156.74 ,$200.93 ,$102.48 ,$329.40 ,$366.00 ,$78.91 ,$318.42 ,$366.00 ,$366.00 ,$366.00 ,$84.18 ,$237.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$547.00 ,$393.84 ,$33.04 ,$547.00 ,$314.53 ,$344.61 ,$328.20 ,$117.93 ,$153.16 ,$317.26 ,$123.29 ,$333.67 ,$134.01 ,$300.30 ,$300.30 ,$139.38 ,$33.04 ,$243.09 ,$88.63 ,$267.20 ,$123.29 ,$117.93 ,$410.25 ,$388.37 ,$388.37 ,$123.29 ,$388.37 ,$475.89 ,$475.89 ,$475.89 , N/A ,$492.30 ,$314.53 ,$464.95 ,$117.93 ,$547.00 ,$306.87 ,$117.93 ,$226.46 ,$94.49 ,$85.90 ,$123.29 ,$464.95 ,$234.26 ,$300.30 ,$153.16 ,$492.30 ,$547.00 ,$117.93 ,$475.89 ,$547.00 ,$547.00 ,$547.00 ,$125.81 ,$355.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$604.00 ,$434.88 ,$28.63 ,$604.00 ,$347.30 ,$380.52 ,$362.40 ,$130.22 ,$169.12 ,$299.11 ,$136.14 ,$313.02 ,$147.98 ,$331.60 ,$331.60 ,$153.90 ,$28.63 ,$268.42 ,$75.52 ,$217.20 ,$136.14 ,$130.22 ,$453.00 ,$428.84 ,$428.84 ,$136.14 ,$428.84 ,$525.48 ,$525.48 ,$525.48 , N/A ,$543.60 ,$347.30 ,$513.40 ,$130.22 ,$604.00 ,$338.84 ,$130.22 ,$250.06 ,$94.49 ,$85.90 ,$136.14 ,$513.40 ,$258.67 ,$331.60 ,$169.12 ,$543.60 ,$604.00 ,$130.22 ,$525.48 ,$559.00 ,$604.00 ,$559.00 ,$138.92 ,$392.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$412.00 ,$296.64 ,$33.04 ,$412.00 ,$236.90 ,$259.56 ,$247.20 ,$88.83 ,$115.36 ,$238.96 ,$92.86 ,$251.32 ,$100.94 ,$226.19 ,$226.19 ,$104.98 ,$33.04 ,$183.09 ,$88.63 ,$267.20 ,$92.86 ,$88.83 ,$309.00 ,$292.52 ,$292.52 ,$92.86 ,$292.52 ,$358.44 ,$358.44 ,$358.44 , N/A ,$370.80 ,$236.90 ,$350.20 ,$88.83 ,$412.00 ,$231.13 ,$88.83 ,$170.57 ,$94.49 ,$85.90 ,$92.86 ,$350.20 ,$176.44 ,$226.19 ,$115.36 ,$370.80 ,$412.00 ,$88.83 ,$358.44 ,$412.00 ,$412.00 ,$412.00 ,$94.76 ,$267.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$604.00 ,$434.88 ,$26.11 ,$604.00 ,$347.30 ,$380.52 ,$362.40 ,$130.22 ,$169.12 ,$307.79 ,$136.14 ,$322.11 ,$147.98 ,$331.60 ,$331.60 ,$153.90 ,$26.11 ,$268.42 ,$69.38 ,$217.20 ,$136.14 ,$130.22 ,$453.00 ,$428.84 ,$428.84 ,$136.14 ,$428.84 ,$525.48 ,$525.48 ,$525.48 , N/A ,$543.60 ,$347.30 ,$513.40 ,$130.22 ,$604.00 ,$338.84 ,$130.22 ,$250.06 ,$94.49 ,$85.90 ,$136.14 ,$513.40 ,$258.67 ,$331.60 ,$169.12 ,$543.60 ,$604.00 ,$130.22 ,$525.48 ,$559.00 ,$604.00 ,$559.00 ,$138.92 ,$392.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$299.00 ,$215.28 ,$26.11 ,$299.00 ,$171.93 ,$188.37 ,$179.40 ,$64.46 ,$83.72 ,$173.42 ,$67.39 ,$182.39 ,$73.25 ,$164.15 ,$164.15 ,$76.19 ,$26.11 ,$132.88 ,$68.53 ,$267.20 ,$67.39 ,$64.46 ,$224.25 ,$212.29 ,$212.29 ,$67.39 ,$212.29 ,$260.13 ,$260.13 ,$260.13 , N/A ,$269.10 ,$171.93 ,$254.15 ,$64.46 ,$299.00 ,$167.74 ,$64.46 ,$123.79 ,$94.49 ,$85.90 ,$67.39 ,$254.15 ,$128.05 ,$164.15 ,$83.72 ,$269.10 ,$299.00 ,$64.46 ,$260.13 ,$299.00 ,$299.00 ,$299.00 ,$68.77 ,$194.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$740.00 ,$532.80 ,$29.89 ,$740.00 ,$425.50 ,$466.20 ,$444.00 ,$159.54 ,$207.20 ,$346.92 ,$166.80 ,$363.06 ,$181.30 ,$406.26 ,$406.26 ,$188.55 ,$29.89 ,$328.86 ,$79.89 ,$267.20 ,$166.80 ,$159.54 ,$555.00 ,$525.40 ,$525.40 ,$166.80 ,$525.40 ,$643.80 ,$643.80 ,$643.80 , N/A ,$666.00 ,$425.50 ,$629.00 ,$159.54 ,$740.00 ,$415.14 ,$159.54 ,$306.36 ,$94.49 ,$85.90 ,$166.80 ,$629.00 ,$316.91 ,$406.26 ,$207.20 ,$666.00 ,$740.00 ,$159.54 ,$643.80 ,$559.00 ,$740.00 ,$559.00 ,$170.20 ,$481.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$392.00 ,$282.24 ,$39.66 ,$392.00 ,$225.40 ,$246.96 ,$235.20 ,$84.52 ,$109.76 ,$227.36 ,$88.36 ,$239.12 ,$96.04 ,$215.21 ,$215.21 ,$99.88 ,$39.66 ,$174.20 ,$107.03 ,$217.20 ,$88.36 ,$84.52 ,$294.00 ,$278.32 ,$278.32 ,$88.36 ,$278.32 ,$341.04 ,$341.04 ,$341.04 , N/A ,$352.80 ,$225.40 ,$333.20 ,$84.52 ,$392.00 ,$219.91 ,$84.52 ,$162.29 ,$94.49 ,$85.90 ,$88.36 ,$333.20 ,$167.87 ,$215.21 ,$109.76 ,$352.80 ,$392.00 ,$84.52 ,$341.04 ,$392.00 ,$392.00 ,$392.00 ,$90.16 ,$254.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000114,70336,HC MRI TMJ,320,1 ,"$4,129.00 ","$2,972.88 ",$196.88 ,"$4,129.00 ","$2,374.18 ","$2,601.27 ","$2,477.40 ",$890.21 ,"$1,156.12 ","$2,394.82 ",$930.68 ,"$2,518.69 ","$1,011.60 ","$2,266.82 ","$2,266.82 ","$1,052.07 ",$196.88 ,"$1,834.93 ","$2,890.30 ",$583.80 ,$930.68 ,$890.21 ,"$3,096.75 ","$2,931.59 ","$2,931.59 ",$930.68 ,"$2,931.59 ","$3,592.23 ","$3,592.23 ","$3,592.23 ", N/A ,"$3,716.10 ","$2,374.18 ","$3,509.65 ",$890.21 ,"$4,129.00 ","$2,316.37 ",$890.21 ,"$1,709.41 ",$396.99 ,$360.90 ,$930.68 ,"$3,509.65 ","$1,768.28 ","$2,266.82 ","$1,156.12 ","$3,716.10 ","$4,129.00 ",$890.21 ,"$3,592.23 ",$559.00 ,"$4,129.00 ",$559.00 ,$949.67 ,"$2,683.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000114,70336,HC MRI TMJ,320,1 ,"$6,194.00 ","$4,459.68 ",$196.88 ,"$6,194.00 ","$3,561.55 ","$3,902.22 ","$3,716.40 ","$1,335.43 ","$1,734.32 ","$3,061.26 ","$1,396.13 ","$3,203.64 ","$1,517.53 ","$3,400.51 ","$3,400.51 ","$1,578.23 ",$196.88 ,"$2,752.61 ","$4,335.80 ",$583.80 ,"$1,396.13 ","$1,335.43 ","$4,645.50 ","$4,397.74 ","$4,397.74 ","$1,396.13 ","$4,397.74 ","$5,388.78 ","$5,388.78 ","$5,388.78 ", N/A ,"$5,574.60 ","$3,561.55 ","$5,264.90 ","$1,335.43 ","$6,194.00 ","$3,474.83 ","$1,335.43 ","$2,564.32 ",$396.99 ,$360.90 ,"$1,396.13 ","$5,264.90 ","$2,652.64 ","$3,400.51 ","$1,734.32 ","$5,574.60 ","$6,194.00 ","$1,335.43 ","$5,388.78 ",$559.00 ,"$6,194.00 ",$559.00 ,"$1,424.62 ","$4,026.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$341.00 ,$245.52 ,$22.01 ,$341.00 ,$196.08 ,$214.83 ,$204.60 ,$73.52 ,$95.48 ,$197.78 ,$76.86 ,$208.01 ,$83.54 ,$187.21 ,$187.21 ,$86.89 ,$22.01 ,$151.54 ,$58.03 ,$217.20 ,$76.86 ,$73.52 ,$255.75 ,$242.11 ,$242.11 ,$76.86 ,$242.11 ,$296.67 ,$296.67 ,$296.67 , N/A ,$306.90 ,$196.08 ,$289.85 ,$73.52 ,$341.00 ,$191.30 ,$73.52 ,$141.17 ,$94.49 ,$85.90 ,$76.86 ,$289.85 ,$146.04 ,$187.21 ,$95.48 ,$306.90 ,$341.00 ,$73.52 ,$296.67 ,$341.00 ,$341.00 ,$341.00 ,$78.43 ,$221.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000120,70390,HC XRAY SIALOGRAPHY,320,1 ,$628.00 ,$452.16 ,$95.13 ,$628.00 ,$361.10 ,$395.64 ,$376.80 ,$135.40 ,$175.84 ,$364.24 ,$141.55 ,$383.08 ,$153.86 ,$344.77 ,$344.77 ,$160.01 ,$95.13 ,$279.08 ,$260.18 ,$583.80 ,$141.55 ,$135.40 ,$471.00 ,$445.88 ,$445.88 ,$141.55 ,$445.88 ,$546.36 ,$546.36 ,$546.36 , N/A ,$565.20 ,$361.10 ,$533.80 ,$135.40 ,$628.00 ,$352.31 ,$135.40 ,$259.99 ,$538.47 ,$489.52 ,$141.55 ,$533.80 ,$268.95 ,$344.77 ,$175.84 ,$565.20 ,$628.00 ,$135.40 ,$546.36 ,$559.00 ,$628.00 ,$559.00 ,$144.44 ,$408.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000121,71045,HC XR CHEST 1V,320,1 ,$399.00 ,$287.28 ,$16.66 ,$399.00 ,$229.43 ,$251.37 ,$239.40 ,$86.02 ,$111.72 ,$134.07 ,$89.93 ,$140.31 ,$97.75 ,$219.05 ,$219.05 ,$101.67 ,$16.66 ,$177.32 ,$43.15 ,$217.20 ,$89.93 ,$86.02 ,$299.25 ,$283.29 ,$283.29 ,$89.93 ,$283.29 ,$347.13 ,$347.13 ,$347.13 , N/A ,$359.10 ,$229.43 ,$339.15 ,$86.02 ,$18.51 ,$223.84 ,$86.02 ,$165.19 ,$94.49 ,$85.90 ,$89.93 ,$339.15 ,$170.87 ,$219.05 ,$111.72 ,$359.10 ,$399.00 ,$86.02 ,$347.13 ,$399.00 ,$399.00 ,$399.00 ,$91.77 ,$259.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000127,71046,HC XR CHEST 2V,320,1 ,$519.00 ,$373.68 ,$22.33 ,$519.00 ,$298.43 ,$326.97 ,$311.40 ,$111.90 ,$145.32 ,$242.69 ,$116.98 ,$253.98 ,$127.15 ,$284.93 ,$284.93 ,$132.24 ,$22.33 ,$230.64 ,$58.91 ,$217.20 ,$116.98 ,$111.90 ,$389.25 ,$368.49 ,$368.49 ,$116.98 ,$368.49 ,$451.53 ,$451.53 ,$451.53 , N/A ,$467.10 ,$298.43 ,$441.15 ,$111.90 ,$24.81 ,$291.16 ,$111.90 ,$214.87 ,$94.49 ,$85.90 ,$116.98 ,$441.15 ,$222.26 ,$284.93 ,$145.32 ,$467.10 ,$519.00 ,$111.90 ,$451.53 ,$519.00 ,$519.00 ,$519.00 ,$119.37 ,$337.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$519.00 ,$373.68 ,$28.00 ,$519.00 ,$298.43 ,$326.97 ,$311.40 ,$111.90 ,$145.32 ,$301.02 ,$116.98 ,$316.59 ,$127.15 ,$284.93 ,$284.93 ,$132.24 ,$28.00 ,$230.64 ,$74.64 ,$217.20 ,$116.98 ,$111.90 ,$389.25 ,$368.49 ,$368.49 ,$116.98 ,$368.49 ,$451.53 ,$451.53 ,$451.53 , N/A ,$467.10 ,$298.43 ,$441.15 ,$111.90 ,$519.00 ,$291.16 ,$111.90 ,$214.87 ,$94.49 ,$85.90 ,$116.98 ,$441.15 ,$222.26 ,$284.93 ,$145.32 ,$467.10 ,$519.00 ,$111.90 ,$451.53 ,$519.00 ,$519.00 ,$519.00 ,$119.37 ,$337.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$519.00 ,$373.68 ,$22.33 ,$519.00 ,$298.43 ,$326.97 ,$311.40 ,$111.90 ,$145.32 ,$242.69 ,$116.98 ,$253.98 ,$127.15 ,$284.93 ,$284.93 ,$132.24 ,$22.33 ,$230.64 ,$58.91 ,$217.20 ,$116.98 ,$111.90 ,$389.25 ,$368.49 ,$368.49 ,$116.98 ,$368.49 ,$451.53 ,$451.53 ,$451.53 , N/A ,$467.10 ,$298.43 ,$441.15 ,$111.90 ,$24.81 ,$291.16 ,$111.90 ,$214.87 ,$94.49 ,$85.90 ,$116.98 ,$441.15 ,$222.26 ,$284.93 ,$145.32 ,$467.10 ,$519.00 ,$111.90 ,$451.53 ,$519.00 ,$519.00 ,$519.00 ,$119.37 ,$337.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$531.00 ,$382.32 ,$25.17 ,$531.00 ,$305.33 ,$334.53 ,$318.60 ,$114.48 ,$148.68 ,$273.05 ,$119.69 ,$285.75 ,$130.09 ,$291.52 ,$291.52 ,$135.30 ,$25.17 ,$235.98 ,$65.89 ,$217.20 ,$119.69 ,$114.48 ,$398.25 ,$377.01 ,$377.01 ,$119.69 ,$377.01 ,$461.97 ,$461.97 ,$461.97 , N/A ,$477.90 ,$305.33 ,$451.35 ,$114.48 ,$531.00 ,$297.89 ,$114.48 ,$219.83 ,$94.49 ,$85.90 ,$119.69 ,$451.35 ,$227.41 ,$291.52 ,$148.68 ,$477.90 ,$531.00 ,$114.48 ,$461.97 ,$531.00 ,$531.00 ,$531.00 ,$122.13 ,$345.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$627.00 ,$451.44 ,$28.32 ,$627.00 ,$360.53 ,$395.01 ,$376.20 ,$135.18 ,$175.56 ,$303.49 ,$141.33 ,$317.61 ,$153.61 ,$344.22 ,$344.22 ,$159.76 ,$28.32 ,$278.64 ,$74.64 ,$267.20 ,$141.33 ,$135.18 ,$470.25 ,$445.17 ,$445.17 ,$141.33 ,$445.17 ,$545.49 ,$545.49 ,$545.49 , N/A ,$564.30 ,$360.53 ,$532.95 ,$135.18 ,$627.00 ,$351.75 ,$135.18 ,$259.58 ,$94.49 ,$85.90 ,$141.33 ,$532.95 ,$268.52 ,$344.22 ,$175.56 ,$564.30 ,$627.00 ,$135.18 ,$545.49 ,$559.00 ,$627.00 ,$559.00 ,$144.21 ,$407.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$363.00 ,$261.36 ,$28.95 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$28.95 ,$161.32 ,$76.40 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$345.00 ,$248.40 ,$35.57 ,$345.00 ,$198.38 ,$217.35 ,$207.00 ,$74.38 ,$96.60 ,$200.10 ,$77.76 ,$210.45 ,$84.52 ,$189.41 ,$189.41 ,$87.91 ,$35.57 ,$153.32 ,$94.77 ,$267.20 ,$77.76 ,$74.38 ,$258.75 ,$244.95 ,$244.95 ,$77.76 ,$244.95 ,$300.15 ,$300.15 ,$300.15 , N/A ,$310.50 ,$198.38 ,$293.25 ,$74.38 ,$345.00 ,$193.55 ,$74.38 ,$142.83 ,$94.49 ,$85.90 ,$77.76 ,$293.25 ,$147.75 ,$189.41 ,$96.60 ,$310.50 ,$345.00 ,$74.38 ,$300.15 ,$345.00 ,$345.00 ,$345.00 ,$79.35 ,$224.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000141,71120,HC XR STERNUM 2+V,320,1 ,$382.00 ,$275.04 ,$23.27 ,$382.00 ,$219.65 ,$240.66 ,$229.20 ,$82.36 ,$106.96 ,$221.56 ,$86.10 ,$233.02 ,$93.59 ,$209.72 ,$209.72 ,$97.33 ,$23.27 ,$169.76 ,$61.52 ,$217.20 ,$86.10 ,$82.36 ,$286.50 ,$271.22 ,$271.22 ,$86.10 ,$271.22 ,$332.34 ,$332.34 ,$332.34 , N/A ,$343.80 ,$219.65 ,$324.70 ,$82.36 ,$382.00 ,$214.30 ,$82.36 ,$158.15 ,$94.49 ,$85.90 ,$86.10 ,$324.70 ,$163.59 ,$209.72 ,$106.96 ,$343.80 ,$382.00 ,$82.36 ,$332.34 ,$382.00 ,$382.00 ,$382.00 ,$87.86 ,$248.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$326.00 ,$234.72 ,$29.58 ,$326.00 ,$187.45 ,$205.38 ,$195.60 ,$70.29 ,$91.28 ,$189.08 ,$73.48 ,$198.86 ,$79.87 ,$178.97 ,$178.97 ,$83.06 ,$29.58 ,$144.87 ,$79.01 ,$217.20 ,$73.48 ,$70.29 ,$244.50 ,$231.46 ,$231.46 ,$73.48 ,$231.46 ,$283.62 ,$283.62 ,$283.62 , N/A ,$293.40 ,$187.45 ,$277.10 ,$70.29 ,$326.00 ,$182.89 ,$70.29 ,$134.96 ,$94.49 ,$85.90 ,$73.48 ,$277.10 ,$139.61 ,$178.97 ,$91.28 ,$293.40 ,$326.00 ,$70.29 ,$283.62 ,$326.00 ,$326.00 ,$326.00 ,$74.98 ,$211.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$2,523.00 ","$1,816.56 ",$82.21 ,"$2,523.00 ","$1,450.73 ","$1,589.49 ","$1,513.80 ",$543.96 ,$706.44 ,"$1,463.34 ",$568.68 ,"$1,539.03 ",$618.13 ,"$1,385.13 ","$1,385.13 ",$642.86 ,$82.21 ,"$1,121.22 ","$1,049.00 ",$267.20 ,$568.68 ,$543.96 ,"$1,892.25 ","$1,791.33 ","$1,791.33 ",$568.68 ,"$1,791.33 ","$2,195.01 ","$2,195.01 ","$2,195.01 ", N/A ,"$2,270.70 ","$1,450.73 ","$2,144.55 ",$543.96 ,"$2,523.00 ","$1,415.40 ",$543.96 ,"$1,044.52 ",$235.76 ,$214.33 ,$568.68 ,"$2,144.55 ","$1,080.50 ","$1,385.13 ",$706.44 ,"$2,270.70 ","$2,523.00 ",$543.96 ,"$2,195.01 ","$1,038.00 ","$2,523.00 ","$1,038.00 ",$580.29 ,"$1,639.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$2,604.00 ","$1,874.88 ",$111.79 ,"$2,604.00 ","$1,497.30 ","$1,640.52 ","$1,562.40 ",$561.42 ,$729.12 ,"$1,510.32 ",$586.94 ,"$1,588.44 ",$637.98 ,"$1,429.60 ","$1,429.60 ",$663.50 ,$111.79 ,"$1,157.22 ","$1,049.00 ",$450.85 ,$586.94 ,$561.42 ,"$1,953.00 ","$1,848.84 ","$1,848.84 ",$586.94 ,"$1,848.84 ","$2,265.48 ","$2,265.48 ","$2,265.48 ", N/A ,"$2,343.60 ","$1,497.30 ","$2,213.40 ",$561.42 ,"$2,604.00 ","$1,460.84 ",$561.42 ,"$1,078.06 ",$235.76 ,$214.33 ,$586.94 ,"$2,213.40 ","$1,115.19 ","$1,429.60 ",$729.12 ,"$2,343.60 ","$2,604.00 ",$561.42 ,"$2,265.48 ","$1,038.00 ","$2,604.00 ","$1,038.00 ",$598.92 ,"$1,692.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$3,422.00 ","$2,463.84 ",$137.63 ,"$3,422.00 ","$1,967.65 ","$2,155.86 ","$2,053.20 ",$737.78 ,$958.16 ,"$1,984.76 ",$771.32 ,"$2,087.42 ",$838.39 ,"$1,878.68 ","$1,878.68 ",$871.93 ,$137.63 ,"$1,520.74 ","$1,049.00 ",$450.85 ,$771.32 ,$737.78 ,"$2,566.50 ","$2,429.62 ","$2,429.62 ",$771.32 ,"$2,429.62 ","$2,977.14 ","$2,977.14 ","$2,977.14 ", N/A ,"$3,079.80 ","$1,967.65 ","$2,908.70 ",$737.78 ,"$3,422.00 ","$1,919.74 ",$737.78 ,"$1,416.71 ",$235.76 ,$214.33 ,$771.32 ,"$2,908.70 ","$1,465.50 ","$1,878.68 ",$958.16 ,"$3,079.80 ","$3,422.00 ",$737.78 ,"$2,977.14 ","$1,038.00 ","$3,422.00 ","$1,038.00 ",$787.06 ,"$2,224.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$3,624.00 ","$2,609.28 ",$195.84 ,"$3,624.00 ","$2,083.80 ","$2,283.12 ","$2,174.40 ",$781.33 ,"$1,014.72 ","$2,101.92 ",$816.85 ,"$2,210.64 ",$887.88 ,"$1,989.58 ","$1,989.58 ",$923.40 ,$195.84 ,"$1,610.51 ","$1,049.00 ",$450.85 ,$816.85 ,$781.33 ,"$2,718.00 ","$2,573.04 ","$2,573.04 ",$816.85 ,"$2,573.04 ","$3,152.88 ","$3,152.88 ","$3,152.88 ", N/A ,"$3,261.60 ","$2,083.80 ","$3,080.40 ",$781.33 ,"$3,624.00 ","$2,033.06 ",$781.33 ,"$1,500.34 ",$532.80 ,$484.36 ,$816.85 ,"$3,080.40 ","$1,552.02 ","$1,989.58 ","$1,014.72 ","$3,261.60 ","$3,624.00 ",$781.33 ,"$3,152.88 ","$1,038.00 ","$3,624.00 ","$1,038.00 ",$833.52 ,"$2,355.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000151,71550,HC MRI CHEST W/O CON,610,1 ,$769.00 ,$553.68 ,$165.80 ,$808.60 ,$442.18 ,$484.47 ,$461.40 ,$165.80 ,$215.32 ,$446.02 ,$173.33 ,$469.09 ,$188.40 ,$422.18 ,$422.18 ,$195.94 ,$270.84 ,$341.74 ,$769.00 ,$583.80 ,$173.33 ,$165.80 ,$576.75 ,$545.99 ,$545.99 ,$173.33 ,$545.99 ,$669.03 ,$669.03 ,$669.03 , N/A ,$692.10 ,$442.18 ,$653.65 ,$165.80 ,$769.00 ,$431.41 ,$165.80 ,$318.37 ,$808.60 ,$735.09 ,$173.33 ,$653.65 ,$329.33 ,$422.18 ,$215.32 ,$692.10 ,$769.00 ,$165.80 ,$669.03 ,$769.00 ,$769.00 ,$769.00 ,$176.87 ,$499.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$2,246.00 ","$1,617.12 ",$294.17 ,"$2,246.00 ","$1,291.45 ","$1,414.98 ","$1,347.60 ",$484.24 ,$628.88 ,"$1,302.68 ",$506.25 ,"$1,370.06 ",$550.27 ,"$1,233.05 ","$1,233.05 ",$572.28 ,$294.17 ,$998.12 ,"$1,700.00 ","$1,851.88 ",$506.25 ,$484.24 ,"$1,684.50 ","$1,594.66 ","$1,594.66 ",$506.25 ,"$1,594.66 ","$1,954.02 ","$1,954.02 ","$1,954.02 ", N/A ,"$2,021.40 ","$1,291.45 ","$1,909.10 ",$484.24 ,"$2,246.00 ","$1,260.01 ",$484.24 ,$929.84 ,$808.60 ,$735.09 ,$506.25 ,"$1,909.10 ",$961.87 ,"$1,233.05 ",$628.88 ,"$2,021.40 ","$2,246.00 ",$484.24 ,"$1,954.02 ","$1,863.00 ","$2,246.00 ","$1,863.00 ",$516.58 ,"$1,459.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$1,214.00 ",$874.08 ,$261.74 ,"$1,214.00 ",$698.05 ,$764.82 ,$728.40 ,$261.74 ,$339.92 ,$704.12 ,$273.64 ,$740.54 ,$297.43 ,$666.49 ,$666.49 ,$309.33 ,$367.91 ,$539.50 ,"$1,214.00 ",$921.08 ,$273.64 ,$261.74 ,$910.50 ,$861.94 ,$861.94 ,$273.64 ,$861.94 ,"$1,056.18 ","$1,056.18 ","$1,056.18 ", N/A ,"$1,092.60 ",$698.05 ,"$1,031.90 ",$261.74 ,"$1,214.00 ",$681.05 ,$261.74 ,$502.60 ,$808.60 ,$735.09 ,$273.64 ,"$1,031.90 ",$519.91 ,$666.49 ,$339.92 ,"$1,092.60 ","$1,214.00 ",$261.74 ,"$1,056.18 ","$1,214.00 ","$1,214.00 ","$1,214.00 ",$279.22 ,$789.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$248.00 ,$178.56 ,$16.34 ,$248.00 ,$142.60 ,$156.24 ,$148.80 ,$53.47 ,$69.44 ,$143.84 ,$55.90 ,$151.28 ,$60.76 ,$136.15 ,$136.15 ,$63.19 ,$16.34 ,$110.21 ,$43.15 ,$217.20 ,$55.90 ,$53.47 ,$186.00 ,$176.08 ,$176.08 ,$55.90 ,$176.08 ,$215.76 ,$215.76 ,$215.76 , N/A ,$223.20 ,$142.60 ,$210.80 ,$53.47 ,$248.00 ,$139.13 ,$53.47 ,$102.67 ,$94.49 ,$85.90 ,$55.90 ,$210.80 ,$106.21 ,$136.15 ,$69.44 ,$223.20 ,$248.00 ,$53.47 ,$215.76 ,$248.00 ,$248.00 ,$248.00 ,$57.04 ,$161.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$549.00 ,$395.28 ,$27.69 ,$549.00 ,$315.68 ,$345.87 ,$329.40 ,$118.36 ,$153.72 ,$273.05 ,$123.74 ,$285.75 ,$134.50 ,$301.40 ,$301.40 ,$139.89 ,$27.69 ,$243.98 ,$72.90 ,$217.20 ,$123.74 ,$118.36 ,$411.75 ,$389.79 ,$389.79 ,$123.74 ,$389.79 ,$477.63 ,$477.63 ,$477.63 , N/A ,$494.10 ,$315.68 ,$466.65 ,$118.36 ,$549.00 ,$307.99 ,$118.36 ,$227.29 ,$94.49 ,$85.90 ,$123.74 ,$466.65 ,$235.11 ,$301.40 ,$153.72 ,$494.10 ,$549.00 ,$118.36 ,$477.63 ,$549.00 ,$549.00 ,$549.00 ,$126.27 ,$356.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$703.00 ,$506.16 ,$38.40 ,$703.00 ,$404.23 ,$442.89 ,$421.80 ,$151.57 ,$196.84 ,$407.74 ,$158.46 ,$428.83 ,$172.23 ,$385.95 ,$385.95 ,$179.12 ,$38.40 ,$312.41 ,$100.90 ,$267.20 ,$158.46 ,$151.57 ,$527.25 ,$499.13 ,$499.13 ,$158.46 ,$499.13 ,$611.61 ,$611.61 ,$611.61 , N/A ,$632.70 ,$404.23 ,$597.55 ,$151.57 ,$703.00 ,$394.38 ,$151.57 ,$291.04 ,$94.49 ,$85.90 ,$158.46 ,$597.55 ,$301.07 ,$385.95 ,$196.84 ,$632.70 ,$703.00 ,$151.57 ,$611.61 ,$559.00 ,$703.00 ,$559.00 ,$161.69 ,$456.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,$974.00 ,$701.28 ,$45.65 ,$974.00 ,$560.05 ,$613.62 ,$584.40 ,$209.99 ,$272.72 ,$464.23 ,$219.54 ,$485.82 ,$238.63 ,$534.73 ,$534.73 ,$248.18 ,$45.65 ,$432.85 ,$121.91 ,$267.20 ,$219.54 ,$209.99 ,$730.50 ,$691.54 ,$691.54 ,$219.54 ,$691.54 ,$847.38 ,$847.38 ,$847.38 , N/A ,$876.60 ,$560.05 ,$827.90 ,$209.99 ,$974.00 ,$546.41 ,$209.99 ,$403.24 ,$94.49 ,$85.90 ,$219.54 ,$827.90 ,$417.13 ,$534.73 ,$272.72 ,$876.60 ,$974.00 ,$209.99 ,$847.38 ,$559.00 ,$974.00 ,$559.00 ,$224.02 ,$633.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000172,72070,HC XR T-SPINE 2V,320,1 ,$363.00 ,$261.36 ,$22.33 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$22.33 ,$161.32 ,$58.03 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000174,72072,HC XR T-SPINE 3V,320,1 ,$363.00 ,$261.36 ,$27.37 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$27.37 ,$161.32 ,$72.02 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$782.00 ,$563.04 ,$28.00 ,$782.00 ,$449.65 ,$492.66 ,$469.20 ,$168.60 ,$218.96 ,$294.81 ,$176.26 ,$308.52 ,$191.59 ,$429.32 ,$429.32 ,$199.25 ,$28.00 ,$347.52 ,$73.78 ,$267.20 ,$176.26 ,$168.60 ,$586.50 ,$555.22 ,$555.22 ,$176.26 ,$555.22 ,$680.34 ,$680.34 ,$680.34 , N/A ,$703.80 ,$449.65 ,$664.70 ,$168.60 ,$782.00 ,$438.70 ,$168.60 ,$323.75 ,$94.49 ,$85.90 ,$176.26 ,$664.70 ,$334.90 ,$429.32 ,$218.96 ,$703.80 ,$782.00 ,$168.60 ,$680.34 ,$559.00 ,$782.00 ,$559.00 ,$179.86 ,$508.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000181,72110,HC XR L-SPINE 4+V,320,1 ,$979.00 ,$704.88 ,$37.14 ,$979.00 ,$562.93 ,$616.77 ,$587.40 ,$211.07 ,$274.12 ,$516.43 ,$220.67 ,$540.45 ,$239.85 ,$537.47 ,$537.47 ,$249.45 ,$37.14 ,$435.07 ,$97.41 ,$267.20 ,$220.67 ,$211.07 ,$734.25 ,$695.09 ,$695.09 ,$220.67 ,$695.09 ,$851.73 ,$851.73 ,$851.73 , N/A ,$881.10 ,$562.93 ,$832.15 ,$211.07 ,$979.00 ,$549.22 ,$211.07 ,$405.31 ,$94.49 ,$85.90 ,$220.67 ,$832.15 ,$419.26 ,$537.47 ,$274.12 ,$881.10 ,$979.00 ,$211.07 ,$851.73 ,$559.00 ,$979.00 ,$559.00 ,$225.17 ,$636.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000183,72120,HC XR L-SPINE BENDING ONLY MIN 4V,320,1 ,$438.00 ,$315.36 ,$28.63 ,$438.00 ,$251.85 ,$275.94 ,$262.80 ,$94.43 ,$122.64 ,$254.04 ,$98.73 ,$267.18 ,$107.31 ,$240.46 ,$240.46 ,$111.60 ,$28.63 ,$194.65 ,$76.40 ,$267.20 ,$98.73 ,$94.43 ,$328.50 ,$310.98 ,$310.98 ,$98.73 ,$310.98 ,$381.06 ,$381.06 ,$381.06 , N/A ,$394.20 ,$251.85 ,$372.30 ,$94.43 ,$438.00 ,$245.72 ,$94.43 ,$181.33 ,$94.49 ,$85.90 ,$98.73 ,$372.30 ,$187.58 ,$240.46 ,$122.64 ,$394.20 ,$438.00 ,$94.43 ,$381.06 ,$438.00 ,$438.00 ,$438.00 ,$100.74 ,$284.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,"$1,212.00 ",$872.64 ,$45.02 ,"$1,212.00 ",$696.90 ,$763.56 ,$727.20 ,$261.31 ,$339.36 ,$555.39 ,$273.18 ,$581.22 ,$296.94 ,$665.39 ,$665.39 ,$308.82 ,$45.02 ,$538.61 ,$121.03 ,$267.20 ,$273.18 ,$261.31 ,$909.00 ,$860.52 ,$860.52 ,$273.18 ,$860.52 ,"$1,054.44 ","$1,054.44 ","$1,054.44 ", N/A ,"$1,090.80 ",$696.90 ,"$1,030.20 ",$261.31 ,"$1,212.00 ",$679.93 ,$261.31 ,$501.77 ,$94.49 ,$85.90 ,$273.18 ,"$1,030.20 ",$519.05 ,$665.39 ,$339.36 ,"$1,090.80 ","$1,212.00 ",$261.31 ,"$1,054.44 ",$559.00 ,"$1,212.00 ",$559.00 ,$278.76 ,$787.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$454.00 ,$326.88 ,$18.86 ,$454.00 ,$261.05 ,$286.02 ,$272.40 ,$97.88 ,$127.12 ,$263.32 ,$102.33 ,$276.94 ,$111.23 ,$249.25 ,$249.25 ,$115.68 ,$18.86 ,$201.76 ,$49.25 ,$267.20 ,$102.33 ,$97.88 ,$340.50 ,$322.34 ,$322.34 ,$102.33 ,$322.34 ,$394.98 ,$394.98 ,$394.98 , N/A ,$408.60 ,$261.05 ,$385.90 ,$97.88 ,$454.00 ,$254.69 ,$97.88 ,$187.96 ,$94.49 ,$85.90 ,$102.33 ,$385.90 ,$194.43 ,$249.25 ,$127.12 ,$408.60 ,$454.00 ,$97.88 ,$394.98 ,$454.00 ,$454.00 ,$454.00 ,$104.42 ,$295.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$554.00 ,$398.88 ,$28.95 ,$554.00 ,$318.55 ,$349.02 ,$332.40 ,$119.44 ,$155.12 ,$321.32 ,$124.87 ,$337.94 ,$135.73 ,$304.15 ,$304.15 ,$141.16 ,$28.95 ,$246.20 ,$75.52 ,$267.20 ,$124.87 ,$119.44 ,$415.50 ,$393.34 ,$393.34 ,$124.87 ,$393.34 ,$481.98 ,$481.98 ,$481.98 , N/A ,$498.60 ,$318.55 ,$470.90 ,$119.44 ,$554.00 ,$310.79 ,$119.44 ,$229.36 ,$94.49 ,$85.90 ,$124.87 ,$470.90 ,$237.26 ,$304.15 ,$155.12 ,$498.60 ,$554.00 ,$119.44 ,$481.98 ,$554.00 ,$554.00 ,$554.00 ,$127.42 ,$360.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$437.00 ,$314.64 ,$27.37 ,$437.00 ,$251.28 ,$275.31 ,$262.20 ,$94.22 ,$122.36 ,$253.46 ,$98.50 ,$266.57 ,$107.06 ,$239.91 ,$239.91 ,$111.35 ,$27.37 ,$194.20 ,$72.02 ,$267.20 ,$98.50 ,$94.22 ,$327.75 ,$310.27 ,$310.27 ,$98.50 ,$310.27 ,$380.19 ,$380.19 ,$380.19 , N/A ,$393.30 ,$251.28 ,$371.45 ,$94.22 ,$437.00 ,$245.16 ,$94.22 ,$180.92 ,$94.49 ,$85.90 ,$98.50 ,$371.45 ,$187.15 ,$239.91 ,$122.36 ,$393.30 ,$437.00 ,$94.22 ,$380.19 ,$437.00 ,$437.00 ,$437.00 ,$100.51 ,$284.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$554.00 ,$398.88 ,$23.27 ,$554.00 ,$318.55 ,$349.02 ,$332.40 ,$119.44 ,$155.12 ,$242.69 ,$124.87 ,$253.98 ,$135.73 ,$304.15 ,$304.15 ,$141.16 ,$23.27 ,$246.20 ,$60.64 ,$217.20 ,$124.87 ,$119.44 ,$415.50 ,$393.34 ,$393.34 ,$124.87 ,$393.34 ,$481.98 ,$481.98 ,$481.98 , N/A ,$498.60 ,$318.55 ,$470.90 ,$119.44 ,$554.00 ,$310.79 ,$119.44 ,$229.36 ,$94.49 ,$85.90 ,$124.87 ,$470.90 ,$237.26 ,$304.15 ,$155.12 ,$498.60 ,$554.00 ,$119.44 ,$481.98 ,$554.00 ,$554.00 ,$554.00 ,$127.42 ,$360.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000194,62302,HC XR MYELOGRAM C-SPINE,320,1 ,"$2,469.00 ","$1,777.68 ",$122.28 ,"$2,469.00 ","$1,419.68 ","$1,555.47 ","$1,481.40 ",$532.32 ,$691.32 ,"$1,432.02 ",$556.51 ,"$1,506.09 ",$604.90 ,"$1,355.48 ","$1,355.48 ",$629.10 ,$122.28 ,"$1,097.22 ","$1,728.30 ","$1,851.88 ",$556.51 ,$532.32 ,"$1,851.75 ","$1,752.99 ","$1,752.99 ",$556.51 ,"$1,752.99 ","$2,148.03 ","$2,148.03 ","$2,148.03 ", N/A ,"$2,222.10 ","$1,419.68 ","$2,098.65 ",$532.32 ,"$2,469.00 ","$1,385.11 ",$532.32 ,"$1,022.17 ","$1,028.27 ",$934.79 ,$556.51 ,"$2,098.65 ","$1,057.37 ","$1,355.48 ",$691.32 ,"$2,222.10 ","$2,469.00 ",$532.32 ,"$2,148.03 ",$559.00 ,"$2,469.00 ",$559.00 ,$567.87 ,"$1,604.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000195,62303,HC XR MYELOGRAM T-SPINE,320,1 ,"$2,469.00 ","$1,777.68 ",$122.28 ,"$2,469.00 ","$1,419.68 ","$1,555.47 ","$1,481.40 ",$532.32 ,$691.32 ,"$1,432.02 ",$556.51 ,"$1,506.09 ",$604.90 ,"$1,355.48 ","$1,355.48 ",$629.10 ,$122.28 ,"$1,097.22 ","$1,728.30 ","$1,851.88 ",$556.51 ,$532.32 ,"$1,851.75 ","$1,752.99 ","$1,752.99 ",$556.51 ,"$1,752.99 ","$2,148.03 ","$2,148.03 ","$2,148.03 ", N/A ,"$2,222.10 ","$1,419.68 ","$2,098.65 ",$532.32 ,"$2,469.00 ","$1,385.11 ",$532.32 ,"$1,022.17 ","$1,028.27 ",$934.79 ,$556.51 ,"$2,098.65 ","$1,057.37 ","$1,355.48 ",$691.32 ,"$2,222.10 ","$2,469.00 ",$532.32 ,"$2,148.03 ",$559.00 ,"$2,469.00 ",$559.00 ,$567.87 ,"$1,604.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000196,62304,HC XR MYELOGRAM L-SPINE,320,1 ,"$2,469.00 ","$1,777.68 ",$120.61 ,"$2,469.00 ","$1,419.68 ","$1,555.47 ","$1,481.40 ",$532.32 ,$691.32 ,"$1,432.02 ",$556.51 ,"$1,506.09 ",$604.90 ,"$1,355.48 ","$1,355.48 ",$629.10 ,$120.61 ,"$1,097.22 ","$1,728.30 ","$1,851.88 ",$556.51 ,$532.32 ,"$1,851.75 ","$1,752.99 ","$1,752.99 ",$556.51 ,"$1,752.99 ","$2,148.03 ","$2,148.03 ","$2,148.03 ", N/A ,"$2,222.10 ","$1,419.68 ","$2,098.65 ",$532.32 ,"$2,469.00 ","$1,385.11 ",$532.32 ,"$1,022.17 ","$1,028.27 ",$934.79 ,$556.51 ,"$2,098.65 ","$1,057.37 ","$1,355.48 ",$691.32 ,"$2,222.10 ","$2,469.00 ",$532.32 ,"$2,148.03 ",$559.00 ,"$2,469.00 ",$559.00 ,$567.87 ,"$1,604.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000197,62305,HC XR MYELOGRAM >2 REGIONS,320,1 ,"$3,087.00 ","$2,222.64 ",$125.26 ,"$3,087.00 ","$1,775.03 ","$1,944.81 ","$1,852.20 ",$665.56 ,$864.36 ,"$1,790.46 ",$695.81 ,"$1,883.07 ",$756.31 ,"$1,694.76 ","$1,694.76 ",$786.57 ,$125.26 ,"$1,371.86 ","$2,160.90 ","$1,851.88 ",$695.81 ,$665.56 ,"$2,315.25 ","$2,191.77 ","$2,191.77 ",$695.81 ,"$2,191.77 ","$2,685.69 ","$2,685.69 ","$2,685.69 ", N/A ,"$2,778.30 ","$1,775.03 ","$2,623.95 ",$665.56 ,"$3,087.00 ","$1,731.81 ",$665.56 ,"$1,278.02 ","$1,028.27 ",$934.79 ,$695.81 ,"$2,623.95 ","$1,322.04 ","$1,694.76 ",$864.36 ,"$2,778.30 ","$3,087.00 ",$665.56 ,"$2,685.69 ",$559.00 ,"$3,087.00 ",$559.00 ,$710.01 ,"$2,006.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000201,73000,HC XRAY CLAVICLE,320,1 ,$565.00 ,$406.80 ,$23.27 ,$565.00 ,$324.88 ,$355.95 ,$339.00 ,$121.81 ,$158.20 ,$242.69 ,$127.35 ,$253.98 ,$138.42 ,$310.19 ,$310.19 ,$143.96 ,$23.27 ,$251.09 ,$61.52 ,$217.20 ,$127.35 ,$121.81 ,$423.75 ,$401.15 ,$401.15 ,$127.35 ,$401.15 ,$491.55 ,$491.55 ,$491.55 , N/A ,$508.50 ,$324.88 ,$480.25 ,$121.81 ,$565.00 ,$316.97 ,$121.81 ,$233.91 ,$94.49 ,$85.90 ,$127.35 ,$480.25 ,$241.97 ,$310.19 ,$158.20 ,$508.50 ,$565.00 ,$121.81 ,$491.55 ,$559.00 ,$565.00 ,$559.00 ,$129.95 ,$367.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000204,73010,HC XRAY SCAPULA,320,1 ,$420.00 ,$302.40 ,$14.45 ,$420.00 ,$241.50 ,$264.60 ,$252.00 ,$90.55 ,$117.60 ,$243.60 ,$94.67 ,$256.20 ,$102.90 ,$230.58 ,$230.58 ,$107.02 ,$14.45 ,$186.65 ,$37.90 ,$267.20 ,$94.67 ,$90.55 ,$315.00 ,$298.20 ,$298.20 ,$94.67 ,$298.20 ,$365.40 ,$365.40 ,$365.40 , N/A ,$378.00 ,$241.50 ,$357.00 ,$90.55 ,$420.00 ,$235.62 ,$90.55 ,$173.88 ,$94.49 ,$85.90 ,$94.67 ,$357.00 ,$179.87 ,$230.58 ,$117.60 ,$378.00 ,$420.00 ,$90.55 ,$365.40 ,$420.00 ,$420.00 ,$420.00 ,$96.60 ,$273.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$455.00 ,$327.60 ,$13.82 ,$455.00 ,$261.63 ,$286.65 ,$273.00 ,$98.10 ,$127.40 ,$186.19 ,$102.56 ,$194.85 ,$111.47 ,$249.80 ,$249.80 ,$115.93 ,$13.82 ,$202.20 ,$36.14 ,$217.20 ,$102.56 ,$98.10 ,$341.25 ,$323.05 ,$323.05 ,$102.56 ,$323.05 ,$395.85 ,$395.85 ,$395.85 , N/A ,$409.50 ,$261.63 ,$386.75 ,$98.10 ,$455.00 ,$255.26 ,$98.10 ,$188.37 ,$94.49 ,$85.90 ,$102.56 ,$386.75 ,$194.86 ,$249.80 ,$127.40 ,$409.50 ,$455.00 ,$98.10 ,$395.85 ,$455.00 ,$455.00 ,$455.00 ,$104.65 ,$295.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$566.00 ,$407.52 ,$24.54 ,$566.00 ,$325.45 ,$356.58 ,$339.60 ,$122.03 ,$158.48 ,$312.87 ,$127.58 ,$327.42 ,$138.67 ,$310.73 ,$310.73 ,$144.22 ,$24.54 ,$251.53 ,$64.13 ,$217.20 ,$127.58 ,$122.03 ,$424.50 ,$401.86 ,$401.86 ,$127.58 ,$401.86 ,$492.42 ,$492.42 ,$492.42 , N/A ,$509.40 ,$325.45 ,$481.10 ,$122.03 ,$566.00 ,$317.53 ,$122.03 ,$234.32 ,$94.49 ,$85.90 ,$127.58 ,$481.10 ,$242.39 ,$310.73 ,$158.48 ,$509.40 ,$566.00 ,$122.03 ,$492.42 ,$559.00 ,$566.00 ,$559.00 ,$130.18 ,$367.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,"$2,365.00 ","$1,702.80 ",$24.54 ,"$2,365.00 ","$1,359.88 ","$1,489.95 ","$1,419.00 ",$509.89 ,$662.20 ,$312.87 ,$533.07 ,$327.42 ,$579.42 ,"$1,298.39 ","$1,298.39 ",$602.60 ,$24.54 ,"$1,051.01 ",$64.13 ,$217.20 ,$533.07 ,$509.89 ,"$1,773.75 ","$1,679.15 ","$1,679.15 ",$533.07 ,"$1,679.15 ","$2,057.55 ","$2,057.55 ","$2,057.55 ", N/A ,"$2,128.50 ","$1,359.88 ","$2,010.25 ",$509.89 ,"$2,365.00 ","$1,326.77 ",$509.89 ,$979.11 ,$141.74 ,$128.85 ,$533.07 ,"$2,010.25 ","$1,012.84 ","$1,298.39 ",$662.20 ,"$2,128.50 ","$2,365.00 ",$509.89 ,"$2,057.55 ",$559.00 ,"$2,365.00 ",$559.00 ,$543.95 ,"$1,537.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,"$1,605.00 ","$1,155.60 ",$99.86 ,"$1,605.00 ",$922.88 ,"$1,011.15 ",$963.00 ,$346.04 ,$449.40 ,$907.30 ,$361.77 ,$949.50 ,$393.22 ,$881.15 ,$881.15 ,$408.95 ,$99.86 ,$713.26 ,$266.28 ,$921.08 ,$361.77 ,$346.04 ,"$1,203.75 ","$1,139.55 ","$1,139.55 ",$361.77 ,"$1,139.55 ","$1,396.35 ","$1,396.35 ","$1,396.35 ", N/A ,"$1,444.50 ",$922.88 ,"$1,364.25 ",$346.04 ,"$1,605.00 ",$900.41 ,$346.04 ,$664.47 ,$538.47 ,$489.52 ,$361.77 ,"$1,364.25 ",$687.36 ,$881.15 ,$449.40 ,"$1,444.50 ","$1,605.00 ",$346.04 ,"$1,396.35 ",$559.00 ,"$1,605.00 ",$559.00 ,$369.15 ,"$1,043.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$502.00 ,$361.44 ,$18.86 ,$502.00 ,$288.65 ,$316.26 ,$301.20 ,$108.23 ,$140.56 ,$291.16 ,$113.15 ,$306.22 ,$122.99 ,$275.60 ,$275.60 ,$127.91 ,$18.86 ,$223.09 ,$49.25 ,$217.20 ,$113.15 ,$108.23 ,$376.50 ,$356.42 ,$356.42 ,$113.15 ,$356.42 ,$436.74 ,$436.74 ,$436.74 , N/A ,$451.80 ,$288.65 ,$426.70 ,$108.23 ,$502.00 ,$281.62 ,$108.23 ,$207.83 ,$94.49 ,$85.90 ,$113.15 ,$426.70 ,$214.98 ,$275.60 ,$140.56 ,$451.80 ,$502.00 ,$108.23 ,$436.74 ,$502.00 ,$502.00 ,$502.00 ,$115.46 ,$326.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$395.00 ,$284.40 ,$23.27 ,$395.00 ,$227.13 ,$248.85 ,$237.00 ,$85.16 ,$110.60 ,$229.10 ,$89.03 ,$240.95 ,$96.77 ,$216.86 ,$216.86 ,$100.65 ,$23.27 ,$175.54 ,$61.52 ,$217.20 ,$89.03 ,$85.16 ,$296.25 ,$280.45 ,$280.45 ,$89.03 ,$280.45 ,$343.65 ,$343.65 ,$343.65 , N/A ,$355.50 ,$227.13 ,$335.75 ,$85.16 ,$395.00 ,$221.60 ,$85.16 ,$163.53 ,$94.49 ,$85.90 ,$89.03 ,$335.75 ,$169.17 ,$216.86 ,$110.60 ,$355.50 ,$395.00 ,$85.16 ,$343.65 ,$395.00 ,$395.00 ,$395.00 ,$90.85 ,$256.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$494.00 ,$355.68 ,$20.44 ,$494.00 ,$284.05 ,$311.22 ,$296.40 ,$106.51 ,$138.32 ,$238.31 ,$111.35 ,$249.39 ,$121.03 ,$271.21 ,$271.21 ,$125.87 ,$20.44 ,$219.53 ,$53.65 ,$217.20 ,$111.35 ,$106.51 ,$370.50 ,$350.74 ,$350.74 ,$111.35 ,$350.74 ,$429.78 ,$429.78 ,$429.78 , N/A ,$444.60 ,$284.05 ,$419.90 ,$106.51 ,$494.00 ,$277.13 ,$106.51 ,$204.52 ,$94.49 ,$85.90 ,$111.35 ,$419.90 ,$211.56 ,$271.21 ,$138.32 ,$444.60 ,$494.00 ,$106.51 ,$429.78 ,$494.00 ,$494.00 ,$494.00 ,$113.62 ,$321.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$536.00 ,$385.92 ,$23.27 ,$536.00 ,$308.20 ,$337.68 ,$321.60 ,$115.56 ,$150.08 ,$281.74 ,$120.81 ,$294.84 ,$131.32 ,$294.26 ,$294.26 ,$136.57 ,$23.27 ,$238.20 ,$60.64 ,$217.20 ,$120.81 ,$115.56 ,$402.00 ,$380.56 ,$380.56 ,$120.81 ,$380.56 ,$466.32 ,$466.32 ,$466.32 , N/A ,$482.40 ,$308.20 ,$455.60 ,$115.56 ,$536.00 ,$300.70 ,$115.56 ,$221.90 ,$94.49 ,$85.90 ,$120.81 ,$455.60 ,$229.55 ,$294.26 ,$150.08 ,$482.40 ,$536.00 ,$115.56 ,$466.32 ,$536.00 ,$536.00 ,$536.00 ,$123.28 ,$348.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000222,73085,HC XRAY ELBOW ARTHRO,320,1 ,$849.00 ,$611.28 ,$80.63 ,$921.08 ,$488.18 ,$534.87 ,$509.40 ,$183.04 ,$237.72 ,$492.42 ,$191.36 ,$517.89 ,$208.00 ,$466.10 ,$466.10 ,$216.33 ,$80.63 ,$377.30 ,$229.54 ,$921.08 ,$191.36 ,$183.04 ,$636.75 ,$602.79 ,$602.79 ,$191.36 ,$602.79 ,$738.63 ,$738.63 ,$738.63 , N/A ,$764.10 ,$488.18 ,$721.65 ,$183.04 ,$849.00 ,$476.29 ,$183.04 ,$351.49 ,$538.47 ,$489.52 ,$191.36 ,$721.65 ,$363.59 ,$466.10 ,$237.72 ,$764.10 ,$849.00 ,$183.04 ,$738.63 ,$559.00 ,$849.00 ,$559.00 ,$195.27 ,$551.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$455.00 ,$327.60 ,$20.75 ,$455.00 ,$261.63 ,$286.65 ,$273.00 ,$98.10 ,$127.40 ,$216.63 ,$102.56 ,$226.71 ,$111.47 ,$249.80 ,$249.80 ,$115.93 ,$20.75 ,$202.20 ,$54.51 ,$217.20 ,$102.56 ,$98.10 ,$341.25 ,$323.05 ,$323.05 ,$102.56 ,$323.05 ,$395.85 ,$395.85 ,$395.85 , N/A ,$409.50 ,$261.63 ,$386.75 ,$98.10 ,$455.00 ,$255.26 ,$98.10 ,$188.37 ,$94.49 ,$85.90 ,$102.56 ,$386.75 ,$194.86 ,$249.80 ,$127.40 ,$409.50 ,$455.00 ,$98.10 ,$395.85 ,$455.00 ,$455.00 ,$455.00 ,$104.65 ,$295.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$379.00 ,$272.88 ,$22.96 ,$379.00 ,$217.93 ,$238.77 ,$227.40 ,$81.71 ,$106.12 ,$219.82 ,$85.43 ,$231.19 ,$92.85 ,$208.07 ,$208.07 ,$96.57 ,$22.96 ,$168.43 ,$60.64 ,$267.20 ,$85.43 ,$81.71 ,$284.25 ,$269.09 ,$269.09 ,$85.43 ,$269.09 ,$329.73 ,$329.73 ,$329.73 , N/A ,$341.10 ,$217.93 ,$322.15 ,$81.71 ,$379.00 ,$212.62 ,$81.71 ,$156.91 ,$94.49 ,$85.90 ,$85.43 ,$322.15 ,$162.31 ,$208.07 ,$106.12 ,$341.10 ,$379.00 ,$81.71 ,$329.73 ,$379.00 ,$379.00 ,$379.00 ,$87.17 ,$246.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$420.00 ,$302.40 ,$24.85 ,$420.00 ,$241.50 ,$264.60 ,$252.00 ,$90.55 ,$117.60 ,$243.60 ,$94.67 ,$256.20 ,$102.90 ,$230.58 ,$230.58 ,$107.02 ,$24.85 ,$186.65 ,$65.89 ,$217.20 ,$94.67 ,$90.55 ,$315.00 ,$298.20 ,$298.20 ,$94.67 ,$298.20 ,$365.40 ,$365.40 ,$365.40 , N/A ,$378.00 ,$241.50 ,$357.00 ,$90.55 ,$420.00 ,$235.62 ,$90.55 ,$173.88 ,$94.49 ,$85.90 ,$94.67 ,$357.00 ,$179.87 ,$230.58 ,$117.60 ,$378.00 ,$420.00 ,$90.55 ,$365.40 ,$420.00 ,$420.00 ,$420.00 ,$96.60 ,$273.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$565.00 ,$406.80 ,$31.15 ,$565.00 ,$324.88 ,$355.95 ,$339.00 ,$121.81 ,$158.20 ,$325.17 ,$127.35 ,$340.29 ,$138.42 ,$310.19 ,$310.19 ,$143.96 ,$31.15 ,$251.09 ,$81.65 ,$217.20 ,$127.35 ,$121.81 ,$423.75 ,$401.15 ,$401.15 ,$127.35 ,$401.15 ,$491.55 ,$491.55 ,$491.55 , N/A ,$508.50 ,$324.88 ,$480.25 ,$121.81 ,$565.00 ,$316.97 ,$121.81 ,$233.91 ,$94.49 ,$85.90 ,$127.35 ,$480.25 ,$241.97 ,$310.19 ,$158.20 ,$508.50 ,$565.00 ,$121.81 ,$491.55 ,$559.00 ,$565.00 ,$559.00 ,$129.95 ,$367.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,"$1,576.00 ","$1,134.72 ",$103.32 ,"$1,576.00 ",$906.20 ,$992.88 ,$945.60 ,$339.79 ,$441.28 ,$914.08 ,$355.23 ,$961.36 ,$386.12 ,$865.22 ,$865.22 ,$401.56 ,$103.32 ,$700.37 ,$280.31 ,$921.08 ,$355.23 ,$339.79 ,"$1,182.00 ","$1,118.96 ","$1,118.96 ",$355.23 ,"$1,118.96 ","$1,371.12 ","$1,371.12 ","$1,371.12 ", N/A ,"$1,418.40 ",$906.20 ,"$1,339.60 ",$339.79 ,"$1,576.00 ",$884.14 ,$339.79 ,$652.46 ,$538.47 ,$489.52 ,$355.23 ,"$1,339.60 ",$674.94 ,$865.22 ,$441.28 ,"$1,418.40 ","$1,576.00 ",$339.79 ,"$1,371.12 ",$559.00 ,"$1,576.00 ",$559.00 ,$362.48 ,"$1,024.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$343.00 ,$246.96 ,$22.33 ,$343.00 ,$197.23 ,$216.09 ,$205.80 ,$73.95 ,$96.04 ,$198.94 ,$77.31 ,$209.23 ,$84.03 ,$188.31 ,$188.31 ,$87.40 ,$22.33 ,$152.43 ,$58.91 ,$267.20 ,$77.31 ,$73.95 ,$257.25 ,$243.53 ,$243.53 ,$77.31 ,$243.53 ,$298.41 ,$298.41 ,$298.41 , N/A ,$308.70 ,$197.23 ,$291.55 ,$73.95 ,$343.00 ,$192.42 ,$73.95 ,$142.00 ,$94.49 ,$85.90 ,$77.31 ,$291.55 ,$146.89 ,$188.31 ,$96.04 ,$308.70 ,$343.00 ,$73.95 ,$298.41 ,$343.00 ,$343.00 ,$343.00 ,$78.89 ,$222.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$513.00 ,$369.36 ,$27.37 ,$513.00 ,$294.98 ,$323.19 ,$307.80 ,$110.60 ,$143.64 ,$286.12 ,$115.63 ,$299.43 ,$125.68 ,$281.64 ,$281.64 ,$130.71 ,$27.37 ,$227.98 ,$71.14 ,$217.20 ,$115.63 ,$110.60 ,$384.75 ,$364.23 ,$364.23 ,$115.63 ,$364.23 ,$446.31 ,$446.31 ,$446.31 , N/A ,$461.70 ,$294.98 ,$436.05 ,$110.60 ,$513.00 ,$287.79 ,$110.60 ,$212.38 ,$94.49 ,$85.90 ,$115.63 ,$436.05 ,$219.70 ,$281.64 ,$143.64 ,$461.70 ,$513.00 ,$110.60 ,$446.31 ,$513.00 ,$513.00 ,$513.00 ,$117.99 ,$333.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$565.00 ,$406.80 ,$29.89 ,$565.00 ,$324.88 ,$355.95 ,$339.00 ,$121.81 ,$158.20 ,$327.70 ,$127.35 ,$344.65 ,$138.42 ,$310.19 ,$310.19 ,$143.96 ,$29.89 ,$251.09 ,$78.16 ,$217.20 ,$127.35 ,$121.81 ,$423.75 ,$401.15 ,$401.15 ,$127.35 ,$401.15 ,$491.55 ,$491.55 ,$491.55 , N/A ,$508.50 ,$324.88 ,$480.25 ,$121.81 ,$565.00 ,$316.97 ,$121.81 ,$233.91 ,$94.49 ,$85.90 ,$127.35 ,$480.25 ,$241.97 ,$310.19 ,$158.20 ,$508.50 ,$565.00 ,$121.81 ,$491.55 ,$559.00 ,$565.00 ,$559.00 ,$129.95 ,$367.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$1,605.00 ","$1,155.60 ",$97.97 ,"$1,605.00 ",$922.88 ,"$1,011.15 ",$963.00 ,$346.04 ,$449.40 ,$917.96 ,$361.77 ,$960.66 ,$393.22 ,$881.15 ,$881.15 ,$408.95 ,$97.97 ,$713.26 ,$271.54 ,$921.08 ,$361.77 ,$346.04 ,"$1,203.75 ","$1,139.55 ","$1,139.55 ",$361.77 ,"$1,139.55 ","$1,396.35 ","$1,396.35 ","$1,396.35 ", N/A ,"$1,444.50 ",$922.88 ,"$1,364.25 ",$346.04 ,"$1,605.00 ",$900.41 ,$346.04 ,$664.47 ,$538.47 ,$489.52 ,$361.77 ,"$1,364.25 ",$687.36 ,$881.15 ,$449.40 ,"$1,444.50 ","$1,605.00 ",$346.04 ,"$1,396.35 ",$559.00 ,"$1,605.00 ",$559.00 ,$369.15 ,"$1,043.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$2,407.00 ","$1,733.04 ",$97.97 ,"$2,407.00 ","$1,384.03 ","$1,516.41 ","$1,444.20 ",$518.95 ,$673.96 ,$917.96 ,$542.54 ,$960.66 ,$589.71 ,"$1,321.44 ","$1,321.44 ",$613.30 ,$97.97 ,"$1,069.67 ",$271.54 ,$921.08 ,$542.54 ,$518.95 ,"$1,805.25 ","$1,708.97 ","$1,708.97 ",$542.54 ,"$1,708.97 ","$2,094.09 ","$2,094.09 ","$2,094.09 ", N/A ,"$2,166.30 ","$1,384.03 ","$2,045.95 ",$518.95 ,"$2,407.00 ","$1,350.33 ",$518.95 ,$996.50 ,$807.71 ,$734.28 ,$542.54 ,"$2,045.95 ","$1,030.82 ","$1,321.44 ",$673.96 ,"$2,166.30 ","$2,407.00 ",$518.95 ,"$2,094.09 ",$559.00 ,"$2,407.00 ",$559.00 ,$553.61 ,"$1,564.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$509.00 ,$366.48 ,$25.17 ,$509.00 ,$292.68 ,$320.67 ,$305.40 ,$109.74 ,$142.52 ,$283.71 ,$114.73 ,$296.91 ,$124.70 ,$279.44 ,$279.44 ,$129.69 ,$25.17 ,$226.20 ,$66.77 ,$217.20 ,$114.73 ,$109.74 ,$381.75 ,$361.39 ,$361.39 ,$114.73 ,$361.39 ,$442.83 ,$442.83 ,$442.83 , N/A ,$458.10 ,$292.68 ,$432.65 ,$109.74 ,$509.00 ,$285.55 ,$109.74 ,$210.73 ,$94.49 ,$85.90 ,$114.73 ,$432.65 ,$217.98 ,$279.44 ,$142.52 ,$458.10 ,$509.00 ,$109.74 ,$442.83 ,$509.00 ,$509.00 ,$509.00 ,$117.07 ,$330.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$627.00 ,$451.44 ,$30.21 ,$627.00 ,$360.53 ,$395.01 ,$376.20 ,$135.18 ,$175.56 ,$363.66 ,$141.33 ,$382.47 ,$153.61 ,$344.22 ,$344.22 ,$159.76 ,$30.21 ,$278.64 ,$79.89 ,$217.20 ,$141.33 ,$135.18 ,$470.25 ,$445.17 ,$445.17 ,$141.33 ,$445.17 ,$545.49 ,$545.49 ,$545.49 , N/A ,$564.30 ,$360.53 ,$532.95 ,$135.18 ,$627.00 ,$351.75 ,$135.18 ,$259.58 ,$94.49 ,$85.90 ,$141.33 ,$532.95 ,$268.52 ,$344.22 ,$175.56 ,$564.30 ,$627.00 ,$135.18 ,$545.49 ,$559.00 ,$627.00 ,$559.00 ,$144.21 ,$407.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$747.00 ,$537.84 ,$33.99 ,$747.00 ,$429.53 ,$470.61 ,$448.20 ,$161.05 ,$209.16 ,$353.72 ,$168.37 ,$370.17 ,$183.01 ,$410.10 ,$410.10 ,$190.34 ,$33.99 ,$331.97 ,$89.51 ,$267.20 ,$168.37 ,$161.05 ,$560.25 ,$530.37 ,$530.37 ,$168.37 ,$530.37 ,$649.89 ,$649.89 ,$649.89 , N/A ,$672.30 ,$429.53 ,$634.95 ,$161.05 ,$747.00 ,$419.07 ,$161.05 ,$309.26 ,$94.49 ,$85.90 ,$168.37 ,$634.95 ,$319.91 ,$410.10 ,$209.16 ,$672.30 ,$747.00 ,$161.05 ,$649.89 ,$559.00 ,$747.00 ,$559.00 ,$171.81 ,$485.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000267,73565,HC XR KNEE STAND,320,1 ,$253.00 ,$182.16 ,$30.21 ,$253.00 ,$145.48 ,$159.39 ,$151.80 ,$54.55 ,$70.84 ,$146.74 ,$57.03 ,$154.33 ,$61.98 ,$138.90 ,$138.90 ,$64.46 ,$30.21 ,$112.43 ,$82.53 ,$217.20 ,$57.03 ,$54.55 ,$189.75 ,$179.63 ,$179.63 ,$57.03 ,$179.63 ,$220.11 ,$220.11 ,$220.11 , N/A ,$227.70 ,$145.48 ,$215.05 ,$54.55 ,$253.00 ,$141.93 ,$54.55 ,$104.74 ,$94.49 ,$85.90 ,$57.03 ,$215.05 ,$108.35 ,$138.90 ,$70.84 ,$227.70 ,$253.00 ,$54.55 ,$220.11 ,$253.00 ,$253.00 ,$253.00 ,$58.19 ,$164.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,"$1,576.00 ","$1,134.72 ",$92.92 ,"$1,576.00 ",$906.20 ,$992.88 ,$945.60 ,$339.79 ,$441.28 ,$914.08 ,$355.23 ,$961.36 ,$386.12 ,$865.22 ,$865.22 ,$401.56 ,$92.92 ,$700.37 ,$303.05 ,$921.08 ,$355.23 ,$339.79 ,"$1,182.00 ","$1,118.96 ","$1,118.96 ",$355.23 ,"$1,118.96 ","$1,371.12 ","$1,371.12 ","$1,371.12 ", N/A ,"$1,418.40 ",$906.20 ,"$1,339.60 ",$339.79 ,"$1,576.00 ",$884.14 ,$339.79 ,$652.46 ,$538.47 ,$489.52 ,$355.23 ,"$1,339.60 ",$674.94 ,$865.22 ,$441.28 ,"$1,418.40 ","$1,576.00 ",$339.79 ,"$1,371.12 ",$559.00 ,"$1,576.00 ",$559.00 ,$362.48 ,"$1,024.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$506.00 ,$364.32 ,$22.96 ,$506.00 ,$290.95 ,$318.78 ,$303.60 ,$109.09 ,$141.68 ,$253.10 ,$114.05 ,$264.87 ,$123.97 ,$277.79 ,$277.79 ,$128.93 ,$22.96 ,$224.87 ,$60.64 ,$217.20 ,$114.05 ,$109.09 ,$379.50 ,$359.26 ,$359.26 ,$114.05 ,$359.26 ,$440.22 ,$440.22 ,$440.22 , N/A ,$455.40 ,$290.95 ,$430.10 ,$109.09 ,$506.00 ,$283.87 ,$109.09 ,$209.48 ,$94.49 ,$85.90 ,$114.05 ,$430.10 ,$216.70 ,$277.79 ,$141.68 ,$455.40 ,$506.00 ,$109.09 ,$440.22 ,$506.00 ,$506.00 ,$506.00 ,$116.38 ,$328.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$200.00 ,$144.00 ,$22.96 ,$217.20 ,$115.00 ,$126.00 ,$120.00 ,$43.12 ,$56.00 ,$116.00 ,$45.08 ,$122.00 ,$49.00 ,$109.80 ,$109.80 ,$50.96 ,$22.96 ,$88.88 ,$60.64 ,$217.20 ,$45.08 ,$43.12 ,$150.00 ,$142.00 ,$142.00 ,$45.08 ,$142.00 ,$174.00 ,$174.00 ,$174.00 , N/A ,$180.00 ,$115.00 ,$170.00 ,$43.12 ,$200.00 ,$112.20 ,$43.12 ,$82.80 ,$94.49 ,$85.90 ,$45.08 ,$170.00 ,$85.65 ,$109.80 ,$56.00 ,$180.00 ,$200.00 ,$43.12 ,$174.00 ,$200.00 ,$200.00 ,$200.00 ,$46.00 ,$130.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$420.00 ,$302.40 ,$23.59 ,$420.00 ,$241.50 ,$264.60 ,$252.00 ,$90.55 ,$117.60 ,$243.60 ,$94.67 ,$256.20 ,$102.90 ,$230.58 ,$230.58 ,$107.02 ,$23.59 ,$186.65 ,$62.40 ,$217.20 ,$94.67 ,$90.55 ,$315.00 ,$298.20 ,$298.20 ,$94.67 ,$298.20 ,$365.40 ,$365.40 ,$365.40 , N/A ,$378.00 ,$241.50 ,$357.00 ,$90.55 ,$420.00 ,$235.62 ,$90.55 ,$173.88 ,$94.49 ,$85.90 ,$94.67 ,$357.00 ,$179.87 ,$230.58 ,$117.60 ,$378.00 ,$420.00 ,$90.55 ,$365.40 ,$420.00 ,$420.00 ,$420.00 ,$96.60 ,$273.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$538.00 ,$387.36 ,$27.37 ,$538.00 ,$309.35 ,$338.94 ,$322.80 ,$115.99 ,$150.64 ,$283.71 ,$121.27 ,$296.91 ,$131.81 ,$295.36 ,$295.36 ,$137.08 ,$27.37 ,$239.09 ,$72.02 ,$217.20 ,$121.27 ,$115.99 ,$403.50 ,$381.98 ,$381.98 ,$121.27 ,$381.98 ,$468.06 ,$468.06 ,$468.06 , N/A ,$484.20 ,$309.35 ,$457.30 ,$115.99 ,$538.00 ,$301.82 ,$115.99 ,$222.73 ,$94.49 ,$85.90 ,$121.27 ,$457.30 ,$230.41 ,$295.36 ,$150.64 ,$484.20 ,$538.00 ,$115.99 ,$468.06 ,$538.00 ,$538.00 ,$538.00 ,$123.74 ,$349.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$565.00 ,$406.80 ,$20.12 ,$565.00 ,$324.88 ,$355.95 ,$339.00 ,$121.81 ,$158.20 ,$231.25 ,$127.35 ,$242.01 ,$138.42 ,$310.19 ,$310.19 ,$143.96 ,$20.12 ,$251.09 ,$53.65 ,$217.20 ,$127.35 ,$121.81 ,$423.75 ,$401.15 ,$401.15 ,$127.35 ,$401.15 ,$491.55 ,$491.55 ,$491.55 , N/A ,$508.50 ,$324.88 ,$480.25 ,$121.81 ,$565.00 ,$316.97 ,$121.81 ,$233.91 ,$94.49 ,$85.90 ,$127.35 ,$480.25 ,$241.97 ,$310.19 ,$158.20 ,$508.50 ,$565.00 ,$121.81 ,$491.55 ,$559.00 ,$565.00 ,$559.00 ,$129.95 ,$367.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$565.00 ,$406.80 ,$25.17 ,$565.00 ,$324.88 ,$355.95 ,$339.00 ,$121.81 ,$158.20 ,$261.87 ,$127.35 ,$274.05 ,$138.42 ,$310.19 ,$310.19 ,$143.96 ,$25.17 ,$251.09 ,$66.77 ,$217.20 ,$127.35 ,$121.81 ,$423.75 ,$401.15 ,$401.15 ,$127.35 ,$401.15 ,$491.55 ,$491.55 ,$491.55 , N/A ,$508.50 ,$324.88 ,$480.25 ,$121.81 ,$565.00 ,$316.97 ,$121.81 ,$233.91 ,$94.49 ,$85.90 ,$127.35 ,$480.25 ,$241.97 ,$310.19 ,$158.20 ,$508.50 ,$565.00 ,$121.81 ,$491.55 ,$559.00 ,$565.00 ,$559.00 ,$129.95 ,$367.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$491.00 ,$353.52 ,$20.12 ,$491.00 ,$282.33 ,$309.33 ,$294.60 ,$105.86 ,$137.48 ,$239.94 ,$110.67 ,$251.10 ,$120.29 ,$269.56 ,$269.56 ,$125.11 ,$20.12 ,$218.20 ,$53.65 ,$217.20 ,$110.67 ,$105.86 ,$368.25 ,$348.61 ,$348.61 ,$110.67 ,$348.61 ,$427.17 ,$427.17 ,$427.17 , N/A ,$441.90 ,$282.33 ,$417.35 ,$105.86 ,$491.00 ,$275.45 ,$105.86 ,$203.27 ,$94.49 ,$85.90 ,$110.67 ,$417.35 ,$210.28 ,$269.56 ,$137.48 ,$441.90 ,$491.00 ,$105.86 ,$427.17 ,$491.00 ,$491.00 ,$491.00 ,$112.93 ,$319.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$491.00 ,$353.52 ,$22.01 ,$491.00 ,$282.33 ,$309.33 ,$294.60 ,$105.86 ,$137.48 ,$270.56 ,$110.67 ,$283.14 ,$120.29 ,$269.56 ,$269.56 ,$125.11 ,$22.01 ,$218.20 ,$58.03 ,$217.20 ,$110.67 ,$105.86 ,$368.25 ,$348.61 ,$348.61 ,$110.67 ,$348.61 ,$427.17 ,$427.17 ,$427.17 , N/A ,$441.90 ,$282.33 ,$417.35 ,$105.86 ,$491.00 ,$275.45 ,$105.86 ,$203.27 ,$94.49 ,$85.90 ,$110.67 ,$417.35 ,$210.28 ,$269.56 ,$137.48 ,$441.90 ,$491.00 ,$105.86 ,$427.17 ,$491.00 ,$491.00 ,$491.00 ,$112.93 ,$319.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$506.00 ,$364.32 ,$20.44 ,$506.00 ,$290.95 ,$318.78 ,$303.60 ,$109.09 ,$141.68 ,$227.56 ,$114.05 ,$238.14 ,$123.97 ,$277.79 ,$277.79 ,$128.93 ,$20.44 ,$224.87 ,$53.65 ,$217.20 ,$114.05 ,$109.09 ,$379.50 ,$359.26 ,$359.26 ,$114.05 ,$359.26 ,$440.22 ,$440.22 ,$440.22 , N/A ,$455.40 ,$290.95 ,$430.10 ,$109.09 ,$506.00 ,$283.87 ,$109.09 ,$209.48 ,$94.49 ,$85.90 ,$114.05 ,$430.10 ,$216.70 ,$277.79 ,$141.68 ,$455.40 ,$506.00 ,$109.09 ,$440.22 ,$506.00 ,$506.00 ,$506.00 ,$116.38 ,$328.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000294,74019,HC XRAY ABDOMEN AP AND LAT (2 V OR 3 V),320,1 ,$532.00 ,$383.04 ,$24.85 ,$532.00 ,$305.90 ,$335.16 ,$319.20 ,$114.70 ,$148.96 ,$271.50 ,$119.91 ,$284.13 ,$130.34 ,$292.07 ,$292.07 ,$135.55 ,$24.85 ,$236.42 ,$65.89 ,$267.20 ,$119.91 ,$114.70 ,$399.00 ,$377.72 ,$377.72 ,$119.91 ,$377.72 ,$462.84 ,$462.84 ,$462.84 , N/A ,$478.80 ,$305.90 ,$452.20 ,$114.70 ,$532.00 ,$298.45 ,$114.70 ,$220.25 ,$94.49 ,$85.90 ,$119.91 ,$452.20 ,$227.83 ,$292.07 ,$148.96 ,$478.80 ,$532.00 ,$114.70 ,$462.84 ,$532.00 ,$532.00 ,$532.00 ,$122.36 ,$345.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$785.00 ,$565.20 ,$33.04 ,$785.00 ,$451.38 ,$494.55 ,$471.00 ,$169.25 ,$219.80 ,$353.72 ,$176.94 ,$370.17 ,$192.32 ,$430.97 ,$430.97 ,$200.02 ,$33.04 ,$348.85 ,$87.78 ,$267.20 ,$176.94 ,$169.25 ,$588.75 ,$557.35 ,$557.35 ,$176.94 ,$557.35 ,$682.95 ,$682.95 ,$682.95 , N/A ,$706.50 ,$451.38 ,$667.25 ,$169.25 ,$785.00 ,$440.39 ,$169.25 ,$324.99 ,$94.49 ,$85.90 ,$176.94 ,$667.25 ,$336.19 ,$430.97 ,$219.80 ,$706.50 ,$785.00 ,$169.25 ,$682.95 ,$559.00 ,$785.00 ,$559.00 ,$180.55 ,$510.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$748.00 ,$538.56 ,$67.40 ,$748.00 ,$430.10 ,$471.24 ,$448.80 ,$161.27 ,$209.44 ,$433.84 ,$168.60 ,$456.28 ,$183.26 ,$410.65 ,$410.65 ,$190.59 ,$67.40 ,$332.41 ,$184.03 ,$450.85 ,$168.60 ,$161.27 ,$561.00 ,$531.08 ,$531.08 ,$168.60 ,$531.08 ,$650.76 ,$650.76 ,$650.76 , N/A ,$673.20 ,$430.10 ,$635.80 ,$161.27 ,$748.00 ,$419.63 ,$161.27 ,$309.67 ,$94.49 ,$85.90 ,$168.60 ,$635.80 ,$320.34 ,$410.65 ,$209.44 ,$673.20 ,$748.00 ,$161.27 ,$650.76 ,$559.00 ,$748.00 ,$559.00 ,$172.04 ,$486.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,"$1,309.00 ",$942.48 ,$96.70 ,"$1,309.00 ",$752.68 ,$824.67 ,$785.40 ,$282.22 ,$366.52 ,$759.22 ,$295.05 ,$798.49 ,$320.70 ,$718.64 ,$718.64 ,$333.53 ,$96.70 ,$581.72 ,$275.94 ,$450.85 ,$295.05 ,$282.22 ,$981.75 ,$929.39 ,$929.39 ,$295.05 ,$929.39 ,"$1,138.83 ","$1,138.83 ","$1,138.83 ", N/A ,"$1,178.10 ",$752.68 ,"$1,112.65 ",$282.22 ,"$1,309.00 ",$734.35 ,$282.22 ,$541.93 ,$207.80 ,$188.91 ,$295.05 ,"$1,112.65 ",$560.59 ,$718.64 ,$366.52 ,"$1,178.10 ","$1,309.00 ",$282.22 ,"$1,138.83 ",$559.00 ,"$1,309.00 ",$559.00 ,$301.07 ,$850.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,$546.00 ,$393.12 ,$82.21 ,$546.00 ,$313.95 ,$343.98 ,$327.60 ,$117.72 ,$152.88 ,$316.68 ,$123.07 ,$333.06 ,$133.77 ,$299.75 ,$299.75 ,$139.12 ,$82.21 ,$242.64 ,$222.53 ,$450.85 ,$123.07 ,$117.72 ,$409.50 ,$387.66 ,$387.66 ,$123.07 ,$387.66 ,$475.02 ,$475.02 ,$475.02 , N/A ,$491.40 ,$313.95 ,$464.10 ,$117.72 ,$546.00 ,$306.31 ,$117.72 ,$226.04 ,$207.80 ,$188.91 ,$123.07 ,$464.10 ,$233.83 ,$299.75 ,$152.88 ,$491.40 ,$546.00 ,$117.72 ,$475.02 ,$546.00 ,$546.00 ,$546.00 ,$125.58 ,$354.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$473.00 ,$340.56 ,$94.18 ,$473.00 ,$271.98 ,$297.99 ,$283.80 ,$101.98 ,$132.44 ,$274.34 ,$106.61 ,$288.53 ,$115.88 ,$259.68 ,$259.68 ,$120.52 ,$94.18 ,$210.20 ,$258.42 ,$450.85 ,$106.61 ,$101.98 ,$354.75 ,$335.83 ,$335.83 ,$106.61 ,$335.83 ,$411.51 ,$411.51 ,$411.51 , N/A ,$425.70 ,$271.98 ,$402.05 ,$101.98 ,$473.00 ,$265.35 ,$101.98 ,$195.82 ,$207.80 ,$188.91 ,$106.61 ,$402.05 ,$202.57 ,$259.68 ,$132.44 ,$425.70 ,$473.00 ,$101.98 ,$411.51 ,$473.00 ,$473.00 ,$473.00 ,$108.79 ,$307.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$654.00 ,$470.88 ,$81.58 ,$654.00 ,$376.05 ,$412.02 ,$392.40 ,$141.00 ,$183.12 ,$379.32 ,$147.41 ,$398.94 ,$160.23 ,$359.05 ,$359.05 ,$166.64 ,$81.58 ,$290.64 ,$222.53 ,$450.85 ,$147.41 ,$141.00 ,$490.50 ,$464.34 ,$464.34 ,$147.41 ,$464.34 ,$568.98 ,$568.98 ,$568.98 , N/A ,$588.60 ,$376.05 ,$555.90 ,$141.00 ,$654.00 ,$366.89 ,$141.00 ,$270.76 ,$207.80 ,$188.91 ,$147.41 ,$555.90 ,$280.08 ,$359.05 ,$183.12 ,$588.60 ,$654.00 ,$141.00 ,$568.98 ,$559.00 ,$654.00 ,$559.00 ,$150.42 ,$425.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000315,74270,HC XRAY COLON BARIUM,320,1 ,$546.00 ,$393.12 ,$101.43 ,$546.00 ,$313.95 ,$343.98 ,$327.60 ,$117.72 ,$152.88 ,$316.68 ,$123.07 ,$333.06 ,$133.77 ,$299.75 ,$299.75 ,$139.12 ,$101.43 ,$242.64 ,$280.31 ,$450.85 ,$123.07 ,$117.72 ,$409.50 ,$387.66 ,$387.66 ,$123.07 ,$387.66 ,$475.02 ,$475.02 ,$475.02 , N/A ,$491.40 ,$313.95 ,$464.10 ,$117.72 ,$546.00 ,$306.31 ,$117.72 ,$226.04 ,$207.80 ,$188.91 ,$123.07 ,$464.10 ,$233.83 ,$299.75 ,$152.88 ,$491.40 ,$546.00 ,$117.72 ,$475.02 ,$546.00 ,$546.00 ,$546.00 ,$125.58 ,$354.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,$546.00 ,$393.12 ,$101.43 ,$546.00 ,$313.95 ,$343.98 ,$327.60 ,$117.72 ,$152.88 ,$316.68 ,$123.07 ,$333.06 ,$133.77 ,$299.75 ,$299.75 ,$139.12 ,$101.43 ,$242.64 ,$280.31 ,$450.85 ,$123.07 ,$117.72 ,$409.50 ,$387.66 ,$387.66 ,$123.07 ,$387.66 ,$475.02 ,$475.02 ,$475.02 , N/A ,$491.40 ,$313.95 ,$464.10 ,$117.72 ,$546.00 ,$306.31 ,$117.72 ,$226.04 ,$207.80 ,$188.91 ,$123.07 ,$464.10 ,$233.83 ,$299.75 ,$152.88 ,$491.40 ,$546.00 ,$117.72 ,$475.02 ,$546.00 ,$546.00 ,$546.00 ,$125.58 ,$354.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,$546.00 ,$393.12 ,$101.43 ,$546.00 ,$313.95 ,$343.98 ,$327.60 ,$117.72 ,$152.88 ,$316.68 ,$123.07 ,$333.06 ,$133.77 ,$299.75 ,$299.75 ,$139.12 ,$101.43 ,$242.64 ,$280.31 ,$450.85 ,$123.07 ,$117.72 ,$409.50 ,$387.66 ,$387.66 ,$123.07 ,$387.66 ,$475.02 ,$475.02 ,$475.02 , N/A ,$491.40 ,$313.95 ,$464.10 ,$117.72 ,$546.00 ,$306.31 ,$117.72 ,$226.04 ,$207.80 ,$188.91 ,$123.07 ,$464.10 ,$233.83 ,$299.75 ,$152.88 ,$491.40 ,$546.00 ,$117.72 ,$475.02 ,$546.00 ,$546.00 ,$546.00 ,$125.58 ,$354.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,"$1,349.00 ",$971.28 ,$156.54 ,"$1,349.00 ",$775.68 ,$849.87 ,$809.40 ,$290.84 ,$377.72 ,$782.42 ,$304.06 ,$822.89 ,$330.50 ,$740.60 ,$740.60 ,$343.73 ,$156.54 ,$599.50 ,$435.19 ,$450.85 ,$304.06 ,$290.84 ,"$1,011.75 ",$957.79 ,$957.79 ,$304.06 ,$957.79 ,"$1,173.63 ","$1,173.63 ","$1,173.63 ", N/A ,"$1,214.10 ",$775.68 ,"$1,146.65 ",$290.84 ,"$1,349.00 ",$756.79 ,$290.84 ,$558.49 ,$207.80 ,$188.91 ,$304.06 ,"$1,146.65 ",$577.72 ,$740.60 ,$377.72 ,"$1,214.10 ","$1,349.00 ",$290.84 ,"$1,173.63 ",$559.00 ,"$1,349.00 ",$559.00 ,$310.27 ,$876.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,"$1,010.00 ",$727.20 ,$13.47 ,"$1,010.00 ",$580.75 ,$636.30 ,$606.00 ,$217.76 ,$282.80 ,$443.16 ,$227.65 ,$463.77 ,$247.45 ,$554.49 ,$554.49 ,$257.35 ,$13.47 ,$448.84 ,$707.00 , N/A ,$227.65 ,$217.76 ,$757.50 ,$717.10 ,$717.10 ,$227.65 ,$717.10 ,$878.70 ,$878.70 ,$878.70 , N/A ,$909.00 ,$580.75 ,$858.50 ,$217.76 ,"$1,010.00 ",$566.61 ,$217.76 ,$418.14 ,$538.47 ,$489.52 ,$227.65 ,$858.50 ,$432.54 ,$554.49 ,$282.80 ,$909.00 ,"$1,010.00 ",$217.76 ,$878.70 ,$559.00 ,"$1,010.00 ",$559.00 ,$232.30 ,$656.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000324,74301,HC CHOLANGIOGRAPHY OPERATIVE ADDL,320,1 ,$298.00 ,$214.56 ,$10.22 ,$538.47 ,$171.35 ,$187.74 ,$178.80 ,$64.25 ,$83.44 ,$172.84 ,$67.17 ,$181.78 ,$73.01 ,$163.60 ,$163.60 ,$75.93 ,$10.22 ,$132.43 ,$208.60 , N/A ,$67.17 ,$64.25 ,$223.50 ,$211.58 ,$211.58 ,$67.17 ,$211.58 ,$259.26 ,$259.26 ,$259.26 , N/A ,$268.20 ,$171.35 ,$253.30 ,$64.25 ,$298.00 ,$167.18 ,$64.25 ,$123.37 ,$538.47 ,$489.52 ,$67.17 ,$253.30 ,$127.63 ,$163.60 ,$83.44 ,$268.20 ,$298.00 ,$64.25 ,$259.26 ,$298.00 ,$298.00 ,$298.00 ,$68.54 ,$193.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,"$1,465.00 ","$1,054.80 ",$70.91 ,"$8,854.83 ",$842.38 ,$922.95 ,$879.00 ,$315.85 ,$410.20 ,$849.70 ,$330.21 ,$893.65 ,$358.92 ,$804.29 ,$804.29 ,$373.28 ,$70.91 ,$651.05 ,"$1,025.50 ","$8,854.83 ",$330.21 ,$315.85 ,"$1,098.75 ","$1,040.15 ","$1,040.15 ",$330.21 ,"$1,040.15 ","$1,274.55 ","$1,274.55 ","$1,274.55 ", N/A ,"$1,318.50 ",$842.38 ,"$1,245.25 ",$315.85 ,"$1,465.00 ",$821.87 ,$315.85 ,$606.51 ,$207.80 ,$188.91 ,$330.21 ,"$1,245.25 ",$627.41 ,$804.29 ,$410.20 ,"$1,318.50 ","$1,465.00 ",$315.85 ,"$1,274.55 ",$559.00 ,"$1,465.00 ",$559.00 ,$336.95 ,$952.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000331,74340,HC INTRODUCTION LONG GI TUBE,320,1 ,$458.00 ,$329.76 ,$26.62 ,$538.47 ,$263.35 ,$288.54 ,$274.80 ,$98.74 ,$128.24 ,$265.64 ,$103.23 ,$279.38 ,$112.21 ,$251.44 ,$251.44 ,$116.70 ,$26.62 ,$203.54 ,$320.60 , N/A ,$103.23 ,$98.74 ,$343.50 ,$325.18 ,$325.18 ,$103.23 ,$325.18 ,$398.46 ,$398.46 ,$398.46 , N/A ,$412.20 ,$263.35 ,$389.30 ,$98.74 ,$458.00 ,$256.94 ,$98.74 ,$189.61 ,$538.47 ,$489.52 ,$103.23 ,$389.30 ,$196.15 ,$251.44 ,$128.24 ,$412.20 ,$458.00 ,$98.74 ,$398.46 ,$458.00 ,$458.00 ,$458.00 ,$105.34 ,$297.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000335,74400,HC XRAY IVP W OR W/O TOMO,320,1 ,$663.00 ,$477.36 ,$107.69 ,$663.00 ,$381.23 ,$417.69 ,$397.80 ,$142.94 ,$185.64 ,$384.54 ,$149.44 ,$404.43 ,$162.43 ,$363.99 ,$363.99 ,$168.93 ,$107.69 ,$294.64 ,$289.05 ,$450.85 ,$149.44 ,$142.94 ,$497.25 ,$470.73 ,$470.73 ,$149.44 ,$470.73 ,$576.81 ,$576.81 ,$576.81 , N/A ,$596.70 ,$381.23 ,$563.55 ,$142.94 ,$663.00 ,$371.94 ,$142.94 ,$274.48 ,$589.45 ,$535.86 ,$149.44 ,$563.55 ,$283.94 ,$363.99 ,$185.64 ,$596.70 ,$663.00 ,$142.94 ,$576.81 ,$559.00 ,$663.00 ,$559.00 ,$152.49 ,$430.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,"$1,275.00 ",$918.00 ,$50.38 ,"$1,275.00 ",$733.13 ,$803.25 ,$765.00 ,$274.89 ,$357.00 ,$739.50 ,$287.38 ,$777.75 ,$312.37 ,$699.98 ,$699.98 ,$324.87 ,$50.38 ,$566.61 ,$133.27 ,$921.08 ,$287.38 ,$274.89 ,$956.25 ,$905.25 ,$905.25 ,$287.38 ,$905.25 ,"$1,109.25 ","$1,109.25 ","$1,109.25 ", N/A ,"$1,147.50 ",$733.13 ,"$1,083.75 ",$274.89 ,"$1,275.00 ",$715.28 ,$274.89 ,$527.85 ,$589.45 ,$535.86 ,$287.38 ,"$1,083.75 ",$546.04 ,$699.98 ,$357.00 ,"$1,147.50 ","$1,275.00 ",$274.89 ,"$1,109.25 ",$559.00 ,"$1,275.00 ",$559.00 ,$293.25 ,$828.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,$770.00 ,$554.40 ,$25.17 ,$921.08 ,$442.75 ,$485.10 ,$462.00 ,$166.01 ,$215.60 ,$274.94 ,$173.56 ,$287.73 ,$188.65 ,$422.73 ,$422.73 ,$196.20 ,$25.17 ,$342.19 ,$65.89 ,$921.08 ,$173.56 ,$166.01 ,$577.50 ,$546.70 ,$546.70 ,$173.56 ,$546.70 ,$669.90 ,$669.90 ,$669.90 , N/A ,$693.00 ,$442.75 ,$654.50 ,$166.01 ,$770.00 ,$431.97 ,$166.01 ,$318.78 ,$538.47 ,$489.52 ,$173.56 ,$654.50 ,$329.76 ,$422.73 ,$215.60 ,$693.00 ,$770.00 ,$166.01 ,$669.90 ,$559.00 ,$770.00 ,$559.00 ,$177.10 ,$500.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,$827.00 ,$595.44 ,$16.13 ,$827.00 ,$475.53 ,$521.01 ,$496.20 ,$178.30 ,$231.56 ,$479.66 ,$186.41 ,$504.47 ,$202.61 ,$454.02 ,$454.02 ,$210.72 ,$16.13 ,$367.52 ,$136.84 ,$583.80 ,$186.41 ,$178.30 ,$620.25 ,$587.17 ,$587.17 ,$186.41 ,$587.17 ,$719.49 ,$719.49 ,$719.49 , N/A ,$744.30 ,$475.53 ,$702.95 ,$178.30 ,$827.00 ,$463.95 ,$178.30 ,$342.38 ,$538.47 ,$489.52 ,$186.41 ,$702.95 ,$354.17 ,$454.02 ,$231.56 ,$744.30 ,$827.00 ,$178.30 ,$719.49 ,$559.00 ,$827.00 ,$559.00 ,$190.21 ,$537.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,$657.00 ,$473.04 ,$85.04 ,$657.00 ,$377.78 ,$413.91 ,$394.20 ,$141.65 ,$183.96 ,$381.06 ,$148.09 ,$400.77 ,$160.96 ,$360.69 ,$360.69 ,$167.40 ,$85.04 ,$291.97 ,$231.30 ,$583.80 ,$148.09 ,$141.65 ,$492.75 ,$466.47 ,$466.47 ,$148.09 ,$466.47 ,$571.59 ,$571.59 ,$571.59 , N/A ,$591.30 ,$377.78 ,$558.45 ,$141.65 ,$657.00 ,$368.58 ,$141.65 ,$272.00 ,$538.47 ,$489.52 ,$148.09 ,$558.45 ,$281.37 ,$360.69 ,$183.96 ,$591.30 ,$657.00 ,$141.65 ,$571.59 ,$559.00 ,$657.00 ,$559.00 ,$151.11 ,$427.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$4,311.00 ","$3,103.92 ",$198.71 ,"$4,311.00 ","$2,478.83 ","$2,715.93 ","$2,586.60 ",$929.45 ,"$1,207.08 ","$2,500.38 ",$971.70 ,"$2,629.71 ","$1,056.19 ","$2,366.74 ","$2,366.74 ","$1,098.44 ",$198.71 ,"$1,915.81 ","$3,017.70 ","$3,748.88 ",$971.70 ,$929.45 ,"$3,233.25 ","$3,060.81 ","$3,060.81 ",$971.70 ,"$3,060.81 ","$3,750.57 ","$3,750.57 ","$3,750.57 ", N/A ,"$3,879.90 ","$2,478.83 ","$3,664.35 ",$929.45 ,"$4,311.00 ","$2,418.47 ",$929.45 ,"$1,784.75 ","$1,174.58 ","$1,067.80 ",$971.70 ,"$3,664.35 ","$1,846.23 ","$2,366.74 ","$1,207.08 ","$3,879.90 ","$4,311.00 ",$929.45 ,"$3,750.57 ",$559.00 ,"$4,311.00 ",$559.00 ,$991.53 ,"$2,802.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,"$1,847.00 ","$1,329.84 ",$55.10 ,"$1,847.00 ","$1,062.03 ","$1,163.61 ","$1,108.20 ",$398.21 ,$517.16 ,$782.34 ,$416.31 ,$818.73 ,$452.51 ,"$1,014.00 ","$1,014.00 ",$470.62 ,$55.10 ,$820.81 ,"$1,292.90 ", N/A ,$416.31 ,$398.21 ,"$1,385.25 ","$1,311.37 ","$1,311.37 ",$416.31 ,"$1,311.37 ","$1,606.89 ","$1,606.89 ","$1,606.89 ", N/A ,"$1,662.30 ","$1,062.03 ","$1,569.95 ",$398.21 ,"$1,847.00 ","$1,036.17 ",$398.21 ,$764.66 ,$538.47 ,$489.52 ,$416.31 ,"$1,569.95 ",$791.00 ,"$1,014.00 ",$517.16 ,"$1,662.30 ","$1,847.00 ",$398.21 ,"$1,606.89 ",$559.00 ,"$1,847.00 ",$559.00 ,$424.81 ,"$1,200.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$735.00 ,$529.20 ,$26.74 ,$735.00 ,$422.63 ,$463.05 ,$441.00 ,$158.47 ,$205.80 ,$426.30 ,$165.67 ,$448.35 ,$180.07 ,$403.52 ,$403.52 ,$187.28 ,$26.74 ,$326.63 ,$70.26 ,$583.80 ,$165.67 ,$158.47 ,$551.25 ,$521.85 ,$521.85 ,$165.67 ,$521.85 ,$639.45 ,$639.45 ,$639.45 , N/A ,$661.50 ,$422.63 ,$624.75 ,$158.47 ,$735.00 ,$412.34 ,$158.47 ,$304.29 ,$94.49 ,$85.90 ,$165.67 ,$624.75 ,$314.78 ,$403.52 ,$205.80 ,$661.50 ,$735.00 ,$158.47 ,$639.45 ,$559.00 ,$735.00 ,$559.00 ,$169.05 ,$477.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000464,76010,HC BABYGRAM,320,1 ,$363.00 ,$261.36 ,$20.44 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$20.44 ,$161.32 ,$53.65 ,$217.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,"$1,317.00 ",$948.24 ,$33.67 ,"$1,317.00 ",$757.28 ,$829.71 ,$790.20 ,$283.95 ,$368.76 ,$358.10 ,$296.85 ,$374.76 ,$322.66 ,$723.03 ,$723.03 ,$335.57 ,$33.67 ,$585.27 ,$90.39 ,"$1,257.83 ",$296.85 ,$283.95 ,$987.75 ,$935.07 ,$935.07 ,$296.85 ,$935.07 ,"$1,145.79 ","$1,145.79 ","$1,145.79 ", N/A ,"$1,185.30 ",$757.28 ,"$1,119.45 ",$283.95 ,"$1,317.00 ",$738.84 ,$283.95 ,$545.24 ,$538.47 ,$489.52 ,$296.85 ,"$1,119.45 ",$564.02 ,$723.03 ,$368.76 ,"$1,185.30 ","$1,317.00 ",$283.95 ,"$1,145.79 ",$559.00 ,"$1,317.00 ",$559.00 ,$302.91 ,$856.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$444.00 ,$319.68 ,$25.80 ,"$1,257.83 ",$255.30 ,$279.72 ,$266.40 ,$95.73 ,$124.32 ,$113.09 ,$100.08 ,$118.35 ,$108.78 ,$243.76 ,$243.76 ,$113.13 ,$25.80 ,$197.31 ,$68.53 ,"$1,257.83 ",$100.08 ,$95.73 ,$333.00 ,$315.24 ,$315.24 ,$100.08 ,$315.24 ,$386.28 ,$386.28 ,$386.28 , N/A ,$399.60 ,$255.30 ,$377.40 ,$95.73 ,$28.66 ,$249.08 ,$95.73 ,$183.82 ,$94.49 ,$85.90 ,$100.08 ,$377.40 ,$190.15 ,$243.76 ,$124.32 ,$399.60 ,$444.00 ,$95.73 ,$386.28 ,$444.00 ,$444.00 ,$444.00 ,$102.12 ,$288.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,"$1,242.00 ",$894.24 ,$78.74 ,"$1,242.00 ",$714.15 ,$782.46 ,$745.20 ,$267.78 ,$347.76 ,$720.36 ,$279.95 ,$757.62 ,$304.29 ,$681.86 ,$681.86 ,$316.46 ,$78.74 ,$551.94 ,$869.40 , N/A ,$279.95 ,$267.78 ,$931.50 ,$881.82 ,$881.82 ,$279.95 ,$881.82 ,"$1,080.54 ","$1,080.54 ","$1,080.54 ", N/A ,"$1,117.80 ",$714.15 ,"$1,055.70 ",$267.78 ,"$1,242.00 ",$696.76 ,$267.78 ,$514.19 ,$538.47 ,$489.52 ,$279.95 ,"$1,055.70 ",$531.89 ,$681.86 ,$347.76 ,"$1,117.80 ","$1,242.00 ",$267.78 ,"$1,080.54 ",$559.00 ,"$1,242.00 ",$559.00 ,$285.66 ,$807.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$474.00 ,$341.28 ,$85.36 ,$538.47 ,$272.55 ,$298.62 ,$284.40 ,$102.19 ,$132.72 ,$274.92 ,$106.84 ,$289.14 ,$116.13 ,$260.23 ,$260.23 ,$120.78 ,$85.36 ,$210.65 ,$331.80 , N/A ,$106.84 ,$102.19 ,$355.50 ,$336.54 ,$336.54 ,$106.84 ,$336.54 ,$412.38 ,$412.38 ,$412.38 , N/A ,$426.60 ,$272.55 ,$402.90 ,$102.19 ,$474.00 ,$265.91 ,$102.19 ,$196.24 ,$538.47 ,$489.52 ,$106.84 ,$402.90 ,$203.00 ,$260.23 ,$132.72 ,$426.60 ,$474.00 ,$102.19 ,$412.38 ,$474.00 ,$474.00 ,$474.00 ,$109.02 ,$308.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,$522.00 ,$375.84 ,$73.70 ,$538.47 ,$300.15 ,$328.86 ,$313.20 ,$112.54 ,$146.16 ,$302.76 ,$117.66 ,$318.42 ,$127.89 ,$286.58 ,$286.58 ,$133.01 ,$73.70 ,$231.98 ,$365.40 , N/A ,$117.66 ,$112.54 ,$391.50 ,$370.62 ,$370.62 ,$117.66 ,$370.62 ,$454.14 ,$454.14 ,$454.14 , N/A ,$469.80 ,$300.15 ,$443.70 ,$112.54 ,$522.00 ,$292.84 ,$112.54 ,$216.11 ,$538.47 ,$489.52 ,$117.66 ,$443.70 ,$223.55 ,$286.58 ,$146.16 ,$469.80 ,$522.00 ,$112.54 ,$454.14 ,$522.00 ,$522.00 ,$522.00 ,$120.06 ,$339.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$1,827.00 ","$1,315.44 ",$92.16 ,"$1,827.00 ","$1,050.53 ","$1,151.01 ","$1,096.20 ",$393.90 ,$511.56 ,"$1,059.66 ",$411.81 ,"$1,114.47 ",$447.61 ,"$1,003.02 ","$1,003.02 ",$465.52 ,$102.46 ,$811.92 ,"$1,278.90 ",$811.21 ,$411.81 ,$393.90 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$411.81 ,"$1,297.17 ","$1,589.49 ","$1,589.49 ","$1,589.49 ", N/A ,"$1,644.30 ","$1,050.53 ","$1,552.95 ",$393.90 ,$279.00 ,"$1,024.95 ",$393.90 ,$756.38 ,$101.38 ,$92.16 ,$411.81 ,"$1,552.95 ",$782.43 ,"$1,003.02 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$393.90 ,"$1,589.49 ",$559.00 ,"$1,827.00 ",$559.00 ,$420.21 ,"$1,187.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$1,827.00 ","$1,315.44 ",$92.16 ,"$1,827.00 ","$1,050.53 ","$1,151.01 ","$1,096.20 ",$393.90 ,$511.56 ,"$1,059.66 ",$411.81 ,"$1,114.47 ",$447.61 ,"$1,003.02 ","$1,003.02 ",$465.52 ,$102.46 ,$811.92 ,"$1,278.90 ",$811.21 ,$411.81 ,$393.90 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$411.81 ,"$1,297.17 ","$1,589.49 ","$1,589.49 ","$1,589.49 ", N/A ,"$1,644.30 ","$1,050.53 ","$1,552.95 ",$393.90 ,$279.00 ,"$1,024.95 ",$393.90 ,$756.38 ,$101.38 ,$92.16 ,$411.81 ,"$1,552.95 ",$782.43 ,"$1,003.02 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$393.90 ,"$1,589.49 ",$559.00 ,"$1,827.00 ",$559.00 ,$420.21 ,"$1,187.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$2,741.00 ","$1,973.52 ",$102.46 ,"$2,741.00 ","$1,576.08 ","$1,726.83 ","$1,644.60 ",$590.96 ,$767.48 ,"$1,589.78 ",$617.82 ,"$1,672.01 ",$671.54 ,"$1,504.81 ","$1,504.81 ",$698.41 ,$102.46 ,"$1,218.10 ","$1,918.70 ","$1,622.43 ",$617.82 ,$590.96 ,"$2,055.75 ","$1,946.11 ","$1,946.11 ",$617.82 ,"$1,946.11 ","$2,384.67 ","$2,384.67 ","$2,384.67 ", N/A ,"$2,466.90 ","$1,576.08 ","$2,329.85 ",$590.96 ,$279.00 ,"$1,537.70 ",$590.96 ,"$1,134.77 ",$304.13 ,$276.48 ,$617.82 ,"$2,329.85 ","$1,173.86 ","$1,504.81 ",$767.48 ,"$2,466.90 ","$2,741.00 ",$590.96 ,"$2,384.67 ",$559.00 ,"$2,741.00 ",$559.00 ,$630.43 ,"$1,781.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$4,862.00 ","$3,500.64 ",$168.84 ,"$4,862.00 ","$2,795.65 ","$3,063.06 ","$2,917.20 ","$1,048.25 ","$1,361.36 ","$2,819.96 ","$1,095.89 ","$2,965.82 ","$1,191.19 ","$2,669.24 ","$2,669.24 ","$1,238.84 ",$168.84 ,"$2,160.67 ","$3,403.40 ","$3,748.88 ","$1,095.89 ","$1,048.25 ","$3,646.50 ","$3,452.02 ","$3,452.02 ","$1,095.89 ","$3,452.02 ","$4,229.94 ","$4,229.94 ","$4,229.94 ", N/A ,"$4,375.80 ","$2,795.65 ","$4,132.70 ","$1,048.25 ",$539.22 ,"$2,727.58 ","$1,048.25 ","$2,012.87 ","$2,093.03 ","$1,902.75 ","$1,095.89 ","$4,132.70 ","$2,082.20 ","$2,669.24 ","$1,361.36 ","$4,375.80 ","$4,862.00 ","$1,048.25 ","$4,229.94 ",$559.00 ,"$4,862.00 ",$559.00 ,"$1,118.26 ","$3,160.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,827.00 ","$1,315.44 ",$92.16 ,"$1,874.44 ","$1,050.53 ","$1,151.01 ","$1,096.20 ",$393.90 ,$511.56 ,"$1,059.66 ",$411.81 ,"$1,114.47 ",$447.61 ,"$1,003.02 ","$1,003.02 ",$465.52 ,$101.29 ,$811.92 ,"$1,278.90 ","$1,874.44 ",$411.81 ,$393.90 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$411.81 ,"$1,297.17 ","$1,589.49 ","$1,589.49 ","$1,589.49 ", N/A ,"$1,644.30 ","$1,050.53 ","$1,552.95 ",$393.90 ,$258.08 ,"$1,024.95 ",$393.90 ,$756.38 ,$101.38 ,$92.16 ,$411.81 ,"$1,552.95 ",$782.43 ,"$1,003.02 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$393.90 ,"$1,589.49 ",$559.00 ,"$1,827.00 ",$559.00 ,$420.21 ,"$1,187.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,827.00 ","$1,315.44 ",$92.16 ,"$1,874.44 ","$1,050.53 ","$1,151.01 ","$1,096.20 ",$393.90 ,$511.56 ,"$1,059.66 ",$411.81 ,"$1,114.47 ",$447.61 ,"$1,003.02 ","$1,003.02 ",$465.52 ,$101.29 ,$811.92 ,"$1,278.90 ","$1,874.44 ",$411.81 ,$393.90 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$411.81 ,"$1,297.17 ","$1,589.49 ","$1,589.49 ","$1,589.49 ", N/A ,"$1,644.30 ","$1,050.53 ","$1,552.95 ",$393.90 ,$258.08 ,"$1,024.95 ",$393.90 ,$756.38 ,$101.38 ,$92.16 ,$411.81 ,"$1,552.95 ",$782.43 ,"$1,003.02 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$393.90 ,"$1,589.49 ",$559.00 ,"$1,827.00 ",$559.00 ,$420.21 ,"$1,187.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$2,741.00 ","$1,973.52 ",$101.29 ,"$3,748.88 ","$1,576.08 ","$1,726.83 ","$1,644.60 ",$590.96 ,$767.48 ,"$1,589.78 ",$617.82 ,"$1,672.01 ",$671.54 ,"$1,504.81 ","$1,504.81 ",$698.41 ,$101.29 ,"$1,218.10 ","$1,918.70 ","$3,748.88 ",$617.82 ,$590.96 ,"$2,055.75 ","$1,946.11 ","$1,946.11 ",$617.82 ,"$1,946.11 ","$2,384.67 ","$2,384.67 ","$2,384.67 ", N/A ,"$2,466.90 ","$1,576.08 ","$2,329.85 ",$590.96 ,$258.08 ,"$1,537.70 ",$590.96 ,"$1,134.77 ",$304.13 ,$276.48 ,$617.82 ,"$2,329.85 ","$1,173.86 ","$1,504.81 ",$767.48 ,"$2,466.90 ","$2,741.00 ",$590.96 ,"$2,384.67 ",$559.00 ,"$2,741.00 ",$559.00 ,$630.43 ,"$1,781.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,$616.00 ,$443.52 ,$34.62 ,$616.00 ,$354.20 ,$388.08 ,$369.60 ,$132.81 ,$172.48 ,$357.28 ,$138.85 ,$375.76 ,$150.92 ,$338.18 ,$338.18 ,$156.96 ,$34.62 ,$273.75 ,$97.41 ,$583.80 ,$138.85 ,$132.81 ,$462.00 ,$437.36 ,$437.36 ,$138.85 ,$437.36 ,$535.92 ,$535.92 ,$535.92 , N/A ,$554.40 ,$354.20 ,$523.60 ,$132.81 ,$38.47 ,$345.58 ,$132.81 ,$255.02 ,$538.47 ,$489.52 ,$138.85 ,$523.60 ,$263.81 ,$338.18 ,$172.48 ,$554.40 ,$616.00 ,$132.81 ,$535.92 ,$559.00 ,$616.00 ,$559.00 ,$141.68 ,$400.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$667.00 ,$480.24 ,$30.52 ,$667.00 ,$383.53 ,$420.21 ,$400.20 ,$143.81 ,$186.76 ,$270.56 ,$150.34 ,$283.14 ,$163.41 ,$366.18 ,$366.18 ,$169.95 ,$30.52 ,$296.41 ,$81.65 ,$267.20 ,$150.34 ,$143.81 ,$500.25 ,$473.57 ,$473.57 ,$150.34 ,$473.57 ,$580.29 ,$580.29 ,$580.29 , N/A ,$600.30 ,$383.53 ,$566.95 ,$143.81 ,$667.00 ,$374.19 ,$143.81 ,$276.14 ,$94.49 ,$85.90 ,$150.34 ,$566.95 ,$285.65 ,$366.18 ,$186.76 ,$600.30 ,$667.00 ,$143.81 ,$580.29 ,$559.00 ,$667.00 ,$559.00 ,$153.41 ,$433.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,121.00 ",$807.12 ,$70.19 ,"$1,121.00 ",$644.58 ,$706.23 ,$672.60 ,$241.69 ,$313.88 ,$650.18 ,$252.67 ,$683.81 ,$274.64 ,$615.43 ,$615.43 ,$285.63 ,$70.19 ,$498.17 ,$184.03 ,$267.20 ,$252.67 ,$241.69 ,$840.75 ,$795.91 ,$795.91 ,$252.67 ,$795.91 ,$975.27 ,$975.27 ,$975.27 , N/A ,"$1,008.90 ",$644.58 ,$952.85 ,$241.69 ,"$1,121.00 ",$628.88 ,$241.69 ,$464.09 ,$94.49 ,$85.90 ,$252.67 ,$952.85 ,$480.08 ,$615.43 ,$313.88 ,"$1,008.90 ","$1,121.00 ",$241.69 ,$975.27 ,$559.00 ,"$1,121.00 ",$559.00 ,$257.83 ,$728.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$525.00 ,$378.00 ,$70.82 ,$525.00 ,$301.88 ,$330.75 ,$315.00 ,$113.19 ,$147.00 ,$304.50 ,$118.33 ,$320.25 ,$128.62 ,$288.23 ,$288.23 ,$133.77 ,$70.82 ,$233.31 ,$185.79 ,$267.20 ,$118.33 ,$113.19 ,$393.75 ,$372.75 ,$372.75 ,$118.33 ,$372.75 ,$456.75 ,$456.75 ,$456.75 , N/A ,$472.50 ,$301.88 ,$446.25 ,$113.19 ,$525.00 ,$294.53 ,$113.19 ,$217.35 ,$94.49 ,$85.90 ,$118.33 ,$446.25 ,$224.84 ,$288.23 ,$147.00 ,$472.50 ,$525.00 ,$113.19 ,$456.75 ,$525.00 ,$525.00 ,$525.00 ,$120.75 ,$341.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000496,77080,HC BONE DENSITY DXA,320,1 ,$557.00 ,$401.04 ,$27.37 ,$557.00 ,$320.28 ,$350.91 ,$334.20 ,$120.09 ,$155.96 ,$323.06 ,$125.55 ,$339.77 ,$136.46 ,$305.79 ,$305.79 ,$141.92 ,$27.37 ,$247.53 ,$72.90 ,$267.20 ,$125.55 ,$120.09 ,$417.75 ,$395.47 ,$395.47 ,$125.55 ,$395.47 ,$484.59 ,$484.59 ,$484.59 , N/A ,$501.30 ,$320.28 ,$473.45 ,$120.09 ,$557.00 ,$312.48 ,$120.09 ,$230.60 ,$149.26 ,$135.69 ,$125.55 ,$473.45 ,$238.54 ,$305.79 ,$155.96 ,$501.30 ,$557.00 ,$120.09 ,$484.59 ,$557.00 ,$557.00 ,$557.00 ,$128.11 ,$362.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$735.00 ,$529.20 ,$26.74 ,$735.00 ,$422.63 ,$463.05 ,$441.00 ,$158.47 ,$205.80 ,$426.30 ,$165.67 ,$448.35 ,$180.07 ,$403.52 ,$403.52 ,$187.28 ,$26.74 ,$326.63 ,$70.26 ,$583.80 ,$165.67 ,$158.47 ,$551.25 ,$521.85 ,$521.85 ,$165.67 ,$521.85 ,$639.45 ,$639.45 ,$639.45 , N/A ,$661.50 ,$422.63 ,$624.75 ,$158.47 ,$735.00 ,$412.34 ,$158.47 ,$304.29 ,$94.49 ,$85.90 ,$165.67 ,$624.75 ,$314.78 ,$403.52 ,$205.80 ,$661.50 ,$735.00 ,$158.47 ,$639.45 ,$559.00 ,$735.00 ,$559.00 ,$169.05 ,$477.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$361.00 ,$259.92 ,$41.02 ,$679.73 ,$207.58 ,$227.43 ,$216.60 ,$77.83 ,$101.08 ,$209.38 ,$81.37 ,$220.21 ,$88.44 ,$198.19 ,$198.19 ,$91.98 ,$41.02 ,$160.43 ,$252.70 ,$679.73 ,$81.37 ,$77.83 ,$270.75 ,$256.31 ,$256.31 ,$81.37 ,$256.31 ,$314.07 ,$314.07 ,$314.07 , N/A ,$324.90 ,$207.58 ,$306.85 ,$77.83 ,$361.00 ,$202.52 ,$77.83 ,$149.45 ,$549.62 ,$499.65 ,$81.37 ,$306.85 ,$154.60 ,$198.19 ,$101.08 ,$324.90 ,$361.00 ,$77.83 ,$314.07 ,$361.00 ,$361.00 ,$361.00 ,$83.03 ,$234.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$402.00 ,$289.44 ,$38.38 ,$679.73 ,$231.15 ,$253.26 ,$241.20 ,$86.67 ,$112.56 ,$233.16 ,$90.61 ,$245.22 ,$98.49 ,$220.70 ,$220.70 ,$102.43 ,$38.38 ,$178.65 ,$281.40 ,$679.73 ,$90.61 ,$86.67 ,$301.50 ,$285.42 ,$285.42 ,$90.61 ,$285.42 ,$349.74 ,$349.74 ,$349.74 , N/A ,$361.80 ,$231.15 ,$341.70 ,$86.67 ,$402.00 ,$225.52 ,$86.67 ,$166.43 ,$549.62 ,$499.65 ,$90.61 ,$341.70 ,$172.16 ,$220.70 ,$112.56 ,$361.80 ,$402.00 ,$86.67 ,$349.74 ,$402.00 ,$402.00 ,$402.00 ,$92.46 ,$261.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000506,20553,HC INJ TRIGGER PT 3+ MUSC GROUP,320,1 ,$757.00 ,$545.04 ,$44.18 ,$757.00 ,$435.28 ,$476.91 ,$454.20 ,$163.21 ,$211.96 ,$439.06 ,$170.63 ,$461.77 ,$185.46 ,$415.59 ,$415.59 ,$192.88 ,$44.18 ,$336.41 ,$529.90 ,$679.73 ,$170.63 ,$163.21 ,$567.75 ,$537.47 ,$537.47 ,$170.63 ,$537.47 ,$658.59 ,$658.59 ,$658.59 , N/A ,$681.30 ,$435.28 ,$643.45 ,$163.21 ,$757.00 ,$424.68 ,$163.21 ,$313.40 ,$549.62 ,$499.65 ,$170.63 ,$643.45 ,$324.19 ,$415.59 ,$211.96 ,$681.30 ,$757.00 ,$163.21 ,$658.59 ,$559.00 ,$757.00 ,$559.00 ,$174.11 ,$492.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000509,77072,HC BONE AGE STUDIES,320,1 ,$221.00 ,$159.12 ,$16.34 ,$267.20 ,$127.08 ,$139.23 ,$132.60 ,$47.65 ,$61.88 ,$128.18 ,$49.81 ,$134.81 ,$54.14 ,$121.33 ,$121.33 ,$56.31 ,$16.34 ,$98.21 ,$43.15 ,$267.20 ,$49.81 ,$47.65 ,$165.75 ,$156.91 ,$156.91 ,$49.81 ,$156.91 ,$192.27 ,$192.27 ,$192.27 , N/A ,$198.90 ,$127.08 ,$187.85 ,$47.65 ,$221.00 ,$123.98 ,$47.65 ,$91.49 ,$94.49 ,$85.90 ,$49.81 ,$187.85 ,$94.65 ,$121.33 ,$61.88 ,$198.90 ,$221.00 ,$47.65 ,$192.27 ,$221.00 ,$221.00 ,$221.00 ,$50.83 ,$143.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,$870.00 ,$626.40 ,$111.92 ,"$1,446.25 ",$500.25 ,$548.10 ,$522.00 ,$187.57 ,$243.60 ,$504.60 ,$196.10 ,$530.70 ,$213.15 ,$477.63 ,$477.63 ,$221.68 ,$111.92 ,$386.63 ,$609.00 ,"$1,446.25 ",$196.10 ,$187.57 ,$652.50 ,$617.70 ,$617.70 ,$196.10 ,$617.70 ,$756.90 ,$756.90 ,$756.90 , N/A ,$783.00 ,$500.25 ,$739.50 ,$187.57 ,$870.00 ,$488.07 ,$187.57 ,$360.18 ,"$1,174.58 ","$1,067.80 ",$196.10 ,$739.50 ,$372.59 ,$477.63 ,$243.60 ,$783.00 ,$870.00 ,$187.57 ,$756.90 ,$559.00 ,$870.00 ,$559.00 ,$200.10 ,$565.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000542,20551,HC INJ TENDON ORIGIN,320,1 ,$750.00 ,$540.00 ,$41.02 ,$750.00 ,$431.25 ,$472.50 ,$450.00 ,$161.70 ,$210.00 ,$435.00 ,$169.05 ,$457.50 ,$183.75 ,$411.75 ,$411.75 ,$191.10 ,$41.02 ,$333.30 ,$525.00 ,$679.73 ,$169.05 ,$161.70 ,$562.50 ,$532.50 ,$532.50 ,$169.05 ,$532.50 ,$652.50 ,$652.50 ,$652.50 , N/A ,$675.00 ,$431.25 ,$637.50 ,$161.70 ,$750.00 ,$420.75 ,$161.70 ,$310.50 ,$549.62 ,$499.65 ,$169.05 ,$637.50 ,$321.19 ,$411.75 ,$210.00 ,$675.00 ,$750.00 ,$161.70 ,$652.50 ,$559.00 ,$750.00 ,$559.00 ,$172.50 ,$487.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,$363.00 ,$261.36 ,$31.15 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$31.15 ,$161.32 ,$83.41 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$340.00 ,$244.80 ,$29.26 ,$340.00 ,$195.50 ,$214.20 ,$204.00 ,$73.30 ,$95.20 ,$197.20 ,$76.64 ,$207.40 ,$83.30 ,$186.66 ,$186.66 ,$86.63 ,$29.26 ,$151.10 ,$77.28 ,$267.20 ,$76.64 ,$73.30 ,$255.00 ,$241.40 ,$241.40 ,$76.64 ,$241.40 ,$295.80 ,$295.80 ,$295.80 , N/A ,$306.00 ,$195.50 ,$289.00 ,$73.30 ,$340.00 ,$190.74 ,$73.30 ,$140.76 ,$94.49 ,$85.90 ,$76.64 ,$289.00 ,$145.61 ,$186.66 ,$95.20 ,$306.00 ,$340.00 ,$73.30 ,$295.80 ,$340.00 ,$340.00 ,$340.00 ,$78.20 ,$221.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$395.00 ,$284.40 ,$28.63 ,$395.00 ,$227.13 ,$248.85 ,$237.00 ,$85.16 ,$110.60 ,$229.10 ,$89.03 ,$240.95 ,$96.77 ,$216.86 ,$216.86 ,$100.65 ,$28.63 ,$175.54 ,$75.52 ,$217.20 ,$89.03 ,$85.16 ,$296.25 ,$280.45 ,$280.45 ,$89.03 ,$280.45 ,$343.65 ,$343.65 ,$343.65 , N/A ,$355.50 ,$227.13 ,$335.75 ,$85.16 ,$395.00 ,$221.60 ,$85.16 ,$163.53 ,$94.49 ,$85.90 ,$89.03 ,$335.75 ,$169.17 ,$216.86 ,$110.60 ,$355.50 ,$395.00 ,$85.16 ,$343.65 ,$395.00 ,$395.00 ,$395.00 ,$90.85 ,$256.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$249.00 ,$179.28 ,$28.95 ,$249.00 ,$143.18 ,$156.87 ,$149.40 ,$53.68 ,$69.72 ,$144.42 ,$56.12 ,$151.89 ,$61.00 ,$136.70 ,$136.70 ,$63.45 ,$28.95 ,$110.66 ,$75.52 ,$217.20 ,$56.12 ,$53.68 ,$186.75 ,$176.79 ,$176.79 ,$56.12 ,$176.79 ,$216.63 ,$216.63 ,$216.63 , N/A ,$224.10 ,$143.18 ,$211.65 ,$53.68 ,$249.00 ,$139.69 ,$53.68 ,$103.09 ,$94.49 ,$85.90 ,$56.12 ,$211.65 ,$106.63 ,$136.70 ,$69.72 ,$224.10 ,$249.00 ,$53.68 ,$216.63 ,$249.00 ,$249.00 ,$249.00 ,$57.27 ,$161.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$363.00 ,$261.36 ,$52.58 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$52.58 ,$161.32 ,$140.28 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$249.00 ,$179.28 ,$22.96 ,$249.00 ,$143.18 ,$156.87 ,$149.40 ,$53.68 ,$69.72 ,$144.42 ,$56.12 ,$151.89 ,$61.00 ,$136.70 ,$136.70 ,$63.45 ,$22.96 ,$110.66 ,$58.91 ,$217.20 ,$56.12 ,$53.68 ,$186.75 ,$176.79 ,$176.79 ,$56.12 ,$176.79 ,$216.63 ,$216.63 ,$216.63 , N/A ,$224.10 ,$143.18 ,$211.65 ,$53.68 ,$249.00 ,$139.69 ,$53.68 ,$103.09 ,$94.49 ,$85.90 ,$56.12 ,$211.65 ,$106.63 ,$136.70 ,$69.72 ,$224.10 ,$249.00 ,$53.68 ,$216.63 ,$249.00 ,$249.00 ,$249.00 ,$57.27 ,$161.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$249.00 ,$179.28 ,$34.62 ,$249.00 ,$143.18 ,$156.87 ,$149.40 ,$53.68 ,$69.72 ,$144.42 ,$56.12 ,$151.89 ,$61.00 ,$136.70 ,$136.70 ,$63.45 ,$34.62 ,$110.66 ,$91.27 ,$217.20 ,$56.12 ,$53.68 ,$186.75 ,$176.79 ,$176.79 ,$56.12 ,$176.79 ,$216.63 ,$216.63 ,$216.63 , N/A ,$224.10 ,$143.18 ,$211.65 ,$53.68 ,$249.00 ,$139.69 ,$53.68 ,$103.09 ,$94.49 ,$85.90 ,$56.12 ,$211.65 ,$106.63 ,$136.70 ,$69.72 ,$224.10 ,$249.00 ,$53.68 ,$216.63 ,$249.00 ,$249.00 ,$249.00 ,$57.27 ,$161.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000576,73503,HC XR HIP W/PELVIS UNI 4+VWS,320,1 ,$363.00 ,$261.36 ,$44.07 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$44.07 ,$161.32 ,$115.78 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$363.00 ,$261.36 ,$29.26 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$29.26 ,$161.32 ,$77.28 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$363.00 ,$261.36 ,$37.77 ,$363.00 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$37.77 ,$161.32 ,$100.02 ,$267.20 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 ,$94.49 ,$85.90 ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$354.00 ,$254.88 ,$44.71 ,$354.00 ,$203.55 ,$223.02 ,$212.40 ,$76.32 ,$99.12 ,$205.32 ,$79.79 ,$215.94 ,$86.73 ,$194.35 ,$194.35 ,$90.20 ,$44.71 ,$157.32 ,$118.39 ,$267.20 ,$79.79 ,$76.32 ,$265.50 ,$251.34 ,$251.34 ,$79.79 ,$251.34 ,$307.98 ,$307.98 ,$307.98 , N/A ,$318.60 ,$203.55 ,$300.90 ,$76.32 ,$354.00 ,$198.59 ,$76.32 ,$146.56 ,$94.49 ,$85.90 ,$79.79 ,$300.90 ,$151.61 ,$194.35 ,$99.12 ,$318.60 ,$354.00 ,$76.32 ,$307.98 ,$354.00 ,$354.00 ,$354.00 ,$81.42 ,$230.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$249.00 ,$179.28 ,$20.44 ,$249.00 ,$143.18 ,$156.87 ,$149.40 ,$53.68 ,$69.72 ,$144.42 ,$56.12 ,$151.89 ,$61.00 ,$136.70 ,$136.70 ,$63.45 ,$20.44 ,$110.66 ,$54.51 ,$217.20 ,$56.12 ,$53.68 ,$186.75 ,$176.79 ,$176.79 ,$56.12 ,$176.79 ,$216.63 ,$216.63 ,$216.63 , N/A ,$224.10 ,$143.18 ,$211.65 ,$53.68 ,$249.00 ,$139.69 ,$53.68 ,$103.09 ,$94.49 ,$85.90 ,$56.12 ,$211.65 ,$106.63 ,$136.70 ,$69.72 ,$224.10 ,$249.00 ,$53.68 ,$216.63 ,$249.00 ,$249.00 ,$249.00 ,$57.27 ,$161.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$249.00 ,$179.28 ,$25.80 ,$249.00 ,$143.18 ,$156.87 ,$149.40 ,$53.68 ,$69.72 ,$144.42 ,$56.12 ,$151.89 ,$61.00 ,$136.70 ,$136.70 ,$63.45 ,$25.80 ,$110.66 ,$67.65 ,$217.20 ,$56.12 ,$53.68 ,$186.75 ,$176.79 ,$176.79 ,$56.12 ,$176.79 ,$216.63 ,$216.63 ,$216.63 , N/A ,$224.10 ,$143.18 ,$211.65 ,$53.68 ,$249.00 ,$139.69 ,$53.68 ,$103.09 ,$94.49 ,$85.90 ,$56.12 ,$211.65 ,$106.63 ,$136.70 ,$69.72 ,$224.10 ,$249.00 ,$53.68 ,$216.63 ,$249.00 ,$249.00 ,$249.00 ,$57.27 ,$161.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$371.00 ,$267.12 ,$25.80 ,$371.00 ,$213.33 ,$233.73 ,$222.60 ,$79.99 ,$103.88 ,$215.18 ,$83.62 ,$226.31 ,$90.89 ,$203.68 ,$203.68 ,$94.53 ,$25.80 ,$164.87 ,$67.65 ,$217.20 ,$83.62 ,$79.99 ,$278.25 ,$263.41 ,$263.41 ,$83.62 ,$263.41 ,$322.77 ,$322.77 ,$322.77 , N/A ,$333.90 ,$213.33 ,$315.35 ,$79.99 ,$371.00 ,$208.13 ,$79.99 ,$153.59 ,$141.74 ,$128.85 ,$83.62 ,$315.35 ,$158.89 ,$203.68 ,$103.88 ,$333.90 ,$371.00 ,$79.99 ,$322.77 ,$371.00 ,$371.00 ,$371.00 ,$85.33 ,$241.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$365.00 ,$262.80 ,$23.91 ,$365.00 ,$209.88 ,$229.95 ,$219.00 ,$78.69 ,$102.20 ,$211.70 ,$82.27 ,$222.65 ,$89.42 ,$200.39 ,$200.39 ,$93.00 ,$23.91 ,$162.21 ,$63.28 ,$267.20 ,$82.27 ,$78.69 ,$273.75 ,$259.15 ,$259.15 ,$82.27 ,$259.15 ,$317.55 ,$317.55 ,$317.55 , N/A ,$328.50 ,$209.88 ,$310.25 ,$78.69 ,$365.00 ,$204.77 ,$78.69 ,$151.11 ,$94.49 ,$85.90 ,$82.27 ,$310.25 ,$156.32 ,$200.39 ,$102.20 ,$328.50 ,$365.00 ,$78.69 ,$317.55 ,$365.00 ,$365.00 ,$365.00 ,$83.95 ,$237.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000589,74019,HC XR ABDOMEN 2V,320,1 ,$532.00 ,$383.04 ,$24.85 ,$532.00 ,$305.90 ,$335.16 ,$319.20 ,$114.70 ,$148.96 ,$271.50 ,$119.91 ,$284.13 ,$130.34 ,$292.07 ,$292.07 ,$135.55 ,$24.85 ,$236.42 ,$65.89 ,$267.20 ,$119.91 ,$114.70 ,$399.00 ,$377.72 ,$377.72 ,$119.91 ,$377.72 ,$462.84 ,$462.84 ,$462.84 , N/A ,$478.80 ,$305.90 ,$452.20 ,$114.70 ,$532.00 ,$298.45 ,$114.70 ,$220.25 ,$94.49 ,$85.90 ,$119.91 ,$452.20 ,$227.83 ,$292.07 ,$148.96 ,$478.80 ,$532.00 ,$114.70 ,$462.84 ,$532.00 ,$532.00 ,$532.00 ,$122.36 ,$345.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000595,76000,HC FLUOROSCOPY >1HR,320,1 ,$735.00 ,$529.20 ,$26.74 ,$735.00 ,$422.63 ,$463.05 ,$441.00 ,$158.47 ,$205.80 ,$426.30 ,$165.67 ,$448.35 ,$180.07 ,$403.52 ,$403.52 ,$187.28 ,$26.74 ,$326.63 ,$70.26 ,$583.80 ,$165.67 ,$158.47 ,$551.25 ,$521.85 ,$521.85 ,$165.67 ,$521.85 ,$639.45 ,$639.45 ,$639.45 , N/A ,$661.50 ,$422.63 ,$624.75 ,$158.47 ,$735.00 ,$412.34 ,$158.47 ,$304.29 ,$94.49 ,$85.90 ,$165.67 ,$624.75 ,$314.78 ,$403.52 ,$205.80 ,$661.50 ,$735.00 ,$158.47 ,$639.45 ,$559.00 ,$735.00 ,$559.00 ,$169.05 ,$477.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000605,71045,HC XR CHEST 1V W/PICC INS,320,1 ,$399.00 ,$287.28 ,$16.66 ,$399.00 ,$229.43 ,$251.37 ,$239.40 ,$86.02 ,$111.72 ,$134.07 ,$89.93 ,$140.31 ,$97.75 ,$219.05 ,$219.05 ,$101.67 ,$16.66 ,$177.32 ,$43.15 ,$217.20 ,$89.93 ,$86.02 ,$299.25 ,$283.29 ,$283.29 ,$89.93 ,$283.29 ,$347.13 ,$347.13 ,$347.13 , N/A ,$359.10 ,$229.43 ,$339.15 ,$86.02 ,$18.51 ,$223.84 ,$86.02 ,$165.19 ,$94.49 ,$85.90 ,$89.93 ,$339.15 ,$170.87 ,$219.05 ,$111.72 ,$359.10 ,$399.00 ,$86.02 ,$347.13 ,$399.00 ,$399.00 ,$399.00 ,$91.77 ,$259.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000610,N/A,HC HEALTH FAIR BONE DENSITY,320,1 ,$5.00 ,$3.60 ,$1.08 ,$5.00 ,$2.88 ,$3.15 ,$3.00 ,$1.08 ,$1.40 ,$2.90 ,$1.13 ,$3.05 ,$1.22 ,$2.75 ,$2.75 ,$1.27 ,$3.25 ,$2.22 ,$3.50 , N/A ,$1.13 ,$1.08 ,$3.75 ,$3.55 ,$3.55 ,$1.13 ,$3.55 ,$4.35 ,$4.35 ,$4.35 , N/A ,$4.50 ,$2.88 ,$4.25 ,$1.08 ,$5.00 ,$2.81 ,$1.08 ,$2.07 , N/A , N/A ,$1.13 ,$4.25 ,$2.15 ,$2.75 ,$1.40 ,$4.50 ,$5.00 ,$1.08 ,$4.35 ,$5.00 ,$5.00 ,$5.00 ,$1.15 ,$3.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,351.00 ",$972.72 ,$48.17 ,"$1,351.00 ",$776.83 ,$851.13 ,$810.60 ,$291.28 ,$378.28 ,$783.58 ,$304.52 ,$824.11 ,$330.99 ,$741.70 ,$741.70 ,$344.23 ,$48.17 ,$600.38 ,$945.70 , N/A ,$304.52 ,$291.28 ,"$1,013.25 ",$959.21 ,$959.21 ,$304.52 ,$959.21 ,"$1,175.37 ","$1,175.37 ","$1,175.37 ", N/A ,"$1,215.90 ",$776.83 ,"$1,148.35 ",$291.28 ,"$1,351.00 ",$757.91 ,$291.28 ,$559.31 ,$94.49 ,$85.90 ,$304.52 ,"$1,148.35 ",$578.58 ,$741.70 ,$378.28 ,"$1,215.90 ","$1,351.00 ",$291.28 ,"$1,175.37 ",$559.00 ,"$1,351.00 ",$559.00 ,$310.73 ,$878.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,33300070,C9728,HC PLCMNT FIDUCIAL MARKERS OTHER,333,1 ,$225.00 ,$162.00 ,$48.51 ,"$3,351.68 ",$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$146.25 ,$99.99 ,$157.50 ,"$3,351.68 ",$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$225.00 ,$48.51 ,$195.75 ,$225.00 ,$225.00 ,$225.00 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$680.00 ,$489.60 ,$125.45 ,$831.55 ,$391.00 ,$428.40 ,$408.00 ,$146.61 ,$190.40 ,$394.40 ,$153.27 ,$414.80 ,$166.60 ,$373.32 ,$373.32 ,$173.26 ,$125.45 ,$302.19 ,$476.00 ,$831.55 ,$153.27 ,$146.61 ,$510.00 ,$482.80 ,$482.80 ,$153.27 ,$482.80 ,$591.60 ,$591.60 ,$591.60 , N/A ,$612.00 ,$391.00 ,$578.00 ,$146.61 ,$680.00 ,$381.48 ,$146.61 ,$281.52 ,$531.21 ,$482.92 ,$153.27 ,$578.00 ,$291.22 ,$373.32 ,$190.40 ,$612.00 ,$680.00 ,$146.61 ,$591.60 ,$680.00 ,$680.00 ,$680.00 ,$156.40 ,$442.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$289.00 ,$208.08 ,$27.46 ,$830.46 ,$166.18 ,$182.07 ,$173.40 ,$62.31 ,$80.92 ,$167.62 ,$65.14 ,$176.29 ,$70.80 ,$158.66 ,$158.66 ,$73.64 ,$27.46 ,$128.43 ,$202.30 ,$168.68 ,$65.14 ,$62.31 ,$216.75 ,$205.19 ,$205.19 ,$65.14 ,$205.19 ,$251.43 ,$251.43 ,$251.43 , N/A ,$260.10 ,$166.18 ,$245.65 ,$62.31 ,$289.00 ,$162.13 ,$62.31 ,$119.65 ,$830.46 ,$754.96 ,$65.14 ,$245.65 ,$123.76 ,$158.66 ,$80.92 ,$260.10 ,$289.00 ,$62.31 ,$251.43 ,$289.00 ,$289.00 ,$289.00 ,$66.47 ,$187.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$171.00 ,$123.12 ,$32.82 ,$171.00 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$32.82 ,$75.99 ,$119.70 ,$168.68 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 , N/A , N/A ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000002,78012,HC THYROID UPTAKE SGL/MULT 78012,340,1 ,"$1,551.00 ","$1,116.72 ",$69.15 ,"$1,551.00 ",$891.83 ,$977.13 ,$930.60 ,$334.40 ,$434.28 ,$899.58 ,$349.60 ,$946.11 ,$379.99 ,$851.50 ,$851.50 ,$395.19 ,$69.15 ,$689.26 ,$188.32 ,$971.70 ,$349.60 ,$334.40 ,"$1,163.25 ","$1,101.21 ","$1,101.21 ",$349.60 ,"$1,101.21 ","$1,349.37 ","$1,349.37 ","$1,349.37 ", N/A ,"$1,395.90 ",$891.83 ,"$1,318.35 ",$334.40 ,"$1,551.00 ",$870.11 ,$334.40 ,$642.11 ,$714.53 ,$649.57 ,$349.60 ,"$1,318.35 ",$664.23 ,$851.50 ,$434.28 ,"$1,395.90 ","$1,551.00 ",$334.40 ,"$1,349.37 ","$1,551.00 ","$1,551.00 ","$1,551.00 ",$356.73 ,"$1,008.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$2,219.00 ","$1,597.68 ",$189.22 ,"$2,219.00 ","$1,275.93 ","$1,397.97 ","$1,331.40 ",$478.42 ,$621.32 ,"$1,287.02 ",$500.16 ,"$1,353.59 ",$543.65 ,"$1,218.23 ","$1,218.23 ",$565.40 ,$189.22 ,$986.12 ,$555.86 ,$971.70 ,$500.16 ,$478.42 ,"$1,664.25 ","$1,575.49 ","$1,575.49 ",$500.16 ,"$1,575.49 ","$1,930.53 ","$1,930.53 ","$1,930.53 ", N/A ,"$1,997.10 ","$1,275.93 ","$1,886.15 ",$478.42 ,"$2,219.00 ","$1,244.86 ",$478.42 ,$918.67 ,$714.53 ,$649.57 ,$500.16 ,"$1,886.15 ",$950.31 ,"$1,218.23 ",$621.32 ,"$1,997.10 ","$2,219.00 ",$478.42 ,"$1,930.53 ","$1,944.00 ","$2,219.00 ","$1,944.00 ",$510.37 ,"$1,442.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000006,78013,HC NM THYROID SCAN,340,1 ,$895.00 ,$644.40 ,$152.98 ,$971.70 ,$514.63 ,$563.85 ,$537.00 ,$192.96 ,$250.60 ,$519.10 ,$201.73 ,$545.95 ,$219.27 ,$491.36 ,$491.36 ,$228.05 ,$152.98 ,$397.74 ,$459.61 ,$971.70 ,$201.73 ,$192.96 ,$671.25 ,$635.45 ,$635.45 ,$201.73 ,$635.45 ,$778.65 ,$778.65 ,$778.65 , N/A ,$805.50 ,$514.63 ,$760.75 ,$192.96 ,$895.00 ,$502.10 ,$192.96 ,$370.53 ,$714.53 ,$649.57 ,$201.73 ,$760.75 ,$383.30 ,$491.36 ,$250.60 ,$805.50 ,$895.00 ,$192.96 ,$778.65 ,$895.00 ,$895.00 ,$895.00 ,$205.85 ,$581.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,$893.00 ,$642.96 ,$192.53 ,$971.70 ,$513.48 ,$562.59 ,$535.80 ,$192.53 ,$250.04 ,$517.94 ,$201.28 ,$544.73 ,$218.78 ,$490.26 ,$490.26 ,$227.54 ,$224.20 ,$396.85 ,$663.49 ,$971.70 ,$201.28 ,$192.53 ,$669.75 ,$634.03 ,$634.03 ,$201.28 ,$634.03 ,$776.91 ,$776.91 ,$776.91 , N/A ,$803.70 ,$513.48 ,$759.05 ,$192.53 ,$893.00 ,$500.97 ,$192.53 ,$369.70 ,$637.69 ,$579.72 ,$201.28 ,$759.05 ,$382.44 ,$490.26 ,$250.04 ,$803.70 ,$893.00 ,$192.53 ,$776.91 ,$893.00 ,$893.00 ,$893.00 ,$205.39 ,$580.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$1,224.00 ",$881.28 ,$260.13 ,"$1,261.25 ",$703.80 ,$771.12 ,$734.40 ,$263.89 ,$342.72 ,$709.92 ,$275.89 ,$746.64 ,$299.88 ,$671.98 ,$671.98 ,$311.88 ,$260.13 ,$543.95 ,$769.64 ,"$1,261.25 ",$275.89 ,$263.89 ,$918.00 ,$869.04 ,$869.04 ,$275.89 ,$869.04 ,"$1,064.88 ","$1,064.88 ","$1,064.88 ", N/A ,"$1,101.60 ",$703.80 ,"$1,040.40 ",$263.89 ,"$1,224.00 ",$686.66 ,$263.89 ,$506.74 ,$714.53 ,$649.57 ,$275.89 ,"$1,040.40 ",$524.19 ,$671.98 ,$342.72 ,"$1,101.60 ","$1,224.00 ",$263.89 ,"$1,064.88 ","$1,224.00 ","$1,224.00 ","$1,224.00 ",$281.52 ,$795.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$1,795.00 ","$1,292.40 ",$153.61 ,"$1,795.00 ","$1,032.13 ","$1,130.85 ","$1,077.00 ",$387.00 ,$502.60 ,"$1,041.10 ",$404.59 ,"$1,094.95 ",$439.77 ,$985.46 ,$985.46 ,$457.37 ,$153.61 ,$797.70 ,$445.61 ,$971.70 ,$404.59 ,$387.00 ,"$1,346.25 ","$1,274.45 ","$1,274.45 ",$404.59 ,"$1,274.45 ","$1,561.65 ","$1,561.65 ","$1,561.65 ", N/A ,"$1,615.50 ","$1,032.13 ","$1,525.75 ",$387.00 ,"$1,795.00 ","$1,007.00 ",$387.00 ,$743.13 ,$637.69 ,$579.72 ,$404.59 ,"$1,525.75 ",$768.73 ,$985.46 ,$502.60 ,"$1,615.50 ","$1,795.00 ",$387.00 ,"$1,561.65 ","$1,795.00 ","$1,795.00 ","$1,795.00 ",$412.85 ,"$1,166.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$2,568.00 ","$1,848.96 ",$254.46 ,"$2,568.00 ","$1,476.60 ","$1,617.84 ","$1,540.80 ",$553.66 ,$719.04 ,"$1,489.44 ",$578.83 ,"$1,566.48 ",$629.16 ,"$1,409.83 ","$1,409.83 ",$654.33 ,$254.46 ,"$1,141.22 ",$753.89 ,$971.70 ,$578.83 ,$553.66 ,"$1,926.00 ","$1,823.28 ","$1,823.28 ",$578.83 ,"$1,823.28 ","$2,234.16 ","$2,234.16 ","$2,234.16 ", N/A ,"$2,311.20 ","$1,476.60 ","$2,182.80 ",$553.66 ,"$2,568.00 ","$1,440.65 ",$553.66 ,"$1,063.15 ",$714.53 ,$649.57 ,$578.83 ,"$2,182.80 ","$1,099.78 ","$1,409.83 ",$719.04 ,"$2,311.20 ","$2,568.00 ",$553.66 ,"$2,234.16 ","$1,944.00 ","$2,568.00 ","$1,944.00 ",$590.64 ,"$1,669.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$1,963.00 ","$1,413.36 ",$256.98 ,"$1,963.00 ","$1,128.73 ","$1,236.69 ","$1,177.80 ",$423.22 ,$549.64 ,"$1,138.54 ",$442.46 ,"$1,197.43 ",$480.93 ,"$1,077.69 ","$1,077.69 ",$500.17 ,$256.98 ,$872.36 ,$760.02 ,$971.70 ,$442.46 ,$423.22 ,"$1,472.25 ","$1,393.73 ","$1,393.73 ",$442.46 ,"$1,393.73 ","$1,707.81 ","$1,707.81 ","$1,707.81 ", N/A ,"$1,766.70 ","$1,128.73 ","$1,668.55 ",$423.22 ,"$1,963.00 ","$1,101.24 ",$423.22 ,$812.68 ,$714.53 ,$649.57 ,$442.46 ,"$1,668.55 ",$840.67 ,"$1,077.69 ",$549.64 ,"$1,766.70 ","$1,963.00 ",$423.22 ,"$1,707.81 ","$1,944.00 ","$1,963.00 ","$1,944.00 ",$451.49 ,"$1,275.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000027,78278,HC GI BLEED SCAN,340,1 ,"$1,495.00 ","$1,076.40 ",$264.23 ,"$1,495.00 ",$859.63 ,$941.85 ,$897.00 ,$322.32 ,$418.60 ,$867.10 ,$336.97 ,$911.95 ,$366.27 ,$820.76 ,$820.76 ,$380.93 ,$264.23 ,$664.38 ,$777.54 ,$971.70 ,$336.97 ,$322.32 ,"$1,121.25 ","$1,061.45 ","$1,061.45 ",$336.97 ,"$1,061.45 ","$1,300.65 ","$1,300.65 ","$1,300.65 ", N/A ,"$1,345.50 ",$859.63 ,"$1,270.75 ",$322.32 ,"$1,495.00 ",$838.70 ,$322.32 ,$618.93 ,$714.53 ,$649.57 ,$336.97 ,"$1,270.75 ",$640.25 ,$820.76 ,$418.60 ,"$1,345.50 ","$1,495.00 ",$322.32 ,"$1,300.65 ","$1,495.00 ","$1,495.00 ","$1,495.00 ",$343.85 ,$971.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,574.00 ","$1,133.28 ",$261.39 ,"$1,574.00 ",$905.05 ,$991.62 ,$944.40 ,$339.35 ,$440.72 ,$912.92 ,$354.78 ,$960.14 ,$385.63 ,$864.13 ,$864.13 ,$401.06 ,$261.39 ,$699.49 ,$768.76 ,$971.70 ,$354.78 ,$339.35 ,"$1,180.50 ","$1,117.54 ","$1,117.54 ",$354.78 ,"$1,117.54 ","$1,369.38 ","$1,369.38 ","$1,369.38 ", N/A ,"$1,416.60 ",$905.05 ,"$1,337.90 ",$339.35 ,"$1,574.00 ",$883.01 ,$339.35 ,$651.64 ,$637.69 ,$579.72 ,$354.78 ,"$1,337.90 ",$674.08 ,$864.13 ,$440.72 ,"$1,416.60 ","$1,574.00 ",$339.35 ,"$1,369.38 ","$1,574.00 ","$1,574.00 ","$1,574.00 ",$362.02 ,"$1,023.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,095.00 ",$788.40 ,$173.46 ,"$1,095.00 ",$629.63 ,$689.85 ,$657.00 ,$236.08 ,$306.60 ,$635.10 ,$246.81 ,$667.95 ,$268.27 ,$601.16 ,$601.16 ,$279.01 ,$173.46 ,$486.62 ,$515.60 ,$971.70 ,$246.81 ,$236.08 ,$821.25 ,$777.45 ,$777.45 ,$246.81 ,$777.45 ,$952.65 ,$952.65 ,$952.65 , N/A ,$985.50 ,$629.63 ,$930.75 ,$236.08 ,"$1,095.00 ",$614.30 ,$236.08 ,$453.33 ,$637.69 ,$579.72 ,$246.81 ,$930.75 ,$468.95 ,$601.16 ,$306.60 ,$985.50 ,"$1,095.00 ",$236.08 ,$952.65 ,"$1,095.00 ","$1,095.00 ","$1,095.00 ",$251.85 ,$711.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,095.00 ",$788.40 ,$207.81 ,"$1,095.00 ",$629.63 ,$689.85 ,$657.00 ,$236.08 ,$306.60 ,$635.10 ,$246.81 ,$667.95 ,$268.27 ,$601.16 ,$601.16 ,$279.01 ,$207.81 ,$486.62 ,$616.25 ,$971.70 ,$246.81 ,$236.08 ,$821.25 ,$777.45 ,$777.45 ,$246.81 ,$777.45 ,$952.65 ,$952.65 ,$952.65 , N/A ,$985.50 ,$629.63 ,$930.75 ,$236.08 ,"$1,095.00 ",$614.30 ,$236.08 ,$453.33 ,$637.69 ,$579.72 ,$246.81 ,$930.75 ,$468.95 ,$601.16 ,$306.60 ,$985.50 ,"$1,095.00 ",$236.08 ,$952.65 ,"$1,095.00 ","$1,095.00 ","$1,095.00 ",$251.85 ,$711.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,095.00 ",$788.40 ,$223.57 ,"$1,095.00 ",$629.63 ,$689.85 ,$657.00 ,$236.08 ,$306.60 ,$635.10 ,$246.81 ,$667.95 ,$268.27 ,$601.16 ,$601.16 ,$279.01 ,$223.57 ,$486.62 ,$667.01 ,$971.70 ,$246.81 ,$236.08 ,$821.25 ,$777.45 ,$777.45 ,$246.81 ,$777.45 ,$952.65 ,$952.65 ,$952.65 , N/A ,$985.50 ,$629.63 ,$930.75 ,$236.08 ,"$1,095.00 ",$614.30 ,$236.08 ,$453.33 ,$637.69 ,$579.72 ,$246.81 ,$930.75 ,$468.95 ,$601.16 ,$306.60 ,$985.50 ,"$1,095.00 ",$236.08 ,$952.65 ,"$1,095.00 ","$1,095.00 ","$1,095.00 ",$251.85 ,$711.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,095.00 ",$788.40 ,$236.08 ,"$1,095.00 ",$629.63 ,$689.85 ,$657.00 ,$236.08 ,$306.60 ,$635.10 ,$246.81 ,$667.95 ,$268.27 ,$601.16 ,$601.16 ,$279.01 ,$261.07 ,$486.62 ,$768.76 ,$971.70 ,$246.81 ,$236.08 ,$821.25 ,$777.45 ,$777.45 ,$246.81 ,$777.45 ,$952.65 ,$952.65 ,$952.65 , N/A ,$985.50 ,$629.63 ,$930.75 ,$236.08 ,"$1,095.00 ",$614.30 ,$236.08 ,$453.33 ,$637.69 ,$579.72 ,$246.81 ,$930.75 ,$468.95 ,$601.16 ,$306.60 ,$985.50 ,"$1,095.00 ",$236.08 ,$952.65 ,"$1,095.00 ","$1,095.00 ","$1,095.00 ",$251.85 ,$711.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,$799.00 ,$575.28 ,$172.26 ,"$3,318.18 ",$459.43 ,$503.37 ,$479.40 ,$172.26 ,$223.72 ,$463.42 ,$180.09 ,$487.39 ,$195.75 ,$438.65 ,$438.65 ,$203.59 ,$239.33 ,$355.08 ,$711.01 ,"$3,318.18 ",$180.09 ,$172.26 ,$599.25 ,$567.29 ,$567.29 ,$180.09 ,$567.29 ,$695.13 ,$695.13 ,$695.13 , N/A ,$719.10 ,$459.43 ,$679.15 ,$172.26 ,$799.00 ,$448.24 ,$172.26 ,$330.79 ,$714.53 ,$649.57 ,$180.09 ,$679.15 ,$342.18 ,$438.65 ,$223.72 ,$719.10 ,$799.00 ,$172.26 ,$695.13 ,$799.00 ,$799.00 ,$799.00 ,$183.77 ,$519.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$5,380.00 ","$3,873.60 ",$344.45 ,"$5,380.00 ","$3,093.50 ","$3,389.40 ","$3,228.00 ","$1,159.93 ","$1,506.40 ","$3,120.40 ","$1,212.65 ","$3,281.80 ","$1,318.10 ","$2,953.62 ","$2,953.62 ","$1,370.82 ",$344.45 ,"$2,390.87 ","$1,026.33 ","$3,318.18 ","$1,212.65 ","$1,159.93 ","$4,035.00 ","$3,819.80 ","$3,819.80 ","$1,212.65 ","$3,819.80 ","$4,680.60 ","$4,680.60 ","$4,680.60 ", N/A ,"$4,842.00 ","$3,093.50 ","$4,573.00 ","$1,159.93 ","$5,380.00 ","$3,018.18 ","$1,159.93 ","$2,227.32 ","$1,564.43 ","$1,422.21 ","$1,212.65 ","$4,573.00 ","$2,304.04 ","$2,953.62 ","$1,506.40 ","$4,842.00 ","$5,380.00 ","$1,159.93 ","$4,680.60 ","$1,944.00 ","$5,380.00 ","$1,944.00 ","$1,237.40 ","$3,497.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,147.00 ","$1,545.84 ",$159.28 ,"$2,147.00 ","$1,234.53 ","$1,352.61 ","$1,288.20 ",$462.89 ,$601.16 ,"$1,245.26 ",$483.93 ,"$1,309.67 ",$526.01 ,"$1,178.70 ","$1,178.70 ",$547.06 ,$159.28 ,$954.13 ,$469.23 ,$971.70 ,$483.93 ,$462.89 ,"$1,610.25 ","$1,524.37 ","$1,524.37 ",$483.93 ,"$1,524.37 ","$1,867.89 ","$1,867.89 ","$1,867.89 ", N/A ,"$1,932.30 ","$1,234.53 ","$1,824.95 ",$462.89 ,"$2,147.00 ","$1,204.47 ",$462.89 ,$888.86 ,$637.69 ,$579.72 ,$483.93 ,"$1,824.95 ",$919.48 ,"$1,178.70 ",$601.16 ,"$1,932.30 ","$2,147.00 ",$462.89 ,"$1,867.89 ","$1,944.00 ","$2,147.00 ","$1,944.00 ",$493.81 ,"$1,395.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000047,78580,HC LUNG PERFUS,340,1 ,"$2,363.00 ","$1,701.36 ",$177.24 ,"$2,363.00 ","$1,358.73 ","$1,488.69 ","$1,417.80 ",$509.46 ,$661.64 ,"$1,370.54 ",$532.62 ,"$1,441.43 ",$578.93 ,"$1,297.29 ","$1,297.29 ",$602.09 ,$177.24 ,"$1,050.12 ",$519.97 ,$971.70 ,$532.62 ,$509.46 ,"$1,772.25 ","$1,677.73 ","$1,677.73 ",$532.62 ,"$1,677.73 ","$2,055.81 ","$2,055.81 ","$2,055.81 ", N/A ,"$2,126.70 ","$1,358.73 ","$2,008.55 ",$509.46 ,"$2,363.00 ","$1,325.64 ",$509.46 ,$978.28 ,$714.53 ,$649.57 ,$532.62 ,"$2,008.55 ","$1,011.98 ","$1,297.29 ",$661.64 ,"$2,126.70 ","$2,363.00 ",$509.46 ,"$2,055.81 ","$1,944.00 ","$2,363.00 ","$1,944.00 ",$543.49 ,"$1,535.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$3,405.00 ","$2,451.60 ",$246.58 ,"$3,405.00 ","$1,957.88 ","$2,145.15 ","$2,043.00 ",$734.12 ,$953.40 ,"$1,974.90 ",$767.49 ,"$2,077.05 ",$834.21 ,"$1,869.35 ","$1,869.35 ",$867.59 ,$246.58 ,"$1,513.18 ",$729.38 ,"$1,261.25 ",$767.49 ,$734.12 ,"$2,553.75 ","$2,417.55 ","$2,417.55 ",$767.49 ,"$2,417.55 ","$2,962.35 ","$2,962.35 ","$2,962.35 ", N/A ,"$3,064.50 ","$1,957.88 ","$2,894.25 ",$734.12 ,"$3,405.00 ","$1,910.21 ",$734.12 ,"$1,409.67 ",$714.53 ,$649.57 ,$767.49 ,"$2,894.25 ","$1,458.23 ","$1,869.35 ",$953.40 ,"$3,064.50 ","$3,405.00 ",$734.12 ,"$2,962.35 ","$1,944.00 ","$3,405.00 ","$1,944.00 ",$783.15 ,"$2,213.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000060,78700,HC KIDNEY SCAN,340,1 ,"$1,301.00 ",$936.72 ,$133.12 ,"$1,301.00 ",$748.08 ,$819.63 ,$780.60 ,$280.50 ,$364.28 ,$754.58 ,$293.25 ,$793.61 ,$318.74 ,$714.25 ,$714.25 ,$331.49 ,$133.12 ,$578.16 ,$388.71 ,$971.70 ,$293.25 ,$280.50 ,$975.75 ,$923.71 ,$923.71 ,$293.25 ,$923.71 ,"$1,131.87 ","$1,131.87 ","$1,131.87 ", N/A ,"$1,170.90 ",$748.08 ,"$1,105.85 ",$280.50 ,"$1,301.00 ",$729.86 ,$280.50 ,$538.61 ,$637.69 ,$579.72 ,$293.25 ,"$1,105.85 ",$557.17 ,$714.25 ,$364.28 ,"$1,170.90 ","$1,301.00 ",$280.50 ,"$1,131.87 ","$1,301.00 ","$1,301.00 ","$1,301.00 ",$299.23 ,$845.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$3,991.00 ","$2,873.52 ",$112.95 ,"$3,991.00 ","$2,294.83 ","$2,514.33 ","$2,394.60 ",$860.46 ,"$1,117.48 ","$1,524.18 ",$899.57 ,"$1,595.07 ",$977.78 ,"$2,191.06 ","$2,191.06 ","$1,016.91 ",$112.95 ,"$1,773.60 ",$310.20 ,"$1,261.25 ",$899.57 ,$860.46 ,"$2,993.25 ","$2,833.61 ","$2,833.61 ",$899.57 ,"$2,833.61 ","$3,472.17 ","$3,472.17 ","$3,472.17 ", N/A ,"$3,591.90 ","$2,294.83 ","$3,392.35 ",$860.46 ,"$3,991.00 ","$2,238.95 ",$860.46 ,"$1,652.27 ",$637.69 ,$579.72 ,$899.57 ,"$3,392.35 ","$1,709.19 ","$2,191.06 ","$1,117.48 ","$3,591.90 ","$3,991.00 ",$860.46 ,"$3,472.17 ","$1,944.00 ","$3,991.00 ","$1,944.00 ",$917.93 ,"$2,594.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000065,78709,HC KIDNEY W AND W/O PHARM INTERVEN,340,1 ,"$4,254.00 ","$3,062.88 ",$266.34 ,"$4,254.00 ","$2,446.05 ","$2,680.02 ","$2,552.40 ",$917.16 ,"$1,191.12 ","$2,467.32 ",$958.85 ,"$2,594.94 ","$1,042.23 ","$2,335.45 ","$2,335.45 ","$1,083.92 ",$266.34 ,"$1,890.48 ",$779.27 ,"$1,261.25 ",$958.85 ,$917.16 ,"$3,190.50 ","$3,020.34 ","$3,020.34 ",$958.85 ,"$3,020.34 ","$3,700.98 ","$3,700.98 ","$3,700.98 ", N/A ,"$3,828.60 ","$2,446.05 ","$3,615.90 ",$917.16 ,"$4,254.00 ","$2,386.49 ",$917.16 ,"$1,761.16 ",$637.69 ,$579.72 ,$958.85 ,"$3,615.90 ","$1,821.82 ","$2,335.45 ","$1,191.12 ","$3,828.60 ","$4,254.00 ",$917.16 ,"$3,700.98 ","$1,944.00 ","$4,254.00 ","$1,944.00 ",$978.42 ,"$2,765.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,"$1,146.00 ",$825.12 ,$194.89 ,"$1,146.00 ",$658.95 ,$721.98 ,$687.60 ,$247.08 ,$320.88 ,$664.68 ,$258.31 ,$699.06 ,$280.77 ,$629.15 ,$629.15 ,$292.00 ,$194.89 ,$509.28 ,$580.36 ,$971.70 ,$258.31 ,$247.08 ,$859.50 ,$813.66 ,$813.66 ,$258.31 ,$813.66 ,$997.02 ,$997.02 ,$997.02 , N/A ,"$1,031.40 ",$658.95 ,$974.10 ,$247.08 ,"$1,146.00 ",$642.91 ,$247.08 ,$474.44 ,$714.53 ,$649.57 ,$258.31 ,$974.10 ,$490.78 ,$629.15 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$247.08 ,$997.02 ,"$1,146.00 ","$1,146.00 ","$1,146.00 ",$263.58 ,$744.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,34000070,78802,HC TUMOR IMAGE-WHOLE BODY-1 DAY,340,1 ,"$4,371.00 ","$3,147.12 ",$238.70 ,"$4,371.00 ","$2,513.33 ","$2,753.73 ","$2,622.60 ",$942.39 ,"$1,223.88 ","$2,535.18 ",$985.22 ,"$2,666.31 ","$1,070.89 ","$2,399.68 ","$2,399.68 ","$1,113.73 ",$238.70 ,"$1,942.47 ",$710.77 ,"$3,318.18 ",$985.22 ,$942.39 ,"$3,278.25 ","$3,103.41 ","$3,103.41 ",$985.22 ,"$3,103.41 ","$3,802.77 ","$3,802.77 ","$3,802.77 ", N/A ,"$3,933.90 ","$2,513.33 ","$3,715.35 ",$942.39 ,"$4,371.00 ","$2,452.13 ",$942.39 ,"$1,809.59 ","$1,564.43 ","$1,422.21 ",$985.22 ,"$3,715.35 ","$1,871.93 ","$2,399.68 ","$1,223.88 ","$3,933.90 ","$4,371.00 ",$942.39 ,"$3,802.77 ","$1,944.00 ","$4,371.00 ","$1,944.00 ","$1,005.33 ","$2,841.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$1,886.00 ","$1,357.92 ",$289.44 ,"$3,318.18 ","$1,084.45 ","$1,188.18 ","$1,131.60 ",$406.62 ,$528.08 ,"$1,093.88 ",$425.10 ,"$1,150.46 ",$462.07 ,"$1,035.41 ","$1,035.41 ",$480.55 ,$289.44 ,$838.14 ,$868.53 ,"$3,318.18 ",$425.10 ,$406.62 ,"$1,414.50 ","$1,339.06 ","$1,339.06 ",$425.10 ,"$1,339.06 ","$1,640.82 ","$1,640.82 ","$1,640.82 ", N/A ,"$1,697.40 ","$1,084.45 ","$1,603.10 ",$406.62 ,"$1,886.00 ","$1,058.05 ",$406.62 ,$780.80 ,"$1,564.43 ","$1,422.21 ",$425.10 ,"$1,603.10 ",$807.70 ,"$1,035.41 ",$528.08 ,"$1,697.40 ","$1,886.00 ",$406.62 ,"$1,640.82 ","$1,886.00 ","$1,886.00 ","$1,886.00 ",$433.78 ,"$1,225.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,"$2,752.00 ","$1,981.44 ",$146.67 ,"$2,752.00 ","$1,582.40 ","$1,733.76 ","$1,651.20 ",$593.33 ,$770.56 ,"$1,596.16 ",$620.30 ,"$1,678.72 ",$674.24 ,"$1,510.85 ","$1,510.85 ",$701.21 ,$146.67 ,"$1,222.99 ",$433.35 ,$971.70 ,$620.30 ,$593.33 ,"$2,064.00 ","$1,953.92 ","$1,953.92 ",$620.30 ,"$1,953.92 ","$2,394.24 ","$2,394.24 ","$2,394.24 ", N/A ,"$2,476.80 ","$1,582.40 ","$2,339.20 ",$593.33 ,"$2,752.00 ","$1,543.87 ",$593.33 ,"$1,139.33 ",$714.53 ,$649.57 ,$620.30 ,"$2,339.20 ","$1,178.57 ","$1,510.85 ",$770.56 ,"$2,476.80 ","$2,752.00 ",$593.33 ,"$2,394.24 ","$1,944.00 ","$2,752.00 ","$1,944.00 ",$632.96 ,"$1,788.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$2,752.00 ","$1,981.44 ",$346.66 ,"$2,752.00 ","$1,582.40 ","$1,733.76 ","$1,651.20 ",$593.33 ,$770.56 ,"$1,596.16 ",$620.30 ,"$1,678.72 ",$674.24 ,"$1,510.85 ","$1,510.85 ",$701.21 ,$346.66 ,"$1,222.99 ","$1,026.05 ","$1,261.25 ",$620.30 ,$593.33 ,"$2,064.00 ","$1,953.92 ","$1,953.92 ",$620.30 ,"$1,953.92 ","$2,394.24 ","$2,394.24 ","$2,394.24 ", N/A ,"$2,476.80 ","$1,582.40 ","$2,339.20 ",$593.33 ,"$2,752.00 ","$1,543.87 ",$593.33 ,"$1,139.33 ",$714.53 ,$649.57 ,$620.30 ,"$2,339.20 ","$1,178.57 ","$1,510.85 ",$770.56 ,"$2,476.80 ","$2,752.00 ",$593.33 ,"$2,394.24 ","$1,944.00 ","$2,752.00 ","$1,944.00 ",$632.96 ,"$1,788.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34100007,A9538,HC NM PYROPHOSPHATE 99M VIAL,343,1 ,$305.00 ,$219.60 ,$65.76 ,$305.00 ,$175.38 ,$192.15 ,$183.00 ,$65.76 ,$85.40 ,$176.90 ,$68.75 ,$186.05 ,$74.72 ,$167.45 ,$167.45 ,$77.71 ,$198.25 ,$135.54 , N/A , N/A ,$68.75 ,$65.76 ,$228.75 ,$216.55 ,$216.55 ,$68.75 ,$216.55 ,$265.35 ,$265.35 ,$265.35 , N/A ,$274.50 ,$175.38 ,$259.25 ,$65.76 ,$305.00 ,$171.11 ,$65.76 ,$126.27 , N/A , N/A ,$68.75 ,$259.25 ,$130.62 ,$167.45 ,$85.40 ,$274.50 ,$305.00 ,$65.76 ,$265.35 ,$79.40 ,$305.00 ,$79.40 ,$70.15 ,$198.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,$367.00 ,$264.24 ,$79.13 ,$367.00 ,$211.03 ,$231.21 ,$220.20 ,$79.13 ,$102.76 ,$212.86 ,$82.72 ,$223.87 ,$89.91 ,$201.48 ,$201.48 ,$93.51 ,$238.55 ,$163.09 , N/A , N/A ,$82.72 ,$79.13 ,$275.25 ,$260.57 ,$260.57 ,$82.72 ,$260.57 ,$319.29 ,$319.29 ,$319.29 , N/A ,$330.30 ,$211.03 ,$311.95 ,$79.13 ,$367.00 ,$205.89 ,$79.13 ,$151.94 , N/A , N/A ,$82.72 ,$311.95 ,$157.17 ,$201.48 ,$102.76 ,$330.30 ,$367.00 ,$79.13 ,$319.29 ,$367.00 ,$367.00 ,$367.00 ,$84.41 ,$238.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300003,A9502,HC TETROFOSMIN/MYOVUE,343,1 ,$613.00 ,$441.36 ,$132.16 ,$613.00 ,$352.48 ,$386.19 ,$367.80 ,$132.16 ,$171.64 ,$355.54 ,$138.17 ,$373.93 ,$150.18 ,$336.54 ,$336.54 ,$156.19 ,$398.45 ,$272.42 , N/A , N/A ,$138.17 ,$132.16 ,$459.75 ,$435.23 ,$435.23 ,$138.17 ,$435.23 ,$533.31 ,$533.31 ,$533.31 , N/A ,$551.70 ,$352.48 ,$521.05 ,$132.16 ,$613.00 ,$343.89 ,$132.16 ,$253.78 , N/A , N/A ,$138.17 ,$521.05 ,$262.52 ,$336.54 ,$171.64 ,$551.70 ,$613.00 ,$132.16 ,$533.31 ,$225.34 ,$613.00 ,$225.34 ,$140.99 ,$398.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$627.00 ,$451.44 ,$33.54 ,$627.00 ,$360.53 ,$395.01 ,$376.20 ,$135.18 ,$175.56 ,$134.16 ,$141.33 ,$140.40 ,$153.61 ,$344.22 ,$344.22 ,$159.76 ,$407.55 ,$278.64 , N/A , N/A ,$141.33 ,$135.18 ,$470.25 ,$445.17 ,$445.17 ,$141.33 ,$445.17 ,$545.49 ,$545.49 ,$545.49 , N/A ,$564.30 ,$360.53 ,$532.95 ,$135.18 ,$627.00 ,$351.75 ,$135.18 ,$259.58 , N/A , N/A ,$141.33 ,$532.95 ,$268.52 ,$344.22 ,$175.56 ,$564.30 ,$627.00 ,$135.18 ,$545.49 ,$33.54 ,$627.00 ,$33.54 ,$144.21 ,$407.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$134.00 ,$96.48 ,$28.89 ,$134.00 ,$77.05 ,$84.42 ,$80.40 ,$28.89 ,$37.52 ,$77.72 ,$30.20 ,$81.74 ,$32.83 ,$73.57 ,$73.57 ,$34.14 ,$87.10 ,$59.55 , N/A , N/A ,$30.20 ,$28.89 ,$100.50 ,$95.14 ,$95.14 ,$30.20 ,$95.14 ,$116.58 ,$116.58 ,$116.58 , N/A ,$120.60 ,$77.05 ,$113.90 ,$28.89 ,$134.00 ,$75.17 ,$28.89 ,$55.48 , N/A , N/A ,$30.20 ,$113.90 ,$57.39 ,$73.57 ,$37.52 ,$120.60 ,$134.00 ,$28.89 ,$116.58 ,$134.00 ,$134.00 ,$134.00 ,$30.82 ,$87.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300007,A9507,HC DIAGNUCLIDE PROSTASCINT,343,1 ,"$4,177.00 ","$3,007.44 ",$900.56 ,"$4,177.00 ","$2,401.78 ","$2,631.51 ","$2,506.20 ",$900.56 ,"$1,169.56 ","$2,422.66 ",$941.50 ,"$2,547.97 ","$1,023.36 ","$2,293.17 ","$2,293.17 ","$1,064.30 ","$2,715.05 ","$1,856.26 ", N/A , N/A ,$941.50 ,$900.56 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$941.50 ,"$2,965.67 ","$3,633.99 ","$3,633.99 ","$3,633.99 ", N/A ,"$3,759.30 ","$2,401.78 ","$3,550.45 ",$900.56 ,"$4,177.00 ","$2,343.30 ",$900.56 ,"$1,729.28 ", N/A , N/A ,$941.50 ,"$3,550.45 ","$1,788.84 ","$2,293.17 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$900.56 ,"$3,633.99 ","$1,689.15 ","$4,177.00 ","$1,689.15 ",$960.71 ,"$2,715.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$114.00 ,$82.08 ,$8.38 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$66.12 ,$25.70 ,$69.54 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$74.10 ,$50.66 , N/A , N/A ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 , N/A , N/A ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 ,$8.38 ,$114.00 ,$8.38 ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$100.00 ,$72.00 ,$21.56 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$65.00 ,$44.44 , N/A , N/A ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 , N/A , N/A ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$100.00 ,$100.00 ,$100.00 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300011,A9517,HC DIAGNUCLIDE I131 CAPS PER MCI,343,1 ,$136.00 ,$97.92 ,$29.32 ,"$1,143.68 ",$78.20 ,$85.68 ,$81.60 ,$29.32 ,$38.08 ,$78.88 ,$30.65 ,$82.96 ,$33.32 ,$74.66 ,$74.66 ,$34.65 ,$88.40 ,$60.44 ,$95.20 ,$59.33 ,$30.65 ,$29.32 ,$102.00 ,$96.56 ,$96.56 ,$30.65 ,$96.56 ,$118.32 ,$118.32 ,$118.32 , N/A ,$122.40 ,$78.20 ,$115.60 ,$29.32 ,$136.00 ,$76.30 ,$29.32 ,$56.30 ,"$1,143.68 ","$1,039.71 ",$30.65 ,$115.60 ,$58.24 ,$74.66 ,$38.08 ,$122.40 ,$136.00 ,$29.32 ,$118.32 ,$39.15 ,$136.00 ,$39.15 ,$31.28 ,$88.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300012,A9521,HC DIAGNUCLIDE CERETEC,343,1 ,$156.00 ,$112.32 ,$33.63 ,$156.00 ,$89.70 ,$98.28 ,$93.60 ,$33.63 ,$43.68 ,$90.48 ,$35.16 ,$95.16 ,$38.22 ,$85.64 ,$85.64 ,$39.75 ,$101.40 ,$69.33 , N/A , N/A ,$35.16 ,$33.63 ,$117.00 ,$110.76 ,$110.76 ,$35.16 ,$110.76 ,$135.72 ,$135.72 ,$135.72 , N/A ,$140.40 ,$89.70 ,$132.60 ,$33.63 ,$156.00 ,$87.52 ,$33.63 ,$64.58 , N/A , N/A ,$35.16 ,$132.60 ,$66.81 ,$85.64 ,$43.68 ,$140.40 ,$156.00 ,$33.63 ,$135.72 ,$156.00 ,$156.00 ,$156.00 ,$35.88 ,$101.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$198.00 ,$142.56 ,$42.69 ,$198.00 ,$113.85 ,$124.74 ,$118.80 ,$42.69 ,$55.44 ,$114.84 ,$44.63 ,$120.78 ,$48.51 ,$108.70 ,$108.70 ,$50.45 ,$128.70 ,$87.99 , N/A , N/A ,$44.63 ,$42.69 ,$148.50 ,$140.58 ,$140.58 ,$44.63 ,$140.58 ,$172.26 ,$172.26 ,$172.26 , N/A ,$178.20 ,$113.85 ,$168.30 ,$42.69 ,$198.00 ,$111.08 ,$42.69 ,$81.97 , N/A , N/A ,$44.63 ,$168.30 ,$84.80 ,$108.70 ,$55.44 ,$178.20 ,$198.00 ,$42.69 ,$172.26 ,$187.21 ,$198.00 ,$187.21 ,$45.54 ,$128.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$305.00 ,$219.60 ,$50.89 ,$305.00 ,$175.38 ,$192.15 ,$183.00 ,$65.76 ,$85.40 ,$176.90 ,$68.75 ,$186.05 ,$74.72 ,$167.45 ,$167.45 ,$77.71 ,$198.25 ,$135.54 , N/A , N/A ,$68.75 ,$65.76 ,$228.75 ,$216.55 ,$216.55 ,$68.75 ,$216.55 ,$265.35 ,$265.35 ,$265.35 , N/A ,$274.50 ,$175.38 ,$259.25 ,$65.76 ,$305.00 ,$171.11 ,$65.76 ,$126.27 , N/A , N/A ,$68.75 ,$259.25 ,$130.62 ,$167.45 ,$85.40 ,$274.50 ,$305.00 ,$65.76 ,$265.35 ,$50.89 ,$305.00 ,$50.89 ,$70.15 ,$198.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$110.00 ,$79.20 ,$23.72 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 , N/A , N/A ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 , N/A , N/A ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$54.80 ,$110.00 ,$54.80 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$110.00 ,$79.20 ,$23.72 ,$110.00 ,$63.25 ,$69.30 ,$66.00 ,$23.72 ,$30.80 ,$63.80 ,$24.79 ,$67.10 ,$26.95 ,$60.39 ,$60.39 ,$28.03 ,$71.50 ,$48.88 , N/A , N/A ,$24.79 ,$23.72 ,$82.50 ,$78.10 ,$78.10 ,$24.79 ,$78.10 ,$95.70 ,$95.70 ,$95.70 , N/A ,$99.00 ,$63.25 ,$93.50 ,$23.72 ,$110.00 ,$61.71 ,$23.72 ,$45.54 , N/A , N/A ,$24.79 ,$93.50 ,$47.11 ,$60.39 ,$30.80 ,$99.00 ,$110.00 ,$23.72 ,$95.70 ,$110.00 ,$110.00 ,$110.00 ,$25.30 ,$71.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$1,892.00 ","$1,362.24 ",$407.92 ,"$1,892.00 ","$1,087.90 ","$1,191.96 ","$1,135.20 ",$407.92 ,$529.76 ,"$1,097.36 ",$426.46 ,"$1,154.12 ",$463.54 ,"$1,038.71 ","$1,038.71 ",$482.08 ,"$1,229.80 ",$840.80 , N/A , N/A ,$426.46 ,$407.92 ,"$1,419.00 ","$1,343.32 ","$1,343.32 ",$426.46 ,"$1,343.32 ","$1,646.04 ","$1,646.04 ","$1,646.04 ", N/A ,"$1,702.80 ","$1,087.90 ","$1,608.20 ",$407.92 ,"$1,892.00 ","$1,061.41 ",$407.92 ,$783.29 , N/A , N/A ,$426.46 ,"$1,608.20 ",$810.26 ,"$1,038.71 ",$529.76 ,"$1,702.80 ","$1,892.00 ",$407.92 ,"$1,646.04 ",$599.96 ,"$1,892.00 ",$599.96 ,$435.16 ,"$1,229.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34300031,A9556,HC DIAGNUCLIDE GA67 PER MCI,343,1 ,$119.00 ,$85.68 ,$25.66 ,$119.00 ,$68.43 ,$74.97 ,$71.40 ,$25.66 ,$33.32 ,$69.02 ,$26.82 ,$72.59 ,$29.15 ,$65.33 ,$65.33 ,$30.32 ,$77.35 ,$52.88 , N/A , N/A ,$26.82 ,$25.66 ,$89.25 ,$84.49 ,$84.49 ,$26.82 ,$84.49 ,$103.53 ,$103.53 ,$103.53 , N/A ,$107.10 ,$68.43 ,$101.15 ,$25.66 ,$119.00 ,$66.76 ,$25.66 ,$49.27 , N/A , N/A ,$26.82 ,$101.15 ,$50.96 ,$65.33 ,$33.32 ,$107.10 ,$119.00 ,$25.66 ,$103.53 ,$38.02 ,$119.00 ,$38.02 ,$27.37 ,$77.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$405.00 ,$291.60 ,$87.32 ,$405.00 ,$232.88 ,$255.15 ,$243.00 ,$87.32 ,$113.40 ,$234.90 ,$91.29 ,$247.05 ,$99.22 ,$222.35 ,$222.35 ,$103.19 ,$263.25 ,$179.98 , N/A , N/A ,$91.29 ,$87.32 ,$303.75 ,$287.55 ,$287.55 ,$91.29 ,$287.55 ,$352.35 ,$352.35 ,$352.35 , N/A ,$364.50 ,$232.88 ,$344.25 ,$87.32 ,$405.00 ,$227.21 ,$87.32 ,$167.67 , N/A , N/A ,$91.29 ,$344.25 ,$173.45 ,$222.35 ,$113.40 ,$364.50 ,$405.00 ,$87.32 ,$352.35 ,$172.21 ,$405.00 ,$172.21 ,$93.15 ,$263.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,$451.00 ,$324.72 ,$97.24 ,$451.00 ,$259.33 ,$284.13 ,$270.60 ,$97.24 ,$126.28 ,$261.58 ,$101.66 ,$275.11 ,$110.49 ,$247.60 ,$247.60 ,$114.91 ,$293.15 ,$200.42 , N/A , N/A ,$101.66 ,$97.24 ,$338.25 ,$320.21 ,$320.21 ,$101.66 ,$320.21 ,$392.37 ,$392.37 ,$392.37 , N/A ,$405.90 ,$259.33 ,$383.35 ,$97.24 ,$451.00 ,$253.01 ,$97.24 ,$186.71 , N/A , N/A ,$101.66 ,$383.35 ,$193.15 ,$247.60 ,$126.28 ,$405.90 ,$451.00 ,$97.24 ,$392.37 ,$451.00 ,$451.00 ,$451.00 ,$103.73 ,$293.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$360.00 ,$259.20 ,$77.62 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$197.64 ,$159.98 ,$238.16 , N/A ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 ,$231.76 ,$210.69 ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$203.10 ,$360.00 ,$203.10 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300057,A9569,HC TC99M EXAMETAZIME CERETEC DX PER DOSE,343,1 ,"$3,381.00 ","$2,434.32 ",$728.94 ,"$3,381.00 ","$1,944.08 ","$2,130.03 ","$2,028.60 ",$728.94 ,$946.68 ,"$1,960.98 ",$762.08 ,"$2,062.41 ",$828.34 ,"$1,856.17 ","$1,856.17 ",$861.48 ,"$2,197.65 ","$1,502.52 ", N/A , N/A ,$762.08 ,$728.94 ,"$2,535.75 ","$2,400.51 ","$2,400.51 ",$762.08 ,"$2,400.51 ","$2,941.47 ","$2,941.47 ","$2,941.47 ", N/A ,"$3,042.90 ","$1,944.08 ","$2,873.85 ",$728.94 ,"$3,381.00 ","$1,896.74 ",$728.94 ,"$1,399.73 ", N/A , N/A ,$762.08 ,"$2,873.85 ","$1,447.95 ","$1,856.17 ",$946.68 ,"$3,042.90 ","$3,381.00 ",$728.94 ,"$2,941.47 ","$2,702.88 ","$3,381.00 ","$2,702.88 ",$777.63 ,"$2,197.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,$367.00 ,$264.24 ,$79.13 ,$367.00 ,$211.03 ,$231.21 ,$220.20 ,$79.13 ,$102.76 ,$212.86 ,$82.72 ,$223.87 ,$89.91 ,$201.48 ,$201.48 ,$93.51 ,$238.55 ,$163.09 , N/A , N/A ,$82.72 ,$79.13 ,$275.25 ,$260.57 ,$260.57 ,$82.72 ,$260.57 ,$319.29 ,$319.29 ,$319.29 , N/A ,$330.30 ,$211.03 ,$311.95 ,$79.13 ,$367.00 ,$205.89 ,$79.13 ,$151.94 , N/A , N/A ,$82.72 ,$311.95 ,$157.17 ,$201.48 ,$102.76 ,$330.30 ,$367.00 ,$79.13 ,$319.29 ,$367.00 ,$367.00 ,$367.00 ,$84.41 ,$238.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300059,A9510,HC DIAGNUCLIDE TC-99 DISOFENIN DIAG PER STUDY UP TO 15MCI,343,1 ,$176.00 ,$126.72 ,$37.95 ,$176.00 ,$101.20 ,$110.88 ,$105.60 ,$37.95 ,$49.28 ,$102.08 ,$39.67 ,$107.36 ,$43.12 ,$96.62 ,$96.62 ,$44.84 ,$114.40 ,$78.21 , N/A , N/A ,$39.67 ,$37.95 ,$132.00 ,$124.96 ,$124.96 ,$39.67 ,$124.96 ,$153.12 ,$153.12 ,$153.12 , N/A ,$158.40 ,$101.20 ,$149.60 ,$37.95 ,$176.00 ,$98.74 ,$37.95 ,$72.86 , N/A , N/A ,$39.67 ,$149.60 ,$75.37 ,$96.62 ,$49.28 ,$158.40 ,$176.00 ,$37.95 ,$153.12 ,$118.54 ,$176.00 ,$118.54 ,$40.48 ,$114.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300063,A9567,HC DIAGNUCLIDE TC-99 PETETATE AERO PER STUDY UP TO 75MCI,343,1 ,$119.00 ,$85.68 ,$25.66 ,$119.00 ,$68.43 ,$74.97 ,$71.40 ,$25.66 ,$33.32 ,$69.02 ,$26.82 ,$72.59 ,$29.15 ,$65.33 ,$65.33 ,$30.32 ,$77.35 ,$52.88 , N/A , N/A ,$26.82 ,$25.66 ,$89.25 ,$84.49 ,$84.49 ,$26.82 ,$84.49 ,$103.53 ,$103.53 ,$103.53 , N/A ,$107.10 ,$68.43 ,$101.15 ,$25.66 ,$119.00 ,$66.76 ,$25.66 ,$49.27 , N/A , N/A ,$26.82 ,$101.15 ,$50.96 ,$65.33 ,$33.32 ,$107.10 ,$119.00 ,$25.66 ,$103.53 ,$35.23 ,$119.00 ,$35.23 ,$27.37 ,$77.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300067,A9561,HC DIAGNUCLIDE TC-99 OXIDRONATE PER STUDY UP TO 30MCI,343,1 ,$305.00 ,$219.60 ,$65.76 ,$305.00 ,$175.38 ,$192.15 ,$183.00 ,$65.76 ,$85.40 ,$176.90 ,$68.75 ,$186.05 ,$74.72 ,$167.45 ,$167.45 ,$77.71 ,$198.25 ,$135.54 , N/A , N/A ,$68.75 ,$65.76 ,$228.75 ,$216.55 ,$216.55 ,$68.75 ,$216.55 ,$265.35 ,$265.35 ,$265.35 , N/A ,$274.50 ,$175.38 ,$259.25 ,$65.76 ,$305.00 ,$171.11 ,$65.76 ,$126.27 , N/A , N/A ,$68.75 ,$259.25 ,$130.62 ,$167.45 ,$85.40 ,$274.50 ,$305.00 ,$65.76 ,$265.35 ,$82.19 ,$305.00 ,$82.19 ,$70.15 ,$198.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,34300072,A9595,"HC PIFLUFOLASTAT F-18, DIAGNOSTIC, 1 MILLICURIE",343,1 ,"$1,579.00 ","$1,136.88 ",$340.43 ,"$1,579.00 ",$907.93 ,$994.77 ,$947.40 ,$340.43 ,$442.12 ,$915.82 ,$355.91 ,$963.19 ,$386.85 ,$866.87 ,$866.87 ,$402.33 ,"$1,026.35 ",$701.71 , N/A ,"$1,450.88 ",$355.91 ,$340.43 ,"$1,184.25 ","$1,121.09 ","$1,121.09 ",$355.91 ,"$1,121.09 ","$1,373.73 ","$1,373.73 ","$1,373.73 ", N/A ,"$1,421.10 ",$907.93 ,"$1,342.15 ",$340.43 ,"$1,579.00 ",$885.82 ,$340.43 ,$653.71 , N/A , N/A ,$355.91 ,"$1,342.15 ",$676.22 ,$866.87 ,$442.12 ,"$1,421.10 ","$1,579.00 ",$340.43 ,"$1,373.73 ",$920.75 ,"$1,579.00 ",$920.75 ,$363.17 ,"$1,026.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000006,21550,HC BX TISSUE NECK/THORAX,350,1 ,"$3,921.00 ","$2,823.12 ",$160.24 ,"$3,921.00 ","$2,254.58 ","$2,470.23 ","$2,352.60 ",$845.37 ,"$1,097.88 ","$2,274.18 ",$883.79 ,"$2,391.81 ",$960.64 ,"$2,152.63 ","$2,152.63 ",$999.07 ,$160.24 ,"$1,742.49 ","$2,744.70 ","$3,748.88 ",$883.79 ,$845.37 ,"$2,940.75 ","$2,783.91 ","$2,783.91 ",$883.79 ,"$2,783.91 ","$3,411.27 ","$3,411.27 ","$3,411.27 ", N/A ,"$3,528.90 ","$2,254.58 ","$3,332.85 ",$845.37 ,"$3,921.00 ","$2,199.68 ",$845.37 ,"$1,623.29 ","$1,094.18 ",$994.71 ,$883.79 ,"$3,332.85 ","$1,679.21 ","$2,152.63 ","$1,097.88 ","$3,528.90 ","$3,921.00 ",$845.37 ,"$3,411.27 ","$1,038.00 ","$3,921.00 ","$1,038.00 ",$901.83 ,"$2,548.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$3,135.00 ","$2,257.20 ",$86.15 ,"$3,748.88 ","$1,802.63 ","$1,975.05 ","$1,881.00 ",$675.91 ,$877.80 ,"$1,818.30 ",$706.63 ,"$1,912.35 ",$768.07 ,"$1,721.12 ","$1,721.12 ",$798.80 ,$86.15 ,"$1,393.19 ","$2,194.50 ","$3,748.88 ",$706.63 ,$675.91 ,"$2,351.25 ","$2,225.85 ","$2,225.85 ",$706.63 ,"$2,225.85 ","$2,727.45 ","$2,727.45 ","$2,727.45 ", N/A ,"$2,821.50 ","$1,802.63 ","$2,664.75 ",$675.91 ,"$3,135.00 ","$1,758.74 ",$675.91 ,"$1,297.89 ","$1,032.79 ",$938.90 ,$706.63 ,"$2,664.75 ","$1,342.60 ","$1,721.12 ",$877.80 ,"$2,821.50 ","$3,135.00 ",$675.91 ,"$2,727.45 ","$1,038.00 ","$3,135.00 ","$1,038.00 ",$721.05 ,"$2,037.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000028,60100,HC BX THYROID NEEDLE PERC,350,1 ,$580.00 ,$417.60 ,$80.39 ,"$1,622.43 ",$333.50 ,$365.40 ,$348.00 ,$125.05 ,$162.40 ,$336.40 ,$130.73 ,$353.80 ,$142.10 ,$318.42 ,$318.42 ,$147.78 ,$80.39 ,$257.75 ,$406.00 ,"$1,622.43 ",$130.73 ,$125.05 ,$435.00 ,$411.80 ,$411.80 ,$130.73 ,$411.80 ,$504.60 ,$504.60 ,$504.60 , N/A ,$522.00 ,$333.50 ,$493.00 ,$125.05 ,$580.00 ,$325.38 ,$125.05 ,$240.12 ,"$1,032.79 ",$938.90 ,$130.73 ,$493.00 ,$248.39 ,$318.42 ,$162.40 ,$522.00 ,$580.00 ,$125.05 ,$504.60 ,$580.00 ,$580.00 ,$580.00 ,$133.40 ,$377.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,035.00 ","$1,465.20 ",$66.14 ,"$2,035.00 ","$1,170.13 ","$1,282.05 ","$1,221.00 ",$438.75 ,$569.80 ,$902.91 ,$458.69 ,$944.91 ,$498.57 ,"$1,117.22 ","$1,117.22 ",$518.52 ,$66.14 ,$904.35 ,"$1,049.00 ",$267.20 ,$458.69 ,$438.75 ,"$1,526.25 ","$1,444.85 ","$1,444.85 ",$458.69 ,"$1,444.85 ","$1,770.45 ","$1,770.45 ","$1,770.45 ", N/A ,"$1,831.50 ","$1,170.13 ","$1,729.75 ",$438.75 ,"$2,035.00 ","$1,141.64 ",$438.75 ,$842.49 ,$485.18 ,$441.07 ,$458.69 ,"$1,729.75 ",$871.51 ,"$1,117.22 ",$569.80 ,"$1,831.50 ","$2,035.00 ",$438.75 ,"$1,770.45 ","$1,038.00 ","$2,035.00 ","$1,038.00 ",$468.05 ,"$1,322.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$2,358.00 ","$1,697.76 ",$94.50 ,"$2,358.00 ","$1,355.85 ","$1,485.54 ","$1,414.80 ",$508.38 ,$660.24 ,"$1,306.94 ",$531.49 ,"$1,367.73 ",$577.71 ,"$1,294.54 ","$1,294.54 ",$600.82 ,$94.50 ,"$1,047.90 ","$1,049.00 ",$450.85 ,$531.49 ,$508.38 ,"$1,768.50 ","$1,674.18 ","$1,674.18 ",$531.49 ,"$1,674.18 ","$2,051.46 ","$2,051.46 ","$2,051.46 ", N/A ,"$2,122.20 ","$1,355.85 ","$2,004.30 ",$508.38 ,"$2,358.00 ","$1,322.84 ",$508.38 ,$976.21 ,$485.18 ,$441.07 ,$531.49 ,"$2,004.30 ","$1,009.84 ","$1,294.54 ",$660.24 ,"$2,122.20 ","$2,358.00 ",$508.38 ,"$2,051.46 ","$1,038.00 ","$2,358.00 ","$1,038.00 ",$542.34 ,"$1,532.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$2,871.00 ","$2,067.12 ",$113.99 ,"$2,871.00 ","$1,650.83 ","$1,808.73 ","$1,722.60 ",$618.99 ,$803.88 ,"$1,571.91 ",$647.12 ,"$1,645.02 ",$703.39 ,"$1,576.18 ","$1,576.18 ",$731.53 ,$113.99 ,"$1,275.87 ","$1,049.00 ",$450.85 ,$647.12 ,$618.99 ,"$2,153.25 ","$2,038.41 ","$2,038.41 ",$647.12 ,"$2,038.41 ","$2,497.77 ","$2,497.77 ","$2,497.77 ", N/A ,"$2,583.90 ","$1,650.83 ","$2,440.35 ",$618.99 ,"$2,871.00 ","$1,610.63 ",$618.99 ,"$1,188.59 ",$485.18 ,$441.07 ,$647.12 ,"$2,440.35 ","$1,229.54 ","$1,576.18 ",$803.88 ,"$2,583.90 ","$2,871.00 ",$618.99 ,"$2,497.77 ","$1,038.00 ","$2,871.00 ","$1,038.00 ",$660.33 ,"$1,866.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$2,242.00 ","$1,614.24 ",$97.97 ,"$2,242.00 ","$1,289.15 ","$1,412.46 ","$1,345.20 ",$483.38 ,$627.76 ,"$1,300.36 ",$505.35 ,"$1,367.62 ",$549.29 ,"$1,230.86 ","$1,230.86 ",$571.26 ,$97.97 ,$996.34 ,"$1,049.00 ",$267.20 ,$505.35 ,$483.38 ,"$1,681.50 ","$1,591.82 ","$1,591.82 ",$505.35 ,"$1,591.82 ","$1,950.54 ","$1,950.54 ","$1,950.54 ", N/A ,"$2,017.80 ","$1,289.15 ","$1,905.70 ",$483.38 ,"$2,242.00 ","$1,257.76 ",$483.38 ,$928.19 ,$235.76 ,$214.33 ,$505.35 ,"$1,905.70 ",$960.15 ,"$1,230.86 ",$627.76 ,"$2,017.80 ","$2,242.00 ",$483.38 ,"$1,950.54 ","$1,038.00 ","$2,242.00 ","$1,038.00 ",$515.66 ,"$1,457.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$2,610.00 ","$1,879.20 ",$127.23 ,"$2,610.00 ","$1,500.75 ","$1,644.30 ","$1,566.00 ",$562.72 ,$730.80 ,"$1,513.80 ",$588.29 ,"$1,592.10 ",$639.45 ,"$1,432.89 ","$1,432.89 ",$665.03 ,$127.23 ,"$1,159.88 ","$1,049.00 ",$450.85 ,$588.29 ,$562.72 ,"$1,957.50 ","$1,853.10 ","$1,853.10 ",$588.29 ,"$1,853.10 ","$2,270.70 ","$2,270.70 ","$2,270.70 ", N/A ,"$2,349.00 ","$1,500.75 ","$2,218.50 ",$562.72 ,"$2,610.00 ","$1,464.21 ",$562.72 ,"$1,080.54 ",$235.76 ,$214.33 ,$588.29 ,"$2,218.50 ","$1,117.76 ","$1,432.89 ",$730.80 ,"$2,349.00 ","$2,610.00 ",$562.72 ,"$2,270.70 ","$1,038.00 ","$2,610.00 ","$1,038.00 ",$600.30 ,"$1,696.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$3,184.00 ","$2,292.48 ",$150.86 ,"$3,184.00 ","$1,830.80 ","$2,005.92 ","$1,910.40 ",$686.47 ,$891.52 ,"$1,846.72 ",$717.67 ,"$1,942.24 ",$780.08 ,"$1,748.02 ","$1,748.02 ",$811.28 ,$150.86 ,"$1,414.97 ","$1,049.00 ",$450.85 ,$717.67 ,$686.47 ,"$2,388.00 ","$2,260.64 ","$2,260.64 ",$717.67 ,"$2,260.64 ","$2,770.08 ","$2,770.08 ","$2,770.08 ", N/A ,"$2,865.60 ","$1,830.80 ","$2,706.40 ",$686.47 ,"$3,184.00 ","$1,786.22 ",$686.47 ,"$1,318.18 ",$235.76 ,$214.33 ,$717.67 ,"$2,706.40 ","$1,363.58 ","$1,748.02 ",$891.52 ,"$2,865.60 ","$3,184.00 ",$686.47 ,"$2,770.08 ","$1,038.00 ","$3,184.00 ","$1,038.00 ",$732.32 ,"$2,069.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$2,016.00 ","$1,451.52 ",$87.57 ,"$2,016.00 ","$1,159.20 ","$1,270.08 ","$1,209.60 ",$434.65 ,$564.48 ,"$1,169.28 ",$454.41 ,"$1,229.76 ",$493.92 ,"$1,106.78 ","$1,106.78 ",$513.68 ,$87.57 ,$895.91 ,"$1,049.00 ",$267.20 ,$454.41 ,$434.65 ,"$1,512.00 ","$1,431.36 ","$1,431.36 ",$454.41 ,"$1,431.36 ","$1,753.92 ","$1,753.92 ","$1,753.92 ", N/A ,"$1,814.40 ","$1,159.20 ","$1,713.60 ",$434.65 ,"$2,016.00 ","$1,130.98 ",$434.65 ,$834.62 ,$235.76 ,$214.33 ,$454.41 ,"$1,713.60 ",$863.37 ,"$1,106.78 ",$564.48 ,"$1,814.40 ","$2,016.00 ",$434.65 ,"$1,753.92 ","$1,038.00 ","$2,016.00 ","$1,038.00 ",$463.68 ,"$1,310.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$2,193.00 ","$1,578.96 ",$98.60 ,"$2,193.00 ","$1,260.98 ","$1,381.59 ","$1,315.80 ",$472.81 ,$614.04 ,"$1,271.94 ",$494.30 ,"$1,337.73 ",$537.28 ,"$1,203.96 ","$1,203.96 ",$558.78 ,$98.60 ,$974.57 ,"$1,049.00 ",$450.85 ,$494.30 ,$472.81 ,"$1,644.75 ","$1,557.03 ","$1,557.03 ",$494.30 ,"$1,557.03 ","$1,907.91 ","$1,907.91 ","$1,907.91 ", N/A ,"$1,973.70 ","$1,260.98 ","$1,864.05 ",$472.81 ,"$2,193.00 ","$1,230.27 ",$472.81 ,$907.90 ,$235.76 ,$214.33 ,$494.30 ,"$1,864.05 ",$939.17 ,"$1,203.96 ",$614.04 ,"$1,973.70 ","$2,193.00 ",$472.81 ,"$1,907.91 ","$1,038.00 ","$2,193.00 ","$1,038.00 ",$504.39 ,"$1,425.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$2,501.00 ","$1,800.72 ",$125.02 ,"$2,501.00 ","$1,438.08 ","$1,575.63 ","$1,500.60 ",$539.22 ,$700.28 ,"$1,450.58 ",$563.73 ,"$1,525.61 ",$612.74 ,"$1,373.05 ","$1,373.05 ",$637.25 ,$125.02 ,"$1,111.44 ","$1,049.00 ",$450.85 ,$563.73 ,$539.22 ,"$1,875.75 ","$1,775.71 ","$1,775.71 ",$563.73 ,"$1,775.71 ","$2,175.87 ","$2,175.87 ","$2,175.87 ", N/A ,"$2,250.90 ","$1,438.08 ","$2,125.85 ",$539.22 ,"$2,501.00 ","$1,403.06 ",$539.22 ,"$1,035.41 ",$235.76 ,$214.33 ,$563.73 ,"$2,125.85 ","$1,071.08 ","$1,373.05 ",$700.28 ,"$2,250.90 ","$2,501.00 ",$539.22 ,"$2,175.87 ","$1,038.00 ","$2,501.00 ","$1,038.00 ",$575.23 ,"$1,625.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$2,191.00 ","$1,577.52 ",$89.77 ,"$2,191.00 ","$1,259.83 ","$1,380.33 ","$1,314.60 ",$472.38 ,$613.48 ,"$1,270.78 ",$493.85 ,"$1,335.87 ",$536.79 ,"$1,202.86 ","$1,202.86 ",$558.27 ,$89.77 ,$973.68 ,"$1,049.00 ",$267.20 ,$493.85 ,$472.38 ,"$1,643.25 ","$1,555.61 ","$1,555.61 ",$493.85 ,"$1,555.61 ","$1,906.17 ","$1,906.17 ","$1,906.17 ", N/A ,"$1,971.90 ","$1,259.83 ","$1,862.35 ",$472.38 ,"$2,191.00 ","$1,229.15 ",$472.38 ,$907.07 ,$235.76 ,$214.33 ,$493.85 ,"$1,862.35 ",$938.32 ,"$1,202.86 ",$613.48 ,"$1,971.90 ","$2,191.00 ",$472.38 ,"$1,906.17 ","$1,038.00 ","$2,191.00 ","$1,038.00 ",$503.93 ,"$1,424.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$2,636.00 ","$1,897.92 ",$119.66 ,"$2,636.00 ","$1,515.70 ","$1,660.68 ","$1,581.60 ",$568.32 ,$738.08 ,"$1,528.88 ",$594.15 ,"$1,607.96 ",$645.82 ,"$1,447.16 ","$1,447.16 ",$671.65 ,$119.66 ,"$1,171.44 ","$1,049.00 ",$450.85 ,$594.15 ,$568.32 ,"$1,977.00 ","$1,871.56 ","$1,871.56 ",$594.15 ,"$1,871.56 ","$2,293.32 ","$2,293.32 ","$2,293.32 ", N/A ,"$2,372.40 ","$1,515.70 ","$2,240.60 ",$568.32 ,"$2,636.00 ","$1,478.80 ",$568.32 ,"$1,091.30 ",$235.76 ,$214.33 ,$594.15 ,"$2,240.60 ","$1,128.89 ","$1,447.16 ",$738.08 ,"$2,372.40 ","$2,636.00 ",$568.32 ,"$2,293.32 ","$1,038.00 ","$2,636.00 ","$1,038.00 ",$606.28 ,"$1,713.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$2,645.00 ","$1,904.40 ",$146.14 ,"$2,645.00 ","$1,520.88 ","$1,666.35 ","$1,587.00 ",$570.26 ,$740.60 ,"$1,534.10 ",$596.18 ,"$1,613.45 ",$648.02 ,"$1,452.11 ","$1,452.11 ",$673.95 ,$146.14 ,"$1,175.44 ","$1,049.00 ",$450.85 ,$596.18 ,$570.26 ,"$1,983.75 ","$1,877.95 ","$1,877.95 ",$596.18 ,"$1,877.95 ","$2,301.15 ","$2,301.15 ","$2,301.15 ", N/A ,"$2,380.50 ","$1,520.88 ","$2,248.25 ",$570.26 ,"$2,645.00 ","$1,483.85 ",$570.26 ,"$1,095.03 ",$235.76 ,$214.33 ,$596.18 ,"$2,248.25 ","$1,132.75 ","$1,452.11 ",$740.60 ,"$2,380.50 ","$2,645.00 ",$570.26 ,"$2,301.15 ","$1,038.00 ","$2,645.00 ","$1,038.00 ",$608.35 ,"$1,719.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$2,659.00 ","$1,914.48 ",$193.63 ,"$2,659.00 ","$1,528.93 ","$1,675.17 ","$1,595.40 ",$573.28 ,$744.52 ,"$1,542.22 ",$599.34 ,"$1,621.99 ",$651.45 ,"$1,459.79 ","$1,459.79 ",$677.51 ,$193.63 ,"$1,181.66 ","$1,049.00 ",$450.85 ,$599.34 ,$573.28 ,"$1,994.25 ","$1,887.89 ","$1,887.89 ",$599.34 ,"$1,887.89 ","$2,313.33 ","$2,313.33 ","$2,313.33 ", N/A ,"$2,393.10 ","$1,528.93 ","$2,260.15 ",$573.28 ,"$2,659.00 ","$1,491.70 ",$573.28 ,"$1,100.83 ",$621.40 ,$564.91 ,$599.34 ,"$2,260.15 ","$1,138.74 ","$1,459.79 ",$744.52 ,"$2,393.10 ","$2,659.00 ",$573.28 ,"$2,313.33 ","$1,038.00 ","$2,659.00 ","$1,038.00 ",$611.57 ,"$1,728.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$3,350.00 ","$2,412.00 ",$193.32 ,"$3,350.00 ","$1,926.25 ","$2,110.50 ","$2,010.00 ",$722.26 ,$938.00 ,"$1,943.00 ",$755.09 ,"$2,043.50 ",$820.75 ,"$1,839.15 ","$1,839.15 ",$853.58 ,$193.32 ,"$1,488.74 ","$1,049.00 ",$450.85 ,$755.09 ,$722.26 ,"$2,512.50 ","$2,378.50 ","$2,378.50 ",$755.09 ,"$2,378.50 ","$2,914.50 ","$2,914.50 ","$2,914.50 ", N/A ,"$3,015.00 ","$1,926.25 ","$2,847.50 ",$722.26 ,"$3,350.00 ","$1,879.35 ",$722.26 ,"$1,386.90 ",$235.76 ,$214.33 ,$755.09 ,"$2,847.50 ","$1,434.67 ","$1,839.15 ",$938.00 ,"$3,015.00 ","$3,350.00 ",$722.26 ,"$2,914.50 ","$1,038.00 ","$3,350.00 ","$1,038.00 ",$770.50 ,"$2,177.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,508.00 ","$2,525.76 ",$163.79 ,"$3,508.00 ","$2,017.10 ","$2,210.04 ","$2,104.80 ",$756.32 ,$982.24 ,"$2,034.64 ",$790.70 ,"$2,139.88 ",$859.46 ,"$1,925.89 ","$1,925.89 ",$893.84 ,$163.79 ,"$1,558.96 ","$1,700.00 ",$583.80 ,$790.70 ,$756.32 ,"$2,631.00 ","$2,490.68 ","$2,490.68 ",$790.70 ,"$2,490.68 ","$3,051.96 ","$3,051.96 ","$3,051.96 ", N/A ,"$3,157.20 ","$2,017.10 ","$2,981.80 ",$756.32 ,"$3,508.00 ","$1,967.99 ",$756.32 ,"$1,452.31 ",$588.18 ,$534.71 ,$790.70 ,"$2,981.80 ","$1,502.34 ","$1,925.89 ",$982.24 ,"$3,157.20 ","$3,508.00 ",$756.32 ,"$3,051.96 ","$1,863.00 ","$3,508.00 ","$1,863.00 ",$806.84 ,"$2,280.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$2,756.00 ","$1,984.32 ",$82.84 ,"$2,756.00 ","$1,584.70 ","$1,736.28 ","$1,653.60 ",$594.19 ,$771.68 ,"$1,598.48 ",$621.20 ,"$1,681.16 ",$675.22 ,"$1,513.04 ","$1,513.04 ",$702.23 ,$82.84 ,"$1,224.77 ","$1,049.00 ",$267.20 ,$621.20 ,$594.19 ,"$2,067.00 ","$1,956.76 ","$1,956.76 ",$621.20 ,"$1,956.76 ","$2,397.72 ","$2,397.72 ","$2,397.72 ", N/A ,"$2,480.40 ","$1,584.70 ","$2,342.60 ",$594.19 ,"$2,756.00 ","$1,546.12 ",$594.19 ,"$1,140.98 ",$267.61 ,$243.28 ,$621.20 ,"$2,342.60 ","$1,180.28 ","$1,513.04 ",$771.68 ,"$2,480.40 ","$2,756.00 ",$594.19 ,"$2,397.72 ","$1,038.00 ","$2,756.00 ","$1,038.00 ",$633.88 ,"$1,791.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$2,894.00 ","$2,083.68 ",$111.47 ,"$2,894.00 ","$1,664.05 ","$1,823.22 ","$1,736.40 ",$623.95 ,$810.32 ,"$1,678.52 ",$652.31 ,"$1,765.34 ",$709.03 ,"$1,588.81 ","$1,588.81 ",$737.39 ,$111.47 ,"$1,286.09 ","$1,049.00 ",$921.08 ,$652.31 ,$623.95 ,"$2,170.50 ","$2,054.74 ","$2,054.74 ",$652.31 ,"$2,054.74 ","$2,517.78 ","$2,517.78 ","$2,517.78 ", N/A ,"$2,604.60 ","$1,664.05 ","$2,459.90 ",$623.95 ,"$2,894.00 ","$1,623.53 ",$623.95 ,"$1,198.12 ",$267.61 ,$243.28 ,$652.31 ,"$2,459.90 ","$1,239.39 ","$1,588.81 ",$810.32 ,"$2,604.60 ","$2,894.00 ",$623.95 ,"$2,517.78 ","$1,038.00 ","$2,894.00 ","$1,038.00 ",$665.62 ,"$1,881.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$3,184.00 ","$2,292.48 ",$137.63 ,"$3,184.00 ","$1,830.80 ","$2,005.92 ","$1,910.40 ",$686.47 ,$891.52 ,"$1,846.72 ",$717.67 ,"$1,942.24 ",$780.08 ,"$1,748.02 ","$1,748.02 ",$811.28 ,$137.63 ,"$1,414.97 ","$1,049.00 ",$450.85 ,$717.67 ,$686.47 ,"$2,388.00 ","$2,260.64 ","$2,260.64 ",$717.67 ,"$2,260.64 ","$2,770.08 ","$2,770.08 ","$2,770.08 ", N/A ,"$2,865.60 ","$1,830.80 ","$2,706.40 ",$686.47 ,"$3,184.00 ","$1,786.22 ",$686.47 ,"$1,318.18 ",$267.61 ,$243.28 ,$717.67 ,"$2,706.40 ","$1,363.58 ","$1,748.02 ",$891.52 ,"$2,865.60 ","$3,184.00 ",$686.47 ,"$2,770.08 ","$1,038.00 ","$3,184.00 ","$1,038.00 ",$732.32 ,"$2,069.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,$353.00 ,$254.16 ,$76.11 ,$353.00 ,$202.98 ,$222.39 ,$211.80 ,$76.11 ,$98.84 ,$204.74 ,$79.57 ,$215.33 ,$86.48 ,$193.80 ,$193.80 ,$89.94 ,$82.84 ,$156.87 ,$353.00 ,$267.20 ,$79.57 ,$76.11 ,$264.75 ,$250.63 ,$250.63 ,$79.57 ,$250.63 ,$307.11 ,$307.11 ,$307.11 , N/A ,$317.70 ,$202.98 ,$300.05 ,$76.11 ,$353.00 ,$198.03 ,$76.11 ,$146.14 ,$267.61 ,$243.28 ,$79.57 ,$300.05 ,$151.17 ,$193.80 ,$98.84 ,$317.70 ,$353.00 ,$76.11 ,$307.11 ,$353.00 ,$353.00 ,$353.00 ,$81.19 ,$229.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,$574.00 ,$413.28 ,$112.42 ,$574.00 ,$330.05 ,$361.62 ,$344.40 ,$123.75 ,$160.72 ,$332.92 ,$129.38 ,$350.14 ,$140.63 ,$315.13 ,$315.13 ,$146.26 ,$112.42 ,$255.09 ,$574.00 ,$450.85 ,$129.38 ,$123.75 ,$430.50 ,$407.54 ,$407.54 ,$129.38 ,$407.54 ,$499.38 ,$499.38 ,$499.38 , N/A ,$516.60 ,$330.05 ,$487.90 ,$123.75 ,$574.00 ,$322.01 ,$123.75 ,$237.64 ,$267.61 ,$243.28 ,$129.38 ,$487.90 ,$245.82 ,$315.13 ,$160.72 ,$516.60 ,$574.00 ,$123.75 ,$499.38 ,$574.00 ,$574.00 ,$574.00 ,$132.02 ,$373.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,35000060,72130,HC CT T-SPINE W AND W/O CONTRAST,350,1 ,"$3,000.00 ","$2,160.00 ",$139.20 ,"$3,000.00 ","$1,725.00 ","$1,890.00 ","$1,800.00 ",$646.80 ,$840.00 ,"$1,740.00 ",$676.20 ,"$1,830.00 ",$735.00 ,"$1,647.00 ","$1,647.00 ",$764.40 ,$139.20 ,"$1,333.20 ","$1,049.00 ",$450.85 ,$676.20 ,$646.80 ,"$2,250.00 ","$2,130.00 ","$2,130.00 ",$676.20 ,"$2,130.00 ","$2,610.00 ","$2,610.00 ","$2,610.00 ", N/A ,"$2,700.00 ","$1,725.00 ","$2,550.00 ",$646.80 ,"$3,000.00 ","$1,683.00 ",$646.80 ,"$1,242.00 ",$267.61 ,$243.28 ,$676.20 ,"$2,550.00 ","$1,284.78 ","$1,647.00 ",$840.00 ,"$2,700.00 ","$3,000.00 ",$646.80 ,"$2,610.00 ","$1,038.00 ","$3,000.00 ","$1,038.00 ",$690.00 ,"$1,950.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$2,903.00 ","$2,090.16 ",$82.21 ,"$2,903.00 ","$1,669.23 ","$1,828.89 ","$1,741.80 ",$625.89 ,$812.84 ,"$1,593.67 ",$654.34 ,"$1,667.79 ",$711.23 ,"$1,593.75 ","$1,593.75 ",$739.68 ,$82.21 ,"$1,290.09 ","$1,049.00 ",$267.20 ,$654.34 ,$625.89 ,"$2,177.25 ","$2,061.13 ","$2,061.13 ",$654.34 ,"$2,061.13 ","$2,525.61 ","$2,525.61 ","$2,525.61 ", N/A ,"$2,612.70 ","$1,669.23 ","$2,467.55 ",$625.89 ,"$2,903.00 ","$1,628.58 ",$625.89 ,"$1,201.84 ",$267.61 ,$243.28 ,$654.34 ,"$2,467.55 ","$1,243.24 ","$1,593.75 ",$812.84 ,"$2,612.70 ","$2,903.00 ",$625.89 ,"$2,525.61 ","$1,038.00 ","$2,903.00 ","$1,038.00 ",$667.69 ,"$1,886.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$3,005.00 ","$2,163.60 ",$111.79 ,"$3,005.00 ","$1,727.88 ","$1,893.15 ","$1,803.00 ",$647.88 ,$841.40 ,"$1,742.90 ",$677.33 ,"$1,833.05 ",$736.22 ,"$1,649.75 ","$1,649.75 ",$765.67 ,$111.79 ,"$1,335.42 ","$1,049.00 ",$921.08 ,$677.33 ,$647.88 ,"$2,253.75 ","$2,133.55 ","$2,133.55 ",$677.33 ,"$2,133.55 ","$2,614.35 ","$2,614.35 ","$2,614.35 ", N/A ,"$2,704.50 ","$1,727.88 ","$2,554.25 ",$647.88 ,"$3,005.00 ","$1,685.81 ",$647.88 ,"$1,244.07 ",$267.61 ,$243.28 ,$677.33 ,"$2,554.25 ","$1,286.93 ","$1,649.75 ",$841.40 ,"$2,704.50 ","$3,005.00 ",$647.88 ,"$2,614.35 ","$1,038.00 ","$3,005.00 ","$1,038.00 ",$691.15 ,"$1,953.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$3,186.00 ","$2,293.92 ",$137.94 ,"$3,186.00 ","$1,831.95 ","$2,007.18 ","$1,911.60 ",$686.90 ,$892.08 ,"$1,847.88 ",$718.12 ,"$1,943.46 ",$780.57 ,"$1,749.11 ","$1,749.11 ",$811.79 ,$137.94 ,"$1,415.86 ","$1,049.00 ",$450.85 ,$718.12 ,$686.90 ,"$2,389.50 ","$2,262.06 ","$2,262.06 ",$718.12 ,"$2,262.06 ","$2,771.82 ","$2,771.82 ","$2,771.82 ", N/A ,"$2,867.40 ","$1,831.95 ","$2,708.10 ",$686.90 ,"$3,186.00 ","$1,787.35 ",$686.90 ,"$1,319.00 ",$267.61 ,$243.28 ,$718.12 ,"$2,708.10 ","$1,364.43 ","$1,749.11 ",$892.08 ,"$2,867.40 ","$3,186.00 ",$686.90 ,"$2,771.82 ","$1,038.00 ","$3,186.00 ","$1,038.00 ",$732.78 ,"$2,070.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$2,606.00 ","$1,876.32 ",$81.89 ,"$2,606.00 ","$1,498.45 ","$1,641.78 ","$1,563.60 ",$561.85 ,$729.68 ,"$1,424.16 ",$587.39 ,"$1,490.40 ",$638.47 ,"$1,430.69 ","$1,430.69 ",$664.01 ,$81.89 ,"$1,158.11 ","$1,049.00 ",$267.20 ,$587.39 ,$561.85 ,"$1,954.50 ","$1,850.26 ","$1,850.26 ",$587.39 ,"$1,850.26 ","$2,267.22 ","$2,267.22 ","$2,267.22 ", N/A ,"$2,345.40 ","$1,498.45 ","$2,215.10 ",$561.85 ,"$2,606.00 ","$1,461.97 ",$561.85 ,"$1,078.88 ",$533.32 ,$484.84 ,$587.39 ,"$2,215.10 ","$1,116.04 ","$1,430.69 ",$729.68 ,"$2,345.40 ","$2,606.00 ",$561.85 ,"$2,267.22 ","$1,038.00 ","$2,606.00 ","$1,038.00 ",$599.38 ,"$1,693.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$2,949.00 ","$2,123.28 ",$175.45 ,"$2,949.00 ","$1,695.68 ","$1,857.87 ","$1,769.40 ",$635.80 ,$825.72 ,"$1,710.42 ",$664.70 ,"$1,798.89 ",$722.50 ,"$1,619.00 ","$1,619.00 ",$751.41 ,$175.45 ,"$1,310.54 ","$1,049.00 ",$450.85 ,$664.70 ,$635.80 ,"$2,211.75 ","$2,093.79 ","$2,093.79 ",$664.70 ,"$2,093.79 ","$2,565.63 ","$2,565.63 ","$2,565.63 ", N/A ,"$2,654.10 ","$1,695.68 ","$2,506.65 ",$635.80 ,"$2,949.00 ","$1,654.39 ",$635.80 ,"$1,220.89 ",$533.32 ,$484.84 ,$664.70 ,"$2,506.65 ","$1,262.94 ","$1,619.00 ",$825.72 ,"$2,654.10 ","$2,949.00 ",$635.80 ,"$2,565.63 ","$1,038.00 ","$2,949.00 ","$1,038.00 ",$678.27 ,"$1,916.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$3,145.00 ","$2,264.40 ",$196.25 ,"$3,145.00 ","$1,808.38 ","$1,981.35 ","$1,887.00 ",$678.06 ,$880.60 ,"$1,824.10 ",$708.88 ,"$1,918.45 ",$770.52 ,"$1,726.61 ","$1,726.61 ",$801.35 ,$196.25 ,"$1,397.64 ","$1,049.00 ",$450.85 ,$708.88 ,$678.06 ,"$2,358.75 ","$2,232.95 ","$2,232.95 ",$708.88 ,"$2,232.95 ","$2,736.15 ","$2,736.15 ","$2,736.15 ", N/A ,"$2,830.50 ","$1,808.38 ","$2,673.25 ",$678.06 ,"$3,145.00 ","$1,764.35 ",$678.06 ,"$1,302.03 ",$533.32 ,$484.84 ,$708.88 ,"$2,673.25 ","$1,346.88 ","$1,726.61 ",$880.60 ,"$2,830.50 ","$3,145.00 ",$678.06 ,"$2,736.15 ","$1,038.00 ","$3,145.00 ","$1,038.00 ",$723.35 ,"$2,044.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$2,068.00 ","$1,488.96 ",$114.67 ,"$2,068.00 ","$1,189.10 ","$1,302.84 ","$1,240.80 ",$445.86 ,$579.04 ,"$1,199.44 ",$466.13 ,"$1,261.48 ",$506.66 ,"$1,135.33 ","$1,135.33 ",$526.93 ,$114.67 ,$919.02 ,"$1,049.00 ",$267.20 ,$466.13 ,$445.86 ,"$1,551.00 ","$1,468.28 ","$1,468.28 ",$466.13 ,"$1,468.28 ","$1,799.16 ","$1,799.16 ","$1,799.16 ", N/A ,"$1,861.20 ","$1,189.10 ","$1,757.80 ",$445.86 ,"$2,068.00 ","$1,160.15 ",$445.86 ,$856.15 ,$235.76 ,$214.33 ,$466.13 ,"$1,757.80 ",$885.65 ,"$1,135.33 ",$579.04 ,"$1,861.20 ","$2,068.00 ",$445.86 ,"$1,799.16 ","$1,038.00 ","$2,068.00 ","$1,038.00 ",$475.64 ,"$1,344.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$2,092.00 ","$1,506.24 ",$146.77 ,"$2,092.00 ","$1,202.90 ","$1,317.96 ","$1,255.20 ",$451.04 ,$585.76 ,"$1,213.36 ",$471.54 ,"$1,276.12 ",$512.54 ,"$1,148.51 ","$1,148.51 ",$533.04 ,$146.77 ,$929.68 ,"$1,049.00 ",$921.08 ,$471.54 ,$451.04 ,"$1,569.00 ","$1,485.32 ","$1,485.32 ",$471.54 ,"$1,485.32 ","$1,820.04 ","$1,820.04 ","$1,820.04 ", N/A ,"$1,882.80 ","$1,202.90 ","$1,778.20 ",$451.04 ,"$2,092.00 ","$1,173.61 ",$451.04 ,$866.09 ,$235.76 ,$214.33 ,$471.54 ,"$1,778.20 ",$895.92 ,"$1,148.51 ",$585.76 ,"$1,882.80 ","$2,092.00 ",$451.04 ,"$1,820.04 ","$1,038.00 ","$2,092.00 ","$1,038.00 ",$481.16 ,"$1,359.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$2,180.00 ","$1,569.60 ",$191.83 ,"$2,180.00 ","$1,253.50 ","$1,373.40 ","$1,308.00 ",$470.01 ,$610.40 ,"$1,264.40 ",$491.37 ,"$1,329.80 ",$534.10 ,"$1,196.82 ","$1,196.82 ",$555.46 ,$191.83 ,$968.79 ,"$1,049.00 ",$450.85 ,$491.37 ,$470.01 ,"$1,635.00 ","$1,547.80 ","$1,547.80 ",$491.37 ,"$1,547.80 ","$1,896.60 ","$1,896.60 ","$1,896.60 ", N/A ,"$1,962.00 ","$1,253.50 ","$1,853.00 ",$470.01 ,"$2,180.00 ","$1,222.98 ",$470.01 ,$902.52 ,$235.76 ,$214.33 ,$491.37 ,"$1,853.00 ",$933.61 ,"$1,196.82 ",$610.40 ,"$1,962.00 ","$2,180.00 ",$470.01 ,"$1,896.60 ","$1,038.00 ","$2,180.00 ","$1,038.00 ",$501.40 ,"$1,417.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,$667.00 ,$480.24 ,$143.81 ,$667.00 ,$383.53 ,$420.21 ,$400.20 ,$143.81 ,$186.76 ,$386.86 ,$150.34 ,$406.87 ,$163.41 ,$366.18 ,$366.18 ,$169.95 ,$213.49 ,$296.41 ,$667.00 ,$450.85 ,$150.34 ,$143.81 ,$500.25 ,$473.57 ,$473.57 ,$150.34 ,$473.57 ,$580.29 ,$580.29 ,$580.29 , N/A ,$600.30 ,$383.53 ,$566.95 ,$143.81 ,$667.00 ,$374.19 ,$143.81 ,$276.14 ,$532.80 ,$484.36 ,$150.34 ,$566.95 ,$285.65 ,$366.18 ,$186.76 ,$600.30 ,$667.00 ,$143.81 ,$580.29 ,$667.00 ,$667.00 ,$667.00 ,$153.41 ,$433.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$2,087.00 ","$1,502.64 ",$82.52 ,"$2,087.00 ","$1,200.03 ","$1,314.81 ","$1,252.20 ",$449.96 ,$584.36 ,"$1,210.46 ",$470.41 ,"$1,273.07 ",$511.31 ,"$1,145.76 ","$1,145.76 ",$531.77 ,$82.52 ,$927.46 ,"$1,049.00 ",$267.20 ,$470.41 ,$449.96 ,"$1,565.25 ","$1,481.77 ","$1,481.77 ",$470.41 ,"$1,481.77 ","$1,815.69 ","$1,815.69 ","$1,815.69 ", N/A ,"$1,878.30 ","$1,200.03 ","$1,773.95 ",$449.96 ,"$2,087.00 ","$1,170.81 ",$449.96 ,$864.02 ,$235.76 ,$214.33 ,$470.41 ,"$1,773.95 ",$893.78 ,"$1,145.76 ",$584.36 ,"$1,878.30 ","$2,087.00 ",$449.96 ,"$1,815.69 ","$1,038.00 ","$2,087.00 ","$1,038.00 ",$480.01 ,"$1,356.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$2,207.00 ","$1,589.04 ",$112.10 ,"$2,207.00 ","$1,269.03 ","$1,390.41 ","$1,324.20 ",$475.83 ,$617.96 ,"$1,280.06 ",$497.46 ,"$1,346.27 ",$540.71 ,"$1,211.64 ","$1,211.64 ",$562.34 ,$112.10 ,$980.79 ,"$1,049.00 ",$450.85 ,$497.46 ,$475.83 ,"$1,655.25 ","$1,566.97 ","$1,566.97 ",$497.46 ,"$1,566.97 ","$1,920.09 ","$1,920.09 ","$1,920.09 ", N/A ,"$1,986.30 ","$1,269.03 ","$1,875.95 ",$475.83 ,"$2,207.00 ","$1,238.13 ",$475.83 ,$913.70 ,$235.76 ,$214.33 ,$497.46 ,"$1,875.95 ",$945.17 ,"$1,211.64 ",$617.96 ,"$1,986.30 ","$2,207.00 ",$475.83 ,"$1,920.09 ","$1,038.00 ","$2,207.00 ","$1,038.00 ",$507.61 ,"$1,434.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$2,442.00 ","$1,758.24 ",$137.94 ,"$2,442.00 ","$1,404.15 ","$1,538.46 ","$1,465.20 ",$526.50 ,$683.76 ,"$1,416.36 ",$550.43 ,"$1,489.62 ",$598.29 ,"$1,340.66 ","$1,340.66 ",$622.22 ,$137.94 ,"$1,085.22 ","$1,049.00 ",$450.85 ,$550.43 ,$526.50 ,"$1,831.50 ","$1,733.82 ","$1,733.82 ",$550.43 ,"$1,733.82 ","$2,124.54 ","$2,124.54 ","$2,124.54 ", N/A ,"$2,197.80 ","$1,404.15 ","$2,075.70 ",$526.50 ,"$2,442.00 ","$1,369.96 ",$526.50 ,"$1,010.99 ",$235.76 ,$214.33 ,$550.43 ,"$2,075.70 ","$1,045.81 ","$1,340.66 ",$683.76 ,"$2,197.80 ","$2,442.00 ",$526.50 ,"$2,124.54 ","$1,038.00 ","$2,442.00 ","$1,038.00 ",$561.66 ,"$1,587.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$3,233.00 ","$2,327.76 ",$234.92 ,"$3,233.00 ","$1,858.98 ","$2,036.79 ","$1,939.80 ",$697.03 ,$905.24 ,"$1,875.14 ",$728.72 ,"$1,972.13 ",$792.08 ,"$1,774.92 ","$1,774.92 ",$823.77 ,$234.92 ,"$1,436.75 ","$1,049.00 ",$450.85 ,$728.72 ,$697.03 ,"$2,424.75 ","$2,295.43 ","$2,295.43 ",$728.72 ,"$2,295.43 ","$2,812.71 ","$2,812.71 ","$2,812.71 ", N/A ,"$2,909.70 ","$1,858.98 ","$2,748.05 ",$697.03 ,"$3,233.00 ","$1,813.71 ",$697.03 ,"$1,338.46 ",$532.80 ,$484.36 ,$728.72 ,"$2,748.05 ","$1,384.56 ","$1,774.92 ",$905.24 ,"$2,909.70 ","$3,233.00 ",$697.03 ,"$2,812.71 ","$1,038.00 ","$3,233.00 ","$1,038.00 ",$743.59 ,"$2,101.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$2,674.00 ","$1,925.28 ",$80.95 ,"$2,674.00 ","$1,537.55 ","$1,684.62 ","$1,604.40 ",$576.51 ,$748.72 ,"$1,402.14 ",$602.72 ,"$1,467.36 ",$655.13 ,"$1,468.03 ","$1,468.03 ",$681.34 ,$80.95 ,"$1,188.33 ","$1,871.80 ",$267.20 ,$602.72 ,$576.51 ,"$2,005.50 ","$1,898.54 ","$1,898.54 ",$602.72 ,"$1,898.54 ","$2,326.38 ","$2,326.38 ","$2,326.38 ", N/A ,"$2,406.60 ","$1,537.55 ","$2,272.90 ",$576.51 ,"$2,674.00 ","$1,500.11 ",$576.51 ,"$1,107.04 ",$533.32 ,$484.84 ,$602.72 ,"$2,272.90 ","$1,145.17 ","$1,468.03 ",$748.72 ,"$2,406.60 ","$2,674.00 ",$576.51 ,"$2,326.38 ","$1,038.00 ","$2,674.00 ","$1,038.00 ",$615.02 ,"$1,738.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$2,941.00 ","$2,117.52 ",$174.50 ,"$2,941.00 ","$1,691.08 ","$1,852.83 ","$1,764.60 ",$634.08 ,$823.48 ,"$1,705.78 ",$662.90 ,"$1,794.01 ",$720.54 ,"$1,614.61 ","$1,614.61 ",$749.37 ,$174.50 ,"$1,306.98 ","$1,049.00 ",$450.85 ,$662.90 ,$634.08 ,"$2,205.75 ","$2,088.11 ","$2,088.11 ",$662.90 ,"$2,088.11 ","$2,558.67 ","$2,558.67 ","$2,558.67 ", N/A ,"$2,646.90 ","$1,691.08 ","$2,499.85 ",$634.08 ,"$2,941.00 ","$1,649.90 ",$634.08 ,"$1,217.57 ",$533.32 ,$484.84 ,$662.90 ,"$2,499.85 ","$1,259.52 ","$1,614.61 ",$823.48 ,"$2,646.90 ","$2,941.00 ",$634.08 ,"$2,558.67 ","$1,038.00 ","$2,941.00 ","$1,038.00 ",$676.43 ,"$1,911.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,668.00 ","$2,640.96 ",$197.19 ,"$3,668.00 ","$2,109.10 ","$2,310.84 ","$2,200.80 ",$790.82 ,"$1,027.04 ","$2,127.44 ",$826.77 ,"$2,237.48 ",$898.66 ,"$2,013.73 ","$2,013.73 ",$934.61 ,$197.19 ,"$1,630.06 ","$1,049.00 ",$450.85 ,$826.77 ,$790.82 ,"$2,751.00 ","$2,604.28 ","$2,604.28 ",$826.77 ,"$2,604.28 ","$3,191.16 ","$3,191.16 ","$3,191.16 ", N/A ,"$3,301.20 ","$2,109.10 ","$3,117.80 ",$790.82 ,"$3,668.00 ","$2,057.75 ",$790.82 ,"$1,518.55 ",$533.32 ,$484.84 ,$826.77 ,"$3,117.80 ","$1,570.86 ","$2,013.73 ","$1,027.04 ","$3,301.20 ","$3,668.00 ",$790.82 ,"$3,191.16 ","$1,038.00 ","$3,668.00 ","$1,038.00 ",$843.64 ,"$2,384.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,039.00 ","$2,188.08 ",$221.68 ,"$3,039.00 ","$1,747.43 ","$1,914.57 ","$1,823.40 ",$655.21 ,$850.92 ,"$1,762.62 ",$684.99 ,"$1,853.79 ",$744.55 ,"$1,668.41 ","$1,668.41 ",$774.34 ,$221.68 ,"$1,350.53 ","$1,049.00 ",$450.85 ,$684.99 ,$655.21 ,"$2,279.25 ","$2,157.69 ","$2,157.69 ",$684.99 ,"$2,157.69 ","$2,643.93 ","$2,643.93 ","$2,643.93 ", N/A ,"$2,735.10 ","$1,747.43 ","$2,583.15 ",$655.21 ,"$3,039.00 ","$1,704.88 ",$655.21 ,"$1,258.15 ",$532.80 ,$484.36 ,$684.99 ,"$2,583.15 ","$1,301.48 ","$1,668.41 ",$850.92 ,"$2,735.10 ","$3,039.00 ",$655.21 ,"$2,643.93 ","$1,038.00 ","$3,039.00 ","$1,038.00 ",$698.97 ,"$1,975.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$5,587.00 ","$4,022.64 ",$101.70 ,"$5,587.00 ","$3,212.53 ","$3,519.81 ","$3,352.20 ","$1,204.56 ","$1,564.36 ","$1,765.32 ","$1,259.31 ","$1,847.43 ","$1,368.81 ","$3,067.26 ","$3,067.26 ","$1,423.57 ",$101.70 ,"$2,482.86 ","$1,049.00 ",$583.80 ,"$1,259.31 ","$1,204.56 ","$4,190.25 ","$3,966.77 ","$3,966.77 ","$1,259.31 ","$3,966.77 ","$4,860.69 ","$4,860.69 ","$4,860.69 ", N/A ,"$5,028.30 ","$3,212.53 ","$4,748.95 ","$1,204.56 ","$5,587.00 ","$3,134.31 ","$1,204.56 ","$2,313.02 ",$533.32 ,$484.84 ,"$1,259.31 ","$4,748.95 ","$2,392.69 ","$3,067.26 ","$1,564.36 ","$5,028.30 ","$5,587.00 ","$1,204.56 ","$4,860.69 ","$1,038.00 ","$5,587.00 ","$1,038.00 ","$1,285.01 ","$3,631.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$5,964.00 ","$4,294.08 ",$219.25 ,"$5,964.00 ","$3,429.30 ","$3,757.32 ","$3,578.40 ","$1,285.84 ","$1,669.92 ","$3,426.84 ","$1,344.29 ","$3,586.23 ","$1,461.18 ","$3,274.24 ","$3,274.24 ","$1,519.63 ",$219.25 ,"$2,650.40 ","$1,049.00 ",$921.08 ,"$1,344.29 ","$1,285.84 ","$4,473.00 ","$4,234.44 ","$4,234.44 ","$1,344.29 ","$4,234.44 ","$5,188.68 ","$5,188.68 ","$5,188.68 ", N/A ,"$5,367.60 ","$3,429.30 ","$5,069.40 ","$1,285.84 ","$5,964.00 ","$3,345.80 ","$1,285.84 ","$2,469.10 ",$533.32 ,$484.84 ,"$1,344.29 ","$5,069.40 ","$2,554.14 ","$3,274.24 ","$1,669.92 ","$5,367.60 ","$5,964.00 ","$1,285.84 ","$5,188.68 ","$1,038.00 ","$5,964.00 ","$1,038.00 ","$1,371.72 ","$3,876.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$6,421.00 ","$4,623.12 ",$247.30 ,"$6,421.00 ","$3,692.08 ","$4,045.23 ","$3,852.60 ","$1,384.37 ","$1,797.88 ","$3,724.18 ","$1,447.29 ","$3,916.81 ","$1,573.14 ","$3,525.13 ","$3,525.13 ","$1,636.07 ",$247.30 ,"$2,853.49 ","$1,049.00 ",$921.08 ,"$1,447.29 ","$1,384.37 ","$4,815.75 ","$4,558.91 ","$4,558.91 ","$1,447.29 ","$4,558.91 ","$5,586.27 ","$5,586.27 ","$5,586.27 ", N/A ,"$5,778.90 ","$3,692.08 ","$5,457.85 ","$1,384.37 ","$6,421.00 ","$3,602.18 ","$1,384.37 ","$2,658.29 ",$533.32 ,$484.84 ,"$1,447.29 ","$5,457.85 ","$2,749.86 ","$3,525.13 ","$1,797.88 ","$5,778.90 ","$6,421.00 ","$1,384.37 ","$5,586.27 ","$1,038.00 ","$6,421.00 ","$1,038.00 ","$1,476.83 ","$4,173.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$3,403.00 ","$2,450.16 ",$297.32 ,"$3,403.00 ","$1,956.73 ","$2,143.89 ","$2,041.80 ",$733.69 ,$952.84 ,"$1,973.74 ",$767.04 ,"$2,075.83 ",$833.73 ,"$1,868.25 ","$1,868.25 ",$867.08 ,$297.32 ,"$1,512.29 ","$1,049.00 ",$450.85 ,$767.04 ,$733.69 ,"$2,552.25 ","$2,416.13 ","$2,416.13 ",$767.04 ,"$2,416.13 ","$2,960.61 ","$2,960.61 ","$2,960.61 ", N/A ,"$3,062.70 ","$1,956.73 ","$2,892.55 ",$733.69 ,"$3,403.00 ","$1,909.08 ",$733.69 ,"$1,408.84 ",$532.80 ,$484.36 ,$767.04 ,"$2,892.55 ","$1,457.37 ","$1,868.25 ",$952.84 ,"$3,062.70 ","$3,403.00 ",$733.69 ,"$2,960.61 ","$1,038.00 ","$3,403.00 ","$1,038.00 ",$782.69 ,"$2,211.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,"$1,078.00 ",$776.16 ,$14.14 ,"$1,078.00 ",$619.85 ,$679.14 ,$646.80 ,$232.42 ,$301.84 ,$213.80 ,$242.98 ,$223.74 ,$264.11 ,$591.82 ,$591.82 ,$274.67 ,$14.14 ,$479.06 ,$754.60 , N/A ,$242.98 ,$232.42 ,$808.50 ,$765.38 ,$765.38 ,$242.98 ,$765.38 ,$937.86 ,$937.86 ,$937.86 , N/A ,$970.20 ,$619.85 ,$916.30 ,$232.42 ,"$1,078.00 ",$604.76 ,$232.42 ,$446.29 , N/A , N/A ,$242.98 ,$916.30 ,$461.67 ,$591.82 ,$301.84 ,$970.20 ,"$1,078.00 ",$232.42 ,$937.86 ,"$1,038.00 ","$1,078.00 ","$1,038.00 ",$247.94 ,$700.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,$896.00 ,$645.12 ,$36.51 ,$896.00 ,$515.20 ,$564.48 ,$537.60 ,$193.18 ,$250.88 ,$388.72 ,$201.96 ,$406.80 ,$219.52 ,$491.90 ,$491.90 ,$228.30 ,$36.51 ,$398.18 ,$627.20 , N/A ,$201.96 ,$193.18 ,$672.00 ,$636.16 ,$636.16 ,$201.96 ,$636.16 ,$779.52 ,$779.52 ,$779.52 , N/A ,$806.40 ,$515.20 ,$761.60 ,$193.18 ,$896.00 ,$502.66 ,$193.18 ,$370.94 , N/A , N/A ,$201.96 ,$761.60 ,$383.72 ,$491.90 ,$250.88 ,$806.40 ,$896.00 ,$193.18 ,$779.52 ,$896.00 ,$896.00 ,$896.00 ,$206.08 ,$582.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$2,966.00 ","$2,135.52 ",$68.34 ,"$2,966.00 ","$1,705.45 ","$1,868.58 ","$1,779.60 ",$639.47 ,$830.48 ,"$1,050.06 ",$668.54 ,"$1,098.90 ",$726.67 ,"$1,628.33 ","$1,628.33 ",$755.74 ,$68.34 ,"$1,318.09 ","$1,049.00 ", N/A ,$668.54 ,$639.47 ,"$2,224.50 ","$2,105.86 ","$2,105.86 ",$668.54 ,"$2,105.86 ","$2,580.42 ","$2,580.42 ","$2,580.42 ", N/A ,"$2,669.40 ","$1,705.45 ","$2,521.10 ",$639.47 ,"$2,966.00 ","$1,663.93 ",$639.47 ,"$1,227.92 ",$181.84 ,$165.31 ,$668.54 ,"$2,521.10 ","$1,270.22 ","$1,628.33 ",$830.48 ,"$2,669.40 ","$2,966.00 ",$639.47 ,"$2,580.42 ","$1,038.00 ","$2,966.00 ","$1,038.00 ",$682.18 ,"$1,927.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000120,74174,HC CT ANGIO ABD/PELV W AND WO CONTRAST,350,1 ,"$3,648.00 ","$2,626.56 ",$277.46 ,"$3,648.00 ","$2,097.60 ","$2,298.24 ","$2,188.80 ",$786.51 ,"$1,021.44 ","$2,115.84 ",$822.26 ,"$2,225.28 ",$893.76 ,"$2,002.75 ","$2,002.75 ",$929.51 ,$277.46 ,"$1,621.17 ","$1,049.00 ",$921.08 ,$822.26 ,$786.51 ,"$2,736.00 ","$2,590.08 ","$2,590.08 ",$822.26 ,"$2,590.08 ","$3,173.76 ","$3,173.76 ","$3,173.76 ", N/A ,"$3,283.20 ","$2,097.60 ","$3,100.80 ",$786.51 ,"$3,648.00 ","$2,046.53 ",$786.51 ,"$1,510.27 ",$533.32 ,$484.84 ,$822.26 ,"$3,100.80 ","$1,562.30 ","$2,002.75 ","$1,021.44 ","$3,283.20 ","$3,648.00 ",$786.51 ,"$3,173.76 ","$1,038.00 ","$3,648.00 ","$1,038.00 ",$839.04 ,"$2,371.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000132,G0260,HC INJECTION SACRO JOINT W/ ANESTH,350,1 ,"$1,702.00 ","$1,225.44 ",$366.95 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,"$1,106.30 ",$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 ,$549.62 ,$499.65 ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ","$1,038.00 ","$1,702.00 ","$1,038.00 ",$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000135,22513,HC VERTEBROPLASTY INJ PERC THOR KYPHOPLASTY,350,1 ,"$16,371.00 ","$11,787.12 ",$540.97 ,"$21,136.43 ","$9,413.33 ","$10,313.73 ","$9,822.60 ","$3,529.59 ","$4,583.88 ","$9,495.18 ","$3,690.02 ","$9,986.31 ","$4,010.89 ","$8,987.68 ","$8,987.68 ","$4,171.33 ",$540.97 ,"$7,275.27 ","$11,459.70 ","$16,536.58 ","$3,690.02 ","$3,529.59 ","$12,278.25 ","$11,623.41 ","$11,623.41 ","$3,690.02 ","$11,623.41 ","$14,242.77 ","$14,242.77 ","$14,242.77 ", N/A ,"$14,733.90 ","$9,413.33 ","$13,915.35 ","$3,529.59 ","$16,371.00 ","$9,184.13 ","$3,529.59 ","$6,777.59 ","$21,136.43 ","$19,214.94 ","$3,690.02 ","$13,915.35 ","$7,011.05 ","$8,987.68 ","$4,583.88 ","$14,733.90 ","$16,371.00 ","$3,529.59 ","$14,242.77 ","$1,038.00 ","$16,371.00 ","$1,038.00 ","$3,765.33 ","$10,641.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000137,22515,HC VERTEBROPLASTY INJ PERC EA ADDNT THOR OR LUMB KYPHO,350,1 ,"$12,854.00 ","$9,254.88 ",$234.31 ,"$21,136.43 ","$7,391.05 ","$8,098.02 ","$7,712.40 ","$2,771.32 ","$3,599.12 ","$7,455.32 ","$2,897.29 ","$7,840.94 ","$3,149.23 ","$7,056.85 ","$7,056.85 ","$3,275.20 ",$234.31 ,"$5,712.32 ","$8,997.80 ", N/A ,"$2,897.29 ","$2,771.32 ","$9,640.50 ","$9,126.34 ","$9,126.34 ","$2,897.29 ","$9,126.34 ","$11,182.98 ","$11,182.98 ","$11,182.98 ", N/A ,"$11,568.60 ","$7,391.05 ","$10,925.90 ","$2,771.32 ","$12,854.00 ","$7,211.09 ","$2,771.32 ","$5,321.56 ","$21,136.43 ","$19,214.94 ","$2,897.29 ","$10,925.90 ","$5,504.86 ","$7,056.85 ","$3,599.12 ","$11,568.60 ","$12,854.00 ","$2,771.32 ","$11,182.98 ","$1,038.00 ","$12,854.00 ","$1,038.00 ","$2,956.42 ","$8,355.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$253.00 ,$182.16 ,$54.55 ,$267.20 ,$145.48 ,$159.39 ,$151.80 ,$54.55 ,$70.84 ,$146.74 ,$57.03 ,$154.33 ,$61.98 ,$138.90 ,$138.90 ,$64.46 ,$86.62 ,$112.43 ,$253.00 ,$267.20 ,$57.03 ,$54.55 ,$189.75 ,$179.63 ,$179.63 ,$57.03 ,$179.63 ,$220.11 ,$220.11 ,$220.11 , N/A ,$227.70 ,$145.48 ,$215.05 ,$54.55 ,$253.00 ,$141.93 ,$54.55 ,$104.74 ,$235.76 ,$214.33 ,$57.03 ,$215.05 ,$108.35 ,$138.90 ,$70.84 ,$227.70 ,$253.00 ,$54.55 ,$220.11 ,$253.00 ,$253.00 ,$253.00 ,$58.19 ,$164.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$457.00 ,$329.04 ,$98.53 ,$510.19 ,$262.78 ,$287.91 ,$274.20 ,$98.53 ,$127.96 ,$265.06 ,$103.01 ,$278.77 ,$111.96 ,$250.89 ,$250.89 ,$116.44 ,$250.89 ,$203.09 ,$319.90 ,$451.45 ,$103.01 ,$98.53 ,$342.75 ,$324.47 ,$324.47 ,$103.01 ,$324.47 ,$397.59 ,$397.59 ,$397.59 , N/A ,$411.30 ,$262.78 ,$388.45 ,$98.53 ,$457.00 ,$256.38 ,$98.53 ,$189.20 ,$510.19 ,$463.81 ,$103.01 ,$388.45 ,$195.72 ,$250.89 ,$127.96 ,$411.30 ,$457.00 ,$98.53 ,$397.59 ,$457.00 ,$457.00 ,$457.00 ,$105.11 ,$297.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,$472.00 ,$339.84 ,$101.76 ,"$3,748.88 ",$271.40 ,$297.36 ,$283.20 ,$101.76 ,$132.16 ,$273.76 ,$106.39 ,$287.92 ,$115.64 ,$259.13 ,$259.13 ,$120.27 ,$259.13 ,$209.76 ,$330.40 ,"$3,748.88 ",$106.39 ,$101.76 ,$354.00 ,$335.12 ,$335.12 ,$106.39 ,$335.12 ,$410.64 ,$410.64 ,$410.64 , N/A ,$424.80 ,$271.40 ,$401.20 ,$101.76 ,$472.00 ,$264.79 ,$101.76 ,$195.41 ,"$1,779.48 ","$1,617.71 ",$106.39 ,$401.20 ,$202.13 ,$259.13 ,$132.16 ,$424.80 ,$472.00 ,$101.76 ,$410.64 ,$472.00 ,$472.00 ,$472.00 ,$108.56 ,$306.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$233.00 ,$167.76 ,$50.23 ,$932.68 ,$133.98 ,$146.79 ,$139.80 ,$50.23 ,$65.24 ,$135.14 ,$52.52 ,$142.13 ,$57.08 ,$127.92 ,$127.92 ,$59.37 ,$127.92 ,$103.55 ,$163.10 ,$932.68 ,$52.52 ,$50.23 ,$174.75 ,$165.43 ,$165.43 ,$52.52 ,$165.43 ,$202.71 ,$202.71 ,$202.71 , N/A ,$209.70 ,$133.98 ,$198.05 ,$50.23 ,$233.00 ,$130.71 ,$50.23 ,$96.46 ,$510.19 ,$463.81 ,$52.52 ,$198.05 ,$99.78 ,$127.92 ,$65.24 ,$209.70 ,$233.00 ,$50.23 ,$202.71 ,$233.00 ,$233.00 ,$233.00 ,$53.59 ,$151.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000078,19000,HC ASP CYST BREAST,360,1 ,$527.00 ,$379.44 ,$109.83 ,"$1,622.43 ",$303.03 ,$332.01 ,$316.20 ,$113.62 ,$147.56 ,$305.66 ,$118.79 ,$321.47 ,$129.11 ,$289.32 ,$289.32 ,$134.28 ,$289.32 ,$234.20 ,$368.90 ,"$1,622.43 ",$118.79 ,$113.62 ,$395.25 ,$374.17 ,$374.17 ,$118.79 ,$374.17 ,$458.49 ,$458.49 ,$458.49 , N/A ,$474.30 ,$303.03 ,$447.95 ,$113.62 ,$109.83 ,$295.65 ,$113.62 ,$218.18 ,"$1,032.79 ",$938.90 ,$118.79 ,$447.95 ,$225.69 ,$289.32 ,$147.56 ,$474.30 ,$527.00 ,$113.62 ,$458.49 ,$527.00 ,$527.00 ,$527.00 ,$121.21 ,$342.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$669.00 ,$481.68 ,$28.20 ,"$1,032.79 ",$384.68 ,$421.47 ,$401.40 ,$144.24 ,$187.32 ,$388.02 ,$150.79 ,$408.09 ,$163.90 ,$367.28 ,$367.28 ,$170.46 ,$367.28 ,$297.30 ,$468.30 , N/A ,$150.79 ,$144.24 ,$501.75 ,$474.99 ,$474.99 ,$150.79 ,$474.99 ,$582.03 ,$582.03 ,$582.03 , N/A ,$602.10 ,$384.68 ,$568.65 ,$144.24 ,$28.20 ,$375.31 ,$144.24 ,$276.97 ,"$1,032.79 ",$938.90 ,$150.79 ,$568.65 ,$286.50 ,$367.28 ,$187.32 ,$602.10 ,$669.00 ,$144.24 ,$582.03 ,$479.00 ,$669.00 ,$479.00 ,$153.87 ,$434.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000081,19030,HC INJECTION GALACTOGRAM,360,1 ,$203.00 ,$146.16 ,$43.77 ,$203.00 ,$116.73 ,$127.89 ,$121.80 ,$43.77 ,$56.84 ,$117.74 ,$45.76 ,$123.83 ,$49.73 ,$111.45 ,$111.45 ,$51.72 ,$111.45 ,$90.21 ,$142.10 , N/A ,$45.76 ,$43.77 ,$152.25 ,$144.13 ,$144.13 ,$45.76 ,$144.13 ,$176.61 ,$176.61 ,$176.61 , N/A ,$182.70 ,$116.73 ,$172.55 ,$43.77 ,$203.00 ,$113.88 ,$43.77 ,$84.04 , N/A , N/A ,$45.76 ,$172.55 ,$86.94 ,$111.45 ,$56.84 ,$182.70 ,$203.00 ,$43.77 ,$176.61 ,$203.00 ,$203.00 ,$203.00 ,$46.69 ,$131.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$4,112.00 ","$2,960.64 ",$538.44 ,"$4,112.00 ","$2,364.40 ","$2,590.56 ","$2,467.20 ",$886.55 ,"$1,151.36 ","$2,384.96 ",$926.84 ,"$2,508.32 ","$1,007.44 ","$2,257.49 ","$2,257.49 ","$1,047.74 ","$2,031.00 ","$1,827.37 ","$2,878.40 ","$3,748.88 ",$926.84 ,$886.55 ,"$3,084.00 ","$2,919.52 ","$2,919.52 ",$926.84 ,"$2,919.52 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,700.80 ","$2,364.40 ","$3,495.20 ",$886.55 ,$538.44 ,"$2,306.83 ",$886.55 ,"$1,702.37 ","$2,093.03 ","$1,902.75 ",$926.84 ,"$3,495.20 ","$1,761.00 ","$2,257.49 ","$1,151.36 ","$3,700.80 ","$4,112.00 ",$886.55 ,"$3,129.00 ","$2,561.00 ","$4,112.00 ","$2,561.00 ",$945.76 ,"$2,672.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$4,112.00 ","$2,960.64 ",$538.44 ,"$4,112.00 ","$2,364.40 ","$2,590.56 ","$2,467.20 ",$886.55 ,"$1,151.36 ","$2,384.96 ",$926.84 ,"$2,508.32 ","$1,007.44 ","$2,257.49 ","$2,257.49 ","$1,047.74 ","$2,031.00 ","$1,827.37 ","$2,878.40 ","$3,748.88 ",$926.84 ,$886.55 ,"$3,084.00 ","$2,919.52 ","$2,919.52 ",$926.84 ,"$2,919.52 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,700.80 ","$2,364.40 ","$3,495.20 ",$886.55 ,$538.44 ,"$2,306.83 ",$886.55 ,"$1,702.37 ","$2,093.03 ","$1,902.75 ",$926.84 ,"$3,495.20 ","$1,761.00 ","$2,257.49 ","$1,151.36 ","$3,700.80 ","$4,112.00 ",$886.55 ,"$3,129.00 ","$2,561.00 ","$4,112.00 ","$2,561.00 ",$945.76 ,"$2,672.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$4,112.00 ","$2,960.64 ",$538.44 ,"$4,112.00 ","$2,364.40 ","$2,590.56 ","$2,467.20 ",$886.55 ,"$1,151.36 ","$2,384.96 ",$926.84 ,"$2,508.32 ","$1,007.44 ","$2,257.49 ","$2,257.49 ","$1,047.74 ","$2,031.00 ","$1,827.37 ","$2,878.40 ","$3,748.88 ",$926.84 ,$886.55 ,"$3,084.00 ","$2,919.52 ","$2,919.52 ",$926.84 ,"$2,919.52 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,700.80 ","$2,364.40 ","$3,495.20 ",$886.55 ,$538.44 ,"$2,306.83 ",$886.55 ,"$1,702.37 ","$2,093.03 ","$1,902.75 ",$926.84 ,"$3,495.20 ","$1,761.00 ","$2,257.49 ","$1,151.36 ","$3,700.80 ","$4,112.00 ",$886.55 ,"$3,129.00 ","$2,561.00 ","$4,112.00 ","$2,561.00 ",$945.76 ,"$2,672.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$6,167.00 ","$4,440.24 ",$538.44 ,"$6,458.13 ","$3,546.03 ","$3,885.21 ","$3,700.20 ","$1,329.61 ","$1,726.76 ","$3,576.86 ","$1,390.04 ","$3,761.87 ","$1,510.91 ","$3,385.68 ","$3,385.68 ","$1,571.35 ","$2,031.00 ","$2,740.61 ","$4,316.90 ","$6,458.13 ","$1,390.04 ","$1,329.61 ","$4,625.25 ","$4,378.57 ","$4,378.57 ","$1,390.04 ","$4,378.57 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$5,550.30 ","$3,546.03 ","$5,241.95 ","$1,329.61 ",$538.44 ,"$3,459.69 ","$1,329.61 ","$2,553.14 ","$3,139.53 ","$2,854.12 ","$1,390.04 ","$5,241.95 ","$2,641.08 ","$3,385.68 ","$1,726.76 ","$5,550.30 ","$6,167.00 ","$1,329.61 ","$3,129.00 ","$3,841.50 ","$6,167.00 ","$3,841.50 ","$1,418.41 ","$4,008.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$2,122.00 ","$1,527.84 ",$184.32 ,"$2,122.00 ","$1,220.15 ","$1,336.86 ","$1,273.20 ",$457.50 ,$594.16 ,"$1,230.76 ",$478.30 ,"$1,294.42 ",$519.89 ,"$1,164.98 ","$1,164.98 ",$540.69 ,"$1,164.98 ",$943.02 ,"$1,485.40 ","$1,622.43 ",$478.30 ,$457.50 ,"$1,591.50 ","$1,506.62 ","$1,506.62 ",$478.30 ,"$1,506.62 ","$1,846.14 ","$1,846.14 ","$1,846.14 ", N/A ,"$1,909.80 ","$1,220.15 ","$1,803.70 ",$457.50 ,$397.29 ,"$1,190.44 ",$457.50 ,$878.51 ,$202.75 ,$184.32 ,$478.30 ,"$1,803.70 ",$908.76 ,"$1,164.98 ",$594.16 ,"$1,909.80 ","$2,122.00 ",$457.50 ,"$1,846.14 ","$2,122.00 ","$2,122.00 ","$2,122.00 ",$488.06 ,"$1,379.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$2,681.00 ","$1,930.32 ",$276.48 ,"$2,681.00 ","$1,541.58 ","$1,689.03 ","$1,608.60 ",$578.02 ,$750.68 ,"$1,554.98 ",$604.30 ,"$1,635.41 ",$656.84 ,"$1,471.87 ","$1,471.87 ",$683.12 ,"$1,471.87 ","$1,191.44 ","$1,876.70 ","$1,622.43 ",$604.30 ,$578.02 ,"$2,010.75 ","$1,903.51 ","$1,903.51 ",$604.30 ,"$1,903.51 ","$2,332.47 ","$2,332.47 ","$2,332.47 ", N/A ,"$2,412.90 ","$1,541.58 ","$2,278.85 ",$578.02 ,$397.29 ,"$1,504.04 ",$578.02 ,"$1,109.93 ",$304.13 ,$276.48 ,$604.30 ,"$2,278.85 ","$1,148.17 ","$1,471.87 ",$750.68 ,"$2,412.90 ","$2,681.00 ",$578.02 ,"$2,332.47 ","$2,681.00 ","$2,681.00 ","$2,681.00 ",$616.63 ,"$1,742.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$1,488.00 ","$1,071.36 ",$320.81 ,"$3,748.88 ",$855.60 ,$937.44 ,$892.80 ,$320.81 ,$416.64 ,$863.04 ,$335.40 ,$907.68 ,$364.56 ,$816.91 ,$816.91 ,$379.14 ,$816.91 ,$661.27 ,"$1,041.60 ","$3,748.88 ",$335.40 ,$320.81 ,"$1,116.00 ","$1,056.48 ","$1,056.48 ",$335.40 ,"$1,056.48 ","$1,294.56 ","$1,294.56 ","$1,294.56 ", N/A ,"$1,339.20 ",$855.60 ,"$1,264.80 ",$320.81 ,"$1,488.00 ",$834.77 ,$320.81 ,$616.03 ,"$1,094.18 ",$994.71 ,$335.40 ,"$1,264.80 ",$637.25 ,$816.91 ,$416.64 ,"$1,339.20 ","$1,488.00 ",$320.81 ,"$1,294.56 ","$1,488.00 ","$1,488.00 ","$1,488.00 ",$342.24 ,$967.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$2,431.00 ","$1,750.32 ",$416.24 ,"$2,431.00 ","$1,397.83 ","$1,531.53 ","$1,458.60 ",$524.12 ,$680.68 ,"$1,409.98 ",$547.95 ,"$1,482.91 ",$595.59 ,"$1,334.62 ","$1,334.62 ",$619.42 ,"$1,334.62 ","$1,080.34 ","$1,701.70 ", N/A ,$547.95 ,$524.12 ,"$1,823.25 ","$1,726.01 ","$1,726.01 ",$547.95 ,"$1,726.01 ","$2,114.97 ","$2,114.97 ","$2,114.97 ", N/A ,"$2,187.90 ","$1,397.83 ","$2,066.35 ",$524.12 ,$416.24 ,"$1,363.79 ",$524.12 ,"$1,006.43 ","$2,093.03 ","$1,902.75 ",$547.95 ,"$2,066.35 ","$1,041.10 ","$1,334.62 ",$680.68 ,"$2,187.90 ","$2,431.00 ",$524.12 ,"$2,114.97 ",$479.00 ,"$2,431.00 ",$479.00 ,$559.13 ,"$1,580.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$3,160.00 ","$2,275.20 ",$416.24 ,"$3,160.00 ","$1,817.00 ","$1,990.80 ","$1,896.00 ",$681.30 ,$884.80 ,"$1,832.80 ",$712.26 ,"$1,927.60 ",$774.20 ,"$1,734.84 ","$1,734.84 ",$805.17 ,"$1,734.84 ","$1,404.30 ","$2,212.00 ", N/A ,$712.26 ,$681.30 ,"$2,370.00 ","$2,243.60 ","$2,243.60 ",$712.26 ,"$2,243.60 ","$2,749.20 ","$2,749.20 ","$2,749.20 ", N/A ,"$2,844.00 ","$1,817.00 ","$2,686.00 ",$681.30 ,$416.24 ,"$1,772.76 ",$681.30 ,"$1,308.24 ","$2,093.03 ","$1,902.75 ",$712.26 ,"$2,686.00 ","$1,353.30 ","$1,734.84 ",$884.80 ,"$2,844.00 ","$3,160.00 ",$681.30 ,"$2,749.20 ",$718.50 ,"$3,160.00 ",$718.50 ,$726.80 ,"$2,054.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$1,709.00 ","$1,230.48 ",$368.46 ,"$2,093.03 ",$982.68 ,"$1,076.67 ","$1,025.40 ",$368.46 ,$478.52 ,$991.22 ,$385.21 ,"$1,042.49 ",$418.70 ,$938.24 ,$938.24 ,$435.45 ,$938.24 ,$759.48 ,"$1,196.30 ", N/A ,$385.21 ,$368.46 ,"$1,281.75 ","$1,213.39 ","$1,213.39 ",$385.21 ,"$1,213.39 ","$1,486.83 ","$1,486.83 ","$1,486.83 ", N/A ,"$1,538.10 ",$982.68 ,"$1,452.65 ",$368.46 ,$410.06 ,$958.75 ,$368.46 ,$707.53 ,"$2,093.03 ","$1,902.75 ",$385.21 ,"$1,452.65 ",$731.89 ,$938.24 ,$478.52 ,"$1,538.10 ","$1,709.00 ",$368.46 ,"$1,486.83 ",$479.00 ,"$1,709.00 ",$479.00 ,$393.07 ,"$1,110.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$2,926.00 ","$2,106.72 ",$410.06 ,"$2,926.00 ","$1,682.45 ","$1,843.38 ","$1,755.60 ",$630.85 ,$819.28 ,"$1,697.08 ",$659.52 ,"$1,784.86 ",$716.87 ,"$1,606.37 ","$1,606.37 ",$745.54 ,"$1,606.37 ","$1,300.31 ","$2,048.20 ", N/A ,$659.52 ,$630.85 ,"$2,194.50 ","$2,077.46 ","$2,077.46 ",$659.52 ,"$2,077.46 ","$2,545.62 ","$2,545.62 ","$2,545.62 ", N/A ,"$2,633.40 ","$1,682.45 ","$2,487.10 ",$630.85 ,$410.06 ,"$1,641.49 ",$630.85 ,"$1,211.36 ","$2,093.03 ","$1,902.75 ",$659.52 ,"$2,487.10 ","$1,253.09 ","$1,606.37 ",$819.28 ,"$2,633.40 ","$2,926.00 ",$630.85 ,"$2,545.62 ",$718.50 ,"$2,926.00 ",$718.50 ,$672.98 ,"$1,901.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,086.00 ",$781.92 ,$182.91 ,"$1,086.00 ",$624.45 ,$684.18 ,$651.60 ,$234.14 ,$304.08 ,$629.88 ,$244.78 ,$662.46 ,$266.07 ,$596.21 ,$596.21 ,$276.71 ,$596.21 ,$482.62 ,$760.20 , N/A ,$244.78 ,$234.14 ,$814.50 ,$771.06 ,$771.06 ,$244.78 ,$771.06 ,$944.82 ,$944.82 ,$944.82 , N/A ,$977.40 ,$624.45 ,$923.10 ,$234.14 ,$182.91 ,$609.25 ,$234.14 ,$449.60 ,$202.75 ,$184.32 ,$244.78 ,$923.10 ,$465.09 ,$596.21 ,$304.08 ,$977.40 ,"$1,086.00 ",$234.14 ,$944.82 ,$479.00 ,"$1,086.00 ",$479.00 ,$249.78 ,$705.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,365.00 ",$982.80 ,$182.91 ,"$1,365.00 ",$784.88 ,$859.95 ,$819.00 ,$294.29 ,$382.20 ,$791.70 ,$307.67 ,$832.65 ,$334.42 ,$749.39 ,$749.39 ,$347.80 ,$749.39 ,$606.61 ,$955.50 , N/A ,$307.67 ,$294.29 ,"$1,023.75 ",$969.15 ,$969.15 ,$307.67 ,$969.15 ,"$1,187.55 ","$1,187.55 ","$1,187.55 ", N/A ,"$1,228.50 ",$784.88 ,"$1,160.25 ",$294.29 ,$182.91 ,$765.77 ,$294.29 ,$565.11 ,$202.75 ,$184.32 ,$307.67 ,"$1,160.25 ",$584.58 ,$749.39 ,$382.20 ,"$1,228.50 ","$1,365.00 ",$294.29 ,"$1,187.55 ",$718.50 ,"$1,365.00 ",$718.50 ,$313.95 ,$887.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000115,19284,HC BREAST STEREO NDL LOC BX ADDN LESION,360,1 ,"$1,593.00 ","$1,146.96 ",$184.32 ,"$1,593.00 ",$915.98 ,"$1,003.59 ",$955.80 ,$343.45 ,$446.04 ,$923.94 ,$359.06 ,$971.73 ,$390.28 ,$874.56 ,$874.56 ,$405.90 ,$874.56 ,$707.93 ,"$1,115.10 ", N/A ,$359.06 ,$343.45 ,"$1,194.75 ","$1,131.03 ","$1,131.03 ",$359.06 ,"$1,131.03 ","$1,385.91 ","$1,385.91 ","$1,385.91 ", N/A ,"$1,433.70 ",$915.98 ,"$1,354.05 ",$343.45 ,$204.92 ,$893.67 ,$343.45 ,$659.50 ,$202.75 ,$184.32 ,$359.06 ,"$1,354.05 ",$682.22 ,$874.56 ,$446.04 ,"$1,433.70 ","$1,593.00 ",$343.45 ,"$1,385.91 ",$479.00 ,"$1,593.00 ",$479.00 ,$366.39 ,"$1,035.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000115,19284,HC BREAST STEREO NDL LOC BX ADDN LESION,360,1 ,"$2,068.00 ","$1,488.96 ",$184.32 ,"$2,068.00 ","$1,189.10 ","$1,302.84 ","$1,240.80 ",$445.86 ,$579.04 ,"$1,199.44 ",$466.13 ,"$1,261.48 ",$506.66 ,"$1,135.33 ","$1,135.33 ",$526.93 ,"$1,135.33 ",$919.02 ,"$1,447.60 ", N/A ,$466.13 ,$445.86 ,"$1,551.00 ","$1,468.28 ","$1,468.28 ",$466.13 ,"$1,468.28 ","$1,799.16 ","$1,799.16 ","$1,799.16 ", N/A ,"$1,861.20 ","$1,189.10 ","$1,757.80 ",$445.86 ,$204.92 ,"$1,160.15 ",$445.86 ,$856.15 ,$202.75 ,$184.32 ,$466.13 ,"$1,757.80 ",$885.65 ,"$1,135.33 ",$579.04 ,"$1,861.20 ","$2,068.00 ",$445.86 ,"$1,799.16 ",$718.50 ,"$2,068.00 ",$718.50 ,$475.64 ,"$1,344.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000116,19286,HC BREAST NDL LOC BX ULTRA ADDN LESION,360,1 ,"$1,062.00 ",$764.64 ,$184.32 ,"$1,062.00 ",$610.65 ,$669.06 ,$637.20 ,$228.97 ,$297.36 ,$615.96 ,$239.37 ,$647.82 ,$260.19 ,$583.04 ,$583.04 ,$270.60 ,$583.04 ,$471.95 ,$743.40 , N/A ,$239.37 ,$228.97 ,$796.50 ,$754.02 ,$754.02 ,$239.37 ,$754.02 ,$923.94 ,$923.94 ,$923.94 , N/A ,$955.80 ,$610.65 ,$902.70 ,$228.97 ,$325.15 ,$595.78 ,$228.97 ,$439.67 ,$202.75 ,$184.32 ,$239.37 ,$902.70 ,$454.81 ,$583.04 ,$297.36 ,$955.80 ,"$1,062.00 ",$228.97 ,$923.94 ,$479.00 ,"$1,062.00 ",$479.00 ,$244.26 ,$690.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000116,19286,HC BREAST NDL LOC BX ULTRA ADDN LESION,360,1 ,"$1,341.00 ",$965.52 ,$184.32 ,"$1,341.00 ",$771.08 ,$844.83 ,$804.60 ,$289.12 ,$375.48 ,$777.78 ,$302.26 ,$818.01 ,$328.54 ,$736.21 ,$736.21 ,$341.69 ,$736.21 ,$595.94 ,$938.70 , N/A ,$302.26 ,$289.12 ,"$1,005.75 ",$952.11 ,$952.11 ,$302.26 ,$952.11 ,"$1,166.67 ","$1,166.67 ","$1,166.67 ", N/A ,"$1,206.90 ",$771.08 ,"$1,139.85 ",$289.12 ,$325.15 ,$752.30 ,$289.12 ,$555.17 ,$202.75 ,$184.32 ,$302.26 ,"$1,139.85 ",$574.30 ,$736.21 ,$375.48 ,"$1,206.90 ","$1,341.00 ",$289.12 ,"$1,166.67 ",$718.50 ,"$1,341.00 ",$718.50 ,$308.43 ,$871.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000122,36555,HC INS CATH CV NON-TUNL <5 YRS,360,1 ,"$1,496.00 ","$1,077.12 ",$322.54 ,"$7,447.43 ",$860.20 ,$942.48 ,$897.60 ,$322.54 ,$418.88 ,$867.68 ,$337.20 ,$912.56 ,$366.52 ,$821.30 ,$821.30 ,$381.18 ,$821.30 ,$664.82 ,"$1,047.20 ","$7,447.43 ",$337.20 ,$322.54 ,"$1,122.00 ","$1,062.16 ","$1,062.16 ",$337.20 ,"$1,062.16 ","$1,301.52 ","$1,301.52 ","$1,301.52 ", N/A ,"$1,346.40 ",$860.20 ,"$1,271.60 ",$322.54 ,"$1,496.00 ",$839.26 ,$322.54 ,$619.34 , N/A , N/A ,$337.20 ,"$1,271.60 ",$640.67 ,$821.30 ,$418.88 ,"$1,346.40 ","$1,496.00 ",$322.54 ,"$1,301.52 ","$1,496.00 ","$1,496.00 ","$1,496.00 ",$344.08 ,$972.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$1,645.00 ","$1,184.40 ",$354.66 ,"$7,447.43 ",$945.88 ,"$1,036.35 ",$987.00 ,$354.66 ,$460.60 ,$954.10 ,$370.78 ,"$1,003.45 ",$403.02 ,$903.11 ,$903.11 ,$419.15 ,$903.11 ,$731.04 ,"$1,151.50 ","$7,447.43 ",$370.78 ,$354.66 ,"$1,233.75 ","$1,167.95 ","$1,167.95 ",$370.78 ,"$1,167.95 ","$1,431.15 ","$1,431.15 ","$1,431.15 ", N/A ,"$1,480.50 ",$945.88 ,"$1,398.25 ",$354.66 ,"$1,645.00 ",$922.85 ,$354.66 ,$681.03 ,"$2,890.06 ","$2,627.33 ",$370.78 ,"$1,398.25 ",$704.49 ,$903.11 ,$460.60 ,"$1,480.50 ","$1,645.00 ",$354.66 ,"$1,431.15 ","$1,645.00 ","$1,645.00 ","$1,645.00 ",$378.35 ,"$1,069.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000131,36568,HC INS CATH PERIPH CV W/O PORT <5,360,1 ,$921.00 ,$663.12 ,$198.57 ,"$3,719.63 ",$529.58 ,$580.23 ,$552.60 ,$198.57 ,$257.88 ,$534.18 ,$207.59 ,$561.81 ,$225.64 ,$505.63 ,$505.63 ,$234.67 ,$505.63 ,$409.29 ,$644.70 ,"$3,719.63 ",$207.59 ,$198.57 ,$690.75 ,$653.91 ,$653.91 ,$207.59 ,$653.91 ,$801.27 ,$801.27 ,$801.27 , N/A ,$828.90 ,$529.58 ,$782.85 ,$198.57 ,$921.00 ,$516.68 ,$198.57 ,$381.29 , N/A , N/A ,$207.59 ,$782.85 ,$394.43 ,$505.63 ,$257.88 ,$828.90 ,$921.00 ,$198.57 ,$801.27 ,$921.00 ,$921.00 ,$921.00 ,$211.83 ,$598.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$1,669.00 ","$1,201.68 ",$359.84 ,"$3,719.63 ",$959.68 ,"$1,051.47 ","$1,001.40 ",$359.84 ,$467.32 ,$968.02 ,$376.19 ,"$1,018.09 ",$408.90 ,$916.28 ,$916.28 ,$425.26 ,$916.28 ,$741.70 ,"$1,168.30 ","$3,719.63 ",$376.19 ,$359.84 ,"$1,251.75 ","$1,184.99 ","$1,184.99 ",$376.19 ,"$1,184.99 ","$1,452.03 ","$1,452.03 ","$1,452.03 ", N/A ,"$1,502.10 ",$959.68 ,"$1,418.65 ",$359.84 ,"$1,669.00 ",$936.31 ,$359.84 ,$690.97 ,$841.29 ,$764.81 ,$376.19 ,"$1,418.65 ",$714.76 ,$916.28 ,$467.32 ,"$1,502.10 ","$1,669.00 ",$359.84 ,"$1,452.03 ","$1,669.00 ","$1,669.00 ","$1,669.00 ",$383.87 ,"$1,084.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,$674.00 ,$485.28 ,$145.31 ,"$1,446.25 ",$387.55 ,$424.62 ,$404.40 ,$145.31 ,$188.72 ,$390.92 ,$151.92 ,$411.14 ,$165.13 ,$370.03 ,$370.03 ,$171.74 ,$370.03 ,$299.53 ,$471.80 ,"$1,446.25 ",$151.92 ,$145.31 ,$505.50 ,$478.54 ,$478.54 ,$151.92 ,$478.54 ,$586.38 ,$586.38 ,$586.38 , N/A ,$606.60 ,$387.55 ,$572.90 ,$145.31 ,$674.00 ,$378.11 ,$145.31 ,$279.04 ,$240.80 ,$218.91 ,$151.92 ,$572.90 ,$288.65 ,$370.03 ,$188.72 ,$606.60 ,$674.00 ,$145.31 ,$586.38 ,$674.00 ,$674.00 ,$674.00 ,$155.02 ,$438.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000148,36620,HC CATH/CANN ARTERY PERC 36620,360,1 ,"$1,226.00 ",$882.72 ,$264.33 ,"$4,543.31 ",$704.95 ,$772.38 ,$735.60 ,$264.33 ,$343.28 ,$711.08 ,$276.34 ,$747.86 ,$300.37 ,$673.07 ,$673.07 ,$312.38 ,$673.07 ,$544.83 ,$858.20 , N/A ,$276.34 ,$264.33 ,$919.50 ,$870.46 ,$870.46 ,$276.34 ,$870.46 ,"$1,066.62 ","$1,066.62 ","$1,066.62 ", N/A ,"$1,103.40 ",$704.95 ,"$1,042.10 ",$264.33 ,"$1,226.00 ",$687.79 ,$264.33 ,$507.56 ,"$4,543.31 ","$4,130.28 ",$276.34 ,"$1,042.10 ",$525.04 ,$673.07 ,$343.28 ,"$1,103.40 ","$1,226.00 ",$264.33 ,"$1,066.62 ",$479.00 ,"$1,226.00 ",$479.00 ,$281.98 ,$796.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000158,38221,HC BX BONE MARROW ONLY,360,1 ,"$3,919.00 ","$2,821.68 ",$844.94 ,"$3,919.00 ","$2,253.43 ","$2,468.97 ","$2,351.40 ",$844.94 ,"$1,097.32 ","$2,273.02 ",$883.34 ,"$2,390.59 ",$960.15 ,"$2,151.53 ","$2,151.53 ",$998.56 ,"$2,031.00 ","$1,741.60 ","$2,743.30 ","$3,748.88 ",$883.34 ,$844.94 ,"$2,939.25 ","$2,782.49 ","$2,782.49 ",$883.34 ,"$2,782.49 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,527.10 ","$2,253.43 ","$3,331.15 ",$844.94 ,"$3,919.00 ","$2,198.56 ",$844.94 ,"$1,622.47 ","$1,032.79 ",$938.90 ,$883.34 ,"$3,331.15 ","$1,678.35 ","$2,151.53 ","$1,097.32 ","$3,527.10 ","$3,919.00 ",$844.94 ,"$3,129.00 ","$2,158.00 ","$3,919.00 ","$2,158.00 ",$901.37 ,"$2,547.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$4,118.00 ","$2,964.96 ",$887.84 ,"$4,118.00 ","$2,367.85 ","$2,594.34 ","$2,470.80 ",$887.84 ,"$1,153.04 ","$2,388.44 ",$928.20 ,"$2,511.98 ","$1,008.91 ","$2,260.78 ","$2,260.78 ","$1,049.27 ","$2,031.00 ","$1,830.04 ","$2,882.60 ","$3,748.88 ",$928.20 ,$887.84 ,"$3,088.50 ","$2,923.78 ","$2,923.78 ",$928.20 ,"$2,923.78 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,706.20 ","$2,367.85 ","$3,500.30 ",$887.84 ,"$4,118.00 ","$2,310.20 ",$887.84 ,"$1,704.85 ","$1,094.18 ",$994.71 ,$928.20 ,"$3,500.30 ","$1,763.58 ","$2,260.78 ","$1,153.04 ","$3,706.20 ","$4,118.00 ",$887.84 ,"$3,129.00 ","$2,561.00 ","$4,118.00 ","$2,561.00 ",$947.14 ,"$2,676.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,"$1,214.00 ",$874.08 ,$261.74 ,"$1,214.00 ",$698.05 ,$764.82 ,$728.40 ,$261.74 ,$339.92 ,$704.12 ,$273.64 ,$740.54 ,$297.43 ,$666.49 ,$666.49 ,$309.33 ,$666.49 ,$539.50 ,$849.80 ,$971.70 ,$273.64 ,$261.74 ,$910.50 ,$861.94 ,$861.94 ,$273.64 ,$861.94 ,"$1,056.18 ","$1,056.18 ","$1,056.18 ", N/A ,"$1,092.60 ",$698.05 ,"$1,031.90 ",$261.74 ,"$1,214.00 ",$681.05 ,$261.74 ,$502.60 , N/A , N/A ,$273.64 ,"$1,031.90 ",$519.91 ,$666.49 ,$339.92 ,"$1,092.60 ","$1,214.00 ",$261.74 ,"$1,056.18 ",$479.00 ,"$1,214.00 ",$479.00 ,$279.22 ,$789.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000188,55700,HC BX PROSTATE NEEDLE/PUNCH,360,1 ,$596.00 ,$429.12 ,$128.50 ,"$4,637.20 ",$342.70 ,$375.48 ,$357.60 ,$128.50 ,$166.88 ,$345.68 ,$134.34 ,$363.56 ,$146.02 ,$327.20 ,$327.20 ,$151.86 ,$327.20 ,$264.86 ,$417.20 ,"$4,637.20 ",$134.34 ,$128.50 ,$447.00 ,$423.16 ,$423.16 ,$134.34 ,$423.16 ,$518.52 ,$518.52 ,$518.52 , N/A ,$536.40 ,$342.70 ,$506.60 ,$128.50 ,$596.00 ,$334.36 ,$128.50 ,$246.74 ,"$1,960.59 ","$1,782.35 ",$134.34 ,$506.60 ,$255.24 ,$327.20 ,$166.88 ,$536.40 ,$596.00 ,$128.50 ,$518.52 ,$596.00 ,$596.00 ,$596.00 ,$137.08 ,$387.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,$627.00 ,$451.44 ,$135.18 ,"$1,610.85 ",$360.53 ,$395.01 ,$376.20 ,$135.18 ,$175.56 ,$363.66 ,$141.33 ,$382.47 ,$153.61 ,$344.22 ,$344.22 ,$159.76 ,$344.22 ,$278.64 ,$438.90 ,"$1,610.85 ",$141.33 ,$135.18 ,$470.25 ,$445.17 ,$445.17 ,$141.33 ,$445.17 ,$545.49 ,$545.49 ,$545.49 , N/A ,$564.30 ,$360.53 ,$532.95 ,$135.18 ,$627.00 ,$351.75 ,$135.18 ,$259.58 ,$877.24 ,$797.49 ,$141.33 ,$532.95 ,$268.52 ,$344.22 ,$175.56 ,$564.30 ,$627.00 ,$135.18 ,$545.49 ,$627.00 ,$627.00 ,$627.00 ,$144.21 ,$407.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000223,36575,HC REPAIR CATH CV W/O PORT/PUMP,360,1 ,"$1,656.00 ","$1,192.32 ",$357.03 ,"$1,656.00 ",$952.20 ,"$1,043.28 ",$993.60 ,$357.03 ,$463.68 ,$960.48 ,$373.26 ,"$1,010.16 ",$405.72 ,$909.14 ,$909.14 ,$421.95 ,$909.14 ,$735.93 ,"$1,159.20 ","$1,446.25 ",$373.26 ,$357.03 ,"$1,242.00 ","$1,175.76 ","$1,175.76 ",$373.26 ,"$1,175.76 ","$1,440.72 ","$1,440.72 ","$1,440.72 ", N/A ,"$1,490.40 ",$952.20 ,"$1,407.60 ",$357.03 ,"$1,656.00 ",$929.02 ,$357.03 ,$685.58 ,$841.29 ,$764.81 ,$373.26 ,"$1,407.60 ",$709.20 ,$909.14 ,$463.68 ,"$1,490.40 ","$1,656.00 ",$357.03 ,"$1,440.72 ","$1,656.00 ","$1,656.00 ","$1,656.00 ",$380.88 ,"$1,076.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000309,27096,HC INJECTION SACRAL JOINT,360,1 ,$681.00 ,$490.32 ,$146.82 ,$681.00 ,$391.58 ,$429.03 ,$408.60 ,$146.82 ,$190.68 ,$394.98 ,$153.50 ,$415.41 ,$166.84 ,$373.87 ,$373.87 ,$173.52 ,$373.87 ,$302.64 ,$476.70 , N/A ,$153.50 ,$146.82 ,$510.75 ,$483.51 ,$483.51 ,$153.50 ,$483.51 ,$592.47 ,$592.47 ,$592.47 , N/A ,$612.90 ,$391.58 ,$578.85 ,$146.82 ,$681.00 ,$382.04 ,$146.82 ,$281.93 ,$549.62 ,$499.65 ,$153.50 ,$578.85 ,$291.65 ,$373.87 ,$190.68 ,$612.90 ,$681.00 ,$146.82 ,$592.47 ,$479.00 ,$681.00 ,$479.00 ,$156.63 ,$442.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000310,64421,HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL,360,1 ,"$1,104.00 ",$794.88 ,$238.02 ,"$2,130.45 ",$634.80 ,$695.52 ,$662.40 ,$238.02 ,$309.12 ,$640.32 ,$248.84 ,$673.44 ,$270.48 ,$606.10 ,$606.10 ,$281.30 ,$606.10 ,$490.62 ,$772.80 ,"$2,130.45 ",$248.84 ,$238.02 ,$828.00 ,$783.84 ,$783.84 ,$248.84 ,$783.84 ,$960.48 ,$960.48 ,$960.48 , N/A ,$993.60 ,$634.80 ,$938.40 ,$238.02 ,"$1,104.00 ",$619.34 ,$238.02 ,$457.06 ,$746.69 ,$678.81 ,$248.84 ,$938.40 ,$472.80 ,$606.10 ,$309.12 ,$993.60 ,"$1,104.00 ",$238.02 ,$960.48 ,"$1,104.00 ","$1,104.00 ","$1,104.00 ",$253.92 ,$717.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,$832.00 ,$599.04 ,$179.38 ,"$1,610.85 ",$478.40 ,$524.16 ,$499.20 ,$179.38 ,$232.96 ,$482.56 ,$187.53 ,$507.52 ,$203.84 ,$456.77 ,$456.77 ,$211.99 ,$456.77 ,$369.74 ,$582.40 ,"$1,610.85 ",$187.53 ,$179.38 ,$624.00 ,$590.72 ,$590.72 ,$187.53 ,$590.72 ,$723.84 ,$723.84 ,$723.84 , N/A ,$748.80 ,$478.40 ,$707.20 ,$179.38 ,$832.00 ,$466.75 ,$179.38 ,$344.45 ,$746.69 ,$678.81 ,$187.53 ,$707.20 ,$356.31 ,$456.77 ,$232.96 ,$748.80 ,$832.00 ,$179.38 ,$723.84 ,$832.00 ,$832.00 ,$832.00 ,$191.36 ,$540.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000319,20526,HC INJECTION;CARPAL TUNNEL,360,1 ,$757.00 ,$545.04 ,$163.21 ,$757.00 ,$435.28 ,$476.91 ,$454.20 ,$163.21 ,$211.96 ,$439.06 ,$170.63 ,$461.77 ,$185.46 ,$415.59 ,$415.59 ,$192.88 ,$415.59 ,$336.41 ,$529.90 ,$679.73 ,$170.63 ,$163.21 ,$567.75 ,$537.47 ,$537.47 ,$170.63 ,$537.47 ,$658.59 ,$658.59 ,$658.59 , N/A ,$681.30 ,$435.28 ,$643.45 ,$163.21 ,$757.00 ,$424.68 ,$163.21 ,$313.40 ,$549.62 ,$499.65 ,$170.63 ,$643.45 ,$324.19 ,$415.59 ,$211.96 ,$681.30 ,$757.00 ,$163.21 ,$658.59 ,$479.00 ,$757.00 ,$479.00 ,$174.11 ,$492.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000331,64520,HC NERVE BLOCK;L/S PARAVERTEBAL SYMP,360,1 ,"$2,095.00 ","$1,508.40 ",$451.68 ,"$2,130.45 ","$1,204.63 ","$1,319.85 ","$1,257.00 ",$451.68 ,$586.60 ,"$1,215.10 ",$472.21 ,"$1,277.95 ",$513.27 ,"$1,150.16 ","$1,150.16 ",$533.81 ,"$1,150.16 ",$931.02 ,"$1,466.50 ","$2,130.45 ",$472.21 ,$451.68 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$472.21 ,"$1,487.45 ","$1,822.65 ","$1,822.65 ","$1,822.65 ", N/A ,"$1,885.50 ","$1,204.63 ","$1,780.75 ",$451.68 ,"$2,095.00 ","$1,175.30 ",$451.68 ,$867.33 ,"$1,354.21 ","$1,231.10 ",$472.21 ,"$1,780.75 ",$897.21 ,"$1,150.16 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$451.68 ,"$1,822.65 ","$2,095.00 ","$2,095.00 ","$2,095.00 ",$481.85 ,"$1,361.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000334,63650,HC IMPLANT NEUROELECTRODES,360,1 ,"$5,141.00 ","$3,701.52 ","$1,108.40 ","$16,509.63 ","$2,956.08 ","$3,238.83 ","$3,084.60 ","$1,108.40 ","$1,439.48 ","$2,981.78 ","$1,158.78 ","$3,136.01 ","$1,259.54 ","$2,822.41 ","$2,822.41 ","$1,309.93 ","$2,031.00 ","$2,284.66 ","$3,598.70 ","$16,509.63 ","$1,158.78 ","$1,108.40 ","$3,855.75 ","$3,650.11 ","$3,650.11 ","$1,158.78 ","$3,650.11 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,626.90 ","$2,956.08 ","$4,369.85 ","$1,108.40 ","$5,141.00 ","$2,884.10 ","$1,108.40 ","$2,128.37 ","$8,325.00 ","$7,568.18 ","$1,158.78 ","$4,369.85 ","$2,201.69 ","$2,822.41 ","$1,439.48 ","$4,626.90 ","$5,141.00 ","$1,108.40 ","$3,129.00 ","$5,004.00 ","$5,141.00 ","$5,004.00 ","$1,182.43 ","$3,341.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000397,27301,HC I AND D ABSC/BURSA THIGH/KNEE,360,1 ,"$6,957.00 ","$5,009.04 ","$1,499.93 ","$6,957.00 ","$4,000.28 ","$4,382.91 ","$4,174.20 ","$1,499.93 ","$1,947.96 ","$4,035.06 ","$1,568.11 ","$4,243.77 ","$1,704.46 ","$3,819.39 ","$3,819.39 ","$1,772.64 ","$2,031.00 ","$3,091.69 ","$4,869.90 ","$6,458.13 ","$1,568.11 ","$1,499.93 ","$5,217.75 ","$4,939.47 ","$4,939.47 ","$1,568.11 ","$4,939.47 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$6,261.30 ","$4,000.28 ","$5,913.45 ","$1,499.93 ","$6,957.00 ","$3,902.88 ","$1,499.93 ","$2,880.20 ","$1,779.48 ","$1,617.71 ","$1,568.11 ","$5,913.45 ","$2,979.41 ","$3,819.39 ","$1,947.96 ","$6,261.30 ","$6,957.00 ","$1,499.93 ","$3,129.00 ","$2,964.00 ","$6,957.00 ","$2,964.00 ","$1,600.11 ","$4,522.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000420,26735,HC TX FX OPEN SHAFT FINGER/THUMB W/INT FIX EACH,360,1 ,"$8,212.00 ","$5,912.64 ","$1,770.51 ","$8,212.00 ","$4,721.90 ","$5,173.56 ","$4,927.20 ","$1,770.51 ","$2,299.36 ","$4,762.96 ","$1,850.98 ","$5,009.32 ","$2,011.94 ","$4,508.39 ","$4,508.39 ","$2,092.42 ","$2,031.00 ","$3,649.41 ","$5,748.40 ","$7,441.65 ","$1,850.98 ","$1,770.51 ","$6,159.00 ","$5,830.52 ","$5,830.52 ","$1,850.98 ","$5,830.52 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$7,390.80 ","$4,721.90 ","$6,980.20 ","$1,770.51 ","$8,212.00 ","$4,606.93 ","$1,770.51 ","$3,399.77 ","$7,610.26 ","$6,918.42 ","$1,850.98 ","$6,980.20 ","$3,516.87 ","$4,508.39 ","$2,299.36 ","$7,390.80 ","$8,212.00 ","$1,770.51 ","$3,129.00 ","$2,964.00 ","$8,212.00 ","$2,964.00 ","$1,888.76 ","$5,337.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000581,30801,HC ABLATION SOFT TISSUE INF TURBINATES UNI/BIL,360,1 ,$752.00 ,$541.44 ,$162.13 ,"$3,470.35 ",$432.40 ,$473.76 ,$451.20 ,$162.13 ,$210.56 ,$436.16 ,$169.50 ,$458.72 ,$184.24 ,$412.85 ,$412.85 ,$191.61 ,$412.85 ,$334.19 ,$526.40 ,"$3,470.35 ",$169.50 ,$162.13 ,$564.00 ,$533.92 ,$533.92 ,$169.50 ,$533.92 ,$654.24 ,$654.24 ,$654.24 , N/A ,$676.80 ,$432.40 ,$639.20 ,$162.13 ,$752.00 ,$421.87 ,$162.13 ,$311.33 ,$202.75 ,$184.32 ,$169.50 ,$639.20 ,$322.05 ,$412.85 ,$210.56 ,$676.80 ,$752.00 ,$162.13 ,$654.24 ,$752.00 ,$752.00 ,$752.00 ,$172.96 ,$488.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36000652,36478,HC ABLATION THPY EXTREM PERC LASER INIT VEIN,360,1 ,"$9,145.00 ","$6,584.40 ","$1,971.66 ","$9,145.00 ","$5,258.38 ","$5,761.35 ","$5,487.00 ","$1,971.66 ","$2,560.60 ","$5,304.10 ","$2,061.28 ","$5,578.45 ","$2,240.52 ","$5,020.61 ","$5,020.61 ","$2,330.15 ","$2,031.00 ","$4,064.04 ","$6,401.50 ","$7,447.43 ","$2,061.28 ","$1,971.66 ","$6,858.75 ","$6,492.95 ","$6,492.95 ","$2,061.28 ","$6,492.95 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$8,230.50 ","$5,258.38 ","$7,773.25 ","$1,971.66 ","$9,145.00 ","$5,130.35 ","$1,971.66 ","$3,786.03 ","$4,095.44 ","$3,723.13 ","$2,061.28 ","$7,773.25 ","$3,916.44 ","$5,020.61 ","$2,560.60 ","$8,230.50 ","$9,145.00 ","$1,971.66 ","$3,129.00 ","$3,407.00 ","$9,145.00 ","$3,407.00 ","$2,103.35 ","$5,944.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000681,50590,HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE BIL,360,1 ,"$17,914.00 ","$12,898.08 ","$2,031.00 ","$17,914.00 ","$10,300.55 ","$11,285.82 ","$10,748.40 ","$3,862.26 ","$5,015.92 ","$7,030.00 ","$4,037.82 ","$7,400.00 ","$4,388.93 ","$6,660.00 ","$6,660.00 ","$4,564.49 ","$2,031.00 ","$7,960.98 ","$12,539.80 ","$8,012.80 ","$4,037.82 ","$3,862.26 ","$13,435.50 ","$12,718.94 ","$12,718.94 ","$4,037.82 ","$12,718.94 ","$15,585.18 ","$15,585.18 ","$15,585.18 ", N/A ,"$16,122.60 ","$10,300.55 ","$15,226.90 ","$3,862.26 ","$17,914.00 ","$10,049.75 ","$3,862.26 ","$7,416.40 ","$4,372.50 ","$3,975.00 ","$4,037.82 ","$15,226.90 ","$7,671.85 ","$6,660.00 ","$5,015.92 ","$16,122.60 ","$17,914.00 ","$3,862.26 ","$15,585.18 ","$5,004.00 ","$17,914.00 ","$5,004.00 ","$4,120.22 ","$11,644.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000755,41018,HC I AND D MASTICATOR SPACE,360,1 ,"$4,058.00 ","$2,921.76 ",$874.90 ,"$4,058.00 ","$2,333.35 ","$2,556.54 ","$2,434.80 ",$874.90 ,"$1,136.24 ","$2,353.64 ",$914.67 ,"$2,475.38 ",$994.21 ,"$2,227.84 ","$2,227.84 ","$1,033.98 ","$2,031.00 ","$1,803.38 ","$2,840.60 ","$3,470.35 ",$914.67 ,$874.90 ,"$3,043.50 ","$2,881.18 ","$2,881.18 ",$914.67 ,"$2,881.18 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,652.20 ","$2,333.35 ","$3,449.30 ",$874.90 ,"$4,058.00 ","$2,276.54 ",$874.90 ,"$1,680.01 ","$2,172.91 ","$1,975.37 ",$914.67 ,"$3,449.30 ","$1,737.88 ","$2,227.84 ","$1,136.24 ","$3,652.20 ","$4,058.00 ",$874.90 ,"$3,129.00 ","$2,561.00 ","$4,058.00 ","$2,561.00 ",$933.34 ,"$2,637.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000758,43460,HC PRESSURE TREATMENT ESOPHAGUS,360,1 ,"$1,569.00 ","$1,129.68 ",$338.28 ,"$1,569.00 ",$902.18 ,$988.47 ,$941.40 ,$338.28 ,$439.32 ,$910.02 ,$353.65 ,$957.09 ,$384.40 ,$861.38 ,$861.38 ,$399.78 ,$861.38 ,$697.26 ,"$1,098.30 ", N/A ,$353.65 ,$338.28 ,"$1,176.75 ","$1,113.99 ","$1,113.99 ",$353.65 ,"$1,113.99 ","$1,365.03 ","$1,365.03 ","$1,365.03 ", N/A ,"$1,412.10 ",$902.18 ,"$1,333.65 ",$338.28 ,"$1,569.00 ",$880.21 ,$338.28 ,$649.57 , N/A , N/A ,$353.65 ,"$1,333.65 ",$671.94 ,$861.38 ,$439.32 ,"$1,412.10 ","$1,569.00 ",$338.28 ,"$1,365.03 ","$1,569.00 ","$1,569.00 ","$1,569.00 ",$360.87 ,"$1,019.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36000761,54115,HC REMOVAL FOREIGN BODY DEEP PENILE TISSUE,360,1 ,"$7,110.00 ","$5,119.20 ","$1,532.92 ","$7,110.00 ","$4,088.25 ","$4,479.30 ","$4,266.00 ","$1,532.92 ","$1,990.80 ","$4,123.80 ","$1,602.59 ","$4,337.10 ","$1,741.95 ","$3,903.39 ","$3,903.39 ","$1,811.63 ","$2,031.00 ","$3,159.68 ","$4,977.00 ","$6,458.13 ","$1,602.59 ","$1,532.92 ","$5,332.50 ","$5,048.10 ","$5,048.10 ","$1,602.59 ","$5,048.10 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$6,399.00 ","$4,088.25 ","$6,043.50 ","$1,532.92 ","$7,110.00 ","$3,988.71 ","$1,532.92 ","$2,943.54 ","$4,061.92 ","$3,692.65 ","$1,602.59 ","$6,043.50 ","$3,044.93 ","$3,903.39 ","$1,990.80 ","$6,399.00 ","$7,110.00 ","$1,532.92 ","$3,129.00 ","$2,964.00 ","$7,110.00 ","$2,964.00 ","$1,635.30 ","$4,621.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,$250.00 ,$180.00 ,$53.90 ,$250.00 ,$143.75 ,$157.50 ,$150.00 ,$53.90 ,$70.00 ,$145.00 ,$56.35 ,$152.50 ,$61.25 ,$137.25 ,$137.25 ,$63.70 ,$137.25 ,$111.10 ,$175.00 , N/A ,$56.35 ,$53.90 ,$187.50 ,$177.50 ,$177.50 ,$56.35 ,$177.50 ,$217.50 ,$217.50 ,$217.50 , N/A ,$225.00 ,$143.75 ,$212.50 ,$53.90 ,$250.00 ,$140.25 ,$53.90 ,$103.50 , N/A , N/A ,$56.35 ,$212.50 ,$107.06 ,$137.25 ,$70.00 ,$225.00 ,$250.00 ,$53.90 ,$217.50 , N/A ,$250.00 , N/A ,$57.50 ,$162.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,$310.00 ,$223.20 ,$66.84 ,$310.00 ,$178.25 ,$195.30 ,$186.00 ,$66.84 ,$86.80 ,$179.80 ,$69.87 ,$189.10 ,$75.95 ,$170.19 ,$170.19 ,$78.99 ,$170.19 ,$137.76 ,$217.00 , N/A ,$69.87 ,$66.84 ,$232.50 ,$220.10 ,$220.10 ,$69.87 ,$220.10 ,$269.70 ,$269.70 ,$269.70 , N/A ,$279.00 ,$178.25 ,$263.50 ,$66.84 ,$310.00 ,$173.91 ,$66.84 ,$128.34 , N/A , N/A ,$69.87 ,$263.50 ,$132.76 ,$170.19 ,$86.80 ,$279.00 ,$310.00 ,$66.84 ,$269.70 , N/A ,$310.00 , N/A ,$71.30 ,$201.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,$355.00 ,$255.60 ,$76.54 ,$355.00 ,$204.13 ,$223.65 ,$213.00 ,$76.54 ,$99.40 ,$205.90 ,$80.02 ,$216.55 ,$86.97 ,$194.90 ,$194.90 ,$90.45 ,$194.90 ,$157.76 ,$248.50 , N/A ,$80.02 ,$76.54 ,$266.25 ,$252.05 ,$252.05 ,$80.02 ,$252.05 ,$308.85 ,$308.85 ,$308.85 , N/A ,$319.50 ,$204.13 ,$301.75 ,$76.54 ,$355.00 ,$199.16 ,$76.54 ,$146.97 , N/A , N/A ,$80.02 ,$301.75 ,$152.04 ,$194.90 ,$99.40 ,$319.50 ,$355.00 ,$76.54 ,$308.85 , N/A ,$355.00 , N/A ,$81.65 ,$230.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,$409.00 ,$294.48 ,$88.18 ,$409.00 ,$235.18 ,$257.67 ,$245.40 ,$88.18 ,$114.52 ,$237.22 ,$92.19 ,$249.49 ,$100.20 ,$224.54 ,$224.54 ,$104.21 ,$224.54 ,$181.76 ,$286.30 , N/A ,$92.19 ,$88.18 ,$306.75 ,$290.39 ,$290.39 ,$92.19 ,$290.39 ,$355.83 ,$355.83 ,$355.83 , N/A ,$368.10 ,$235.18 ,$347.65 ,$88.18 ,$409.00 ,$229.45 ,$88.18 ,$169.33 , N/A , N/A ,$92.19 ,$347.65 ,$175.16 ,$224.54 ,$114.52 ,$368.10 ,$409.00 ,$88.18 ,$355.83 , N/A ,$409.00 , N/A ,$94.07 ,$265.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,$513.00 ,$369.36 ,$110.60 ,$513.00 ,$294.98 ,$323.19 ,$307.80 ,$110.60 ,$143.64 ,$297.54 ,$115.63 ,$312.93 ,$125.68 ,$281.64 ,$281.64 ,$130.71 ,$281.64 ,$227.98 ,$359.10 , N/A ,$115.63 ,$110.60 ,$384.75 ,$364.23 ,$364.23 ,$115.63 ,$364.23 ,$446.31 ,$446.31 ,$446.31 , N/A ,$461.70 ,$294.98 ,$436.05 ,$110.60 ,$513.00 ,$287.79 ,$110.60 ,$212.38 , N/A , N/A ,$115.63 ,$436.05 ,$219.70 ,$281.64 ,$143.64 ,$461.70 ,$513.00 ,$110.60 ,$446.31 , N/A ,$513.00 , N/A ,$117.99 ,$333.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36060024,N/A,HC OR LEVEL 6 ADDL 15MIN,360,1 ,$575.00 ,$414.00 ,$123.97 ,$575.00 ,$330.63 ,$362.25 ,$345.00 ,$123.97 ,$161.00 ,$333.50 ,$129.60 ,$350.75 ,$140.87 ,$315.68 ,$315.68 ,$146.51 ,$315.68 ,$255.53 ,$402.50 , N/A ,$129.60 ,$123.97 ,$431.25 ,$408.25 ,$408.25 ,$129.60 ,$408.25 ,$500.25 ,$500.25 ,$500.25 , N/A ,$517.50 ,$330.63 ,$488.75 ,$123.97 ,$575.00 ,$322.58 ,$123.97 ,$238.05 , N/A , N/A ,$129.60 ,$488.75 ,$246.25 ,$315.68 ,$161.00 ,$517.50 ,$575.00 ,$123.97 ,$500.25 , N/A ,$575.00 , N/A ,$132.25 ,$373.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,36060025,N/A,HC OR LEVEL 1 INITIAL 30MIN,360,1 ,"$3,868.00 ","$2,784.96 ",$833.94 ,"$3,868.00 ","$2,224.10 ","$2,436.84 ","$2,320.80 ",$833.94 ,"$1,083.04 ","$2,243.44 ",$871.85 ,"$2,359.48 ",$947.66 ,"$2,123.53 ","$2,123.53 ",$985.57 ,"$2,031.00 ","$1,718.94 ","$2,707.60 ", N/A ,$871.85 ,$833.94 ,"$2,901.00 ","$2,746.28 ","$2,746.28 ",$871.85 ,"$2,746.28 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,481.20 ","$2,224.10 ","$3,287.80 ",$833.94 ,"$3,868.00 ","$2,169.95 ",$833.94 ,"$1,601.35 ", N/A , N/A ,$871.85 ,"$3,287.80 ","$1,656.51 ","$2,123.53 ","$1,083.04 ","$3,481.20 ","$3,868.00 ",$833.94 ,"$3,129.00 ", N/A ,"$3,868.00 ", N/A ,$889.64 ,"$2,514.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060026,N/A,HC OR LEVEL 2 INITIAL 30MIN,360,1 ,"$4,303.00 ","$3,098.16 ",$927.73 ,"$4,303.00 ","$2,474.23 ","$2,710.89 ","$2,581.80 ",$927.73 ,"$1,204.84 ","$2,495.74 ",$969.90 ,"$2,624.83 ","$1,054.23 ","$2,362.35 ","$2,362.35 ","$1,096.40 ","$2,031.00 ","$1,912.25 ","$3,012.10 ", N/A ,$969.90 ,$927.73 ,"$3,227.25 ","$3,055.13 ","$3,055.13 ",$969.90 ,"$3,055.13 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,872.70 ","$2,474.23 ","$3,657.55 ",$927.73 ,"$4,303.00 ","$2,413.98 ",$927.73 ,"$1,781.44 ", N/A , N/A ,$969.90 ,"$3,657.55 ","$1,842.80 ","$2,362.35 ","$1,204.84 ","$3,872.70 ","$4,303.00 ",$927.73 ,"$3,129.00 ", N/A ,"$4,303.00 ", N/A ,$989.69 ,"$2,796.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060027,N/A,HC OR LEVEL 3 INITIAL 30MIN,360,1 ,"$4,513.00 ","$3,249.36 ",$973.00 ,"$4,513.00 ","$2,594.98 ","$2,843.19 ","$2,707.80 ",$973.00 ,"$1,263.64 ","$2,617.54 ","$1,017.23 ","$2,752.93 ","$1,105.68 ","$2,477.64 ","$2,477.64 ","$1,149.91 ","$2,031.00 ","$2,005.58 ","$3,159.10 ", N/A ,"$1,017.23 ",$973.00 ,"$3,384.75 ","$3,204.23 ","$3,204.23 ","$1,017.23 ","$3,204.23 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,061.70 ","$2,594.98 ","$3,836.05 ",$973.00 ,"$4,513.00 ","$2,531.79 ",$973.00 ,"$1,868.38 ", N/A , N/A ,"$1,017.23 ","$3,836.05 ","$1,932.74 ","$2,477.64 ","$1,263.64 ","$4,061.70 ","$4,513.00 ",$973.00 ,"$3,129.00 ", N/A ,"$4,513.00 ", N/A ,"$1,037.99 ","$2,933.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060028,N/A,HC OR LEVEL 4 INITIAL 30MIN,360,1 ,"$4,810.00 ","$3,463.20 ","$1,037.04 ","$4,810.00 ","$2,765.75 ","$3,030.30 ","$2,886.00 ","$1,037.04 ","$1,346.80 ","$2,789.80 ","$1,084.17 ","$2,934.10 ","$1,178.45 ","$2,640.69 ","$2,640.69 ","$1,225.59 ","$2,031.00 ","$2,137.56 ","$3,367.00 ", N/A ,"$1,084.17 ","$1,037.04 ","$3,607.50 ","$3,415.10 ","$3,415.10 ","$1,084.17 ","$3,415.10 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,329.00 ","$2,765.75 ","$4,088.50 ","$1,037.04 ","$4,810.00 ","$2,698.41 ","$1,037.04 ","$1,991.34 ", N/A , N/A ,"$1,084.17 ","$4,088.50 ","$2,059.93 ","$2,640.69 ","$1,346.80 ","$4,329.00 ","$4,810.00 ","$1,037.04 ","$3,129.00 ", N/A ,"$4,810.00 ", N/A ,"$1,106.30 ","$3,126.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060029,N/A,HC OR LEVEL 5 INITIAL 30MIN,360,1 ,"$5,114.00 ","$3,682.08 ","$1,102.58 ","$5,114.00 ","$2,940.55 ","$3,221.82 ","$3,068.40 ","$1,102.58 ","$1,431.92 ","$2,966.12 ","$1,152.70 ","$3,119.54 ","$1,252.93 ","$2,807.59 ","$2,807.59 ","$1,303.05 ","$2,031.00 ","$2,272.66 ","$3,579.80 ", N/A ,"$1,152.70 ","$1,102.58 ","$3,835.50 ","$3,630.94 ","$3,630.94 ","$1,152.70 ","$3,630.94 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,602.60 ","$2,940.55 ","$4,346.90 ","$1,102.58 ","$5,114.00 ","$2,868.95 ","$1,102.58 ","$2,117.20 ", N/A , N/A ,"$1,152.70 ","$4,346.90 ","$2,190.12 ","$2,807.59 ","$1,431.92 ","$4,602.60 ","$5,114.00 ","$1,102.58 ","$3,129.00 ", N/A ,"$5,114.00 ", N/A ,"$1,176.22 ","$3,324.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060030,N/A,HC OR LEVEL 6 INITIAL 30MIN,360,1 ,"$5,339.00 ","$3,844.08 ","$1,151.09 ","$5,339.00 ","$3,069.93 ","$3,363.57 ","$3,203.40 ","$1,151.09 ","$1,494.92 ","$3,096.62 ","$1,203.41 ","$3,256.79 ","$1,308.05 ","$2,931.11 ","$2,931.11 ","$1,360.38 ","$2,031.00 ","$2,372.65 ","$3,737.30 ", N/A ,"$1,203.41 ","$1,151.09 ","$4,004.25 ","$3,790.69 ","$3,790.69 ","$1,203.41 ","$3,790.69 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,805.10 ","$3,069.93 ","$4,538.15 ","$1,151.09 ","$5,339.00 ","$2,995.18 ","$1,151.09 ","$2,210.35 ", N/A , N/A ,"$1,203.41 ","$4,538.15 ","$2,286.48 ","$2,931.11 ","$1,494.92 ","$4,805.10 ","$5,339.00 ","$1,151.09 ","$3,129.00 ", N/A ,"$5,339.00 ", N/A ,"$1,227.97 ","$3,470.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060040,N/A,HC OR LEVEL LITHOTRIPSY INITIAL 45 MIN,360,1 ,"$11,667.00 ","$8,400.24 ","$2,031.00 ","$11,667.00 ","$6,708.53 ","$7,350.21 ","$7,000.20 ","$2,515.41 ","$3,266.76 ","$6,766.86 ","$2,629.74 ","$7,116.87 ","$2,858.41 ","$6,405.18 ","$6,405.18 ","$2,972.75 ","$2,031.00 ","$5,184.81 ","$8,166.90 ", N/A ,"$2,629.74 ","$2,515.41 ","$8,750.25 ","$8,283.57 ","$8,283.57 ","$2,629.74 ","$8,283.57 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$10,500.30 ","$6,708.53 ","$9,916.95 ","$2,515.41 ","$11,667.00 ","$6,545.19 ","$2,515.41 ","$4,830.14 ", N/A , N/A ,"$2,629.74 ","$9,916.95 ","$4,996.51 ","$6,405.18 ","$3,266.76 ","$10,500.30 ","$11,667.00 ","$2,515.41 ","$3,129.00 ", N/A ,"$11,667.00 ", N/A ,"$2,683.41 ","$7,583.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36060041,N/A,HC OR LEVEL LITHOTRIPSY ADDL 15 MIN,360,1 ,$344.00 ,$247.68 ,$74.17 ,$344.00 ,$197.80 ,$216.72 ,$206.40 ,$74.17 ,$96.32 ,$199.52 ,$77.54 ,$209.84 ,$84.28 ,$188.86 ,$188.86 ,$87.65 ,$188.86 ,$152.87 ,$240.80 , N/A ,$77.54 ,$74.17 ,$258.00 ,$244.24 ,$244.24 ,$77.54 ,$244.24 ,$299.28 ,$299.28 ,$299.28 , N/A ,$309.60 ,$197.80 ,$292.40 ,$74.17 ,$344.00 ,$192.98 ,$74.17 ,$142.42 , N/A , N/A ,$77.54 ,$292.40 ,$147.32 ,$188.86 ,$96.32 ,$309.60 ,$344.00 ,$74.17 ,$299.28 , N/A ,$344.00 , N/A ,$79.12 ,$223.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,$705.00 ,$507.60 ,$152.00 ,$746.69 ,$405.38 ,$444.15 ,$423.00 ,$152.00 ,$197.40 ,$408.90 ,$158.91 ,$430.05 ,$172.72 ,$387.05 ,$387.05 ,$179.63 ,$387.05 ,$313.30 ,$493.50 ,$679.73 ,$158.91 ,$152.00 ,$528.75 ,$500.55 ,$500.55 ,$158.91 ,$500.55 ,$613.35 ,$613.35 ,$613.35 , N/A ,$634.50 ,$405.38 ,$599.25 ,$152.00 ,$705.00 ,$395.51 ,$152.00 ,$291.87 ,$746.69 ,$678.81 ,$158.91 ,$599.25 ,$301.93 ,$387.05 ,$197.40 ,$634.50 ,$705.00 ,$152.00 ,$613.35 ,$479.00 ,$705.00 ,$479.00 ,$162.15 ,$458.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,36080008,64417,HC NERVE BLOCK AXILLARY NERVE,360,1 ,"$2,023.00 ","$1,456.56 ",$436.16 ,"$2,130.45 ","$1,163.23 ","$1,274.49 ","$1,213.80 ",$436.16 ,$566.44 ,"$1,173.34 ",$455.98 ,"$1,234.03 ",$495.63 ,"$1,110.63 ","$1,110.63 ",$515.46 ,"$1,110.63 ",$899.02 ,"$1,416.10 ","$2,130.45 ",$455.98 ,$436.16 ,"$1,517.25 ","$1,436.33 ","$1,436.33 ",$455.98 ,"$1,436.33 ","$1,760.01 ","$1,760.01 ","$1,760.01 ", N/A ,"$1,820.70 ","$1,163.23 ","$1,719.55 ",$436.16 ,"$2,023.00 ","$1,134.90 ",$436.16 ,$837.52 ,$746.69 ,$678.81 ,$455.98 ,"$1,719.55 ",$866.37 ,"$1,110.63 ",$566.44 ,"$1,820.70 ","$2,023.00 ",$436.16 ,"$1,760.01 ","$2,023.00 ","$2,023.00 ","$2,023.00 ",$465.29 ,"$1,314.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100034,55876,HC PLACE DEVICE/MARKER PROSTATE,361,1 ,"$4,110.00 ","$2,959.20 ",$886.12 ,"$4,110.00 ","$2,363.25 ","$2,589.30 ","$2,466.00 ",$886.12 ,"$1,150.80 ","$2,383.80 ",$926.39 ,"$2,507.10 ","$1,006.95 ","$2,256.39 ","$2,256.39 ","$1,047.23 ","$2,031.00 ","$1,826.48 ","$2,877.00 ","$3,351.68 ",$926.39 ,$886.12 ,"$3,082.50 ","$2,918.10 ","$2,918.10 ",$926.39 ,"$2,918.10 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,699.00 ","$2,363.25 ","$3,493.50 ",$886.12 ,"$4,110.00 ","$2,305.71 ",$886.12 ,"$1,701.54 ","$2,483.60 ","$2,257.82 ",$926.39 ,"$3,493.50 ","$1,760.15 ","$2,256.39 ","$1,150.80 ","$3,699.00 ","$4,110.00 ",$886.12 ,"$3,129.00 ","$2,561.00 ","$4,110.00 ","$2,561.00 ",$945.30 ,"$2,671.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100043,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-BIL,361,1 ,"$1,070.00 ",$770.40 ,$230.69 ,"$1,070.00 ",$615.25 ,$674.10 ,$642.00 ,$230.69 ,$299.60 ,$620.60 ,$241.18 ,$652.70 ,$262.15 ,$587.43 ,$587.43 ,$272.64 ,$587.43 ,$475.51 ,$749.00 ,"$1,019.59 ",$241.18 ,$230.69 ,$802.50 ,$759.70 ,$759.70 ,$241.18 ,$759.70 ,$930.90 ,$930.90 ,$930.90 , N/A ,$963.00 ,$615.25 ,$909.50 ,$230.69 ,"$1,070.00 ",$600.27 ,$230.69 ,$442.98 ,$824.42 ,$749.47 ,$241.18 ,$909.50 ,$458.24 ,$587.43 ,$299.60 ,$963.00 ,"$1,070.00 ",$230.69 ,$930.90 ,$718.50 ,"$1,070.00 ",$718.50 ,$246.10 ,$695.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,"$1,070.00 ",$770.40 ,$230.69 ,"$1,070.00 ",$615.25 ,$674.10 ,$642.00 ,$230.69 ,$299.60 ,$620.60 ,$241.18 ,$652.70 ,$262.15 ,$587.43 ,$587.43 ,$272.64 ,$587.43 ,$475.51 ,$749.00 ,"$1,019.59 ",$241.18 ,$230.69 ,$802.50 ,$759.70 ,$759.70 ,$241.18 ,$759.70 ,$930.90 ,$930.90 ,$930.90 , N/A ,$963.00 ,$615.25 ,$909.50 ,$230.69 ,"$1,070.00 ",$600.27 ,$230.69 ,$442.98 ,$824.42 ,$749.47 ,$241.18 ,$909.50 ,$458.24 ,$587.43 ,$299.60 ,$963.00 ,"$1,070.00 ",$230.69 ,$930.90 ,$718.50 ,"$1,070.00 ",$718.50 ,$246.10 ,$695.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$4,314.65 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 ,"$4,314.65 ",$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$962.00 ,$962.00 ,$962.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$4,314.65 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 ,"$4,314.65 ",$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$962.00 ,$962.00 ,$962.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$352.00 ,$253.44 ,$75.89 ,"$2,689.51 ",$202.40 ,$221.76 ,$211.20 ,$75.89 ,$98.56 ,$204.16 ,$79.34 ,$214.72 ,$86.24 ,$193.25 ,$193.25 ,$89.69 ,$193.25 ,$156.43 ,$246.40 , N/A ,$79.34 ,$75.89 ,$264.00 ,$249.92 ,$249.92 ,$79.34 ,$249.92 ,$306.24 ,$306.24 ,$306.24 , N/A ,$316.80 ,$202.40 ,$299.20 ,$75.89 ,$352.00 ,$197.47 ,$75.89 ,$145.73 ,"$2,689.51 ","$2,445.01 ",$79.34 ,$299.20 ,$150.74 ,$193.25 ,$98.56 ,$316.80 ,$352.00 ,$75.89 ,$306.24 ,$352.00 ,$352.00 ,$352.00 ,$80.96 ,$228.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$352.00 ,$253.44 ,$75.89 ,"$2,689.51 ",$202.40 ,$221.76 ,$211.20 ,$75.89 ,$98.56 ,$204.16 ,$79.34 ,$214.72 ,$86.24 ,$193.25 ,$193.25 ,$89.69 ,$193.25 ,$156.43 ,$246.40 , N/A ,$79.34 ,$75.89 ,$264.00 ,$249.92 ,$249.92 ,$79.34 ,$249.92 ,$306.24 ,$306.24 ,$306.24 , N/A ,$316.80 ,$202.40 ,$299.20 ,$75.89 ,$352.00 ,$197.47 ,$75.89 ,$145.73 ,"$2,689.51 ","$2,445.01 ",$79.34 ,$299.20 ,$150.74 ,$193.25 ,$98.56 ,$316.80 ,$352.00 ,$75.89 ,$306.24 ,$352.00 ,$352.00 ,$352.00 ,$80.96 ,$228.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$1,467.00 ","$1,056.24 ",$316.29 ,"$8,132.60 ",$843.53 ,$924.21 ,$880.20 ,$316.29 ,$410.76 ,$850.86 ,$330.66 ,$894.87 ,$359.41 ,$805.38 ,$805.38 ,$373.79 ,$805.38 ,$651.93 ,"$1,026.90 ","$8,132.60 ",$330.66 ,$316.29 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$330.66 ,"$1,041.57 ","$1,276.29 ","$1,276.29 ","$1,276.29 ", N/A ,"$1,320.30 ",$843.53 ,"$1,246.95 ",$316.29 ,"$1,467.00 ",$822.99 ,$316.29 ,$607.34 ,"$2,689.51 ","$2,445.01 ",$330.66 ,"$1,246.95 ",$628.26 ,$805.38 ,$410.76 ,"$1,320.30 ","$1,467.00 ",$316.29 ,"$1,276.29 ","$1,467.00 ","$1,467.00 ","$1,467.00 ",$337.41 ,$953.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$1,467.00 ","$1,056.24 ",$316.29 ,"$8,132.60 ",$843.53 ,$924.21 ,$880.20 ,$316.29 ,$410.76 ,$850.86 ,$330.66 ,$894.87 ,$359.41 ,$805.38 ,$805.38 ,$373.79 ,$805.38 ,$651.93 ,"$1,026.90 ","$8,132.60 ",$330.66 ,$316.29 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$330.66 ,"$1,041.57 ","$1,276.29 ","$1,276.29 ","$1,276.29 ", N/A ,"$1,320.30 ",$843.53 ,"$1,246.95 ",$316.29 ,"$1,467.00 ",$822.99 ,$316.29 ,$607.34 ,"$2,689.51 ","$2,445.01 ",$330.66 ,"$1,246.95 ",$628.26 ,$805.38 ,$410.76 ,"$1,320.30 ","$1,467.00 ",$316.29 ,"$1,276.29 ","$1,467.00 ","$1,467.00 ","$1,467.00 ",$337.41 ,$953.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$2,689.51 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 , N/A ,$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$479.00 ,$962.00 ,$479.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$2,689.51 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 , N/A ,$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$479.00 ,$962.00 ,$479.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$4,314.65 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 ,"$4,314.65 ",$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$962.00 ,$962.00 ,$962.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$4,314.65 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 ,"$4,314.65 ",$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$962.00 ,$962.00 ,$962.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$352.00 ,$253.44 ,$75.89 ,"$2,689.51 ",$202.40 ,$221.76 ,$211.20 ,$75.89 ,$98.56 ,$204.16 ,$79.34 ,$214.72 ,$86.24 ,$193.25 ,$193.25 ,$89.69 ,$193.25 ,$156.43 ,$246.40 , N/A ,$79.34 ,$75.89 ,$264.00 ,$249.92 ,$249.92 ,$79.34 ,$249.92 ,$306.24 ,$306.24 ,$306.24 , N/A ,$316.80 ,$202.40 ,$299.20 ,$75.89 ,$352.00 ,$197.47 ,$75.89 ,$145.73 ,"$2,689.51 ","$2,445.01 ",$79.34 ,$299.20 ,$150.74 ,$193.25 ,$98.56 ,$316.80 ,$352.00 ,$75.89 ,$306.24 ,$352.00 ,$352.00 ,$352.00 ,$80.96 ,$228.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$352.00 ,$253.44 ,$75.89 ,"$2,689.51 ",$202.40 ,$221.76 ,$211.20 ,$75.89 ,$98.56 ,$204.16 ,$79.34 ,$214.72 ,$86.24 ,$193.25 ,$193.25 ,$89.69 ,$193.25 ,$156.43 ,$246.40 , N/A ,$79.34 ,$75.89 ,$264.00 ,$249.92 ,$249.92 ,$79.34 ,$249.92 ,$306.24 ,$306.24 ,$306.24 , N/A ,$316.80 ,$202.40 ,$299.20 ,$75.89 ,$352.00 ,$197.47 ,$75.89 ,$145.73 ,"$2,689.51 ","$2,445.01 ",$79.34 ,$299.20 ,$150.74 ,$193.25 ,$98.56 ,$316.80 ,$352.00 ,$75.89 ,$306.24 ,$352.00 ,$352.00 ,$352.00 ,$80.96 ,$228.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$1,467.00 ","$1,056.24 ",$316.29 ,"$4,314.65 ",$843.53 ,$924.21 ,$880.20 ,$316.29 ,$410.76 ,$850.86 ,$330.66 ,$894.87 ,$359.41 ,$805.38 ,$805.38 ,$373.79 ,$805.38 ,$651.93 ,"$1,026.90 ","$4,314.65 ",$330.66 ,$316.29 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$330.66 ,"$1,041.57 ","$1,276.29 ","$1,276.29 ","$1,276.29 ", N/A ,"$1,320.30 ",$843.53 ,"$1,246.95 ",$316.29 ,"$1,467.00 ",$822.99 ,$316.29 ,$607.34 ,"$2,689.51 ","$2,445.01 ",$330.66 ,"$1,246.95 ",$628.26 ,$805.38 ,$410.76 ,"$1,320.30 ","$1,467.00 ",$316.29 ,"$1,276.29 ","$1,467.00 ","$1,467.00 ","$1,467.00 ",$337.41 ,$953.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$1,467.00 ","$1,056.24 ",$316.29 ,"$4,314.65 ",$843.53 ,$924.21 ,$880.20 ,$316.29 ,$410.76 ,$850.86 ,$330.66 ,$894.87 ,$359.41 ,$805.38 ,$805.38 ,$373.79 ,$805.38 ,$651.93 ,"$1,026.90 ","$4,314.65 ",$330.66 ,$316.29 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$330.66 ,"$1,041.57 ","$1,276.29 ","$1,276.29 ","$1,276.29 ", N/A ,"$1,320.30 ",$843.53 ,"$1,246.95 ",$316.29 ,"$1,467.00 ",$822.99 ,$316.29 ,$607.34 ,"$2,689.51 ","$2,445.01 ",$330.66 ,"$1,246.95 ",$628.26 ,$805.38 ,$410.76 ,"$1,320.30 ","$1,467.00 ",$316.29 ,"$1,276.29 ","$1,467.00 ","$1,467.00 ","$1,467.00 ",$337.41 ,$953.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$2,689.51 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 , N/A ,$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$479.00 ,$962.00 ,$479.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,$962.00 ,$692.64 ,$207.41 ,"$2,689.51 ",$553.15 ,$606.06 ,$577.20 ,$207.41 ,$269.36 ,$557.96 ,$216.83 ,$586.82 ,$235.69 ,$528.14 ,$528.14 ,$245.12 ,$528.14 ,$427.51 ,$673.40 , N/A ,$216.83 ,$207.41 ,$721.50 ,$683.02 ,$683.02 ,$216.83 ,$683.02 ,$836.94 ,$836.94 ,$836.94 , N/A ,$865.80 ,$553.15 ,$817.70 ,$207.41 ,$962.00 ,$539.68 ,$207.41 ,$398.27 ,"$2,689.51 ","$2,445.01 ",$216.83 ,$817.70 ,$411.98 ,$528.14 ,$269.36 ,$865.80 ,$962.00 ,$207.41 ,$836.94 ,$479.00 ,$962.00 ,$479.00 ,$221.26 ,$625.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 ,$549.62 ,$499.65 ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$479.00 ,$713.00 ,$479.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 ,$549.62 ,$499.65 ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$479.00 ,$713.00 ,$479.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 ,$549.62 ,$499.65 ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$479.00 ,$713.00 ,$479.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 ,$549.62 ,$499.65 ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$479.00 ,$713.00 ,$479.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 ,$549.62 ,$499.65 ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$479.00 ,$713.00 ,$479.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 ,$549.62 ,$499.65 ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$479.00 ,$713.00 ,$479.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100076,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-LT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A ,"$1,452.38 ",$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100077,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-RT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A ,"$1,452.38 ",$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100078,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-LT,361,1 ,$327.00 ,$235.44 ,$70.50 ,"$2,689.51 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 , N/A , N/A ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 ,"$2,689.51 ","$2,445.01 ",$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100079,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-RT,361,1 ,$327.00 ,$235.44 ,$70.50 ,"$2,689.51 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 , N/A , N/A ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 ,"$2,689.51 ","$2,445.01 ",$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100080,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-LT,361,1 ,"$1,360.00 ",$979.20 ,$293.22 ,"$4,314.65 ",$782.00 ,$856.80 ,$816.00 ,$293.22 ,$380.80 ,$788.80 ,$306.54 ,$829.60 ,$333.20 ,$746.64 ,$746.64 ,$346.53 ,$746.64 ,$604.38 , N/A ,"$4,314.65 ",$306.54 ,$293.22 ,"$1,020.00 ",$965.60 ,$965.60 ,$306.54 ,$965.60 ,"$1,183.20 ","$1,183.20 ","$1,183.20 ", N/A ,"$1,224.00 ",$782.00 ,"$1,156.00 ",$293.22 ,"$1,360.00 ",$762.96 ,$293.22 ,$563.04 ,"$2,689.51 ","$2,445.01 ",$306.54 ,"$1,156.00 ",$582.43 ,$746.64 ,$380.80 ,"$1,224.00 ","$1,360.00 ",$293.22 ,"$1,183.20 ","$1,360.00 ","$1,360.00 ","$1,360.00 ",$312.80 ,$884.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100081,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-RT,361,1 ,"$1,360.00 ",$979.20 ,$293.22 ,"$4,314.65 ",$782.00 ,$856.80 ,$816.00 ,$293.22 ,$380.80 ,$788.80 ,$306.54 ,$829.60 ,$333.20 ,$746.64 ,$746.64 ,$346.53 ,$746.64 ,$604.38 , N/A ,"$4,314.65 ",$306.54 ,$293.22 ,"$1,020.00 ",$965.60 ,$965.60 ,$306.54 ,$965.60 ,"$1,183.20 ","$1,183.20 ","$1,183.20 ", N/A ,"$1,224.00 ",$782.00 ,"$1,156.00 ",$293.22 ,"$1,360.00 ",$762.96 ,$293.22 ,$563.04 ,"$2,689.51 ","$2,445.01 ",$306.54 ,"$1,156.00 ",$582.43 ,$746.64 ,$380.80 ,"$1,224.00 ","$1,360.00 ",$293.22 ,"$1,183.20 ","$1,360.00 ","$1,360.00 ","$1,360.00 ",$312.80 ,$884.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100082,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-LT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A , N/A ,$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100083,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-RT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A , N/A ,$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100084,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-LT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A ,"$1,452.38 ",$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100085,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-RT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A ,"$1,452.38 ",$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100086,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-LT,361,1 ,$327.00 ,$235.44 ,$70.50 ,"$2,689.51 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 , N/A , N/A ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 ,"$2,689.51 ","$2,445.01 ",$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100087,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-RT,361,1 ,$327.00 ,$235.44 ,$70.50 ,"$2,689.51 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 , N/A , N/A ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 ,"$2,689.51 ","$2,445.01 ",$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100088,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-LT,361,1 ,"$1,360.00 ",$979.20 ,$293.22 ,"$2,689.51 ",$782.00 ,$856.80 ,$816.00 ,$293.22 ,$380.80 ,$788.80 ,$306.54 ,$829.60 ,$333.20 ,$746.64 ,$746.64 ,$346.53 ,$746.64 ,$604.38 , N/A ,"$1,452.38 ",$306.54 ,$293.22 ,"$1,020.00 ",$965.60 ,$965.60 ,$306.54 ,$965.60 ,"$1,183.20 ","$1,183.20 ","$1,183.20 ", N/A ,"$1,224.00 ",$782.00 ,"$1,156.00 ",$293.22 ,"$1,360.00 ",$762.96 ,$293.22 ,$563.04 ,"$2,689.51 ","$2,445.01 ",$306.54 ,"$1,156.00 ",$582.43 ,$746.64 ,$380.80 ,"$1,224.00 ","$1,360.00 ",$293.22 ,"$1,183.20 ",$479.00 ,"$1,360.00 ",$479.00 ,$312.80 ,$884.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100089,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-RT,361,1 ,"$1,360.00 ",$979.20 ,$293.22 ,"$2,689.51 ",$782.00 ,$856.80 ,$816.00 ,$293.22 ,$380.80 ,$788.80 ,$306.54 ,$829.60 ,$333.20 ,$746.64 ,$746.64 ,$346.53 ,$746.64 ,$604.38 , N/A ,"$1,452.38 ",$306.54 ,$293.22 ,"$1,020.00 ",$965.60 ,$965.60 ,$306.54 ,$965.60 ,"$1,183.20 ","$1,183.20 ","$1,183.20 ", N/A ,"$1,224.00 ",$782.00 ,"$1,156.00 ",$293.22 ,"$1,360.00 ",$762.96 ,$293.22 ,$563.04 ,"$2,689.51 ","$2,445.01 ",$306.54 ,"$1,156.00 ",$582.43 ,$746.64 ,$380.80 ,"$1,224.00 ","$1,360.00 ",$293.22 ,"$1,183.20 ",$479.00 ,"$1,360.00 ",$479.00 ,$312.80 ,$884.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100090,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-LT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A , N/A ,$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100091,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-RT,361,1 ,$892.00 ,$642.24 ,$192.32 ,"$2,689.51 ",$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 , N/A , N/A ,$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 ,"$2,689.51 ","$2,445.01 ",$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$479.00 ,$892.00 ,$479.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100092,N/A,HC BEDSIDE SURG PROC LEVEL 1,361,1 ,$585.00 ,$421.20 ,$126.13 ,$585.00 ,$336.38 ,$368.55 ,$351.00 ,$126.13 ,$163.80 ,$339.30 ,$131.86 ,$356.85 ,$143.32 ,$321.17 ,$321.17 ,$149.06 ,$321.17 ,$259.97 ,$409.50 , N/A ,$131.86 ,$126.13 ,$438.75 ,$415.35 ,$415.35 ,$131.86 ,$415.35 ,$508.95 ,$508.95 ,$508.95 , N/A ,$526.50 ,$336.38 ,$497.25 ,$126.13 ,$585.00 ,$328.19 ,$126.13 ,$242.19 , N/A , N/A ,$131.86 ,$497.25 ,$250.54 ,$321.17 ,$163.80 ,$526.50 ,$585.00 ,$126.13 ,$508.95 , N/A ,$585.00 , N/A ,$134.55 ,$380.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100100,62320,HC INJ INTRLAMNR CERV/THOR W/O GUIDE,361,1 ,"$1,771.00 ","$1,275.12 ",$381.83 ,"$1,771.00 ","$1,018.33 ","$1,115.73 ","$1,062.60 ",$381.83 ,$495.88 ,"$1,027.18 ",$399.18 ,"$1,080.31 ",$433.89 ,$972.28 ,$972.28 ,$451.25 ,$972.28 ,$787.03 ,"$1,239.70 ","$1,610.85 ",$399.18 ,$381.83 ,"$1,328.25 ","$1,257.41 ","$1,257.41 ",$399.18 ,"$1,257.41 ","$1,540.77 ","$1,540.77 ","$1,540.77 ", N/A ,"$1,593.90 ","$1,018.33 ","$1,505.35 ",$381.83 ,"$1,771.00 ",$993.53 ,$381.83 ,$733.19 ,$746.69 ,$678.81 ,$399.18 ,"$1,505.35 ",$758.45 ,$972.28 ,$495.88 ,"$1,593.90 ","$1,771.00 ",$381.83 ,"$1,540.77 ","$1,771.00 ","$1,771.00 ","$1,771.00 ",$407.33 ,"$1,151.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$2,718.00 ","$1,956.96 ",$586.00 ,"$2,718.00 ","$1,562.85 ","$1,712.34 ","$1,630.80 ",$586.00 ,$761.04 ,"$1,576.44 ",$612.64 ,"$1,657.98 ",$665.91 ,"$1,492.18 ","$1,492.18 ",$692.55 ,"$1,492.18 ","$1,207.88 ","$1,902.60 ","$1,610.85 ",$612.64 ,$586.00 ,"$2,038.50 ","$1,929.78 ","$1,929.78 ",$612.64 ,"$1,929.78 ","$2,364.66 ","$2,364.66 ","$2,364.66 ", N/A ,"$2,446.20 ","$1,562.85 ","$2,310.30 ",$586.00 ,"$2,718.00 ","$1,524.80 ",$586.00 ,"$1,125.25 ",$746.69 ,$678.81 ,$612.64 ,"$2,310.30 ","$1,164.01 ","$1,492.18 ",$761.04 ,"$2,446.20 ","$2,718.00 ",$586.00 ,"$2,364.66 ","$2,158.00 ","$2,718.00 ","$2,158.00 ",$625.14 ,"$1,766.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100102,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,"$2,491.00 ","$1,793.52 ",$537.06 ,"$2,491.00 ","$1,432.33 ","$1,569.33 ","$1,494.60 ",$537.06 ,$697.48 ,"$1,444.78 ",$561.47 ,"$1,519.51 ",$610.29 ,"$1,367.56 ","$1,367.56 ",$634.71 ,"$1,367.56 ","$1,107.00 ","$1,743.70 ","$2,130.45 ",$561.47 ,$537.06 ,"$1,868.25 ","$1,768.61 ","$1,768.61 ",$561.47 ,"$1,768.61 ","$2,167.17 ","$2,167.17 ","$2,167.17 ", N/A ,"$2,241.90 ","$1,432.33 ","$2,117.35 ",$537.06 ,"$2,491.00 ","$1,397.45 ",$537.06 ,"$1,031.27 ",$746.69 ,$678.81 ,$561.47 ,"$2,117.35 ","$1,066.80 ","$1,367.56 ",$697.48 ,"$2,241.90 ","$2,491.00 ",$537.06 ,"$2,167.17 ","$2,158.00 ","$2,491.00 ","$2,158.00 ",$572.93 ,"$1,619.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,"$3,438.00 ","$2,475.36 ",$678.81 ,"$3,438.00 ","$1,976.85 ","$2,165.94 ","$2,062.80 ",$741.23 ,$962.64 ,"$1,994.04 ",$774.93 ,"$2,097.18 ",$842.31 ,"$1,887.46 ","$1,887.46 ",$876.00 ,"$1,887.46 ","$1,527.85 ","$2,406.60 ","$1,610.85 ",$774.93 ,$741.23 ,"$2,578.50 ","$2,440.98 ","$2,440.98 ",$774.93 ,"$2,440.98 ","$2,991.06 ","$2,991.06 ","$2,991.06 ", N/A ,"$3,094.20 ","$1,976.85 ","$2,922.30 ",$741.23 ,"$3,438.00 ","$1,928.72 ",$741.23 ,"$1,423.33 ",$746.69 ,$678.81 ,$774.93 ,"$2,922.30 ","$1,472.36 ","$1,887.46 ",$962.64 ,"$3,094.20 ","$3,438.00 ",$741.23 ,"$2,991.06 ","$2,158.00 ","$3,438.00 ","$2,158.00 ",$790.74 ,"$2,234.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100106,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$2,695.00 ","$1,940.40 ",$581.04 ,"$2,695.00 ","$1,549.63 ","$1,697.85 ","$1,617.00 ",$581.04 ,$754.60 ,"$1,563.10 ",$607.45 ,"$1,643.95 ",$660.27 ,"$1,479.56 ","$1,479.56 ",$686.69 ,"$1,479.56 ","$1,197.66 ","$1,886.50 ","$2,130.45 ",$607.45 ,$581.04 ,"$2,021.25 ","$1,913.45 ","$1,913.45 ",$607.45 ,"$1,913.45 ","$2,344.65 ","$2,344.65 ","$2,344.65 ", N/A ,"$2,425.50 ","$1,549.63 ","$2,290.75 ",$581.04 ,"$2,695.00 ","$1,511.90 ",$581.04 ,"$1,115.73 ","$1,354.21 ","$1,231.10 ",$607.45 ,"$2,290.75 ","$1,154.17 ","$1,479.56 ",$754.60 ,"$2,425.50 ","$2,695.00 ",$581.04 ,"$2,344.65 ","$2,158.00 ","$2,695.00 ","$2,158.00 ",$619.85 ,"$1,751.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100107,62327,HC INJ W/CATH LUM/SAC W/GUIDE,361,1 ,"$3,642.00 ","$2,622.24 ",$785.22 ,"$3,642.00 ","$2,094.15 ","$2,294.46 ","$2,185.20 ",$785.22 ,"$1,019.76 ","$2,112.36 ",$820.91 ,"$2,221.62 ",$892.29 ,"$1,999.46 ","$1,999.46 ",$927.98 ,"$1,999.46 ","$1,618.50 ","$2,549.40 ","$2,130.45 ",$820.91 ,$785.22 ,"$2,731.50 ","$2,585.82 ","$2,585.82 ",$820.91 ,"$2,585.82 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,277.80 ","$2,094.15 ","$3,095.70 ",$785.22 ,"$3,642.00 ","$2,043.16 ",$785.22 ,"$1,507.79 ","$1,354.21 ","$1,231.10 ",$820.91 ,"$3,095.70 ","$1,559.72 ","$1,999.46 ","$1,019.76 ","$3,277.80 ","$3,642.00 ",$785.22 ,"$3,129.00 ","$2,158.00 ","$3,642.00 ","$2,158.00 ",$837.66 ,"$2,367.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100108,29445,HC APPL CAST LEG RIGID CONTACT -BIL,361,1 ,$965.00 ,$694.80 ,$208.05 ,$965.00 ,$554.88 ,$607.95 ,$579.00 ,$208.05 ,$270.20 ,$559.70 ,$217.51 ,$588.65 ,$236.42 ,$529.79 ,$529.79 ,$245.88 ,$529.79 ,$428.85 ,$675.50 ,$899.66 ,$217.51 ,$208.05 ,$723.75 ,$685.15 ,$685.15 ,$217.51 ,$685.15 ,$839.55 ,$839.55 ,$839.55 , N/A ,$868.50 ,$554.88 ,$820.25 ,$208.05 ,$965.00 ,$541.37 ,$208.05 ,$399.51 ,$828.05 ,$752.77 ,$217.51 ,$820.25 ,$413.28 ,$529.79 ,$270.20 ,$868.50 ,$965.00 ,$208.05 ,$839.55 ,$718.50 ,$965.00 ,$718.50 ,$221.95 ,$627.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100109,29445,HC APPL CAST LEG RIGID CONTACT -LT,361,1 ,$643.00 ,$462.96 ,$138.63 ,$643.00 ,$369.73 ,$405.09 ,$385.80 ,$138.63 ,$180.04 ,$372.94 ,$144.93 ,$392.23 ,$157.53 ,$353.01 ,$353.01 ,$163.84 ,$353.01 ,$285.75 ,$450.10 ,$599.78 ,$144.93 ,$138.63 ,$482.25 ,$456.53 ,$456.53 ,$144.93 ,$456.53 ,$559.41 ,$559.41 ,$559.41 , N/A ,$578.70 ,$369.73 ,$546.55 ,$138.63 ,$643.00 ,$360.72 ,$138.63 ,$266.20 ,$552.02 ,$501.84 ,$144.93 ,$546.55 ,$275.37 ,$353.01 ,$180.04 ,$578.70 ,$643.00 ,$138.63 ,$559.41 ,$479.00 ,$643.00 ,$479.00 ,$147.89 ,$417.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100110,29445,HC APPL CAST LEG RIGID CONTACT -RT,361,1 ,$643.00 ,$462.96 ,$138.63 ,$643.00 ,$369.73 ,$405.09 ,$385.80 ,$138.63 ,$180.04 ,$372.94 ,$144.93 ,$392.23 ,$157.53 ,$353.01 ,$353.01 ,$163.84 ,$353.01 ,$285.75 ,$450.10 ,$599.78 ,$144.93 ,$138.63 ,$482.25 ,$456.53 ,$456.53 ,$144.93 ,$456.53 ,$559.41 ,$559.41 ,$559.41 , N/A ,$578.70 ,$369.73 ,$546.55 ,$138.63 ,$643.00 ,$360.72 ,$138.63 ,$266.20 ,$552.02 ,$501.84 ,$144.93 ,$546.55 ,$275.37 ,$353.01 ,$180.04 ,$578.70 ,$643.00 ,$138.63 ,$559.41 ,$479.00 ,$643.00 ,$479.00 ,$147.89 ,$417.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100119,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-BIL,361,1 ,"$7,350.00 ","$5,292.00 ",$718.50 ,"$7,350.00 ","$4,226.25 ","$4,630.50 ","$4,410.00 ","$1,584.66 ","$2,058.00 ","$4,263.00 ","$1,656.69 ","$4,483.50 ","$1,800.75 ","$4,035.15 ","$4,035.15 ","$1,872.78 ","$2,031.00 ","$3,266.34 ","$5,145.00 ", N/A ,"$1,656.69 ","$1,584.66 ","$5,512.50 ","$5,218.50 ","$5,218.50 ","$1,656.69 ","$5,218.50 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$6,615.00 ","$4,226.25 ","$6,247.50 ","$1,584.66 ","$7,350.00 ","$4,123.35 ","$1,584.66 ","$3,042.90 ","$2,031.33 ","$1,846.66 ","$1,656.69 ","$6,247.50 ","$3,147.71 ","$4,035.15 ","$2,058.00 ","$6,615.00 ","$7,350.00 ","$1,584.66 ","$3,129.00 ",$718.50 ,"$7,350.00 ",$718.50 ,"$1,690.50 ","$4,777.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100120,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-LT,361,1 ,"$4,900.00 ","$3,528.00 ",$479.00 ,"$4,900.00 ","$2,817.50 ","$3,087.00 ","$2,940.00 ","$1,056.44 ","$1,372.00 ","$2,842.00 ","$1,104.46 ","$2,989.00 ","$1,200.50 ","$2,690.10 ","$2,690.10 ","$1,248.52 ","$2,031.00 ","$2,177.56 ","$3,430.00 ", N/A ,"$1,104.46 ","$1,056.44 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,104.46 ","$3,479.00 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,410.00 ","$2,817.50 ","$4,165.00 ","$1,056.44 ","$4,900.00 ","$2,748.90 ","$1,056.44 ","$2,028.60 ","$1,354.21 ","$1,231.10 ","$1,104.46 ","$4,165.00 ","$2,098.47 ","$2,690.10 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,056.44 ","$3,129.00 ",$479.00 ,"$4,900.00 ",$479.00 ,"$1,127.00 ","$3,185.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100121,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-RT,361,1 ,"$4,900.00 ","$3,528.00 ",$479.00 ,"$4,900.00 ","$2,817.50 ","$3,087.00 ","$2,940.00 ","$1,056.44 ","$1,372.00 ","$2,842.00 ","$1,104.46 ","$2,989.00 ","$1,200.50 ","$2,690.10 ","$2,690.10 ","$1,248.52 ","$2,031.00 ","$2,177.56 ","$3,430.00 ", N/A ,"$1,104.46 ","$1,056.44 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,104.46 ","$3,479.00 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,410.00 ","$2,817.50 ","$4,165.00 ","$1,056.44 ","$4,900.00 ","$2,748.90 ","$1,056.44 ","$2,028.60 ","$1,354.21 ","$1,231.10 ","$1,104.46 ","$4,165.00 ","$2,098.47 ","$2,690.10 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,056.44 ","$3,129.00 ",$479.00 ,"$4,900.00 ",$479.00 ,"$1,127.00 ","$3,185.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100122,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-BIL,361,1 ,"$7,350.00 ","$5,292.00 ","$1,584.66 ","$7,350.00 ","$4,226.25 ","$4,630.50 ","$4,410.00 ","$1,584.66 ","$2,058.00 ","$4,263.00 ","$1,656.69 ","$4,483.50 ","$1,800.75 ","$4,035.15 ","$4,035.15 ","$1,872.78 ","$2,031.00 ","$3,266.34 ","$5,145.00 ","$4,493.80 ","$1,656.69 ","$1,584.66 ","$5,512.50 ","$5,218.50 ","$5,218.50 ","$1,656.69 ","$5,218.50 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$6,615.00 ","$4,226.25 ","$6,247.50 ","$1,584.66 ","$7,350.00 ","$4,123.35 ","$1,584.66 ","$3,042.90 ","$2,031.33 ","$1,846.66 ","$1,656.69 ","$6,247.50 ","$3,147.71 ","$4,035.15 ","$2,058.00 ","$6,615.00 ","$7,350.00 ","$1,584.66 ","$3,129.00 ","$4,446.00 ","$7,350.00 ","$4,446.00 ","$1,690.50 ","$4,777.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100123,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-LT,361,1 ,"$4,900.00 ","$3,528.00 ","$1,056.44 ","$4,900.00 ","$2,817.50 ","$3,087.00 ","$2,940.00 ","$1,056.44 ","$1,372.00 ","$2,842.00 ","$1,104.46 ","$2,989.00 ","$1,200.50 ","$2,690.10 ","$2,690.10 ","$1,248.52 ","$2,031.00 ","$2,177.56 ","$3,430.00 ","$4,493.80 ","$1,104.46 ","$1,056.44 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,104.46 ","$3,479.00 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,410.00 ","$2,817.50 ","$4,165.00 ","$1,056.44 ","$4,900.00 ","$2,748.90 ","$1,056.44 ","$2,028.60 ","$1,354.21 ","$1,231.10 ","$1,104.46 ","$4,165.00 ","$2,098.47 ","$2,690.10 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,056.44 ","$3,129.00 ","$2,964.00 ","$4,900.00 ","$2,964.00 ","$1,127.00 ","$3,185.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100124,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-RT,361,1 ,"$4,900.00 ","$3,528.00 ","$1,056.44 ","$4,900.00 ","$2,817.50 ","$3,087.00 ","$2,940.00 ","$1,056.44 ","$1,372.00 ","$2,842.00 ","$1,104.46 ","$2,989.00 ","$1,200.50 ","$2,690.10 ","$2,690.10 ","$1,248.52 ","$2,031.00 ","$2,177.56 ","$3,430.00 ","$4,493.80 ","$1,104.46 ","$1,056.44 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,104.46 ","$3,479.00 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,410.00 ","$2,817.50 ","$4,165.00 ","$1,056.44 ","$4,900.00 ","$2,748.90 ","$1,056.44 ","$2,028.60 ","$1,354.21 ","$1,231.10 ","$1,104.46 ","$4,165.00 ","$2,098.47 ","$2,690.10 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,056.44 ","$3,129.00 ","$2,964.00 ","$4,900.00 ","$2,964.00 ","$1,127.00 ","$3,185.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100125,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-BIL,361,1 ,"$1,414.00 ","$1,018.08 ",$304.86 ,"$2,031.33 ",$813.05 ,$890.82 ,$848.40 ,$304.86 ,$395.92 ,$820.12 ,$318.72 ,$862.54 ,$346.43 ,$776.29 ,$776.29 ,$360.29 ,$776.29 ,$628.38 ,$989.80 , N/A ,$318.72 ,$304.86 ,"$1,060.50 ","$1,003.94 ","$1,003.94 ",$318.72 ,"$1,003.94 ","$1,230.18 ","$1,230.18 ","$1,230.18 ", N/A ,"$1,272.60 ",$813.05 ,"$1,201.90 ",$304.86 ,"$1,414.00 ",$793.25 ,$304.86 ,$585.40 ,"$2,031.33 ","$1,846.66 ",$318.72 ,"$1,201.90 ",$605.56 ,$776.29 ,$395.92 ,"$1,272.60 ","$1,414.00 ",$304.86 ,"$1,230.18 ",$718.50 ,"$1,414.00 ",$718.50 ,$325.22 ,$919.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100126,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-LT,361,1 ,$943.00 ,$678.96 ,$203.31 ,"$1,354.21 ",$542.23 ,$594.09 ,$565.80 ,$203.31 ,$264.04 ,$546.94 ,$212.55 ,$575.23 ,$231.03 ,$517.71 ,$517.71 ,$240.28 ,$517.71 ,$419.07 ,$660.10 , N/A ,$212.55 ,$203.31 ,$707.25 ,$669.53 ,$669.53 ,$212.55 ,$669.53 ,$820.41 ,$820.41 ,$820.41 , N/A ,$848.70 ,$542.23 ,$801.55 ,$203.31 ,$943.00 ,$529.02 ,$203.31 ,$390.40 ,"$1,354.21 ","$1,231.10 ",$212.55 ,$801.55 ,$403.85 ,$517.71 ,$264.04 ,$848.70 ,$943.00 ,$203.31 ,$820.41 ,$479.00 ,$943.00 ,$479.00 ,$216.89 ,$612.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100127,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-RT,361,1 ,$943.00 ,$678.96 ,$203.31 ,"$1,354.21 ",$542.23 ,$594.09 ,$565.80 ,$203.31 ,$264.04 ,$546.94 ,$212.55 ,$575.23 ,$231.03 ,$517.71 ,$517.71 ,$240.28 ,$517.71 ,$419.07 ,$660.10 , N/A ,$212.55 ,$203.31 ,$707.25 ,$669.53 ,$669.53 ,$212.55 ,$669.53 ,$820.41 ,$820.41 ,$820.41 , N/A ,$848.70 ,$542.23 ,$801.55 ,$203.31 ,$943.00 ,$529.02 ,$203.31 ,$390.40 ,"$1,354.21 ","$1,231.10 ",$212.55 ,$801.55 ,$403.85 ,$517.71 ,$264.04 ,$848.70 ,$943.00 ,$203.31 ,$820.41 ,$479.00 ,$943.00 ,$479.00 ,$216.89 ,$612.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100128,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-BIL,361,1 ,"$3,291.00 ","$2,369.52 ",$709.54 ,"$4,493.80 ","$1,892.33 ","$2,073.33 ","$1,974.60 ",$709.54 ,$921.48 ,"$1,908.78 ",$741.79 ,"$2,007.51 ",$806.28 ,"$1,806.76 ","$1,806.76 ",$838.55 ,"$1,806.76 ","$1,462.52 ","$2,303.70 ","$4,493.80 ",$741.79 ,$709.54 ,"$2,468.25 ","$2,336.61 ","$2,336.61 ",$741.79 ,"$2,336.61 ","$2,863.17 ","$2,863.17 ","$2,863.17 ", N/A ,"$2,961.90 ","$1,892.33 ","$2,797.35 ",$709.54 ,"$3,291.00 ","$1,846.25 ",$709.54 ,"$1,362.47 ","$2,031.33 ","$1,846.66 ",$741.79 ,"$2,797.35 ","$1,409.41 ","$1,806.76 ",$921.48 ,"$2,961.90 ","$3,291.00 ",$709.54 ,"$2,863.17 ","$3,291.00 ","$3,291.00 ","$3,291.00 ",$756.93 ,"$2,139.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100129,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-LT,361,1 ,"$2,193.00 ","$1,578.96 ",$472.81 ,"$4,493.80 ","$1,260.98 ","$1,381.59 ","$1,315.80 ",$472.81 ,$614.04 ,"$1,271.94 ",$494.30 ,"$1,337.73 ",$537.28 ,"$1,203.96 ","$1,203.96 ",$558.78 ,"$1,203.96 ",$974.57 ,"$1,535.10 ","$4,493.80 ",$494.30 ,$472.81 ,"$1,644.75 ","$1,557.03 ","$1,557.03 ",$494.30 ,"$1,557.03 ","$1,907.91 ","$1,907.91 ","$1,907.91 ", N/A ,"$1,973.70 ","$1,260.98 ","$1,864.05 ",$472.81 ,"$2,193.00 ","$1,230.27 ",$472.81 ,$907.90 ,"$1,354.21 ","$1,231.10 ",$494.30 ,"$1,864.05 ",$939.17 ,"$1,203.96 ",$614.04 ,"$1,973.70 ","$2,193.00 ",$472.81 ,"$1,907.91 ","$2,193.00 ","$2,193.00 ","$2,193.00 ",$504.39 ,"$1,425.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100130,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-RT,361,1 ,"$2,193.00 ","$1,578.96 ",$472.81 ,"$4,493.80 ","$1,260.98 ","$1,381.59 ","$1,315.80 ",$472.81 ,$614.04 ,"$1,271.94 ",$494.30 ,"$1,337.73 ",$537.28 ,"$1,203.96 ","$1,203.96 ",$558.78 ,"$1,203.96 ",$974.57 ,"$1,535.10 ","$4,493.80 ",$494.30 ,$472.81 ,"$1,644.75 ","$1,557.03 ","$1,557.03 ",$494.30 ,"$1,557.03 ","$1,907.91 ","$1,907.91 ","$1,907.91 ", N/A ,"$1,973.70 ","$1,260.98 ","$1,864.05 ",$472.81 ,"$2,193.00 ","$1,230.27 ",$472.81 ,$907.90 ,"$1,354.21 ","$1,231.10 ",$494.30 ,"$1,864.05 ",$939.17 ,"$1,203.96 ",$614.04 ,"$1,973.70 ","$2,193.00 ",$472.81 ,"$1,907.91 ","$2,193.00 ","$2,193.00 ","$2,193.00 ",$504.39 ,"$1,425.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100131,64640,HC DESTROY NERVE PERIPHERAL-BIL,361,1 ,"$3,143.00 ","$2,262.96 ",$677.63 ,"$3,195.68 ","$1,807.23 ","$1,980.09 ","$1,885.80 ",$677.63 ,$880.04 ,"$1,822.94 ",$708.43 ,"$1,917.23 ",$770.03 ,"$1,725.51 ","$1,725.51 ",$800.84 ,"$1,725.51 ","$1,396.75 ","$2,200.10 ","$3,195.68 ",$708.43 ,$677.63 ,"$2,357.25 ","$2,231.53 ","$2,231.53 ",$708.43 ,"$2,231.53 ","$2,734.41 ","$2,734.41 ","$2,734.41 ", N/A ,"$2,828.70 ","$1,807.23 ","$2,671.55 ",$677.63 ,"$3,143.00 ","$1,763.22 ",$677.63 ,"$1,301.20 ","$2,031.33 ","$1,846.66 ",$708.43 ,"$2,671.55 ","$1,346.02 ","$1,725.51 ",$880.04 ,"$2,828.70 ","$3,143.00 ",$677.63 ,"$2,734.41 ","$3,143.00 ","$3,143.00 ","$3,143.00 ",$722.89 ,"$2,042.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100132,64640,HC DESTROY NERVE PERIPHERAL-LT,361,1 ,"$2,095.00 ","$1,508.40 ",$451.68 ,"$2,130.45 ","$1,204.63 ","$1,319.85 ","$1,257.00 ",$451.68 ,$586.60 ,"$1,215.10 ",$472.21 ,"$1,277.95 ",$513.27 ,"$1,150.16 ","$1,150.16 ",$533.81 ,"$1,150.16 ",$931.02 ,"$1,466.50 ","$2,130.45 ",$472.21 ,$451.68 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$472.21 ,"$1,487.45 ","$1,822.65 ","$1,822.65 ","$1,822.65 ", N/A ,"$1,885.50 ","$1,204.63 ","$1,780.75 ",$451.68 ,"$2,095.00 ","$1,175.30 ",$451.68 ,$867.33 ,"$1,354.21 ","$1,231.10 ",$472.21 ,"$1,780.75 ",$897.21 ,"$1,150.16 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$451.68 ,"$1,822.65 ","$2,095.00 ","$2,095.00 ","$2,095.00 ",$481.85 ,"$1,361.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100133,64640,HC DESTROY NERVE PERIPHERAL-RT,361,1 ,"$2,095.00 ","$1,508.40 ",$451.68 ,"$2,130.45 ","$1,204.63 ","$1,319.85 ","$1,257.00 ",$451.68 ,$586.60 ,"$1,215.10 ",$472.21 ,"$1,277.95 ",$513.27 ,"$1,150.16 ","$1,150.16 ",$533.81 ,"$1,150.16 ",$931.02 ,"$1,466.50 ","$2,130.45 ",$472.21 ,$451.68 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$472.21 ,"$1,487.45 ","$1,822.65 ","$1,822.65 ","$1,822.65 ", N/A ,"$1,885.50 ","$1,204.63 ","$1,780.75 ",$451.68 ,"$2,095.00 ","$1,175.30 ",$451.68 ,$867.33 ,"$1,354.21 ","$1,231.10 ",$472.21 ,"$1,780.75 ",$897.21 ,"$1,150.16 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$451.68 ,"$1,822.65 ","$2,095.00 ","$2,095.00 ","$2,095.00 ",$481.85 ,"$1,361.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100145,68040,HC EXPRESS CONJUNCTIVAL FOLLICLES,361,1 ,$155.00 ,$111.60 ,$33.42 ,"$2,237.44 ",$89.13 ,$97.65 ,$93.00 ,$33.42 ,$43.40 ,$89.90 ,$34.94 ,$94.55 ,$37.97 ,$85.10 ,$85.10 ,$39.49 ,$85.10 ,$68.88 ,$108.50 ,$661.78 ,$34.94 ,$33.42 ,$116.25 ,$110.05 ,$110.05 ,$34.94 ,$110.05 ,$134.85 ,$134.85 ,$134.85 , N/A ,$139.50 ,$89.13 ,$131.75 ,$33.42 ,$155.00 ,$86.96 ,$33.42 ,$64.17 ,"$2,237.44 ","$2,034.04 ",$34.94 ,$131.75 ,$66.39 ,$85.10 ,$43.40 ,$139.50 ,$155.00 ,$33.42 ,$134.85 ,$155.00 ,$155.00 ,$155.00 ,$35.65 ,$100.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100164,N/A,HC BEDSIDE SURG PROC LEVEL 2,361,1 ,"$1,170.00 ",$842.40 ,$252.25 ,"$1,170.00 ",$672.75 ,$737.10 ,$702.00 ,$252.25 ,$327.60 ,$678.60 ,$263.72 ,$713.70 ,$286.65 ,$642.33 ,$642.33 ,$298.12 ,$642.33 ,$519.95 ,$819.00 , N/A ,$263.72 ,$252.25 ,$877.50 ,$830.70 ,$830.70 ,$263.72 ,$830.70 ,"$1,017.90 ","$1,017.90 ","$1,017.90 ", N/A ,"$1,053.00 ",$672.75 ,$994.50 ,$252.25 ,"$1,170.00 ",$656.37 ,$252.25 ,$484.38 , N/A , N/A ,$263.72 ,$994.50 ,$501.06 ,$642.33 ,$327.60 ,"$1,053.00 ","$1,170.00 ",$252.25 ,"$1,017.90 ", N/A ,"$1,170.00 ", N/A ,$269.10 ,$760.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100165,N/A,HC BEDSIDE SURG PROC LEVEL 3,361,1 ,"$1,724.00 ","$1,241.28 ",$371.69 ,"$1,724.00 ",$991.30 ,"$1,086.12 ","$1,034.40 ",$371.69 ,$482.72 ,$999.92 ,$388.59 ,"$1,051.64 ",$422.38 ,$946.48 ,$946.48 ,$439.28 ,$946.48 ,$766.15 ,"$1,206.80 ", N/A ,$388.59 ,$371.69 ,"$1,293.00 ","$1,224.04 ","$1,224.04 ",$388.59 ,"$1,224.04 ","$1,499.88 ","$1,499.88 ","$1,499.88 ", N/A ,"$1,551.60 ",$991.30 ,"$1,465.40 ",$371.69 ,"$1,724.00 ",$967.16 ,$371.69 ,$713.74 , N/A , N/A ,$388.59 ,"$1,465.40 ",$738.32 ,$946.48 ,$482.72 ,"$1,551.60 ","$1,724.00 ",$371.69 ,"$1,499.88 ", N/A ,"$1,724.00 ", N/A ,$396.52 ,"$1,120.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100166,N/A,HC BEDSIDE SURG PROC LEVEL 4,361,1 ,"$2,340.00 ","$1,684.80 ",$504.50 ,"$2,340.00 ","$1,345.50 ","$1,474.20 ","$1,404.00 ",$504.50 ,$655.20 ,"$1,357.20 ",$527.44 ,"$1,427.40 ",$573.30 ,"$1,284.66 ","$1,284.66 ",$596.23 ,"$1,284.66 ","$1,039.90 ","$1,638.00 ", N/A ,$527.44 ,$504.50 ,"$1,755.00 ","$1,661.40 ","$1,661.40 ",$527.44 ,"$1,661.40 ","$2,035.80 ","$2,035.80 ","$2,035.80 ", N/A ,"$2,106.00 ","$1,345.50 ","$1,989.00 ",$504.50 ,"$2,340.00 ","$1,312.74 ",$504.50 ,$968.76 , N/A , N/A ,$527.44 ,"$1,989.00 ","$1,002.13 ","$1,284.66 ",$655.20 ,"$2,106.00 ","$2,340.00 ",$504.50 ,"$2,035.80 ", N/A ,"$2,340.00 ", N/A ,$538.20 ,"$1,521.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100167,N/A,HC BEDSIDE SURG PROC LEVEL 5,361,1 ,"$2,926.00 ","$2,106.72 ",$630.85 ,"$2,926.00 ","$1,682.45 ","$1,843.38 ","$1,755.60 ",$630.85 ,$819.28 ,"$1,697.08 ",$659.52 ,"$1,784.86 ",$716.87 ,"$1,606.37 ","$1,606.37 ",$745.54 ,"$1,606.37 ","$1,300.31 ","$2,048.20 ", N/A ,$659.52 ,$630.85 ,"$2,194.50 ","$2,077.46 ","$2,077.46 ",$659.52 ,"$2,077.46 ","$2,545.62 ","$2,545.62 ","$2,545.62 ", N/A ,"$2,633.40 ","$1,682.45 ","$2,487.10 ",$630.85 ,"$2,926.00 ","$1,641.49 ",$630.85 ,"$1,211.36 ", N/A , N/A ,$659.52 ,"$2,487.10 ","$1,253.09 ","$1,606.37 ",$819.28 ,"$2,633.40 ","$2,926.00 ",$630.85 ,"$2,545.62 ", N/A ,"$2,926.00 ", N/A ,$672.98 ,"$1,901.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100189,64415,HC INTRASCALENE BLOCK SINGLE,361,1 ,"$2,843.00 ","$2,046.96 ",$612.95 ,"$2,843.00 ","$1,634.73 ","$1,791.09 ","$1,705.80 ",$612.95 ,$796.04 ,"$1,648.94 ",$640.81 ,"$1,734.23 ",$696.53 ,"$1,560.81 ","$1,560.81 ",$724.40 ,"$1,560.81 ","$1,263.43 ","$1,990.10 ","$2,130.45 ",$640.81 ,$612.95 ,"$2,132.25 ","$2,018.53 ","$2,018.53 ",$640.81 ,"$2,018.53 ","$2,473.41 ","$2,473.41 ","$2,473.41 ", N/A ,"$2,558.70 ","$1,634.73 ","$2,416.55 ",$612.95 ,"$2,843.00 ","$1,594.92 ",$612.95 ,"$1,177.00 ",$746.69 ,$678.81 ,$640.81 ,"$2,416.55 ","$1,217.54 ","$1,560.81 ",$796.04 ,"$2,558.70 ","$2,843.00 ",$612.95 ,"$2,473.41 ","$2,158.00 ","$2,843.00 ","$2,158.00 ",$653.89 ,"$1,847.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100196,64447,HC FEMORAL NERVE BLOCK SINGLE,361,1 ,"$2,023.00 ","$1,456.56 ",$436.16 ,"$2,023.00 ","$1,163.23 ","$1,274.49 ","$1,213.80 ",$436.16 ,$566.44 ,"$1,173.34 ",$455.98 ,"$1,234.03 ",$495.63 ,"$1,110.63 ","$1,110.63 ",$515.46 ,"$1,110.63 ",$899.02 ,"$1,416.10 ","$1,610.85 ",$455.98 ,$436.16 ,"$1,517.25 ","$1,436.33 ","$1,436.33 ",$455.98 ,"$1,436.33 ","$1,760.01 ","$1,760.01 ","$1,760.01 ", N/A ,"$1,820.70 ","$1,163.23 ","$1,719.55 ",$436.16 ,"$2,023.00 ","$1,134.90 ",$436.16 ,$837.52 ,$746.69 ,$678.81 ,$455.98 ,"$1,719.55 ",$866.37 ,"$1,110.63 ",$566.44 ,"$1,820.70 ","$2,023.00 ",$436.16 ,"$1,760.01 ","$2,023.00 ","$2,023.00 ","$2,023.00 ",$465.29 ,"$1,314.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100197,64450,HC INJ ANES NERVE PERIPHERAL,361,1 ,"$1,702.00 ","$1,225.44 ",$366.95 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,$934.40 ,$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 ,$746.69 ,$678.81 ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ","$1,702.00 ","$1,702.00 ","$1,702.00 ",$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100233,11105,HC BIOPSY SKIN PUNCH ADDL LESN,361,1 ,$291.00 ,$209.52 ,$62.74 ,"$1,094.18 ",$167.33 ,$183.33 ,$174.60 ,$62.74 ,$81.48 ,$168.78 ,$65.59 ,$177.51 ,$71.29 ,$159.76 ,$159.76 ,$74.15 ,$159.76 ,$129.32 ,$203.70 , N/A ,$65.59 ,$62.74 ,$218.25 ,$206.61 ,$206.61 ,$65.59 ,$206.61 ,$253.17 ,$253.17 ,$253.17 , N/A ,$261.90 ,$167.33 ,$247.35 ,$62.74 ,$291.00 ,$163.25 ,$62.74 ,$120.47 ,"$1,094.18 ",$994.71 ,$65.59 ,$247.35 ,$124.63 ,$159.76 ,$81.48 ,$261.90 ,$291.00 ,$62.74 ,$253.17 ,$291.00 ,$291.00 ,$291.00 ,$66.93 ,$189.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100234,11107,HC BIOPSY SKIN INCISIONAL ADDL LESN,361,1 ,$264.00 ,$190.08 ,$56.92 ,"$1,094.18 ",$151.80 ,$166.32 ,$158.40 ,$56.92 ,$73.92 ,$153.12 ,$59.51 ,$161.04 ,$64.68 ,$144.94 ,$144.94 ,$67.27 ,$144.94 ,$117.32 ,$184.80 , N/A ,$59.51 ,$56.92 ,$198.00 ,$187.44 ,$187.44 ,$59.51 ,$187.44 ,$229.68 ,$229.68 ,$229.68 , N/A ,$237.60 ,$151.80 ,$224.40 ,$56.92 ,$264.00 ,$148.10 ,$56.92 ,$109.30 ,"$1,094.18 ",$994.71 ,$59.51 ,$224.40 ,$113.06 ,$144.94 ,$73.92 ,$237.60 ,$264.00 ,$56.92 ,$229.68 ,$264.00 ,$264.00 ,$264.00 ,$60.72 ,$171.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100235,11102,HC BIOPSY SKIN TANGENTIAL INIT LESN,361,1 ,$539.00 ,$388.08 ,$116.21 ,"$1,094.18 ",$309.93 ,$339.57 ,$323.40 ,$116.21 ,$150.92 ,$312.62 ,$121.49 ,$328.79 ,$132.05 ,$295.91 ,$295.91 ,$137.34 ,$295.91 ,$239.53 ,$377.30 ,$451.45 ,$121.49 ,$116.21 ,$404.25 ,$382.69 ,$382.69 ,$121.49 ,$382.69 ,$468.93 ,$468.93 ,$468.93 , N/A ,$485.10 ,$309.93 ,$458.15 ,$116.21 ,$539.00 ,$302.38 ,$116.21 ,$223.15 ,"$1,094.18 ",$994.71 ,$121.49 ,$458.15 ,$230.83 ,$295.91 ,$150.92 ,$485.10 ,$539.00 ,$116.21 ,$468.93 ,$479.00 ,$539.00 ,$479.00 ,$123.97 ,$350.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100236,11104,HC BIOPSY SKIN PUNCH INIT LESN,361,1 ,$586.00 ,$421.92 ,$126.34 ,"$1,094.18 ",$336.95 ,$369.18 ,$351.60 ,$126.34 ,$164.08 ,$339.88 ,$132.08 ,$357.46 ,$143.57 ,$321.71 ,$321.71 ,$149.31 ,$321.71 ,$260.42 ,$410.20 ,$932.68 ,$132.08 ,$126.34 ,$439.50 ,$416.06 ,$416.06 ,$132.08 ,$416.06 ,$509.82 ,$509.82 ,$509.82 , N/A ,$527.40 ,$336.95 ,$498.10 ,$126.34 ,$586.00 ,$328.75 ,$126.34 ,$242.60 ,"$1,094.18 ",$994.71 ,$132.08 ,$498.10 ,$250.96 ,$321.71 ,$164.08 ,$527.40 ,$586.00 ,$126.34 ,$509.82 ,$479.00 ,$586.00 ,$479.00 ,$134.78 ,$380.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100237,11106,HC BIOPSY SKIN INCISIONAL INIT LESN,361,1 ,$533.00 ,$383.76 ,$114.91 ,"$1,452.38 ",$306.48 ,$335.79 ,$319.80 ,$114.91 ,$149.24 ,$309.14 ,$120.14 ,$325.13 ,$130.58 ,$292.62 ,$292.62 ,$135.81 ,$292.62 ,$236.87 ,$373.10 ,"$1,452.38 ",$120.14 ,$114.91 ,$399.75 ,$378.43 ,$378.43 ,$120.14 ,$378.43 ,$463.71 ,$463.71 ,$463.71 , N/A ,$479.70 ,$306.48 ,$453.05 ,$114.91 ,$533.00 ,$299.01 ,$114.91 ,$220.66 ,"$1,094.18 ",$994.71 ,$120.14 ,$453.05 ,$228.26 ,$292.62 ,$149.24 ,$479.70 ,$533.00 ,$114.91 ,$463.71 ,$533.00 ,$533.00 ,$533.00 ,$122.59 ,$346.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,"$1,836.00 ","$1,321.92 ",$146.54 ,"$1,836.00 ","$1,055.70 ","$1,156.68 ","$1,101.60 ",$395.84 ,$514.08 ,"$1,064.88 ",$413.83 ,"$1,119.96 ",$449.82 ,"$1,007.96 ","$1,007.96 ",$467.81 ,"$1,007.96 ",$815.92 ,"$1,285.20 ","$1,622.43 ",$413.83 ,$395.84 ,"$1,377.00 ","$1,303.56 ","$1,303.56 ",$413.83 ,"$1,303.56 ","$1,597.32 ","$1,597.32 ","$1,597.32 ", N/A ,"$1,652.40 ","$1,055.70 ","$1,560.60 ",$395.84 ,$146.54 ,"$1,030.00 ",$395.84 ,$760.10 ,"$1,032.79 ",$938.90 ,$413.83 ,"$1,560.60 ",$786.28 ,"$1,007.96 ",$514.08 ,"$1,652.40 ","$1,836.00 ",$395.84 ,"$1,597.32 ","$1,836.00 ","$1,836.00 ","$1,836.00 ",$422.28 ,"$1,193.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,"$1,836.00 ","$1,321.92 ",$61.94 ,"$1,836.00 ","$1,055.70 ","$1,156.68 ","$1,101.60 ",$395.84 ,$514.08 ,"$1,064.88 ",$413.83 ,"$1,119.96 ",$449.82 ,"$1,007.96 ","$1,007.96 ",$467.81 ,"$1,007.96 ",$815.92 ,"$1,285.20 ", N/A ,$413.83 ,$395.84 ,"$1,377.00 ","$1,303.56 ","$1,303.56 ",$413.83 ,"$1,303.56 ","$1,597.32 ","$1,597.32 ","$1,597.32 ", N/A ,"$1,652.40 ","$1,055.70 ","$1,560.60 ",$395.84 ,$61.94 ,"$1,030.00 ",$395.84 ,$760.10 ,"$1,032.79 ",$938.90 ,$413.83 ,"$1,560.60 ",$786.28 ,"$1,007.96 ",$514.08 ,"$1,652.40 ","$1,836.00 ",$395.84 ,"$1,597.32 ",$479.00 ,"$1,836.00 ",$479.00 ,$422.28 ,"$1,193.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,"$4,390.00 ","$3,160.80 ",$764.81 ,"$4,390.00 ","$2,524.25 ","$2,765.70 ","$2,634.00 ",$946.48 ,"$1,229.20 ","$2,546.20 ",$989.51 ,"$2,677.90 ","$1,075.55 ","$2,410.11 ","$2,410.11 ","$1,118.57 ","$2,031.00 ","$1,950.92 ","$3,073.00 ","$3,719.63 ",$989.51 ,$946.48 ,"$3,292.50 ","$3,116.90 ","$3,116.90 ",$989.51 ,"$3,116.90 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,951.00 ","$2,524.25 ","$3,731.50 ",$946.48 ,"$4,390.00 ","$2,462.79 ",$946.48 ,"$1,817.46 ",$841.29 ,$764.81 ,$989.51 ,"$3,731.50 ","$1,880.06 ","$2,410.11 ","$1,229.20 ","$3,951.00 ","$4,390.00 ",$946.48 ,"$3,129.00 ","$2,561.00 ","$4,390.00 ","$2,561.00 ","$1,009.70 ","$2,853.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100273,64454,HC INJ ANESTHETIC/STEROID GENICULAR NERVES W/FLUORO OR CT GUID,361,1 ,"$1,875.00 ","$1,350.00 ",$404.25 ,"$1,875.00 ","$1,078.13 ","$1,181.25 ","$1,125.00 ",$404.25 ,$525.00 ,"$1,087.50 ",$422.62 ,"$1,143.75 ",$459.37 ,"$1,029.38 ","$1,029.38 ",$477.75 ,"$1,029.38 ",$833.25 ,"$1,312.50 ","$1,610.85 ",$422.62 ,$404.25 ,"$1,406.25 ","$1,331.25 ","$1,331.25 ",$422.62 ,"$1,331.25 ","$1,631.25 ","$1,631.25 ","$1,631.25 ", N/A ,"$1,687.50 ","$1,078.13 ","$1,593.75 ",$404.25 ,"$1,875.00 ","$1,051.88 ",$404.25 ,$776.25 ,$746.69 ,$678.81 ,$422.62 ,"$1,593.75 ",$802.99 ,"$1,029.38 ",$525.00 ,"$1,687.50 ","$1,875.00 ",$404.25 ,"$1,631.25 ","$1,875.00 ","$1,875.00 ","$1,875.00 ",$431.25 ,"$1,218.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100281,32408,HC CORE NDL BX LUNG/MEDIASTINUM PERQ W IMG,361,1 ,"$4,221.00 ","$3,039.12 ",$910.05 ,"$4,221.00 ","$2,427.08 ","$2,659.23 ","$2,532.60 ",$910.05 ,"$1,181.88 ","$2,448.18 ",$951.41 ,"$2,574.81 ","$1,034.14 ","$2,317.33 ","$2,317.33 ","$1,075.51 ","$2,031.00 ","$1,875.81 ","$2,954.70 ","$3,748.88 ",$951.41 ,$910.05 ,"$3,165.75 ","$2,996.91 ","$2,996.91 ",$951.41 ,"$2,996.91 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$3,798.90 ","$2,427.08 ","$3,587.85 ",$910.05 ,"$4,221.00 ","$2,367.98 ",$910.05 ,"$1,747.49 ","$1,174.58 ","$1,067.80 ",$951.41 ,"$3,587.85 ","$1,807.69 ","$2,317.33 ","$1,181.88 ","$3,798.90 ","$4,221.00 ",$910.05 ,"$3,129.00 ","$2,561.00 ","$4,221.00 ","$2,561.00 ",$970.83 ,"$2,743.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,$258.00 ,$185.76 ,$55.62 ,"$4,637.20 ",$148.35 ,$162.54 ,$154.80 ,$55.62 ,$72.24 ,$149.64 ,$58.15 ,$157.38 ,$63.21 ,$141.64 ,$141.64 ,$65.74 ,$141.64 ,$114.66 ,$180.60 ,"$4,637.20 ",$58.15 ,$55.62 ,$193.50 ,$183.18 ,$183.18 ,$58.15 ,$183.18 ,$224.46 ,$224.46 ,$224.46 , N/A ,$232.20 ,$148.35 ,$219.30 ,$55.62 ,$258.00 ,$144.74 ,$55.62 ,$106.81 , N/A , N/A ,$58.15 ,$219.30 ,$110.49 ,$141.64 ,$72.24 ,$232.20 ,$258.00 ,$55.62 ,$224.46 ,$258.00 ,$258.00 ,$258.00 ,$59.34 ,$167.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$670.00 ,$482.40 ,$144.45 ,"$1,146.84 ",$385.25 ,$422.10 ,$402.00 ,$144.45 ,$187.60 ,$388.60 ,$151.02 ,$408.70 ,$164.15 ,$367.83 ,$367.83 ,$170.72 ,$367.83 ,$297.75 ,$469.00 ,$519.58 ,$151.02 ,$144.45 ,$502.50 ,$475.70 ,$475.70 ,$151.02 ,$475.70 ,$582.90 ,$582.90 ,$582.90 , N/A ,$603.00 ,$385.25 ,$569.50 ,$144.45 ,$670.00 ,$375.87 ,$144.45 ,$277.38 ,"$1,146.84 ","$1,042.58 ",$151.02 ,$569.50 ,$286.93 ,$367.83 ,$187.60 ,$603.00 ,$670.00 ,$144.45 ,$582.90 ,$479.00 ,$670.00 ,$479.00 ,$154.10 ,$435.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,$602.00 ,$433.44 ,$129.79 ,$602.00 ,$346.15 ,$379.26 ,$361.20 ,$129.79 ,$168.56 ,$349.16 ,$135.69 ,$367.22 ,$147.49 ,$330.50 ,$330.50 ,$153.39 ,$330.50 ,$267.53 ,$421.40 , N/A ,$135.69 ,$129.79 ,$451.50 ,$427.42 ,$427.42 ,$135.69 ,$427.42 ,$523.74 ,$523.74 ,$523.74 , N/A ,$541.80 ,$346.15 ,$511.70 ,$129.79 ,$602.00 ,$337.72 ,$129.79 ,$249.23 , N/A , N/A ,$135.69 ,$511.70 ,$257.81 ,$330.50 ,$168.56 ,$541.80 ,$602.00 ,$129.79 ,$523.74 ,$451.50 ,$602.00 ,$451.50 ,$138.46 ,$391.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$520.00 ,$374.40 ,$112.11 ,$520.00 ,$299.00 ,$327.60 ,$312.00 ,$112.11 ,$145.60 ,$301.60 ,$117.21 ,$317.20 ,$127.40 ,$285.48 ,$285.48 ,$132.50 ,$285.48 ,$231.09 ,$364.00 , N/A ,$117.21 ,$112.11 ,$390.00 ,$369.20 ,$369.20 ,$117.21 ,$369.20 ,$452.40 ,$452.40 ,$452.40 , N/A ,$468.00 ,$299.00 ,$442.00 ,$112.11 ,$520.00 ,$291.72 ,$112.11 ,$215.28 , N/A , N/A ,$117.21 ,$442.00 ,$222.70 ,$285.48 ,$145.60 ,$468.00 ,$520.00 ,$112.11 ,$452.40 ,$390.00 ,$520.00 ,$390.00 ,$119.60 ,$338.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,$519.00 ,$373.68 ,$111.90 ,$519.00 ,$298.43 ,$326.97 ,$311.40 ,$111.90 ,$145.32 ,$301.02 ,$116.98 ,$316.59 ,$127.15 ,$284.93 ,$284.93 ,$132.24 ,$284.93 ,$230.64 ,$363.30 , N/A ,$116.98 ,$111.90 ,$389.25 ,$368.49 ,$368.49 ,$116.98 ,$368.49 ,$451.53 ,$451.53 ,$451.53 , N/A ,$467.10 ,$298.43 ,$441.15 ,$111.90 ,$519.00 ,$291.16 ,$111.90 ,$214.87 , N/A , N/A ,$116.98 ,$441.15 ,$222.26 ,$284.93 ,$145.32 ,$467.10 ,$519.00 ,$111.90 ,$451.53 ,$389.25 ,$519.00 ,$389.25 ,$119.37 ,$337.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$457.00 ,$329.04 ,$98.53 ,$457.00 ,$262.78 ,$287.91 ,$274.20 ,$98.53 ,$127.96 ,$265.06 ,$103.01 ,$278.77 ,$111.96 ,$250.89 ,$250.89 ,$116.44 ,$250.89 ,$203.09 ,$319.90 , N/A ,$103.01 ,$98.53 ,$342.75 ,$324.47 ,$324.47 ,$103.01 ,$324.47 ,$397.59 ,$397.59 ,$397.59 , N/A ,$411.30 ,$262.78 ,$388.45 ,$98.53 ,$457.00 ,$256.38 ,$98.53 ,$189.20 , N/A , N/A ,$103.01 ,$388.45 ,$195.72 ,$250.89 ,$127.96 ,$411.30 ,$457.00 ,$98.53 ,$397.59 ,$342.75 ,$457.00 ,$342.75 ,$105.11 ,$297.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,$199.00 ,$143.28 ,$36.41 ,$199.00 ,$114.43 ,$125.37 ,$119.40 ,$42.90 ,$55.72 ,$115.42 ,$44.85 ,$121.39 ,$48.75 ,$109.25 ,$109.25 ,$50.71 ,$109.25 ,$88.44 ,$139.30 , N/A ,$44.85 ,$42.90 ,$149.25 ,$141.29 ,$141.29 ,$44.85 ,$141.29 ,$173.13 ,$173.13 ,$173.13 , N/A ,$179.10 ,$114.43 ,$169.15 ,$42.90 ,$199.00 ,$111.64 ,$42.90 ,$82.39 ,$40.05 ,$36.41 ,$44.85 ,$169.15 ,$85.22 ,$109.25 ,$55.72 ,$179.10 ,$199.00 ,$42.90 ,$173.13 ,$149.25 ,$199.00 ,$149.25 ,$45.77 ,$129.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000076,N/A,HC MONITORED ANESTHESIA INITIAL 15 MINS,370,1 ,$388.00 ,$279.36 ,$83.65 ,$388.00 ,$223.10 ,$244.44 ,$232.80 ,$83.65 ,$108.64 ,$225.04 ,$87.46 ,$236.68 ,$95.06 ,$213.01 ,$213.01 ,$98.86 ,$213.01 ,$172.43 ,$271.60 , N/A ,$87.46 ,$83.65 ,$291.00 ,$275.48 ,$275.48 ,$87.46 ,$275.48 ,$337.56 ,$337.56 ,$337.56 , N/A ,$349.20 ,$223.10 ,$329.80 ,$83.65 ,$388.00 ,$217.67 ,$83.65 ,$160.63 , N/A , N/A ,$87.46 ,$329.80 ,$166.17 ,$213.01 ,$108.64 ,$349.20 ,$388.00 ,$83.65 ,$337.56 ,$291.00 ,$388.00 ,$291.00 ,$89.24 ,$252.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$310.00 ,$223.20 ,$66.84 ,$310.00 ,$178.25 ,$195.30 ,$186.00 ,$66.84 ,$86.80 ,$179.80 ,$69.87 ,$189.10 ,$75.95 ,$170.19 ,$170.19 ,$78.99 ,$170.19 ,$137.76 ,$217.00 , N/A ,$69.87 ,$66.84 ,$232.50 ,$220.10 ,$220.10 ,$69.87 ,$220.10 ,$269.70 ,$269.70 ,$269.70 , N/A ,$279.00 ,$178.25 ,$263.50 ,$66.84 ,$310.00 ,$173.91 ,$66.84 ,$128.34 , N/A , N/A ,$69.87 ,$263.50 ,$132.76 ,$170.19 ,$86.80 ,$279.00 ,$310.00 ,$66.84 ,$269.70 ,$232.50 ,$310.00 ,$232.50 ,$71.30 ,$201.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,37080000,64447,HC FEMORAL NERVE BLOCK SINGLE,360,1 ,"$2,023.00 ","$1,456.56 ",$436.16 ,"$2,023.00 ","$1,163.23 ","$1,274.49 ","$1,213.80 ",$436.16 ,$566.44 ,"$1,173.34 ",$455.98 ,"$1,234.03 ",$495.63 ,"$1,110.63 ","$1,110.63 ",$515.46 ,"$1,110.63 ",$899.02 ,"$1,416.10 ","$1,610.85 ",$455.98 ,$436.16 ,"$1,517.25 ","$1,436.33 ","$1,436.33 ",$455.98 ,"$1,436.33 ","$1,760.01 ","$1,760.01 ","$1,760.01 ", N/A ,"$1,820.70 ","$1,163.23 ","$1,719.55 ",$436.16 ,"$2,023.00 ","$1,134.90 ",$436.16 ,$837.52 ,$746.69 ,$678.81 ,$455.98 ,"$1,719.55 ",$866.37 ,"$1,110.63 ",$566.44 ,"$1,820.70 ","$2,023.00 ",$436.16 ,"$1,760.01 ","$2,023.00 ","$2,023.00 ","$2,023.00 ",$465.29 ,"$1,314.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,39000143,86945,HC BLOOD PRODUCT IRRADIATION,390,1 ,$81.00 ,$58.32 ,$9.65 ,$84.90 ,$46.58 ,$51.03 ,$48.60 ,$17.46 ,$22.68 ,$46.98 ,$18.26 ,$49.41 ,$19.84 ,$44.47 ,$44.47 ,$20.64 ,$44.47 ,$36.00 ,$56.70 ,$84.90 ,$18.26 ,$17.46 ,$60.75 ,$57.51 ,$57.51 ,$18.26 ,$57.51 ,$70.47 ,$70.47 ,$70.47 , N/A ,$72.90 ,$46.58 ,$68.85 ,$17.46 ,$81.00 ,$45.44 ,$17.46 ,$33.53 ,$10.62 ,$9.65 ,$18.26 ,$68.85 ,$34.69 ,$44.47 ,$22.68 ,$72.90 ,$81.00 ,$17.46 ,$70.47 ,$81.00 ,$81.00 ,$81.00 ,$18.63 ,$52.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$189.00 ,$136.08 ,$40.75 ,"$1,127.07 ",$108.68 ,$119.07 ,$113.40 ,$40.75 ,$52.92 ,$109.62 ,$42.60 ,$115.29 ,$46.30 ,$103.76 ,$103.76 ,$48.16 ,$103.76 ,$83.99 ,$132.30 ,$213.68 ,$42.60 ,$40.75 ,$141.75 ,$134.19 ,$134.19 ,$42.60 ,$134.19 ,$164.43 ,$164.43 ,$164.43 , N/A ,$170.10 ,$108.68 ,$160.65 ,$40.75 ,$189.00 ,$106.03 ,$40.75 ,$78.25 ,"$1,127.07 ","$1,024.61 ",$42.60 ,$160.65 ,$80.94 ,$103.76 ,$52.92 ,$170.10 ,$189.00 ,$40.75 ,$164.43 ,$189.00 ,$189.00 ,$189.00 ,$43.47 ,$122.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$189.00 ,$136.08 ,$40.75 ,"$1,127.07 ",$108.68 ,$119.07 ,$113.40 ,$40.75 ,$52.92 ,$109.62 ,$42.60 ,$115.29 ,$46.30 ,$103.76 ,$103.76 ,$48.16 ,$103.76 ,$83.99 ,$132.30 ,$190.50 ,$42.60 ,$40.75 ,$141.75 ,$134.19 ,$134.19 ,$42.60 ,$134.19 ,$164.43 ,$164.43 ,$164.43 , N/A ,$170.10 ,$108.68 ,$160.65 ,$40.75 ,$189.00 ,$106.03 ,$40.75 ,$78.25 ,"$1,127.07 ","$1,024.61 ",$42.60 ,$160.65 ,$80.94 ,$103.76 ,$52.92 ,$170.10 ,$189.00 ,$40.75 ,$164.43 ,$189.00 ,$189.00 ,$189.00 ,$43.47 ,$122.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,$622.00 ,$447.84 ,$134.10 ,"$1,127.07 ",$357.65 ,$391.86 ,$373.20 ,$134.10 ,$174.16 ,$360.76 ,$140.20 ,$379.42 ,$152.39 ,$341.48 ,$341.48 ,$158.49 ,$341.48 ,$276.42 ,$435.40 ,$473.03 ,$140.20 ,$134.10 ,$466.50 ,$441.62 ,$441.62 ,$140.20 ,$441.62 ,$541.14 ,$541.14 ,$541.14 , N/A ,$559.80 ,$357.65 ,$528.70 ,$134.10 ,$622.00 ,$348.94 ,$134.10 ,$257.51 ,"$1,127.07 ","$1,024.61 ",$140.20 ,$528.70 ,$266.37 ,$341.48 ,$174.16 ,$559.80 ,$622.00 ,$134.10 ,$541.14 ,$309.00 ,$622.00 ,$309.00 ,$143.06 ,$404.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,"$1,142.00 ",$822.24 ,$246.22 ,"$1,214.15 ",$656.65 ,$719.46 ,$685.20 ,$246.22 ,$319.76 ,$662.36 ,$257.41 ,$696.62 ,$279.79 ,$626.96 ,$626.96 ,$290.98 ,$626.96 ,$507.50 ,$799.40 ,"$1,214.15 ",$257.41 ,$246.22 ,$856.50 ,$810.82 ,$810.82 ,$257.41 ,$810.82 ,$993.54 ,$993.54 ,$993.54 , N/A ,"$1,027.80 ",$656.65 ,$970.70 ,$246.22 ,"$1,142.00 ",$640.66 ,$246.22 ,$472.79 ,"$1,127.07 ","$1,024.61 ",$257.41 ,$970.70 ,$489.07 ,$626.96 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$246.22 ,$993.54 ,$309.00 ,"$1,142.00 ",$309.00 ,$262.66 ,$742.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000180,P9037,HC PLATELETS PHER L/R IRR EA T2,390,1 ,"$1,142.00 ",$822.24 ,$246.22 ,"$1,595.48 ",$656.65 ,$719.46 ,$685.20 ,$246.22 ,$319.76 ,$662.36 ,$257.41 ,$696.62 ,$279.79 ,$626.96 ,$626.96 ,$290.98 ,$626.96 ,$507.50 ,$799.40 ,"$1,595.48 ",$257.41 ,$246.22 ,$856.50 ,$810.82 ,$810.82 ,$257.41 ,$810.82 ,$993.54 ,$993.54 ,$993.54 , N/A ,"$1,027.80 ",$656.65 ,$970.70 ,$246.22 ,"$1,142.00 ",$640.66 ,$246.22 ,$472.79 ,"$1,127.07 ","$1,024.61 ",$257.41 ,$970.70 ,$489.07 ,$626.96 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$246.22 ,$993.54 ,$309.00 ,"$1,142.00 ",$309.00 ,$262.66 ,$742.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,$678.00 ,$488.16 ,$146.18 ,"$1,127.07 ",$389.85 ,$427.14 ,$406.80 ,$146.18 ,$189.84 ,$393.24 ,$152.82 ,$413.58 ,$166.11 ,$372.22 ,$372.22 ,$172.75 ,$372.22 ,$301.30 ,$474.60 ,$647.80 ,$152.82 ,$146.18 ,$508.50 ,$481.38 ,$481.38 ,$152.82 ,$481.38 ,$589.86 ,$589.86 ,$589.86 , N/A ,$610.20 ,$389.85 ,$576.30 ,$146.18 ,$678.00 ,$380.36 ,$146.18 ,$280.69 ,"$1,127.07 ","$1,024.61 ",$152.82 ,$576.30 ,$290.36 ,$372.22 ,$189.84 ,$610.20 ,$678.00 ,$146.18 ,$589.86 ,$309.00 ,$678.00 ,$309.00 ,$155.94 ,$440.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000198,P9058,HC RBC LEUKORED CMV NEG IRRAD,390,1 ,$473.00 ,$340.56 ,$101.98 ,"$1,127.07 ",$271.98 ,$297.99 ,$283.80 ,$101.98 ,$132.44 ,$274.34 ,$106.61 ,$288.53 ,$115.88 ,$259.68 ,$259.68 ,$120.52 ,$259.68 ,$210.20 ,$331.10 ,$627.48 ,$106.61 ,$101.98 ,$354.75 ,$335.83 ,$335.83 ,$106.61 ,$335.83 ,$411.51 ,$411.51 ,$411.51 , N/A ,$425.70 ,$271.98 ,$402.05 ,$101.98 ,$473.00 ,$265.35 ,$101.98 ,$195.82 ,"$1,127.07 ","$1,024.61 ",$106.61 ,$402.05 ,$202.57 ,$259.68 ,$132.44 ,$425.70 ,$473.00 ,$101.98 ,$411.51 ,$309.00 ,$473.00 ,$309.00 ,$108.79 ,$307.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,39000205,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T1,390,1 ,"$1,138.00 ",$819.36 ,$245.35 ,"$1,444.73 ",$654.35 ,$716.94 ,$682.80 ,$245.35 ,$318.64 ,$660.04 ,$256.51 ,$694.18 ,$278.81 ,$624.76 ,$624.76 ,$289.96 ,$624.76 ,$505.73 ,$796.60 ,"$1,444.73 ",$256.51 ,$245.35 ,$853.50 ,$807.98 ,$807.98 ,$256.51 ,$807.98 ,$990.06 ,$990.06 ,$990.06 , N/A ,"$1,024.20 ",$654.35 ,$967.30 ,$245.35 ,"$1,138.00 ",$638.42 ,$245.35 ,$471.13 ,"$1,127.07 ","$1,024.61 ",$256.51 ,$967.30 ,$487.36 ,$624.76 ,$318.64 ,"$1,024.20 ","$1,138.00 ",$245.35 ,$990.06 ,$309.00 ,"$1,138.00 ",$309.00 ,$261.74 ,$739.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,$876.00 ,$630.72 ,$188.87 ,"$1,127.07 ",$503.70 ,$551.88 ,$525.60 ,$188.87 ,$245.28 ,$508.08 ,$197.45 ,$534.36 ,$214.62 ,$480.92 ,$480.92 ,$223.20 ,$480.92 ,$389.29 ,$613.20 ,"$1,019.38 ",$197.45 ,$188.87 ,$657.00 ,$621.96 ,$621.96 ,$197.45 ,$621.96 ,$762.12 ,$762.12 ,$762.12 , N/A ,$788.40 ,$503.70 ,$744.60 ,$188.87 ,$876.00 ,$491.44 ,$188.87 ,$362.66 ,"$1,127.07 ","$1,024.61 ",$197.45 ,$744.60 ,$375.15 ,$480.92 ,$245.28 ,$788.40 ,$876.00 ,$188.87 ,$762.12 ,$309.00 ,$876.00 ,$309.00 ,$201.48 ,$569.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$591.00 ,$425.52 ,$105.53 ,$591.00 ,$339.83 ,$372.33 ,$354.60 ,$127.42 ,$165.48 ,$342.78 ,$133.21 ,$360.51 ,$144.79 ,$324.46 ,$324.46 ,$150.59 ,$105.53 ,$262.64 ,$293.43 ,$263.83 ,$133.21 ,$127.42 ,$443.25 ,$419.61 ,$419.61 ,$133.21 ,$419.61 ,$514.17 ,$514.17 ,$514.17 , N/A ,$531.90 ,$339.83 ,$502.35 ,$127.42 ,$117.23 ,$331.55 ,$127.42 ,$244.67 ,$117.30 ,$106.64 ,$133.21 ,$502.35 ,$253.10 ,$324.46 ,$165.48 ,$531.90 ,$591.00 ,$127.42 ,$514.17 ,$298.00 ,$591.00 ,$298.00 ,$135.93 ,$384.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$591.00 ,$425.52 ,$105.53 ,$591.00 ,$339.83 ,$372.33 ,$354.60 ,$127.42 ,$165.48 ,$342.78 ,$133.21 ,$360.51 ,$144.79 ,$324.46 ,$324.46 ,$150.59 ,$105.53 ,$262.64 ,$293.43 ,$263.83 ,$133.21 ,$127.42 ,$443.25 ,$419.61 ,$419.61 ,$133.21 ,$419.61 ,$514.17 ,$514.17 ,$514.17 , N/A ,$531.90 ,$339.83 ,$502.35 ,$127.42 ,$117.23 ,$331.55 ,$127.42 ,$244.67 ,$117.30 ,$106.64 ,$133.21 ,$502.35 ,$253.10 ,$324.46 ,$165.48 ,$531.90 ,$591.00 ,$127.42 ,$514.17 ,$298.00 ,$591.00 ,$298.00 ,$135.93 ,$384.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$591.00 ,$425.52 ,$105.53 ,$591.00 ,$339.83 ,$372.33 ,$354.60 ,$127.42 ,$165.48 ,$342.78 ,$133.21 ,$360.51 ,$144.79 ,$324.46 ,$324.46 ,$150.59 ,$105.53 ,$262.64 ,$293.43 ,$263.83 ,$133.21 ,$127.42 ,$443.25 ,$419.61 ,$419.61 ,$133.21 ,$419.61 ,$514.17 ,$514.17 ,$514.17 , N/A ,$531.90 ,$339.83 ,$502.35 ,$127.42 ,$117.23 ,$331.55 ,$127.42 ,$244.67 ,$117.30 ,$106.64 ,$133.21 ,$502.35 ,$253.10 ,$324.46 ,$165.48 ,$531.90 ,$591.00 ,$127.42 ,$514.17 ,$298.00 ,$591.00 ,$298.00 ,$135.93 ,$384.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$309.00 ,$222.48 ,$66.62 ,$309.00 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$179.22 ,$69.65 ,$188.49 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$82.84 ,$137.32 ,$229.54 ,$207.10 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$92.02 ,$173.35 ,$66.62 ,$127.93 ,$117.30 ,$106.64 ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$298.00 ,$309.00 ,$298.00 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD ADDNT VIEW,401,1 ,$309.00 ,$222.48 ,$66.62 ,$309.00 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$179.22 ,$69.65 ,$188.49 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$82.84 ,$137.32 ,$229.54 ,$207.10 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$92.02 ,$173.35 ,$66.62 ,$127.93 ,$117.30 ,$106.64 ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$298.00 ,$309.00 ,$298.00 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$309.00 ,$222.48 ,$66.62 ,$309.00 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$179.22 ,$69.65 ,$188.49 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$82.84 ,$137.32 ,$229.54 ,$207.10 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$92.02 ,$173.35 ,$66.62 ,$127.93 ,$117.30 ,$106.64 ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$298.00 ,$309.00 ,$298.00 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$130.00 ,$93.60 ,$22.69 ,$130.00 ,$74.75 ,$81.90 ,$78.00 ,$28.03 ,$36.40 ,$75.40 ,$29.30 ,$79.30 ,$31.85 ,$71.37 ,$71.37 ,$33.12 ,$22.69 ,$57.77 ,$63.88 ,$56.73 ,$29.30 ,$28.03 ,$97.50 ,$92.30 ,$92.30 ,$29.30 ,$92.30 ,$113.10 ,$113.10 ,$113.10 , N/A ,$117.00 ,$74.75 ,$110.50 ,$28.03 ,$25.20 ,$72.93 ,$28.03 ,$53.82 ,$117.30 ,$106.64 ,$29.30 ,$110.50 ,$55.67 ,$71.37 ,$36.40 ,$117.00 ,$130.00 ,$28.03 ,$113.10 ,$130.00 ,$130.00 ,$130.00 ,$29.90 ,$84.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200007,51798,HC US BLADDER SCAN,402,1 ,$171.00 ,$123.12 ,$10.35 ,$202.75 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$10.35 ,$75.99 ,$119.70 ,$143.70 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$202.75 ,$184.32 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,"$1,156.00 ",$832.32 ,$80.32 ,"$1,156.00 ",$664.70 ,$728.28 ,$693.60 ,$249.23 ,$323.68 ,$670.48 ,$260.56 ,$705.16 ,$283.22 ,$634.64 ,$634.64 ,$294.55 ,$80.32 ,$513.73 ,$228.66 ,$267.20 ,$260.56 ,$249.23 ,$867.00 ,$820.76 ,$820.76 ,$260.56 ,$820.76 ,"$1,005.72 ","$1,005.72 ","$1,005.72 ", N/A ,"$1,040.40 ",$664.70 ,$982.60 ,$249.23 ,"$1,156.00 ",$648.52 ,$249.23 ,$478.58 ,$258.25 ,$234.77 ,$260.56 ,$982.60 ,$495.07 ,$634.64 ,$323.68 ,"$1,040.40 ","$1,156.00 ",$249.23 ,"$1,005.72 ",$586.00 ,"$1,156.00 ",$586.00 ,$265.88 ,$751.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200014,76604,HC US CHEST,402,1 ,$404.00 ,$290.88 ,$28.00 ,$404.00 ,$232.30 ,$254.52 ,$242.40 ,$87.10 ,$113.12 ,$234.32 ,$91.06 ,$246.44 ,$98.98 ,$221.80 ,$221.80 ,$102.94 ,$28.00 ,$179.54 ,$100.02 ,$267.20 ,$91.06 ,$87.10 ,$303.00 ,$286.84 ,$286.84 ,$91.06 ,$286.84 ,$351.48 ,$351.48 ,$351.48 , N/A ,$363.60 ,$232.30 ,$343.40 ,$87.10 ,$404.00 ,$226.64 ,$87.10 ,$167.26 ,$258.25 ,$234.77 ,$91.06 ,$343.40 ,$173.02 ,$221.80 ,$113.12 ,$363.60 ,$404.00 ,$87.10 ,$351.48 ,$404.00 ,$404.00 ,$404.00 ,$92.92 ,$262.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200015,76641,HC US BREAST COMPLETE,402,1 ,"$1,678.00 ","$1,208.16 ",$65.50 ,"$1,678.00 ",$964.85 ,"$1,057.14 ","$1,006.80 ",$361.78 ,$469.84 ,$887.35 ,$378.22 ,$928.62 ,$411.11 ,$921.22 ,$921.22 ,$427.55 ,$65.50 ,$745.70 ,$183.15 ,$267.20 ,$378.22 ,$361.78 ,"$1,258.50 ","$1,191.38 ","$1,191.38 ",$378.22 ,"$1,191.38 ","$1,459.86 ","$1,459.86 ","$1,459.86 ", N/A ,"$1,510.20 ",$964.85 ,"$1,426.30 ",$361.78 ,$72.77 ,$941.36 ,$361.78 ,$694.69 ,$258.25 ,$234.77 ,$378.22 ,"$1,426.30 ",$718.62 ,$921.22 ,$469.84 ,"$1,510.20 ","$1,678.00 ",$361.78 ,"$1,459.86 ",$586.00 ,"$1,678.00 ",$586.00 ,$385.94 ,"$1,090.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,40200016,76642,HC US BREAST LIMITED,402,1 ,$838.00 ,$603.36 ,$50.38 ,$838.00 ,$481.85 ,$527.94 ,$502.80 ,$180.67 ,$234.64 ,$486.04 ,$188.89 ,$511.18 ,$205.31 ,$460.06 ,$460.06 ,$213.52 ,$50.38 ,$372.41 ,$140.28 ,$217.20 ,$188.89 ,$180.67 ,$628.50 ,$594.98 ,$594.98 ,$188.89 ,$594.98 ,$729.06 ,$729.06 ,$729.06 , N/A ,$754.20 ,$481.85 ,$712.30 ,$180.67 ,$55.97 ,$470.12 ,$180.67 ,$346.93 ,$258.25 ,$234.77 ,$188.89 ,$712.30 ,$358.89 ,$460.06 ,$234.64 ,$754.20 ,$838.00 ,$180.67 ,$729.06 ,$586.00 ,$838.00 ,$586.00 ,$192.74 ,$544.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,472.00 ","$1,059.84 ",$74.96 ,"$1,472.00 ",$846.40 ,$927.36 ,$883.20 ,$317.36 ,$412.16 ,$853.76 ,$331.79 ,$897.92 ,$360.64 ,$808.13 ,$808.13 ,$375.07 ,$74.96 ,$654.16 ,$212.91 ,$267.20 ,$331.79 ,$317.36 ,"$1,104.00 ","$1,045.12 ","$1,045.12 ",$331.79 ,"$1,045.12 ","$1,280.64 ","$1,280.64 ","$1,280.64 ", N/A ,"$1,324.80 ",$846.40 ,"$1,251.20 ",$317.36 ,"$1,472.00 ",$825.79 ,$317.36 ,$609.41 ,$258.25 ,$234.77 ,$331.79 ,"$1,251.20 ",$630.39 ,$808.13 ,$412.16 ,"$1,324.80 ","$1,472.00 ",$317.36 ,"$1,280.64 ",$586.00 ,"$1,472.00 ",$586.00 ,$338.56 ,$956.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200018,76705,HC US ABDOMEN LTD,402,1 ,"$1,419.00 ","$1,021.68 ",$57.31 ,"$1,419.00 ",$815.93 ,$893.97 ,$851.40 ,$305.94 ,$397.32 ,$777.96 ,$319.84 ,$814.14 ,$347.65 ,$779.03 ,$779.03 ,$361.56 ,$57.31 ,$630.60 ,$160.41 ,$267.20 ,$319.84 ,$305.94 ,"$1,064.25 ","$1,007.49 ","$1,007.49 ",$319.84 ,"$1,007.49 ","$1,234.53 ","$1,234.53 ","$1,234.53 ", N/A ,"$1,277.10 ",$815.93 ,"$1,206.15 ",$305.94 ,"$1,419.00 ",$796.06 ,$305.94 ,$587.47 ,$258.25 ,$234.77 ,$319.84 ,"$1,206.15 ",$607.70 ,$779.03 ,$397.32 ,"$1,277.10 ","$1,419.00 ",$305.94 ,"$1,234.53 ",$586.00 ,"$1,419.00 ",$586.00 ,$326.37 ,$922.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200019,76770,HC US RETROPERITIONEAL,402,1 ,$377.00 ,$271.44 ,$70.55 ,$377.00 ,$216.78 ,$237.51 ,$226.20 ,$81.28 ,$105.56 ,$218.66 ,$84.98 ,$229.97 ,$92.36 ,$206.97 ,$206.97 ,$96.06 ,$70.55 ,$167.54 ,$198.03 ,$267.20 ,$84.98 ,$81.28 ,$282.75 ,$267.67 ,$267.67 ,$84.98 ,$267.67 ,$327.99 ,$327.99 ,$327.99 , N/A ,$339.30 ,$216.78 ,$320.45 ,$81.28 ,$377.00 ,$211.50 ,$81.28 ,$156.08 ,$258.25 ,$234.77 ,$84.98 ,$320.45 ,$161.45 ,$206.97 ,$105.56 ,$339.30 ,$377.00 ,$81.28 ,$327.99 ,$377.00 ,$377.00 ,$377.00 ,$86.71 ,$245.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,$377.00 ,$271.44 ,$30.21 ,$377.00 ,$216.78 ,$237.51 ,$226.20 ,$81.28 ,$105.56 ,$218.66 ,$84.98 ,$229.97 ,$92.36 ,$206.97 ,$206.97 ,$96.06 ,$30.21 ,$167.54 ,$78.16 ,$267.20 ,$84.98 ,$81.28 ,$282.75 ,$267.67 ,$267.67 ,$84.98 ,$267.67 ,$327.99 ,$327.99 ,$327.99 , N/A ,$339.30 ,$216.78 ,$320.45 ,$81.28 ,$377.00 ,$211.50 ,$81.28 ,$156.08 ,$258.25 ,$234.77 ,$84.98 ,$320.45 ,$161.45 ,$206.97 ,$105.56 ,$339.30 ,$377.00 ,$81.28 ,$327.99 ,$377.00 ,$377.00 ,$377.00 ,$86.71 ,$245.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,"$1,219.00 ",$877.68 ,$67.71 ,"$1,219.00 ",$700.93 ,$767.97 ,$731.40 ,$262.82 ,$341.32 ,$707.02 ,$274.76 ,$743.59 ,$298.65 ,$669.23 ,$669.23 ,$310.60 ,$67.71 ,$541.72 ,$189.28 ,$267.20 ,$274.76 ,$262.82 ,$914.25 ,$865.49 ,$865.49 ,$274.76 ,$865.49 ,"$1,060.53 ","$1,060.53 ","$1,060.53 ", N/A ,"$1,097.10 ",$700.93 ,"$1,036.15 ",$262.82 ,"$1,219.00 ",$683.86 ,$262.82 ,$504.67 , N/A , N/A ,$274.76 ,"$1,036.15 ",$522.05 ,$669.23 ,$341.32 ,"$1,097.10 ","$1,219.00 ",$262.82 ,"$1,060.53 ",$586.00 ,"$1,219.00 ",$586.00 ,$280.37 ,$792.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,"$1,219.00 ",$877.68 ,$84.68 ,"$1,219.00 ",$700.93 ,$767.97 ,$731.40 ,$262.82 ,$341.32 ,$707.02 ,$274.76 ,$743.59 ,$298.65 ,$669.23 ,$669.23 ,$310.60 ,$84.68 ,$541.72 ,$236.53 ,$267.20 ,$274.76 ,$262.82 ,$914.25 ,$865.49 ,$865.49 ,$274.76 ,$865.49 ,"$1,060.53 ","$1,060.53 ","$1,060.53 ", N/A ,"$1,097.10 ",$700.93 ,"$1,036.15 ",$262.82 ,"$1,219.00 ",$683.86 ,$262.82 ,$504.67 , N/A , N/A ,$274.76 ,"$1,036.15 ",$522.05 ,$669.23 ,$341.32 ,"$1,097.10 ","$1,219.00 ",$262.82 ,"$1,060.53 ",$586.00 ,"$1,219.00 ",$586.00 ,$280.37 ,$792.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,$798.00 ,$574.56 ,$82.70 ,$798.00 ,$458.85 ,$502.74 ,$478.80 ,$172.05 ,$223.44 ,$462.84 ,$179.87 ,$486.78 ,$195.51 ,$438.10 ,$438.10 ,$203.33 ,$82.70 ,$354.63 ,$216.67 ,$583.80 ,$179.87 ,$172.05 ,$598.50 ,$566.58 ,$566.58 ,$179.87 ,$566.58 ,$694.26 ,$694.26 ,$694.26 , N/A ,$718.20 ,$458.85 ,$678.30 ,$172.05 ,$798.00 ,$447.68 ,$172.05 ,$330.37 , N/A , N/A ,$179.87 ,$678.30 ,$341.76 ,$438.10 ,$223.44 ,$718.20 ,$798.00 ,$172.05 ,$694.26 ,$586.00 ,$798.00 ,$586.00 ,$183.54 ,$518.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$735.00 ,$529.20 ,$102.65 ,$735.00 ,$422.63 ,$463.05 ,$441.00 ,$158.47 ,$205.80 ,$426.30 ,$165.67 ,$448.35 ,$180.07 ,$403.52 ,$403.52 ,$187.28 ,$102.65 ,$326.63 ,$514.50 , N/A ,$165.67 ,$158.47 ,$551.25 ,$521.85 ,$521.85 ,$165.67 ,$521.85 ,$639.45 ,$639.45 ,$639.45 , N/A ,$661.50 ,$422.63 ,$624.75 ,$158.47 ,$735.00 ,$412.34 ,$158.47 ,$304.29 , N/A , N/A ,$165.67 ,$624.75 ,$314.78 ,$403.52 ,$205.80 ,$661.50 ,$735.00 ,$158.47 ,$639.45 ,$586.00 ,$735.00 ,$586.00 ,$169.05 ,$477.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$371.00 ,$267.12 ,$66.14 ,$371.00 ,$213.33 ,$233.73 ,$222.60 ,$79.99 ,$103.88 ,$215.18 ,$83.62 ,$226.31 ,$90.89 ,$203.68 ,$203.68 ,$94.53 ,$66.14 ,$164.87 ,$185.79 ,$267.20 ,$83.62 ,$79.99 ,$278.25 ,$263.41 ,$263.41 ,$83.62 ,$263.41 ,$322.77 ,$322.77 ,$322.77 , N/A ,$333.90 ,$213.33 ,$315.35 ,$79.99 ,$371.00 ,$208.13 ,$79.99 ,$153.59 , N/A , N/A ,$83.62 ,$315.35 ,$158.89 ,$203.68 ,$103.88 ,$333.90 ,$371.00 ,$79.99 ,$322.77 ,$371.00 ,$371.00 ,$371.00 ,$85.33 ,$241.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$696.00 ,$501.12 ,$48.17 ,$696.00 ,$400.20 ,$438.48 ,$417.60 ,$150.06 ,$194.88 ,$403.68 ,$156.88 ,$424.56 ,$170.52 ,$382.10 ,$382.10 ,$177.34 ,$48.17 ,$309.30 ,$135.03 ,$267.20 ,$156.88 ,$150.06 ,$522.00 ,$494.16 ,$494.16 ,$156.88 ,$494.16 ,$605.52 ,$605.52 ,$605.52 , N/A ,$626.40 ,$400.20 ,$591.60 ,$150.06 ,$696.00 ,$390.46 ,$150.06 ,$288.14 , N/A , N/A ,$156.88 ,$591.60 ,$298.07 ,$382.10 ,$194.88 ,$626.40 ,$696.00 ,$150.06 ,$605.52 ,$586.00 ,$696.00 ,$586.00 ,$160.08 ,$452.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$942.00 ,$678.24 ,$54.47 ,$942.00 ,$541.65 ,$593.46 ,$565.20 ,$203.10 ,$263.76 ,$546.36 ,$212.33 ,$574.62 ,$230.79 ,$517.16 ,$517.16 ,$240.02 ,$54.47 ,$418.62 ,$153.40 ,$267.20 ,$212.33 ,$203.10 ,$706.50 ,$668.82 ,$668.82 ,$212.33 ,$668.82 ,$819.54 ,$819.54 ,$819.54 , N/A ,$847.80 ,$541.65 ,$800.70 ,$203.10 ,$942.00 ,$528.46 ,$203.10 ,$389.99 , N/A , N/A ,$212.33 ,$800.70 ,$403.42 ,$517.16 ,$263.76 ,$847.80 ,$942.00 ,$203.10 ,$819.54 ,$586.00 ,$942.00 ,$586.00 ,$216.66 ,$612.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200033,76818,HC US FETAL BIO PROFILE W/NST,402,1 ,"$1,633.00 ","$1,175.76 ",$63.57 ,"$1,633.00 ",$938.98 ,"$1,028.79 ",$979.80 ,$352.07 ,$457.24 ,$869.29 ,$368.08 ,$909.72 ,$400.08 ,$896.52 ,$896.52 ,$416.09 ,$63.57 ,$725.71 ,$169.43 ,$267.20 ,$368.08 ,$352.07 ,"$1,224.75 ","$1,159.43 ","$1,159.43 ",$368.08 ,"$1,159.43 ","$1,420.71 ","$1,420.71 ","$1,420.71 ", N/A ,"$1,469.70 ",$938.98 ,"$1,388.05 ",$352.07 ,"$1,633.00 ",$916.11 ,$352.07 ,$676.06 , N/A , N/A ,$368.08 ,"$1,388.05 ",$699.35 ,$896.52 ,$457.24 ,"$1,469.70 ","$1,633.00 ",$352.07 ,"$1,420.71 ",$586.00 ,"$1,633.00 ",$586.00 ,$375.59 ,"$1,061.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$849.00 ,$611.28 ,$45.65 ,$849.00 ,$488.18 ,$534.87 ,$509.40 ,$183.04 ,$237.72 ,$492.42 ,$191.36 ,$517.89 ,$208.00 ,$466.10 ,$466.10 ,$216.33 ,$45.65 ,$377.30 ,$125.40 ,$267.20 ,$191.36 ,$183.04 ,$636.75 ,$602.79 ,$602.79 ,$191.36 ,$602.79 ,$738.63 ,$738.63 ,$738.63 , N/A ,$764.10 ,$488.18 ,$721.65 ,$183.04 ,$849.00 ,$476.29 ,$183.04 ,$351.49 , N/A , N/A ,$191.36 ,$721.65 ,$363.59 ,$466.10 ,$237.72 ,$764.10 ,$849.00 ,$183.04 ,$738.63 ,$586.00 ,$849.00 ,$586.00 ,$195.27 ,$551.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200038,76830,HC US TRANSVAGINAL,402,1 ,$967.00 ,$696.24 ,$82.84 ,$967.00 ,$556.03 ,$609.21 ,$580.20 ,$208.49 ,$270.76 ,$560.86 ,$217.96 ,$589.87 ,$236.91 ,$530.88 ,$530.88 ,$246.39 ,$82.84 ,$429.73 ,$233.04 ,$267.20 ,$217.96 ,$208.49 ,$725.25 ,$686.57 ,$686.57 ,$217.96 ,$686.57 ,$841.29 ,$841.29 ,$841.29 , N/A ,$870.30 ,$556.03 ,$821.95 ,$208.49 ,$967.00 ,$542.49 ,$208.49 ,$400.34 ,$258.25 ,$234.77 ,$217.96 ,$821.95 ,$414.13 ,$530.88 ,$270.76 ,$870.30 ,$967.00 ,$208.49 ,$841.29 ,$586.00 ,$967.00 ,$586.00 ,$222.41 ,$628.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,450.00 ","$1,044.00 ",$69.60 ,"$1,450.00 ",$833.75 ,$913.50 ,$870.00 ,$312.62 ,$406.00 ,$841.00 ,$326.83 ,$884.50 ,$355.25 ,$796.05 ,$796.05 ,$369.46 ,$69.60 ,$644.38 ,$196.30 ,$267.20 ,$326.83 ,$312.62 ,"$1,087.50 ","$1,029.50 ","$1,029.50 ",$326.83 ,"$1,029.50 ","$1,261.50 ","$1,261.50 ","$1,261.50 ", N/A ,"$1,305.00 ",$833.75 ,"$1,232.50 ",$312.62 ,$77.32 ,$813.45 ,$312.62 ,$600.30 ,$258.25 ,$234.77 ,$326.83 ,"$1,232.50 ",$620.98 ,$796.05 ,$406.00 ,"$1,305.00 ","$1,450.00 ",$312.62 ,"$1,261.50 ",$586.00 ,"$1,450.00 ",$586.00 ,$333.50 ,$942.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$709.00 ,$510.48 ,$24.22 ,$709.00 ,$407.68 ,$446.67 ,$425.40 ,$152.86 ,$198.52 ,$373.33 ,$159.81 ,$390.69 ,$173.70 ,$389.24 ,$389.24 ,$180.65 ,$24.22 ,$315.08 ,$62.40 ,$267.20 ,$159.81 ,$152.86 ,$531.75 ,$503.39 ,$503.39 ,$159.81 ,$503.39 ,$616.83 ,$616.83 ,$616.83 , N/A ,$638.10 ,$407.68 ,$602.65 ,$152.86 ,$709.00 ,$397.75 ,$152.86 ,$293.53 ,$258.25 ,$234.77 ,$159.81 ,$602.65 ,$303.63 ,$389.24 ,$198.52 ,$638.10 ,$709.00 ,$152.86 ,$616.83 ,$586.00 ,$709.00 ,$586.00 ,$163.07 ,$460.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200042,76870,HC US SCROTUM,402,1 ,"$1,484.00 ","$1,068.48 ",$67.40 ,"$1,484.00 ",$853.30 ,$934.92 ,$890.40 ,$319.95 ,$415.52 ,$565.88 ,$334.49 ,$592.20 ,$363.58 ,$814.72 ,$814.72 ,$378.12 ,$67.40 ,$659.49 ,$190.16 ,$267.20 ,$334.49 ,$319.95 ,"$1,113.00 ","$1,053.64 ","$1,053.64 ",$334.49 ,"$1,053.64 ","$1,291.08 ","$1,291.08 ","$1,291.08 ", N/A ,"$1,335.60 ",$853.30 ,"$1,261.40 ",$319.95 ,"$1,484.00 ",$832.52 ,$319.95 ,$614.38 ,$258.25 ,$234.77 ,$334.49 ,"$1,261.40 ",$635.54 ,$814.72 ,$415.52 ,"$1,335.60 ","$1,484.00 ",$319.95 ,"$1,291.08 ",$586.00 ,"$1,484.00 ",$586.00 ,$341.32 ,$964.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200043,76872,HC ULTRA BX PROS,402,1 ,"$1,230.00 ",$885.60 ,$160.63 ,"$1,230.00 ",$707.25 ,$774.90 ,$738.00 ,$265.19 ,$344.40 ,$713.40 ,$277.24 ,$750.30 ,$301.35 ,$675.27 ,$675.27 ,$313.40 ,$160.63 ,$546.61 ,$399.30 ,$267.20 ,$277.24 ,$265.19 ,$922.50 ,$873.30 ,$873.30 ,$277.24 ,$873.30 ,"$1,070.10 ","$1,070.10 ","$1,070.10 ", N/A ,"$1,107.00 ",$707.25 ,"$1,045.50 ",$265.19 ,"$1,230.00 ",$690.03 ,$265.19 ,$509.22 ,$258.25 ,$234.77 ,$277.24 ,"$1,045.50 ",$526.76 ,$675.27 ,$344.40 ,"$1,107.00 ","$1,230.00 ",$265.19 ,"$1,070.10 ",$586.00 ,"$1,230.00 ",$586.00 ,$282.90 ,$799.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,"$1,119.00 ",$805.68 ,$10.67 ,"$1,119.00 ",$643.43 ,$704.97 ,$671.40 ,$241.26 ,$313.32 ,$649.02 ,$252.22 ,$682.59 ,$274.15 ,$614.33 ,$614.33 ,$285.12 ,$10.67 ,$497.28 ,$92.15 ,$267.20 ,$252.22 ,$241.26 ,$839.25 ,$794.49 ,$794.49 ,$252.22 ,$794.49 ,$973.53 ,$973.53 ,$973.53 , N/A ,"$1,007.10 ",$643.43 ,$951.15 ,$241.26 ,"$1,119.00 ",$627.76 ,$241.26 ,$463.27 ,$258.25 ,$234.77 ,$252.22 ,$951.15 ,$479.22 ,$614.33 ,$313.32 ,"$1,007.10 ","$1,119.00 ",$241.26 ,$973.53 ,$586.00 ,"$1,119.00 ",$586.00 ,$257.37 ,$727.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,"$1,052.00 ",$757.44 ,$9.09 ,"$1,052.00 ",$604.90 ,$662.76 ,$631.20 ,$226.81 ,$294.56 ,$414.95 ,$237.12 ,$434.25 ,$257.74 ,$577.55 ,$577.55 ,$268.05 ,$9.09 ,$467.51 ,$85.14 ,$267.20 ,$237.12 ,$226.81 ,$789.00 ,$746.92 ,$746.92 ,$237.12 ,$746.92 ,$915.24 ,$915.24 ,$915.24 , N/A ,$946.80 ,$604.90 ,$894.20 ,$226.81 ,"$1,052.00 ",$590.17 ,$226.81 ,$435.53 ,$258.25 ,$234.77 ,$237.12 ,$894.20 ,$450.53 ,$577.55 ,$294.56 ,$946.80 ,"$1,052.00 ",$226.81 ,$915.24 ,$586.00 ,"$1,052.00 ",$586.00 ,$241.96 ,$683.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$201.00 ,$144.72 ,$23.95 ,$201.00 ,$115.58 ,$126.63 ,$120.60 ,$43.34 ,$56.28 ,$116.58 ,$45.31 ,$122.61 ,$49.24 ,$110.35 ,$110.35 ,$51.21 ,$23.95 ,$89.32 ,$140.70 , N/A ,$45.31 ,$43.34 ,$150.75 ,$142.71 ,$142.71 ,$45.31 ,$142.71 ,$174.87 ,$174.87 ,$174.87 , N/A ,$180.90 ,$115.58 ,$170.85 ,$43.34 ,$201.00 ,$112.76 ,$43.34 ,$83.21 ,$188.46 ,$171.33 ,$45.31 ,$170.85 ,$86.08 ,$110.35 ,$56.28 ,$180.90 ,$201.00 ,$43.34 ,$174.87 ,$201.00 ,$201.00 ,$201.00 ,$46.23 ,$130.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,"$1,270.00 ",$914.40 ,$26.74 ,"$1,270.00 ",$730.25 ,$800.10 ,$762.00 ,$273.81 ,$355.60 ,$399.21 ,$286.26 ,$417.78 ,$311.15 ,$697.23 ,$697.23 ,$323.60 ,$26.74 ,$564.39 ,$889.00 , N/A ,$286.26 ,$273.81 ,$952.50 ,$901.70 ,$901.70 ,$286.26 ,$901.70 ,"$1,104.90 ","$1,104.90 ","$1,104.90 ", N/A ,"$1,143.00 ",$730.25 ,"$1,079.50 ",$273.81 ,$29.71 ,$712.47 ,$273.81 ,$525.78 ,$188.46 ,$171.33 ,$286.26 ,"$1,079.50 ",$543.89 ,$697.23 ,$355.60 ,"$1,143.00 ","$1,270.00 ",$273.81 ,"$1,104.90 ",$586.00 ,"$1,270.00 ",$586.00 ,$292.10 ,$825.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200062,76998,HC US INTRAOPERATIVE,402,1 ,$944.00 ,$679.68 ,$65.26 ,$944.00 ,$542.80 ,$594.72 ,$566.40 ,$203.53 ,$264.32 ,$547.52 ,$212.78 ,$575.84 ,$231.28 ,$518.26 ,$518.26 ,$240.53 ,$65.26 ,$419.51 ,$660.80 , N/A ,$212.78 ,$203.53 ,$708.00 ,$670.24 ,$670.24 ,$212.78 ,$670.24 ,$821.28 ,$821.28 ,$821.28 , N/A ,$849.60 ,$542.80 ,$802.40 ,$203.53 ,$944.00 ,$529.58 ,$203.53 ,$390.82 ,$188.46 ,$171.33 ,$212.78 ,$802.40 ,$404.28 ,$518.26 ,$264.32 ,$849.60 ,$944.00 ,$203.53 ,$821.28 ,$586.00 ,$944.00 ,$586.00 ,$217.12 ,$613.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,$371.00 ,$267.12 ,$79.99 ,$371.00 ,$213.33 ,$233.73 ,$222.60 ,$79.99 ,$103.88 ,$215.18 ,$83.62 ,$226.31 ,$90.89 ,$203.68 ,$203.68 ,$94.53 ,$114.94 ,$164.87 ,$323.43 ,$267.20 ,$83.62 ,$79.99 ,$278.25 ,$263.41 ,$263.41 ,$83.62 ,$263.41 ,$322.77 ,$322.77 ,$322.77 , N/A ,$333.90 ,$213.33 ,$315.35 ,$79.99 ,$371.00 ,$208.13 ,$79.99 ,$153.59 ,$258.25 ,$234.77 ,$83.62 ,$315.35 ,$158.89 ,$203.68 ,$103.88 ,$333.90 ,$371.00 ,$79.99 ,$322.77 ,$371.00 ,$371.00 ,$371.00 ,$85.33 ,$241.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,$798.00 ,$574.56 ,$136.27 ,$798.00 ,$458.85 ,$502.74 ,$478.80 ,$172.05 ,$223.44 ,$462.84 ,$179.87 ,$486.78 ,$195.51 ,$438.10 ,$438.10 ,$203.33 ,$136.27 ,$354.63 ,$385.58 ,$583.80 ,$179.87 ,$172.05 ,$598.50 ,$566.58 ,$566.58 ,$179.87 ,$566.58 ,$694.26 ,$694.26 ,$694.26 , N/A ,$718.20 ,$458.85 ,$678.30 ,$172.05 ,$798.00 ,$447.68 ,$172.05 ,$330.37 ,$258.25 ,$234.77 ,$179.87 ,$678.30 ,$341.76 ,$438.10 ,$223.44 ,$718.20 ,$798.00 ,$172.05 ,$694.26 ,$598.50 ,$798.00 ,$598.50 ,$183.54 ,$518.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,$732.00 ,$527.04 ,$89.73 ,$732.00 ,$420.90 ,$461.16 ,$439.20 ,$157.82 ,$204.96 ,$424.56 ,$164.99 ,$446.52 ,$179.34 ,$401.87 ,$401.87 ,$186.51 ,$89.73 ,$325.30 ,$252.56 ,$267.20 ,$164.99 ,$157.82 ,$549.00 ,$519.72 ,$519.72 ,$164.99 ,$519.72 ,$636.84 ,$636.84 ,$636.84 , N/A ,$658.80 ,$420.90 ,$622.20 ,$157.82 ,$732.00 ,$410.65 ,$157.82 ,$303.05 ,$258.25 ,$234.77 ,$164.99 ,$622.20 ,$313.48 ,$401.87 ,$204.96 ,$658.80 ,$732.00 ,$157.82 ,$636.84 ,$586.00 ,$732.00 ,$586.00 ,$168.36 ,$475.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200075,76706,HC US AORTA (SCREENING),402,1 ,$396.00 ,$285.12 ,$76.85 ,$396.00 ,$227.70 ,$249.48 ,$237.60 ,$85.38 ,$110.88 ,$229.68 ,$89.26 ,$241.56 ,$97.02 ,$217.40 ,$217.40 ,$100.90 ,$76.85 ,$175.98 ,$212.91 ,$267.20 ,$89.26 ,$85.38 ,$297.00 ,$281.16 ,$281.16 ,$89.26 ,$281.16 ,$344.52 ,$344.52 ,$344.52 , N/A ,$356.40 ,$227.70 ,$336.60 ,$85.38 ,$396.00 ,$222.16 ,$85.38 ,$163.94 ,$258.25 ,$234.77 ,$89.26 ,$336.60 ,$169.59 ,$217.40 ,$110.88 ,$356.40 ,$396.00 ,$85.38 ,$344.52 ,$396.00 ,$396.00 ,$396.00 ,$91.08 ,$257.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,40200092,76813,HC US FETAL NUCHAL TRANSLUCENCY SNG,402,1 ,$383.00 ,$275.76 ,$58.26 ,$383.00 ,$220.23 ,$241.29 ,$229.80 ,$82.57 ,$107.24 ,$222.14 ,$86.33 ,$233.63 ,$93.83 ,$210.27 ,$210.27 ,$97.59 ,$58.26 ,$170.21 ,$166.54 ,$267.20 ,$86.33 ,$82.57 ,$287.25 ,$271.93 ,$271.93 ,$86.33 ,$271.93 ,$333.21 ,$333.21 ,$333.21 , N/A ,$344.70 ,$220.23 ,$325.55 ,$82.57 ,$383.00 ,$214.86 ,$82.57 ,$158.56 ,$167.12 ,$151.93 ,$86.33 ,$325.55 ,$164.02 ,$210.27 ,$107.24 ,$344.70 ,$383.00 ,$82.57 ,$333.21 ,$383.00 ,$383.00 ,$383.00 ,$88.09 ,$248.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$327.00 ,$235.44 ,$53.32 ,$327.00 ,$218.93 ,$206.01 ,$196.20 ,$85.82 ,$91.56 ,$189.66 ,$85.82 ,$199.47 ,$85.82 ,$179.52 ,$179.52 ,$85.82 ,$87.57 ,$176.89 ,$242.66 ,$218.93 ,$85.82 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$85.82 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$218.93 ,$277.95 ,$85.82 ,$97.27 ,$183.45 ,$85.82 ,$135.38 ,$58.65 ,$53.32 ,$85.82 ,$277.95 ,$163.05 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$85.82 ,$284.49 ,$298.00 ,$327.00 ,$298.00 ,$87.57 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$327.00 ,$235.44 ,$53.32 ,$327.00 ,$218.93 ,$206.01 ,$196.20 ,$85.82 ,$91.56 ,$189.66 ,$85.82 ,$199.47 ,$85.82 ,$179.52 ,$179.52 ,$85.82 ,$87.57 ,$176.89 ,$242.66 ,$218.93 ,$85.82 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$85.82 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$218.93 ,$277.95 ,$85.82 ,$97.27 ,$183.45 ,$85.82 ,$135.38 ,$58.65 ,$53.32 ,$85.82 ,$277.95 ,$163.05 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$85.82 ,$284.49 ,$298.00 ,$327.00 ,$298.00 ,$87.57 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$327.00 ,$235.44 ,$53.32 ,$327.00 ,$218.93 ,$206.01 ,$196.20 ,$85.82 ,$91.56 ,$189.66 ,$85.82 ,$199.47 ,$85.82 ,$179.52 ,$179.52 ,$85.82 ,$87.57 ,$176.89 ,$242.66 ,$218.93 ,$85.82 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$85.82 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$218.93 ,$277.95 ,$85.82 ,$97.27 ,$183.45 ,$85.82 ,$135.38 ,$58.65 ,$53.32 ,$85.82 ,$277.95 ,$163.05 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$85.82 ,$284.49 ,$298.00 ,$327.00 ,$298.00 ,$87.57 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$327.00 ,$235.44 ,$53.32 ,$327.00 ,$218.93 ,$206.01 ,$196.20 ,$85.82 ,$91.56 ,$189.66 ,$85.82 ,$199.47 ,$85.82 ,$179.52 ,$179.52 ,$85.82 ,$87.57 ,$176.89 ,$242.66 ,$218.93 ,$85.82 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$85.82 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$218.93 ,$277.95 ,$85.82 ,$97.27 ,$183.45 ,$85.82 ,$135.38 ,$58.65 ,$53.32 ,$85.82 ,$277.95 ,$163.05 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$85.82 ,$284.49 ,$298.00 ,$327.00 ,$298.00 ,$87.57 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$123.00 ,$88.56 ,$22.24 ,$123.00 ,$56.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$22.69 ,$54.66 ,$63.88 ,$56.73 ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$56.73 ,$104.55 ,$22.24 ,$25.20 ,$69.00 ,$22.24 ,$50.92 ,$117.30 ,$106.64 ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$22.24 ,$107.01 ,$123.00 ,$123.00 ,$123.00 ,$27.06 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,40300007,77063,HC SCREEN DIG BREAST TOMO BIL-52,403,1 ,$123.00 ,$88.56 ,$22.24 ,$123.00 ,$56.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$22.69 ,$54.66 ,$63.88 ,$56.73 ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$56.73 ,$104.55 ,$22.24 ,$25.20 ,$69.00 ,$22.24 ,$50.92 ,$58.65 ,$53.32 ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$22.24 ,$107.01 ,$123.00 ,$123.00 ,$123.00 ,$27.06 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,40400003,78814,HC PET W/CT TUMR LIMITED AREA,404,1 ,"$5,475.00 ","$3,942.00 ",$103.40 ,"$5,475.00 ","$3,148.13 ","$3,449.25 ","$3,285.00 ","$1,180.41 ","$1,533.00 ","$3,175.50 ","$1,234.06 ","$3,339.75 ","$1,341.37 ","$3,005.78 ","$3,005.78 ","$1,395.03 ",$103.40 ,"$2,433.09 ","$3,500.00 ","$3,723.38 ","$1,234.06 ","$1,180.41 ","$4,106.25 ","$3,887.25 ","$3,887.25 ","$1,234.06 ","$3,887.25 ","$4,763.25 ","$4,763.25 ","$4,763.25 ", N/A ,"$4,927.50 ","$3,148.13 ","$4,653.75 ","$1,180.41 ","$5,475.00 ","$3,071.48 ","$1,180.41 ","$2,266.65 ","$2,077.47 ","$1,888.61 ","$1,234.06 ","$4,653.75 ","$2,344.73 ","$3,005.78 ","$1,533.00 ","$4,927.50 ","$5,475.00 ","$1,180.41 ","$4,763.25 ",$426.00 ,"$5,475.00 ",$426.00 ,"$1,259.25 ","$3,558.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$5,497.00 ","$3,957.84 ",$114.63 ,"$5,497.00 ","$3,160.78 ","$3,463.11 ","$3,298.20 ","$1,185.15 ","$1,539.16 ","$3,188.26 ","$1,239.02 ","$3,353.17 ","$1,346.76 ","$3,017.85 ","$3,017.85 ","$1,400.64 ",$114.63 ,"$2,442.87 ","$3,500.00 ","$3,723.38 ","$1,239.02 ","$1,185.15 ","$4,122.75 ","$3,902.87 ","$3,902.87 ","$1,239.02 ","$3,902.87 ","$4,782.39 ","$4,782.39 ","$4,782.39 ", N/A ,"$4,947.30 ","$3,160.78 ","$4,672.45 ","$1,185.15 ","$5,497.00 ","$3,083.82 ","$1,185.15 ","$2,275.76 ","$2,077.47 ","$1,888.61 ","$1,239.02 ","$4,672.45 ","$2,354.15 ","$3,017.85 ","$1,539.16 ","$4,947.30 ","$5,497.00 ","$1,185.15 ","$4,782.39 ",$426.00 ,"$5,497.00 ",$426.00 ,"$1,264.31 ","$3,573.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$5,772.00 ","$4,155.84 ",$115.14 ,"$5,772.00 ","$3,318.90 ","$3,636.36 ","$3,463.20 ","$1,244.44 ","$1,616.16 ","$3,347.76 ","$1,301.01 ","$3,520.92 ","$1,414.14 ","$3,168.83 ","$3,168.83 ","$1,470.71 ",$115.14 ,"$2,565.08 ","$3,500.00 ","$3,723.38 ","$1,301.01 ","$1,244.44 ","$4,329.00 ","$4,098.12 ","$4,098.12 ","$1,301.01 ","$4,098.12 ","$5,021.64 ","$5,021.64 ","$5,021.64 ", N/A ,"$5,194.80 ","$3,318.90 ","$4,906.20 ","$1,244.44 ","$5,772.00 ","$3,238.09 ","$1,244.44 ","$2,389.61 ","$2,077.47 ","$1,888.61 ","$1,301.01 ","$4,906.20 ","$2,471.91 ","$3,168.83 ","$1,616.16 ","$5,194.80 ","$5,772.00 ","$1,244.44 ","$5,021.64 ",$426.00 ,"$5,772.00 ",$426.00 ,"$1,327.56 ","$3,751.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,40400006,78608,HC PET BRAIN LIMITED ALZHEIMERS,404,1 ,"$6,421.00 ","$4,623.12 ",$69.46 ,"$6,421.00 ","$3,692.08 ","$4,045.23 ","$3,852.60 ","$1,384.37 ","$1,797.88 ","$3,724.18 ","$1,447.29 ","$3,916.81 ","$1,573.14 ","$3,525.13 ","$3,525.13 ","$1,636.07 ",$69.46 ,"$2,853.49 ","$3,500.00 ","$3,723.38 ","$1,447.29 ","$1,384.37 ","$4,815.75 ","$4,558.91 ","$4,558.91 ","$1,447.29 ","$4,558.91 ","$5,586.27 ","$5,586.27 ","$5,586.27 ", N/A ,"$5,778.90 ","$3,692.08 ","$5,457.85 ","$1,384.37 ","$6,421.00 ","$3,602.18 ","$1,384.37 ","$2,658.29 ","$2,077.47 ","$1,888.61 ","$1,447.29 ","$5,457.85 ","$2,749.86 ","$3,525.13 ","$1,797.88 ","$5,778.90 ","$6,421.00 ","$1,384.37 ","$5,586.27 ",$426.00 ,"$6,421.00 ",$426.00 ,"$1,476.83 ","$4,173.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,40400007,78459,HC PET MYOCARDIAL METABOLIC EVAL,404,1 ,"$6,421.00 ","$4,623.12 ",$72.34 ,"$6,421.00 ","$3,692.08 ","$4,045.23 ","$3,852.60 ","$1,384.37 ","$1,797.88 ","$3,724.18 ","$1,447.29 ","$3,916.81 ","$1,573.14 ","$3,525.13 ","$3,525.13 ","$1,636.07 ",$72.34 ,"$2,853.49 ","$3,500.00 ","$3,318.18 ","$1,447.29 ","$1,384.37 ","$4,815.75 ","$4,558.91 ","$4,558.91 ","$1,447.29 ","$4,558.91 ","$5,586.27 ","$5,586.27 ","$5,586.27 ", N/A ,"$5,778.90 ","$3,692.08 ","$5,457.85 ","$1,384.37 ","$6,421.00 ","$3,602.18 ","$1,384.37 ","$2,658.29 ","$2,077.47 ","$1,888.61 ","$1,447.29 ","$5,457.85 ","$2,749.86 ","$3,525.13 ","$1,797.88 ","$5,778.90 ","$6,421.00 ","$1,384.37 ","$5,586.27 ",$426.00 ,"$6,421.00 ",$426.00 ,"$1,476.83 ","$4,173.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,41000002,31502,HC CHG TUBE TRACHEOTOMY,410,1 ,$648.00 ,$466.56 ,$37.00 ,$648.00 ,$372.60 ,$408.24 ,$388.80 ,$139.71 ,$181.44 ,$375.84 ,$146.06 ,$395.28 ,$158.76 ,$355.75 ,$355.75 ,$165.11 ,$37.00 ,$287.97 ,$453.60 ,$519.58 ,$146.06 ,$139.71 ,$486.00 ,$460.08 ,$460.08 ,$146.06 ,$460.08 ,$563.76 ,$563.76 ,$563.76 , N/A ,$583.20 ,$372.60 ,$550.80 ,$139.71 ,$648.00 ,$363.53 ,$139.71 ,$268.27 ,$354.85 ,$322.59 ,$146.06 ,$550.80 ,$277.52 ,$355.75 ,$181.44 ,$583.20 ,$648.00 ,$139.71 ,$563.76 ,$240.00 ,$648.00 ,$240.00 ,$149.04 ,$421.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000005,92950,HC CPR,480,1 ,$844.00 ,$607.68 ,$181.97 ,"$1,146.84 ",$485.30 ,$531.72 ,$506.40 ,$181.97 ,$236.32 ,$489.52 ,$190.24 ,$514.84 ,$206.78 ,$463.36 ,$463.36 ,$215.05 ,$189.25 ,$375.07 ,$590.80 ,$700.15 ,$190.24 ,$181.97 ,$633.00 ,$599.24 ,$599.24 ,$190.24 ,$599.24 ,$734.28 ,$734.28 ,$734.28 , N/A ,$759.60 ,$485.30 ,$717.40 ,$181.97 ,$844.00 ,$473.48 ,$181.97 ,$349.42 ,"$1,146.84 ","$1,042.58 ",$190.24 ,$717.40 ,$361.45 ,$463.36 ,$236.32 ,$759.60 ,$844.00 ,$181.97 ,$734.28 ,$844.00 ,$844.00 ,$844.00 ,$194.12 ,$548.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,$534.00 ,$384.48 ,$94.38 ,"$1,391.80 ",$307.05 ,$336.42 ,$320.40 ,$115.13 ,$149.52 ,$309.72 ,$120.36 ,$325.74 ,$130.83 ,$293.17 ,$293.17 ,$136.06 ,$94.38 ,$237.31 ,$373.80 ,"$1,391.80 ",$120.36 ,$115.13 ,$400.50 ,$379.14 ,$379.14 ,$120.36 ,$379.14 ,$464.58 ,$464.58 ,$464.58 , N/A ,$480.60 ,$307.05 ,$453.90 ,$115.13 ,$534.00 ,$299.57 ,$115.13 ,$221.08 ,"$1,243.43 ","$1,130.39 ",$120.36 ,$453.90 ,$228.69 ,$293.17 ,$149.52 ,$480.60 ,$534.00 ,$115.13 ,$464.58 ,$240.00 ,$534.00 ,$240.00 ,$122.82 ,$347.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000016,94660,HC VENT NONINVAS NEO INTL DAY,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000018,94660,HC VENT NONINVAS PEDS INTL DAY,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,$244.00 ,$175.68 ,$52.61 ,"$1,391.80 ",$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$65.77 ,$108.43 ,$170.80 ,"$1,391.80 ",$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 ,"$1,243.43 ","$1,130.39 ",$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$240.00 ,$244.00 ,$240.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000033,94660,HC VENT NONINVAS PEDS SUBQ DAY,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000034,94640,HC IPPB,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000037,94640,HC INCENTIVE SPIROMETER TRT,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000044,94640,HC UPDRAFT W/INSTRUCT AND EVAL,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$390.00 ,$280.80 ,$56.37 ,$390.00 ,$224.25 ,$245.70 ,$234.00 ,$84.08 ,$109.20 ,$226.20 ,$87.91 ,$237.90 ,$95.55 ,$214.11 ,$214.11 ,$99.37 ,$56.37 ,$173.32 ,$273.00 ,$290.28 ,$87.91 ,$84.08 ,$292.50 ,$276.90 ,$276.90 ,$87.91 ,$276.90 ,$339.30 ,$339.30 ,$339.30 , N/A ,$351.00 ,$224.25 ,$331.50 ,$84.08 ,$390.00 ,$218.79 ,$84.08 ,$161.46 ,$126.97 ,$115.43 ,$87.91 ,$331.50 ,$167.02 ,$214.11 ,$109.20 ,$351.00 ,$390.00 ,$84.08 ,$339.30 ,$240.00 ,$390.00 ,$240.00 ,$89.70 ,$253.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$154.00 ,$110.88 ,$15.08 ,$154.00 ,$88.55 ,$97.02 ,$92.40 ,$33.20 ,$43.12 ,$89.32 ,$34.71 ,$93.94 ,$37.73 ,$84.55 ,$84.55 ,$39.24 ,$15.08 ,$68.44 ,$107.80 , N/A ,$34.71 ,$33.20 ,$115.50 ,$109.34 ,$109.34 ,$34.71 ,$109.34 ,$133.98 ,$133.98 ,$133.98 , N/A ,$138.60 ,$88.55 ,$130.90 ,$33.20 ,$154.00 ,$86.39 ,$33.20 ,$63.76 ,$126.97 ,$115.43 ,$34.71 ,$130.90 ,$65.95 ,$84.55 ,$43.12 ,$138.60 ,$154.00 ,$33.20 ,$133.98 ,$154.00 ,$154.00 ,$154.00 ,$35.42 ,$100.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000052,94660,HC CPAP,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000053,94660,HC CPAP DAILY EST PT,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$37.00 ,$26.64 ,$7.98 ,$478.75 ,$21.28 ,$23.31 ,$22.20 ,$7.98 ,$10.36 ,$21.46 ,$8.34 ,$22.57 ,$9.06 ,$20.31 ,$20.31 ,$9.43 ,$16.34 ,$16.44 ,$25.90 ,$478.75 ,$8.34 ,$7.98 ,$27.75 ,$26.27 ,$26.27 ,$8.34 ,$26.27 ,$32.19 ,$32.19 ,$32.19 , N/A ,$33.30 ,$21.28 ,$31.45 ,$7.98 ,$37.00 ,$20.76 ,$7.98 ,$15.32 ,$61.28 ,$55.71 ,$8.34 ,$31.45 ,$15.85 ,$20.31 ,$10.36 ,$33.30 ,$37.00 ,$7.98 ,$32.19 ,$37.00 ,$37.00 ,$37.00 ,$8.51 ,$24.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$297.00 ,$213.84 ,$22.60 ,$411.82 ,$170.78 ,$187.11 ,$178.20 ,$64.03 ,$83.16 ,$172.26 ,$66.94 ,$181.17 ,$72.76 ,$163.05 ,$163.05 ,$75.68 ,$22.60 ,$131.99 ,$207.90 ,$290.28 ,$66.94 ,$64.03 ,$222.75 ,$210.87 ,$210.87 ,$66.94 ,$210.87 ,$258.39 ,$258.39 ,$258.39 , N/A ,$267.30 ,$170.78 ,$252.45 ,$64.03 ,$297.00 ,$166.62 ,$64.03 ,$122.96 ,$411.82 ,$374.38 ,$66.94 ,$252.45 ,$127.19 ,$163.05 ,$83.16 ,$267.30 ,$297.00 ,$64.03 ,$258.39 ,$240.00 ,$297.00 ,$240.00 ,$68.31 ,$193.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$297.00 ,$213.84 ,$22.60 ,$411.82 ,$170.78 ,$187.11 ,$178.20 ,$64.03 ,$83.16 ,$172.26 ,$66.94 ,$181.17 ,$72.76 ,$163.05 ,$163.05 ,$75.68 ,$22.60 ,$131.99 ,$207.90 ,$290.28 ,$66.94 ,$64.03 ,$222.75 ,$210.87 ,$210.87 ,$66.94 ,$210.87 ,$258.39 ,$258.39 ,$258.39 , N/A ,$267.30 ,$170.78 ,$252.45 ,$64.03 ,$297.00 ,$166.62 ,$64.03 ,$122.96 ,$411.82 ,$374.38 ,$66.94 ,$252.45 ,$127.19 ,$163.05 ,$83.16 ,$267.30 ,$297.00 ,$64.03 ,$258.39 ,$240.00 ,$297.00 ,$240.00 ,$68.31 ,$193.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$297.00 ,$213.84 ,$34.89 ,$411.82 ,$170.78 ,$187.11 ,$178.20 ,$64.03 ,$83.16 ,$172.26 ,$66.94 ,$181.17 ,$72.76 ,$163.05 ,$163.05 ,$75.68 ,$34.89 ,$131.99 ,$207.90 ,$290.28 ,$66.94 ,$64.03 ,$222.75 ,$210.87 ,$210.87 ,$66.94 ,$210.87 ,$258.39 ,$258.39 ,$258.39 , N/A ,$267.30 ,$170.78 ,$252.45 ,$64.03 ,$297.00 ,$166.62 ,$64.03 ,$122.96 ,$411.82 ,$374.38 ,$66.94 ,$252.45 ,$127.19 ,$163.05 ,$83.16 ,$267.30 ,$297.00 ,$64.03 ,$258.39 ,$240.00 ,$297.00 ,$240.00 ,$68.31 ,$193.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$297.00 ,$213.84 ,$34.89 ,$411.82 ,$170.78 ,$187.11 ,$178.20 ,$64.03 ,$83.16 ,$172.26 ,$66.94 ,$181.17 ,$72.76 ,$163.05 ,$163.05 ,$75.68 ,$34.89 ,$131.99 ,$207.90 ,$290.28 ,$66.94 ,$64.03 ,$222.75 ,$210.87 ,$210.87 ,$66.94 ,$210.87 ,$258.39 ,$258.39 ,$258.39 , N/A ,$267.30 ,$170.78 ,$252.45 ,$64.03 ,$297.00 ,$166.62 ,$64.03 ,$122.96 ,$411.82 ,$374.38 ,$66.94 ,$252.45 ,$127.19 ,$163.05 ,$83.16 ,$267.30 ,$297.00 ,$64.03 ,$258.39 ,$240.00 ,$297.00 ,$240.00 ,$68.31 ,$193.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$69.00 ,$49.68 ,$10.35 ,$411.82 ,$39.68 ,$43.47 ,$41.40 ,$14.88 ,$19.32 ,$40.02 ,$15.55 ,$42.09 ,$16.90 ,$37.88 ,$37.88 ,$17.58 ,$10.35 ,$30.66 ,$48.30 ,$62.40 ,$15.55 ,$14.88 ,$51.75 ,$48.99 ,$48.99 ,$15.55 ,$48.99 ,$60.03 ,$60.03 ,$60.03 , N/A ,$62.10 ,$39.68 ,$58.65 ,$14.88 ,$69.00 ,$38.71 ,$14.88 ,$28.57 ,$411.82 ,$374.38 ,$15.55 ,$58.65 ,$29.55 ,$37.88 ,$19.32 ,$62.10 ,$69.00 ,$14.88 ,$60.03 ,$69.00 ,$69.00 ,$69.00 ,$15.87 ,$44.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$69.00 ,$49.68 ,$10.04 ,$411.82 ,$39.68 ,$43.47 ,$41.40 ,$14.88 ,$19.32 ,$40.02 ,$15.55 ,$42.09 ,$16.90 ,$37.88 ,$37.88 ,$17.58 ,$10.04 ,$30.66 ,$48.30 ,$62.40 ,$15.55 ,$14.88 ,$51.75 ,$48.99 ,$48.99 ,$15.55 ,$48.99 ,$60.03 ,$60.03 ,$60.03 , N/A ,$62.10 ,$39.68 ,$58.65 ,$14.88 ,$69.00 ,$38.71 ,$14.88 ,$28.57 ,$411.82 ,$374.38 ,$15.55 ,$58.65 ,$29.55 ,$37.88 ,$19.32 ,$62.10 ,$69.00 ,$14.88 ,$60.03 ,$69.00 ,$69.00 ,$69.00 ,$15.87 ,$44.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$100.00 ,$72.00 ,$3.63 ,$100.00 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$12.24 ,$44.44 ,$70.00 ,$84.90 ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$3.99 ,$3.63 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$100.00 ,$100.00 ,$100.00 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000073,94660,HC VENT NONINVAS NEON SUBQ DAY,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000077,94762,HC PULSE OX PER DAY,410,1 ,$248.00 ,$178.56 ,$24.22 ,$363.58 ,$142.60 ,$156.24 ,$148.80 ,$53.47 ,$69.44 ,$143.84 ,$55.90 ,$151.28 ,$60.76 ,$136.15 ,$136.15 ,$63.19 ,$24.22 ,$110.21 ,$173.60 ,$363.58 ,$55.90 ,$53.47 ,$186.00 ,$176.08 ,$176.08 ,$55.90 ,$176.08 ,$215.76 ,$215.76 ,$215.76 , N/A ,$223.20 ,$142.60 ,$210.80 ,$53.47 ,$248.00 ,$139.13 ,$53.47 ,$102.67 ,$126.97 ,$115.43 ,$55.90 ,$210.80 ,$106.21 ,$136.15 ,$69.44 ,$223.20 ,$248.00 ,$53.47 ,$215.76 ,$240.00 ,$248.00 ,$240.00 ,$57.04 ,$161.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$501.00 ,$360.72 ,$37.77 ,"$1,243.43 ",$288.08 ,$315.63 ,$300.60 ,$108.02 ,$140.28 ,$290.58 ,$112.93 ,$305.61 ,$122.74 ,$275.05 ,$275.05 ,$127.65 ,$37.77 ,$222.64 ,$350.70 ,$478.75 ,$112.93 ,$108.02 ,$375.75 ,$355.71 ,$355.71 ,$112.93 ,$355.71 ,$435.87 ,$435.87 ,$435.87 , N/A ,$450.90 ,$288.08 ,$425.85 ,$108.02 ,$501.00 ,$281.06 ,$108.02 ,$207.41 ,"$1,243.43 ","$1,130.39 ",$112.93 ,$425.85 ,$214.56 ,$275.05 ,$140.28 ,$450.90 ,$501.00 ,$108.02 ,$435.87 ,$240.00 ,$501.00 ,$240.00 ,$115.23 ,$325.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41000092,94640,HC AEROSOL INHALATION SUBSQ,410,1 ,$350.00 ,$252.00 ,$8.78 ,$478.75 ,$201.25 ,$220.50 ,$210.00 ,$75.46 ,$98.00 ,$203.00 ,$78.89 ,$213.50 ,$85.75 ,$192.15 ,$192.15 ,$89.18 ,$8.78 ,$155.54 ,$245.00 ,$478.75 ,$78.89 ,$75.46 ,$262.50 ,$248.50 ,$248.50 ,$78.89 ,$248.50 ,$304.50 ,$304.50 ,$304.50 , N/A ,$315.00 ,$201.25 ,$297.50 ,$75.46 ,$350.00 ,$196.35 ,$75.46 ,$144.90 ,$411.82 ,$374.38 ,$78.89 ,$297.50 ,$149.89 ,$192.15 ,$98.00 ,$315.00 ,$350.00 ,$75.46 ,$304.50 ,$240.00 ,$350.00 ,$240.00 ,$80.50 ,$227.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,$880.00 ,$633.60 ,$110.95 ,$880.00 ,$506.00 ,$554.40 ,$528.00 ,$189.73 ,$246.40 ,$510.40 ,$198.35 ,$536.80 ,$215.60 ,$483.12 ,$483.12 ,$224.22 ,$110.95 ,$391.07 ,$616.00 , N/A ,$198.35 ,$189.73 ,$660.00 ,$624.80 ,$624.80 ,$198.35 ,$624.80 ,$765.60 ,$765.60 ,$765.60 , N/A ,$792.00 ,$506.00 ,$748.00 ,$189.73 ,$880.00 ,$493.68 ,$189.73 ,$364.32 , N/A , N/A ,$198.35 ,$748.00 ,$376.87 ,$483.12 ,$246.40 ,$792.00 ,$880.00 ,$189.73 ,$765.60 ,$532.00 ,$880.00 ,$532.00 ,$202.40 ,$572.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,41300002,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$220.00 ,$158.40 ,$47.43 ,$841.29 ,$126.50 ,$138.60 ,$132.00 ,$47.43 ,$61.60 ,$127.60 ,$49.59 ,$134.20 ,$53.90 ,$120.78 ,$120.78 ,$56.06 ,$160.63 ,$97.77 ,$154.00 ,$312.68 ,$49.59 ,$47.43 ,$165.00 ,$156.20 ,$156.20 ,$49.59 ,$156.20 ,$191.40 ,$191.40 ,$191.40 , N/A ,$198.00 ,$126.50 ,$187.00 ,$47.43 ,$220.00 ,$123.42 ,$47.43 ,$91.08 ,$841.29 ,$764.81 ,$49.59 ,$187.00 ,$94.22 ,$120.78 ,$61.60 ,$198.00 ,$220.00 ,$47.43 ,$191.40 ,$220.00 ,$220.00 ,$220.00 ,$50.60 ,$143.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000006,G0283,HC APPL NEUROSTIMULATOR TRANSCUT,420,1 ,$39.00 ,$28.08 ,$8.41 ,$46.88 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$12.04 ,$17.33 ,$27.30 ,$30.10 ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 ,$46.88 ,$42.62 ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$39.00 ,$39.00 ,$39.00 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$123.00 ,$88.56 ,$14.41 ,$573.78 ,$70.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$14.41 ,$54.66 ,$86.10 ,$36.03 ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$70.73 ,$104.55 ,$26.52 ,$123.00 ,$69.00 ,$26.52 ,$50.92 ,$573.78 ,$521.62 ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$26.52 ,$107.01 ,$123.00 ,$123.00 ,$123.00 ,$28.29 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$172.00 ,$123.84 ,$19.48 ,$573.78 ,$98.90 ,$108.36 ,$103.20 ,$37.08 ,$48.16 ,$99.76 ,$38.77 ,$104.92 ,$42.14 ,$94.43 ,$94.43 ,$43.83 ,$19.48 ,$76.44 ,$120.40 ,$48.70 ,$38.77 ,$37.08 ,$129.00 ,$122.12 ,$122.12 ,$38.77 ,$122.12 ,$149.64 ,$149.64 ,$149.64 , N/A ,$154.80 ,$98.90 ,$146.20 ,$37.08 ,$172.00 ,$96.49 ,$37.08 ,$71.21 ,$573.78 ,$521.62 ,$38.77 ,$146.20 ,$73.66 ,$94.43 ,$48.16 ,$154.80 ,$172.00 ,$37.08 ,$149.64 ,$172.00 ,$172.00 ,$172.00 ,$39.56 ,$111.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$210.00 ,$151.20 ,$14.32 ,$573.78 ,$120.75 ,$132.30 ,$126.00 ,$45.28 ,$58.80 ,$121.80 ,$47.33 ,$128.10 ,$51.45 ,$115.29 ,$115.29 ,$53.51 ,$14.32 ,$93.32 ,$147.00 ,$35.80 ,$47.33 ,$45.28 ,$157.50 ,$149.10 ,$149.10 ,$47.33 ,$149.10 ,$182.70 ,$182.70 ,$182.70 , N/A ,$189.00 ,$120.75 ,$178.50 ,$45.28 ,$210.00 ,$117.81 ,$45.28 ,$86.94 ,$573.78 ,$521.62 ,$47.33 ,$178.50 ,$89.93 ,$115.29 ,$58.80 ,$189.00 ,$210.00 ,$45.28 ,$182.70 ,$210.00 ,$210.00 ,$210.00 ,$48.30 ,$136.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$92.00 ,$66.24 ,$19.84 ,$573.78 ,$52.90 ,$57.96 ,$55.20 ,$19.84 ,$25.76 ,$53.36 ,$20.74 ,$56.12 ,$22.54 ,$50.51 ,$50.51 ,$23.44 ,$29.07 ,$40.88 ,$64.40 ,$72.68 ,$20.74 ,$19.84 ,$69.00 ,$65.32 ,$65.32 ,$20.74 ,$65.32 ,$80.04 ,$80.04 ,$80.04 , N/A ,$82.80 ,$52.90 ,$78.20 ,$19.84 ,$92.00 ,$51.61 ,$19.84 ,$38.09 ,$573.78 ,$521.62 ,$20.74 ,$78.20 ,$39.40 ,$50.51 ,$25.76 ,$82.80 ,$92.00 ,$19.84 ,$80.04 ,$92.00 ,$92.00 ,$92.00 ,$21.16 ,$59.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$185.00 ,$133.20 ,$33.29 ,$573.78 ,$106.38 ,$116.55 ,$111.00 ,$39.89 ,$51.80 ,$107.30 ,$41.70 ,$112.85 ,$45.32 ,$101.57 ,$101.57 ,$47.14 ,$33.29 ,$82.21 ,$129.50 ,$83.23 ,$41.70 ,$39.89 ,$138.75 ,$131.35 ,$131.35 ,$41.70 ,$131.35 ,$160.95 ,$160.95 ,$160.95 , N/A ,$166.50 ,$106.38 ,$157.25 ,$39.89 ,$185.00 ,$103.79 ,$39.89 ,$76.59 ,$573.78 ,$521.62 ,$41.70 ,$157.25 ,$79.23 ,$101.57 ,$51.80 ,$166.50 ,$185.00 ,$39.89 ,$160.95 ,$185.00 ,$185.00 ,$185.00 ,$42.55 ,$120.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$111.00 ,$79.92 ,$23.93 ,$573.78 ,$63.83 ,$69.93 ,$66.60 ,$23.93 ,$31.08 ,$64.38 ,$25.02 ,$67.71 ,$27.19 ,$60.94 ,$60.94 ,$28.28 ,$29.07 ,$49.33 ,$77.70 ,$72.68 ,$25.02 ,$23.93 ,$83.25 ,$78.81 ,$78.81 ,$25.02 ,$78.81 ,$96.57 ,$96.57 ,$96.57 , N/A ,$99.90 ,$63.83 ,$94.35 ,$23.93 ,$111.00 ,$62.27 ,$23.93 ,$45.95 ,$573.78 ,$521.62 ,$25.02 ,$94.35 ,$47.54 ,$60.94 ,$31.08 ,$99.90 ,$111.00 ,$23.93 ,$96.57 ,$111.00 ,$111.00 ,$111.00 ,$25.53 ,$72.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$113.00 ,$81.36 ,$24.36 ,$573.78 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$29.46 ,$50.22 ,$79.10 ,$73.65 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$573.78 ,$521.62 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$113.00 ,$113.00 ,$113.00 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$184.00 ,$132.48 ,$26.82 ,$573.78 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$26.82 ,$81.77 ,$128.80 ,$67.05 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$573.78 ,$521.62 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$184.00 ,$184.00 ,$184.00 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$86.00 ,$61.92 ,$18.54 ,$573.78 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$36.29 ,$38.22 ,$60.20 ,$90.73 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$573.78 ,$521.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$369.00 ,$265.68 ,$25.80 ,$369.00 ,$212.18 ,$232.47 ,$221.40 ,$79.56 ,$103.32 ,$124.26 ,$83.17 ,$130.80 ,$90.40 ,$202.58 ,$202.58 ,$94.02 ,$25.80 ,$163.98 ,$258.30 , N/A ,$83.17 ,$79.56 ,$276.75 ,$261.99 ,$261.99 ,$83.17 ,$261.99 ,$321.03 ,$321.03 ,$321.03 , N/A ,$332.10 ,$212.18 ,$313.65 ,$79.56 ,$369.00 ,$207.01 ,$79.56 ,$152.77 ,$202.75 ,$184.32 ,$83.17 ,$313.65 ,$158.02 ,$202.58 ,$103.32 ,$332.10 ,$369.00 ,$79.56 ,$321.03 ,$250.00 ,$369.00 ,$250.00 ,$84.87 ,$239.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$246.00 ,$177.12 ,$53.04 ,$488.43 ,$141.45 ,$154.98 ,$147.60 ,$53.04 ,$68.88 ,$142.68 ,$55.45 ,$150.06 ,$60.27 ,$135.05 ,$135.05 ,$62.68 ,$159.90 ,$109.32 ,$172.20 , N/A ,$55.45 ,$53.04 ,$184.50 ,$174.66 ,$174.66 ,$55.45 ,$174.66 ,$214.02 ,$214.02 ,$214.02 , N/A ,$221.40 ,$141.45 ,$209.10 ,$53.04 ,$246.00 ,$138.01 ,$53.04 ,$101.84 ,$488.43 ,$444.03 ,$55.45 ,$209.10 ,$105.35 ,$135.05 ,$68.88 ,$221.40 ,$246.00 ,$53.04 ,$214.02 ,$246.00 ,$246.00 ,$246.00 ,$56.58 ,$159.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$268.00 ,$192.96 ,$24.58 ,$488.43 ,$154.10 ,$168.84 ,$160.80 ,$57.78 ,$75.04 ,$155.44 ,$60.41 ,$163.48 ,$65.66 ,$147.13 ,$147.13 ,$68.29 ,$24.58 ,$119.10 ,$187.60 ,$104.00 ,$60.41 ,$57.78 ,$201.00 ,$190.28 ,$190.28 ,$60.41 ,$190.28 ,$233.16 ,$233.16 ,$233.16 , N/A ,$241.20 ,$154.10 ,$227.80 ,$57.78 ,$268.00 ,$150.35 ,$57.78 ,$110.95 ,$488.43 ,$444.03 ,$60.41 ,$227.80 ,$114.78 ,$147.13 ,$75.04 ,$241.20 ,$268.00 ,$57.78 ,$233.16 ,$250.00 ,$268.00 ,$250.00 ,$61.64 ,$174.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$405.00 ,$291.60 ,$26.59 ,$488.43 ,$232.88 ,$255.15 ,$243.00 ,$87.32 ,$113.40 ,$234.90 ,$91.29 ,$247.05 ,$99.22 ,$222.35 ,$222.35 ,$103.19 ,$26.59 ,$179.98 ,$283.50 ,$123.98 ,$91.29 ,$87.32 ,$303.75 ,$287.55 ,$287.55 ,$91.29 ,$287.55 ,$352.35 ,$352.35 ,$352.35 , N/A ,$364.50 ,$232.88 ,$344.25 ,$87.32 ,$405.00 ,$227.21 ,$87.32 ,$167.67 ,$488.43 ,$444.03 ,$91.29 ,$344.25 ,$173.45 ,$222.35 ,$113.40 ,$364.50 ,$405.00 ,$87.32 ,$352.35 ,$250.00 ,$405.00 ,$250.00 ,$93.15 ,$263.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000094,97761,HC PROSTHETIC TRAINING EA 15 MIN,420,1 ,$86.00 ,$61.92 ,$18.54 ,$573.78 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$40.85 ,$38.22 ,$60.20 ,$102.13 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$573.78 ,$521.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$86.00 ,$61.92 ,$18.54 ,$573.78 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$51.52 ,$38.22 ,$60.20 ,$128.80 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$573.78 ,$521.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$210.00 ,$151.20 ,$36.07 ,$573.78 ,$120.75 ,$132.30 ,$126.00 ,$45.28 ,$58.80 ,$121.80 ,$47.33 ,$128.10 ,$51.45 ,$115.29 ,$115.29 ,$53.51 ,$36.07 ,$93.32 ,$147.00 ,$90.18 ,$47.33 ,$45.28 ,$157.50 ,$149.10 ,$149.10 ,$47.33 ,$149.10 ,$182.70 ,$182.70 ,$182.70 , N/A ,$189.00 ,$120.75 ,$178.50 ,$45.28 ,$210.00 ,$117.81 ,$45.28 ,$86.94 ,$573.78 ,$521.62 ,$47.33 ,$178.50 ,$89.93 ,$115.29 ,$58.80 ,$189.00 ,$210.00 ,$45.28 ,$182.70 ,$210.00 ,$210.00 ,$210.00 ,$48.30 ,$136.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000206,G0283,HC ELECT STIM (UNATTEND) OTHER 15MIN,420,1 ,$39.00 ,$28.08 ,$8.41 ,$46.88 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$12.04 ,$17.33 ,$27.30 ,$30.10 ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 ,$46.88 ,$42.62 ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$39.00 ,$39.00 ,$39.00 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000207,G0283,HC ELECT STIM (UNATTEND) OTHER 30MIN,420,1 ,$39.00 ,$28.08 ,$8.41 ,$46.88 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$12.04 ,$17.33 ,$27.30 ,$30.10 ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 ,$46.88 ,$42.62 ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$39.00 ,$39.00 ,$39.00 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000208,G0283,HC ELECT STIM (UNATTEND) OTHER 45MIN,420,1 ,$39.00 ,$28.08 ,$8.41 ,$46.88 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$12.04 ,$17.33 ,$27.30 ,$30.10 ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 ,$46.88 ,$42.62 ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$39.00 ,$39.00 ,$39.00 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000209,G0283,HC ELECT STIM (UNATTEND) OTHER 60MIN,420,1 ,$39.00 ,$28.08 ,$8.41 ,$46.88 ,$22.43 ,$24.57 ,$23.40 ,$8.41 ,$10.92 ,$22.62 ,$8.79 ,$23.79 ,$9.55 ,$21.41 ,$21.41 ,$9.94 ,$12.04 ,$17.33 ,$27.30 ,$30.10 ,$8.79 ,$8.41 ,$29.25 ,$27.69 ,$27.69 ,$8.79 ,$27.69 ,$33.93 ,$33.93 ,$33.93 , N/A ,$35.10 ,$22.43 ,$33.15 ,$8.41 ,$39.00 ,$21.88 ,$8.41 ,$16.15 ,$46.88 ,$42.62 ,$8.79 ,$33.15 ,$16.70 ,$21.41 ,$10.92 ,$35.10 ,$39.00 ,$8.41 ,$33.93 ,$39.00 ,$39.00 ,$39.00 ,$8.97 ,$25.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$86.00 ,$61.92 ,$11.73 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$11.73 ,$38.22 ,$60.20 ,$29.33 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$46.88 ,$42.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000211,97016,HC APPLY VASOPNEUMATIC DEVICE 30MIN,420,1 ,$86.00 ,$61.92 ,$11.73 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$11.73 ,$38.22 ,$60.20 ,$29.33 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$46.88 ,$42.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000212,97016,HC APPLY VASOPNEUMATIC DEVICE 45MIN,420,1 ,$86.00 ,$61.92 ,$11.73 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$11.73 ,$38.22 ,$60.20 ,$29.33 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$46.88 ,$42.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000213,97016,HC APPLY VASOPNEUMATIC DEVICE 60MIN,420,1 ,$86.00 ,$61.92 ,$11.73 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$11.73 ,$38.22 ,$60.20 ,$29.33 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$46.88 ,$42.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000214,97012,HC TRACTION MECHANICAL APPL 15 MIN,420,1 ,$184.00 ,$132.48 ,$14.41 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$14.41 ,$81.77 ,$128.80 ,$36.03 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$46.88 ,$42.62 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$184.00 ,$184.00 ,$184.00 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000215,97012,HC TRACTION MECHANICAL APPL 30 MIN,420,1 ,$184.00 ,$132.48 ,$14.41 ,$184.00 ,$105.80 ,$115.92 ,$110.40 ,$39.67 ,$51.52 ,$106.72 ,$41.47 ,$112.24 ,$45.08 ,$101.02 ,$101.02 ,$46.88 ,$14.41 ,$81.77 ,$128.80 ,$36.03 ,$41.47 ,$39.67 ,$138.00 ,$130.64 ,$130.64 ,$41.47 ,$130.64 ,$160.08 ,$160.08 ,$160.08 , N/A ,$165.60 ,$105.80 ,$156.40 ,$39.67 ,$184.00 ,$103.22 ,$39.67 ,$76.18 ,$46.88 ,$42.62 ,$41.47 ,$156.40 ,$78.80 ,$101.02 ,$51.52 ,$165.60 ,$184.00 ,$39.67 ,$160.08 ,$184.00 ,$184.00 ,$184.00 ,$42.32 ,$119.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000230,95851,HC RANGE OF MOTION TESTING EXT/TRUNK LOW COMLXTY 15MIN,420,1 ,$66.00 ,$47.52 ,$7.90 ,$66.00 ,$37.95 ,$41.58 ,$39.60 ,$14.23 ,$18.48 ,$38.28 ,$14.88 ,$40.26 ,$16.17 ,$36.23 ,$36.23 ,$16.82 ,$7.90 ,$29.33 ,$46.20 ,$51.25 ,$14.88 ,$14.23 ,$49.50 ,$46.86 ,$46.86 ,$14.88 ,$46.86 ,$57.42 ,$57.42 ,$57.42 , N/A ,$59.40 ,$37.95 ,$56.10 ,$14.23 ,$66.00 ,$37.03 ,$14.23 ,$27.32 , N/A , N/A ,$14.88 ,$56.10 ,$28.26 ,$36.23 ,$18.48 ,$59.40 ,$66.00 ,$14.23 ,$57.42 ,$66.00 ,$66.00 ,$66.00 ,$15.18 ,$42.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000267,N/A,HC THERAPY ASSESSMENT - SELF PAY,420,1 ,$132.00 ,$95.04 ,$28.46 ,$132.00 ,$75.90 ,$83.16 ,$79.20 ,$28.46 ,$36.96 ,$76.56 ,$29.75 ,$80.52 ,$32.34 ,$72.47 ,$72.47 ,$33.63 ,$85.80 ,$58.66 ,$92.40 , N/A ,$29.75 ,$28.46 ,$99.00 ,$93.72 ,$93.72 ,$29.75 ,$93.72 ,$114.84 ,$114.84 ,$114.84 , N/A ,$118.80 ,$75.90 ,$112.20 ,$28.46 ,$132.00 ,$74.05 ,$28.46 ,$54.65 , N/A , N/A ,$29.75 ,$112.20 ,$56.53 ,$72.47 ,$36.96 ,$118.80 ,$132.00 ,$28.46 ,$114.84 ,$132.00 ,$132.00 ,$132.00 ,$30.36 ,$85.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000268,N/A,HC THERAPY TREATMENT 30MIN - SELF PAY,420,1 ,$80.00 ,$57.60 ,$17.25 ,$80.00 ,$46.00 ,$50.40 ,$48.00 ,$17.25 ,$22.40 ,$46.40 ,$18.03 ,$48.80 ,$19.60 ,$43.92 ,$43.92 ,$20.38 ,$52.00 ,$35.55 ,$56.00 , N/A ,$18.03 ,$17.25 ,$60.00 ,$56.80 ,$56.80 ,$18.03 ,$56.80 ,$69.60 ,$69.60 ,$69.60 , N/A ,$72.00 ,$46.00 ,$68.00 ,$17.25 ,$80.00 ,$44.88 ,$17.25 ,$33.12 , N/A , N/A ,$18.03 ,$68.00 ,$34.26 ,$43.92 ,$22.40 ,$72.00 ,$80.00 ,$17.25 ,$69.60 ,$80.00 ,$80.00 ,$80.00 ,$18.40 ,$52.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000269,N/A,HC THERAPY GROUP - SELF PAY,420,1 ,$32.00 ,$23.04 ,$6.90 ,$32.00 ,$18.40 ,$20.16 ,$19.20 ,$6.90 ,$8.96 ,$18.56 ,$7.21 ,$19.52 ,$7.84 ,$17.57 ,$17.57 ,$8.15 ,$20.80 ,$14.22 ,$22.40 , N/A ,$7.21 ,$6.90 ,$24.00 ,$22.72 ,$22.72 ,$7.21 ,$22.72 ,$27.84 ,$27.84 ,$27.84 , N/A ,$28.80 ,$18.40 ,$27.20 ,$6.90 ,$32.00 ,$17.95 ,$6.90 ,$13.25 , N/A , N/A ,$7.21 ,$27.20 ,$13.70 ,$17.57 ,$8.96 ,$28.80 ,$32.00 ,$6.90 ,$27.84 ,$32.00 ,$32.00 ,$32.00 ,$7.36 ,$20.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000270,20560,HC NEEDLE INSERTION W/O INJ 1-2 MUSC SELF PAY,420,1 ,$30.00 ,$21.60 ,$6.47 ,$62.40 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$14.89 ,$13.33 ,$21.00 ,$62.40 ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 ,$46.88 ,$42.62 ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$30.00 ,$30.00 ,$30.00 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,42000271,20561,HC NEEDLE INSERTION W/O INJ 3+ MUSC SELF PAY,420,1 ,$40.00 ,$28.80 ,$8.62 ,$62.40 ,$23.00 ,$25.20 ,$24.00 ,$8.62 ,$11.20 ,$23.20 ,$9.02 ,$24.40 ,$9.80 ,$21.96 ,$21.96 ,$10.19 ,$22.48 ,$17.78 ,$28.00 ,$62.40 ,$9.02 ,$8.62 ,$30.00 ,$28.40 ,$28.40 ,$9.02 ,$28.40 ,$34.80 ,$34.80 ,$34.80 , N/A ,$36.00 ,$23.00 ,$34.00 ,$8.62 ,$40.00 ,$22.44 ,$8.62 ,$16.56 ,$46.88 ,$42.62 ,$9.02 ,$34.00 ,$17.13 ,$21.96 ,$11.20 ,$36.00 ,$40.00 ,$8.62 ,$34.80 ,$40.00 ,$40.00 ,$40.00 ,$9.20 ,$26.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$301.00 ,$216.72 ,$64.90 ,$573.78 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$573.78 ,$521.62 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$301.00 ,$216.72 ,$64.90 ,$573.78 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$573.78 ,$521.62 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400046,97161,HC PT EVAL LOW COMPLEXITY 60MIN,424,1 ,$301.00 ,$216.72 ,$64.90 ,$573.78 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$573.78 ,$521.62 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400047,97161,HC PT EVAL LOW COMPLEXITY 75MIN,424,1 ,$301.00 ,$216.72 ,$64.90 ,$573.78 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$573.78 ,$521.62 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$308.00 ,$221.76 ,$66.40 ,$573.78 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$573.78 ,$521.62 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$308.00 ,$221.76 ,$66.40 ,$573.78 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$573.78 ,$521.62 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$308.00 ,$221.76 ,$66.40 ,$573.78 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$573.78 ,$521.62 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400059,97162,HC PT EVAL MOD COMPLEXITY 75MIN,424,1 ,$308.00 ,$221.76 ,$66.40 ,$573.78 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$573.78 ,$521.62 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400069,97163,HC PT EVAL HIGH COMPLEXITY 45MIN,424,1 ,$321.00 ,$231.12 ,$69.21 ,$573.78 ,$184.58 ,$202.23 ,$192.60 ,$69.21 ,$89.88 ,$186.18 ,$72.35 ,$195.81 ,$78.64 ,$176.23 ,$176.23 ,$81.79 ,$99.27 ,$142.65 ,$224.70 ,$248.18 ,$72.35 ,$69.21 ,$240.75 ,$227.91 ,$227.91 ,$72.35 ,$227.91 ,$279.27 ,$279.27 ,$279.27 , N/A ,$288.90 ,$184.58 ,$272.85 ,$69.21 ,$321.00 ,$180.08 ,$69.21 ,$132.89 ,$573.78 ,$521.62 ,$72.35 ,$272.85 ,$137.47 ,$176.23 ,$89.88 ,$288.90 ,$321.00 ,$69.21 ,$279.27 ,$250.00 ,$321.00 ,$250.00 ,$73.83 ,$208.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400070,97163,HC PT EVAL HIGH COMPLEXITY 60MIN,424,1 ,$321.00 ,$231.12 ,$69.21 ,$573.78 ,$184.58 ,$202.23 ,$192.60 ,$69.21 ,$89.88 ,$186.18 ,$72.35 ,$195.81 ,$78.64 ,$176.23 ,$176.23 ,$81.79 ,$99.27 ,$142.65 ,$224.70 ,$248.18 ,$72.35 ,$69.21 ,$240.75 ,$227.91 ,$227.91 ,$72.35 ,$227.91 ,$279.27 ,$279.27 ,$279.27 , N/A ,$288.90 ,$184.58 ,$272.85 ,$69.21 ,$321.00 ,$180.08 ,$69.21 ,$132.89 ,$573.78 ,$521.62 ,$72.35 ,$272.85 ,$137.47 ,$176.23 ,$89.88 ,$288.90 ,$321.00 ,$69.21 ,$279.27 ,$250.00 ,$321.00 ,$250.00 ,$73.83 ,$208.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400071,97163,HC PT EVAL HIGH COMPLEXITY 75MIN,424,1 ,$321.00 ,$231.12 ,$69.21 ,$573.78 ,$184.58 ,$202.23 ,$192.60 ,$69.21 ,$89.88 ,$186.18 ,$72.35 ,$195.81 ,$78.64 ,$176.23 ,$176.23 ,$81.79 ,$99.27 ,$142.65 ,$224.70 ,$248.18 ,$72.35 ,$69.21 ,$240.75 ,$227.91 ,$227.91 ,$72.35 ,$227.91 ,$279.27 ,$279.27 ,$279.27 , N/A ,$288.90 ,$184.58 ,$272.85 ,$69.21 ,$321.00 ,$180.08 ,$69.21 ,$132.89 ,$573.78 ,$521.62 ,$72.35 ,$272.85 ,$137.47 ,$176.23 ,$89.88 ,$288.90 ,$321.00 ,$69.21 ,$279.27 ,$250.00 ,$321.00 ,$250.00 ,$73.83 ,$208.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$171.00 ,$123.12 ,$36.87 ,$573.78 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$68.90 ,$75.99 ,$119.70 ,$172.25 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$573.78 ,$521.62 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$171.00 ,$123.12 ,$36.87 ,$573.78 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$68.90 ,$75.99 ,$119.70 ,$172.25 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$573.78 ,$521.62 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$171.00 ,$123.12 ,$36.87 ,$573.78 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$68.90 ,$75.99 ,$119.70 ,$172.25 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$573.78 ,$521.62 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$86.00 ,$61.92 ,$18.54 ,$912.76 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$61.29 ,$38.22 ,$60.20 ,$153.23 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$912.76 ,$829.78 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$86.00 ,$61.92 ,$18.54 ,$912.76 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$32.22 ,$38.22 ,$60.20 ,$80.55 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$912.76 ,$829.78 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$113.00 ,$81.36 ,$24.36 ,$573.78 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$47.15 ,$50.22 ,$79.10 ,$117.88 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 ,$573.78 ,$521.62 ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$113.00 ,$113.00 ,$113.00 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$86.00 ,$61.92 ,$5.77 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$5.77 ,$38.22 ,$60.20 ,$14.43 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$46.88 ,$42.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$86.00 ,$61.92 ,$5.77 ,$86.00 ,$49.45 ,$54.18 ,$51.60 ,$18.54 ,$24.08 ,$49.88 ,$19.38 ,$52.46 ,$21.07 ,$47.21 ,$47.21 ,$21.91 ,$5.77 ,$38.22 ,$60.20 ,$14.43 ,$19.38 ,$18.54 ,$64.50 ,$61.06 ,$61.06 ,$19.38 ,$61.06 ,$74.82 ,$74.82 ,$74.82 , N/A ,$77.40 ,$49.45 ,$73.10 ,$18.54 ,$86.00 ,$48.25 ,$18.54 ,$35.60 ,$46.88 ,$42.62 ,$19.38 ,$73.10 ,$36.83 ,$47.21 ,$24.08 ,$77.40 ,$86.00 ,$18.54 ,$74.82 ,$86.00 ,$86.00 ,$86.00 ,$19.78 ,$55.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000049,95852,HC RANGE OF MOTION TESTING HAND,430,1 ,$66.00 ,$47.52 ,$5.57 ,$66.00 ,$37.95 ,$41.58 ,$39.60 ,$14.23 ,$18.48 ,$38.28 ,$14.88 ,$40.26 ,$16.17 ,$36.23 ,$36.23 ,$16.82 ,$5.57 ,$29.33 ,$46.20 ,$42.30 ,$14.88 ,$14.23 ,$49.50 ,$46.86 ,$46.86 ,$14.88 ,$46.86 ,$57.42 ,$57.42 ,$57.42 , N/A ,$59.40 ,$37.95 ,$56.10 ,$14.23 ,$66.00 ,$37.03 ,$14.23 ,$27.32 , N/A , N/A ,$14.88 ,$56.10 ,$28.26 ,$36.23 ,$18.48 ,$59.40 ,$66.00 ,$14.23 ,$57.42 ,$66.00 ,$66.00 ,$66.00 ,$15.18 ,$42.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000060,N/A,HC REHAB THERAPY LEE SLVRMN VOICE TX MONTHLY,430,1 ,$49.00 ,$35.28 ,$10.56 ,$49.00 ,$28.18 ,$30.87 ,$29.40 ,$10.56 ,$13.72 ,$28.42 ,$11.04 ,$29.89 ,$12.00 ,$26.90 ,$26.90 ,$12.49 ,$31.85 ,$21.78 ,$34.30 , N/A ,$11.04 ,$10.56 ,$36.75 ,$34.79 ,$34.79 ,$11.04 ,$34.79 ,$42.63 ,$42.63 ,$42.63 , N/A ,$44.10 ,$28.18 ,$41.65 ,$10.56 ,$49.00 ,$27.49 ,$10.56 ,$20.29 , N/A , N/A ,$11.04 ,$41.65 ,$20.98 ,$26.90 ,$13.72 ,$44.10 ,$49.00 ,$10.56 ,$42.63 ,$49.00 ,$49.00 ,$49.00 ,$11.27 ,$31.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$90.00 ,$64.80 ,$19.40 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$22.25 ,$40.00 ,$63.00 ,$56.43 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$46.88 ,$42.62 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$90.00 ,$90.00 ,$90.00 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$90.00 ,$64.80 ,$19.40 ,$90.00 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$21.58 ,$40.00 ,$63.00 ,$53.95 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 ,$46.88 ,$42.62 ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$90.00 ,$90.00 ,$90.00 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$301.00 ,$216.72 ,$64.90 ,$912.76 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$912.76 ,$829.78 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$301.00 ,$216.72 ,$64.90 ,$912.76 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$912.76 ,$829.78 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$301.00 ,$216.72 ,$64.90 ,$912.76 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$912.76 ,$829.78 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400038,97165,HC OT EVAL LOW COMPLEXITY 75MIN,434,1 ,$301.00 ,$216.72 ,$64.90 ,$912.76 ,$173.08 ,$189.63 ,$180.60 ,$64.90 ,$84.28 ,$174.58 ,$67.85 ,$183.61 ,$73.74 ,$165.25 ,$165.25 ,$76.69 ,$99.27 ,$133.76 ,$210.70 ,$248.18 ,$67.85 ,$64.90 ,$225.75 ,$213.71 ,$213.71 ,$67.85 ,$213.71 ,$261.87 ,$261.87 ,$261.87 , N/A ,$270.90 ,$173.08 ,$255.85 ,$64.90 ,$301.00 ,$168.86 ,$64.90 ,$124.61 ,$912.76 ,$829.78 ,$67.85 ,$255.85 ,$128.91 ,$165.25 ,$84.28 ,$270.90 ,$301.00 ,$64.90 ,$261.87 ,$250.00 ,$301.00 ,$250.00 ,$69.23 ,$195.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$308.00 ,$221.76 ,$66.40 ,$912.76 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$912.76 ,$829.78 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$308.00 ,$221.76 ,$66.40 ,$912.76 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$912.76 ,$829.78 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$308.00 ,$221.76 ,$66.40 ,$912.76 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$912.76 ,$829.78 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400050,97166,HC OT EVAL MOD COMPLEXITY 75MIN,434,1 ,$308.00 ,$221.76 ,$66.40 ,$912.76 ,$177.10 ,$194.04 ,$184.80 ,$66.40 ,$86.24 ,$178.64 ,$69.42 ,$187.88 ,$75.46 ,$169.09 ,$169.09 ,$78.48 ,$99.27 ,$136.88 ,$215.60 ,$248.18 ,$69.42 ,$66.40 ,$231.00 ,$218.68 ,$218.68 ,$69.42 ,$218.68 ,$267.96 ,$267.96 ,$267.96 , N/A ,$277.20 ,$177.10 ,$261.80 ,$66.40 ,$308.00 ,$172.79 ,$66.40 ,$127.51 ,$912.76 ,$829.78 ,$69.42 ,$261.80 ,$131.91 ,$169.09 ,$86.24 ,$277.20 ,$308.00 ,$66.40 ,$267.96 ,$250.00 ,$308.00 ,$250.00 ,$70.84 ,$200.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400060,97167,HC OT EVAL HIGH COMPLEXITY 45MIN,434,1 ,$321.00 ,$231.12 ,$69.21 ,$912.76 ,$184.58 ,$202.23 ,$192.60 ,$69.21 ,$89.88 ,$186.18 ,$72.35 ,$195.81 ,$78.64 ,$176.23 ,$176.23 ,$81.79 ,$99.27 ,$142.65 ,$224.70 ,$248.18 ,$72.35 ,$69.21 ,$240.75 ,$227.91 ,$227.91 ,$72.35 ,$227.91 ,$279.27 ,$279.27 ,$279.27 , N/A ,$288.90 ,$184.58 ,$272.85 ,$69.21 ,$321.00 ,$180.08 ,$69.21 ,$132.89 ,$912.76 ,$829.78 ,$72.35 ,$272.85 ,$137.47 ,$176.23 ,$89.88 ,$288.90 ,$321.00 ,$69.21 ,$279.27 ,$250.00 ,$321.00 ,$250.00 ,$73.83 ,$208.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400061,97167,HC OT EVAL HIGH COMPLEXITY 60MIN,434,1 ,$321.00 ,$231.12 ,$69.21 ,$912.76 ,$184.58 ,$202.23 ,$192.60 ,$69.21 ,$89.88 ,$186.18 ,$72.35 ,$195.81 ,$78.64 ,$176.23 ,$176.23 ,$81.79 ,$99.27 ,$142.65 ,$224.70 ,$248.18 ,$72.35 ,$69.21 ,$240.75 ,$227.91 ,$227.91 ,$72.35 ,$227.91 ,$279.27 ,$279.27 ,$279.27 , N/A ,$288.90 ,$184.58 ,$272.85 ,$69.21 ,$321.00 ,$180.08 ,$69.21 ,$132.89 ,$912.76 ,$829.78 ,$72.35 ,$272.85 ,$137.47 ,$176.23 ,$89.88 ,$288.90 ,$321.00 ,$69.21 ,$279.27 ,$250.00 ,$321.00 ,$250.00 ,$73.83 ,$208.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400062,97167,HC OT EVAL HIGH COMPLEXITY 75MIN,434,1 ,$321.00 ,$231.12 ,$69.21 ,$912.76 ,$184.58 ,$202.23 ,$192.60 ,$69.21 ,$89.88 ,$186.18 ,$72.35 ,$195.81 ,$78.64 ,$176.23 ,$176.23 ,$81.79 ,$99.27 ,$142.65 ,$224.70 ,$248.18 ,$72.35 ,$69.21 ,$240.75 ,$227.91 ,$227.91 ,$72.35 ,$227.91 ,$279.27 ,$279.27 ,$279.27 , N/A ,$288.90 ,$184.58 ,$272.85 ,$69.21 ,$321.00 ,$180.08 ,$69.21 ,$132.89 ,$912.76 ,$829.78 ,$72.35 ,$272.85 ,$137.47 ,$176.23 ,$89.88 ,$288.90 ,$321.00 ,$69.21 ,$279.27 ,$250.00 ,$321.00 ,$250.00 ,$73.83 ,$208.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$171.00 ,$123.12 ,$36.87 ,$912.76 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$68.59 ,$75.99 ,$119.70 ,$171.48 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$912.76 ,$829.78 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$171.00 ,$123.12 ,$36.87 ,$912.76 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$68.59 ,$75.99 ,$119.70 ,$171.48 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$912.76 ,$829.78 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$171.00 ,$123.12 ,$36.87 ,$912.76 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$68.59 ,$75.99 ,$119.70 ,$171.48 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 ,$912.76 ,$829.78 ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$76.01 ,$83.55 ,$131.60 ,$190.03 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$76.01 ,$83.55 ,$131.60 ,$190.03 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$76.01 ,$83.55 ,$131.60 ,$190.03 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$76.01 ,$83.55 ,$131.60 ,$190.03 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$83.99 ,$83.55 ,$131.60 ,$209.98 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$83.99 ,$83.55 ,$131.60 ,$209.98 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$83.99 ,$83.55 ,$131.60 ,$209.98 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$188.00 ,$135.36 ,$40.53 ,$424.12 ,$108.10 ,$118.44 ,$112.80 ,$40.53 ,$52.64 ,$109.04 ,$42.38 ,$114.68 ,$46.06 ,$103.21 ,$103.21 ,$47.90 ,$83.99 ,$83.55 ,$131.60 ,$209.98 ,$42.38 ,$40.53 ,$141.00 ,$133.48 ,$133.48 ,$42.38 ,$133.48 ,$163.56 ,$163.56 ,$163.56 , N/A ,$169.20 ,$108.10 ,$159.80 ,$40.53 ,$188.00 ,$105.47 ,$40.53 ,$77.83 ,$424.12 ,$385.56 ,$42.38 ,$159.80 ,$80.52 ,$103.21 ,$52.64 ,$169.20 ,$188.00 ,$40.53 ,$163.56 ,$160.00 ,$188.00 ,$160.00 ,$43.24 ,$122.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$324.00 ,$233.28 ,$69.71 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$69.71 ,$143.99 ,$226.80 ,$209.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400018,92610,HC DYSPHAGIA EVALUATION 30MIN,444,1 ,$324.00 ,$233.28 ,$69.71 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$69.71 ,$143.99 ,$226.80 ,$209.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$324.00 ,$233.28 ,$69.71 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$69.71 ,$143.99 ,$226.80 ,$209.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$324.00 ,$233.28 ,$69.71 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$69.71 ,$143.99 ,$226.80 ,$209.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400033,92611,HC DYSPHAGIA EVAL-VIDEO,444,1 ,$355.00 ,$255.60 ,$76.54 ,$355.00 ,$204.13 ,$223.65 ,$213.00 ,$76.54 ,$99.40 ,$205.90 ,$80.02 ,$216.55 ,$86.97 ,$194.90 ,$194.90 ,$90.45 ,$91.36 ,$157.76 ,$248.50 ,$228.40 ,$80.02 ,$76.54 ,$266.25 ,$252.05 ,$252.05 ,$80.02 ,$252.05 ,$308.85 ,$308.85 ,$308.85 , N/A ,$319.50 ,$204.13 ,$301.75 ,$76.54 ,$355.00 ,$199.16 ,$76.54 ,$146.97 ,$94.49 ,$85.90 ,$80.02 ,$301.75 ,$152.04 ,$194.90 ,$99.40 ,$319.50 ,$355.00 ,$76.54 ,$308.85 ,$160.00 ,$355.00 ,$160.00 ,$81.65 ,$230.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400040,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN,444,1 ,$323.00 ,$232.56 ,$69.64 ,$424.12 ,$185.73 ,$203.49 ,$193.80 ,$69.64 ,$90.44 ,$187.34 ,$72.80 ,$197.03 ,$79.13 ,$177.33 ,$177.33 ,$82.30 ,$131.73 ,$143.54 ,$226.10 ,$329.33 ,$72.80 ,$69.64 ,$242.25 ,$229.33 ,$229.33 ,$72.80 ,$229.33 ,$281.01 ,$281.01 ,$281.01 , N/A ,$290.70 ,$185.73 ,$274.55 ,$69.64 ,$323.00 ,$181.20 ,$69.64 ,$133.72 ,$424.12 ,$385.56 ,$72.80 ,$274.55 ,$138.33 ,$177.33 ,$90.44 ,$290.70 ,$323.00 ,$69.64 ,$281.01 ,$160.00 ,$323.00 ,$160.00 ,$74.29 ,$209.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$564.45 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$225.78 ,$143.99 ,$226.80 ,$564.45 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400043,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$109.49 ,$143.99 ,$226.80 ,$273.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$323.00 ,$232.56 ,$69.64 ,$424.12 ,$185.73 ,$203.49 ,$193.80 ,$69.64 ,$90.44 ,$187.34 ,$72.80 ,$197.03 ,$79.13 ,$177.33 ,$177.33 ,$82.30 ,$131.73 ,$143.54 ,$226.10 ,$329.33 ,$72.80 ,$69.64 ,$242.25 ,$229.33 ,$229.33 ,$72.80 ,$229.33 ,$281.01 ,$281.01 ,$281.01 , N/A ,$290.70 ,$185.73 ,$274.55 ,$69.64 ,$323.00 ,$181.20 ,$69.64 ,$133.72 ,$424.12 ,$385.56 ,$72.80 ,$274.55 ,$138.33 ,$177.33 ,$90.44 ,$290.70 ,$323.00 ,$69.64 ,$281.01 ,$160.00 ,$323.00 ,$160.00 ,$74.29 ,$209.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$323.00 ,$232.56 ,$69.64 ,$424.12 ,$185.73 ,$203.49 ,$193.80 ,$69.64 ,$90.44 ,$187.34 ,$72.80 ,$197.03 ,$79.13 ,$177.33 ,$177.33 ,$82.30 ,$131.73 ,$143.54 ,$226.10 ,$329.33 ,$72.80 ,$69.64 ,$242.25 ,$229.33 ,$229.33 ,$72.80 ,$229.33 ,$281.01 ,$281.01 ,$281.01 , N/A ,$290.70 ,$185.73 ,$274.55 ,$69.64 ,$323.00 ,$181.20 ,$69.64 ,$133.72 ,$424.12 ,$385.56 ,$72.80 ,$274.55 ,$138.33 ,$177.33 ,$90.44 ,$290.70 ,$323.00 ,$69.64 ,$281.01 ,$160.00 ,$323.00 ,$160.00 ,$74.29 ,$209.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$323.00 ,$232.56 ,$69.64 ,$424.12 ,$185.73 ,$203.49 ,$193.80 ,$69.64 ,$90.44 ,$187.34 ,$72.80 ,$197.03 ,$79.13 ,$177.33 ,$177.33 ,$82.30 ,$131.73 ,$143.54 ,$226.10 ,$329.33 ,$72.80 ,$69.64 ,$242.25 ,$229.33 ,$229.33 ,$72.80 ,$229.33 ,$281.01 ,$281.01 ,$281.01 , N/A ,$290.70 ,$185.73 ,$274.55 ,$69.64 ,$323.00 ,$181.20 ,$69.64 ,$133.72 ,$424.12 ,$385.56 ,$72.80 ,$274.55 ,$138.33 ,$177.33 ,$90.44 ,$290.70 ,$323.00 ,$69.64 ,$281.01 ,$160.00 ,$323.00 ,$160.00 ,$74.29 ,$209.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$564.45 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$225.78 ,$143.99 ,$226.80 ,$564.45 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$564.45 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$225.78 ,$143.99 ,$226.80 ,$564.45 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$564.45 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$225.78 ,$143.99 ,$226.80 ,$564.45 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$109.49 ,$143.99 ,$226.80 ,$273.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$109.49 ,$143.99 ,$226.80 ,$273.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$324.00 ,$233.28 ,$69.85 ,$424.12 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$109.49 ,$143.99 ,$226.80 ,$273.73 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 ,$424.12 ,$385.56 ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$160.00 ,$324.00 ,$160.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$665.00 ,$478.80 ,$143.37 ,$932.68 ,$382.38 ,$418.95 ,$399.00 ,$143.37 ,$186.20 ,$385.70 ,$149.89 ,$405.65 ,$162.92 ,$365.09 ,$365.09 ,$169.44 ,$365.09 ,$295.53 ,$465.50 ,$932.68 ,$149.89 ,$143.37 ,$498.75 ,$472.15 ,$472.15 ,$149.89 ,$472.15 ,$578.55 ,$578.55 ,$578.55 , N/A ,$598.50 ,$382.38 ,$565.25 ,$143.37 ,$665.00 ,$373.07 ,$143.37 ,$275.31 , N/A , N/A ,$149.89 ,$565.25 ,$284.80 ,$365.09 ,$186.20 ,$598.50 ,$665.00 ,$143.37 ,$578.55 ,$532.00 ,$665.00 ,$532.00 ,$152.95 ,$432.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,"$1,661.00 ","$1,195.92 ",$358.11 ,"$1,661.00 ",$955.08 ,"$1,046.43 ",$996.60 ,$358.11 ,$465.08 ,$963.38 ,$374.39 ,"$1,013.21 ",$406.94 ,$911.89 ,$911.89 ,$423.22 ,$911.89 ,$738.15 ,"$1,162.70 ","$1,622.43 ",$374.39 ,$358.11 ,"$1,245.75 ","$1,179.31 ","$1,179.31 ",$374.39 ,"$1,179.31 ","$1,445.07 ","$1,445.07 ","$1,445.07 ", N/A ,"$1,494.90 ",$955.08 ,"$1,411.85 ",$358.11 ,"$1,661.00 ",$931.82 ,$358.11 ,$687.65 , N/A , N/A ,$374.39 ,"$1,411.85 ",$711.34 ,$911.89 ,$465.08 ,"$1,494.90 ","$1,661.00 ",$358.11 ,"$1,445.07 ",$532.00 ,"$1,661.00 ",$532.00 ,$382.03 ,"$1,079.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000004,10081,HC I AND D CYST PILONIDAL CPLX,450,1 ,"$1,739.00 ","$1,252.08 ",$374.93 ,"$1,739.00 ",$999.93 ,"$1,095.57 ","$1,043.40 ",$374.93 ,$486.92 ,"$1,008.62 ",$391.97 ,"$1,060.79 ",$426.05 ,$954.71 ,$954.71 ,$443.10 ,$954.71 ,$772.81 ,"$1,217.30 ","$1,622.43 ",$391.97 ,$374.93 ,"$1,304.25 ","$1,234.69 ","$1,234.69 ",$391.97 ,"$1,234.69 ","$1,512.93 ","$1,512.93 ","$1,512.93 ", N/A ,"$1,565.10 ",$999.93 ,"$1,478.15 ",$374.93 ,"$1,739.00 ",$975.58 ,$374.93 ,$719.95 , N/A , N/A ,$391.97 ,"$1,478.15 ",$744.74 ,$954.71 ,$486.92 ,"$1,565.10 ","$1,739.00 ",$374.93 ,"$1,512.93 ",$532.00 ,"$1,739.00 ",$532.00 ,$399.97 ,"$1,130.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$258.00 ,$185.76 ,$55.62 ,$932.68 ,$148.35 ,$162.54 ,$154.80 ,$55.62 ,$72.24 ,$149.64 ,$58.15 ,$157.38 ,$63.21 ,$141.64 ,$141.64 ,$65.74 ,$141.64 ,$114.66 ,$180.60 ,$932.68 ,$58.15 ,$55.62 ,$193.50 ,$183.18 ,$183.18 ,$58.15 ,$183.18 ,$224.46 ,$224.46 ,$224.46 , N/A ,$232.20 ,$148.35 ,$219.30 ,$55.62 ,$258.00 ,$144.74 ,$55.62 ,$106.81 , N/A , N/A ,$58.15 ,$219.30 ,$110.49 ,$141.64 ,$72.24 ,$232.20 ,$258.00 ,$55.62 ,$224.46 ,$258.00 ,$258.00 ,$258.00 ,$59.34 ,$167.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$415.00 ,$298.80 ,$89.47 ,$451.45 ,$238.63 ,$261.45 ,$249.00 ,$89.47 ,$116.20 ,$240.70 ,$93.54 ,$253.15 ,$101.67 ,$227.84 ,$227.84 ,$105.74 ,$227.84 ,$184.43 ,$290.50 ,$451.45 ,$93.54 ,$89.47 ,$311.25 ,$294.65 ,$294.65 ,$93.54 ,$294.65 ,$361.05 ,$361.05 ,$361.05 , N/A ,$373.50 ,$238.63 ,$352.75 ,$89.47 ,$415.00 ,$232.82 ,$89.47 ,$171.81 , N/A , N/A ,$93.54 ,$352.75 ,$177.73 ,$227.84 ,$116.20 ,$373.50 ,$415.00 ,$89.47 ,$361.05 ,$415.00 ,$415.00 ,$415.00 ,$95.45 ,$269.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$264.00 ,$190.08 ,$56.92 ,$264.00 ,$151.80 ,$166.32 ,$158.40 ,$56.92 ,$73.92 ,$153.12 ,$59.51 ,$161.04 ,$64.68 ,$144.94 ,$144.94 ,$67.27 ,$144.94 ,$117.32 ,$184.80 , N/A ,$59.51 ,$56.92 ,$198.00 ,$187.44 ,$187.44 ,$59.51 ,$187.44 ,$229.68 ,$229.68 ,$229.68 , N/A ,$237.60 ,$151.80 ,$224.40 ,$56.92 ,$264.00 ,$148.10 ,$56.92 ,$109.30 , N/A , N/A ,$59.51 ,$224.40 ,$113.06 ,$144.94 ,$73.92 ,$237.60 ,$264.00 ,$56.92 ,$229.68 ,$264.00 ,$264.00 ,$264.00 ,$60.72 ,$171.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$87.00 ,$62.64 ,$18.76 ,$290.28 ,$50.03 ,$54.81 ,$52.20 ,$18.76 ,$24.36 ,$50.46 ,$19.61 ,$53.07 ,$21.31 ,$47.76 ,$47.76 ,$22.17 ,$47.76 ,$38.66 ,$60.90 ,$290.28 ,$19.61 ,$18.76 ,$65.25 ,$61.77 ,$61.77 ,$19.61 ,$61.77 ,$75.69 ,$75.69 ,$75.69 , N/A ,$78.30 ,$50.03 ,$73.95 ,$18.76 ,$87.00 ,$48.81 ,$18.76 ,$36.02 , N/A , N/A ,$19.61 ,$73.95 ,$37.26 ,$47.76 ,$24.36 ,$78.30 ,$87.00 ,$18.76 ,$75.69 ,$87.00 ,$87.00 ,$87.00 ,$20.01 ,$56.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000012,11760,HC REPAIR NAIL BED,450,1 ,$244.00 ,$175.68 ,$52.61 ,"$1,452.38 ",$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,"$1,452.38 ",$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$271.00 ,$195.12 ,$58.43 ,$451.45 ,$155.83 ,$170.73 ,$162.60 ,$58.43 ,$75.88 ,$157.18 ,$61.08 ,$165.31 ,$66.39 ,$148.78 ,$148.78 ,$69.05 ,$148.78 ,$120.43 ,$189.70 ,$451.45 ,$61.08 ,$58.43 ,$203.25 ,$192.41 ,$192.41 ,$61.08 ,$192.41 ,$235.77 ,$235.77 ,$235.77 , N/A ,$243.90 ,$155.83 ,$230.35 ,$58.43 ,$271.00 ,$152.03 ,$58.43 ,$112.19 , N/A , N/A ,$61.08 ,$230.35 ,$116.06 ,$148.78 ,$75.88 ,$243.90 ,$271.00 ,$58.43 ,$235.77 ,$271.00 ,$271.00 ,$271.00 ,$62.33 ,$176.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$298.00 ,$214.56 ,$64.25 ,$451.45 ,$171.35 ,$187.74 ,$178.80 ,$64.25 ,$83.44 ,$172.84 ,$67.17 ,$181.78 ,$73.01 ,$163.60 ,$163.60 ,$75.93 ,$163.60 ,$132.43 ,$208.60 ,$451.45 ,$67.17 ,$64.25 ,$223.50 ,$211.58 ,$211.58 ,$67.17 ,$211.58 ,$259.26 ,$259.26 ,$259.26 , N/A ,$268.20 ,$171.35 ,$253.30 ,$64.25 ,$298.00 ,$167.18 ,$64.25 ,$123.37 , N/A , N/A ,$67.17 ,$253.30 ,$127.63 ,$163.60 ,$83.44 ,$268.20 ,$298.00 ,$64.25 ,$259.26 ,$298.00 ,$298.00 ,$298.00 ,$68.54 ,$193.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$328.00 ,$236.16 ,$70.72 ,$451.45 ,$188.60 ,$206.64 ,$196.80 ,$70.72 ,$91.84 ,$190.24 ,$73.93 ,$200.08 ,$80.36 ,$180.07 ,$180.07 ,$83.57 ,$180.07 ,$145.76 ,$229.60 ,$451.45 ,$73.93 ,$70.72 ,$246.00 ,$232.88 ,$232.88 ,$73.93 ,$232.88 ,$285.36 ,$285.36 ,$285.36 , N/A ,$295.20 ,$188.60 ,$278.80 ,$70.72 ,$328.00 ,$184.01 ,$70.72 ,$135.79 , N/A , N/A ,$73.93 ,$278.80 ,$140.47 ,$180.07 ,$91.84 ,$295.20 ,$328.00 ,$70.72 ,$285.36 ,$328.00 ,$328.00 ,$328.00 ,$75.44 ,$213.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$360.00 ,$259.20 ,$77.62 ,$932.68 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$197.64 ,$159.98 ,$252.00 ,$932.68 ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 , N/A , N/A ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$360.00 ,$360.00 ,$360.00 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$396.00 ,$285.12 ,$85.38 ,$932.68 ,$227.70 ,$249.48 ,$237.60 ,$85.38 ,$110.88 ,$229.68 ,$89.26 ,$241.56 ,$97.02 ,$217.40 ,$217.40 ,$100.90 ,$217.40 ,$175.98 ,$277.20 ,$932.68 ,$89.26 ,$85.38 ,$297.00 ,$281.16 ,$281.16 ,$89.26 ,$281.16 ,$344.52 ,$344.52 ,$344.52 , N/A ,$356.40 ,$227.70 ,$336.60 ,$85.38 ,$396.00 ,$222.16 ,$85.38 ,$163.94 , N/A , N/A ,$89.26 ,$336.60 ,$169.59 ,$217.40 ,$110.88 ,$356.40 ,$396.00 ,$85.38 ,$344.52 ,$396.00 ,$396.00 ,$396.00 ,$91.08 ,$257.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000019,12007,HC SIMP S/N/AX/GN/TRK/EXT > 30CM,450,1 ,$436.00 ,$313.92 ,$94.00 ,$451.45 ,$250.70 ,$274.68 ,$261.60 ,$94.00 ,$122.08 ,$252.88 ,$98.27 ,$265.96 ,$106.82 ,$239.36 ,$239.36 ,$111.09 ,$239.36 ,$193.76 ,$305.20 ,$451.45 ,$98.27 ,$94.00 ,$327.00 ,$309.56 ,$309.56 ,$98.27 ,$309.56 ,$379.32 ,$379.32 ,$379.32 , N/A ,$392.40 ,$250.70 ,$370.60 ,$94.00 ,$436.00 ,$244.60 ,$94.00 ,$180.50 , N/A , N/A ,$98.27 ,$370.60 ,$186.72 ,$239.36 ,$122.08 ,$392.40 ,$436.00 ,$94.00 ,$379.32 ,$436.00 ,$436.00 ,$436.00 ,$100.28 ,$283.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$269.00 ,$193.68 ,$58.00 ,$451.45 ,$154.68 ,$169.47 ,$161.40 ,$58.00 ,$75.32 ,$156.02 ,$60.63 ,$164.09 ,$65.90 ,$147.68 ,$147.68 ,$68.54 ,$147.68 ,$119.54 ,$188.30 ,$451.45 ,$60.63 ,$58.00 ,$201.75 ,$190.99 ,$190.99 ,$60.63 ,$190.99 ,$234.03 ,$234.03 ,$234.03 , N/A ,$242.10 ,$154.68 ,$228.65 ,$58.00 ,$269.00 ,$150.91 ,$58.00 ,$111.37 , N/A , N/A ,$60.63 ,$228.65 ,$115.20 ,$147.68 ,$75.32 ,$242.10 ,$269.00 ,$58.00 ,$234.03 ,$269.00 ,$269.00 ,$269.00 ,$61.87 ,$174.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$295.00 ,$212.40 ,$63.60 ,$451.45 ,$169.63 ,$185.85 ,$177.00 ,$63.60 ,$82.60 ,$171.10 ,$66.49 ,$179.95 ,$72.27 ,$161.96 ,$161.96 ,$75.17 ,$161.96 ,$131.10 ,$206.50 ,$451.45 ,$66.49 ,$63.60 ,$221.25 ,$209.45 ,$209.45 ,$66.49 ,$209.45 ,$256.65 ,$256.65 ,$256.65 , N/A ,$265.50 ,$169.63 ,$250.75 ,$63.60 ,$295.00 ,$165.50 ,$63.60 ,$122.13 , N/A , N/A ,$66.49 ,$250.75 ,$126.34 ,$161.96 ,$82.60 ,$265.50 ,$295.00 ,$63.60 ,$256.65 ,$295.00 ,$295.00 ,$295.00 ,$67.85 ,$191.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$325.00 ,$234.00 ,$70.07 ,$451.45 ,$186.88 ,$204.75 ,$195.00 ,$70.07 ,$91.00 ,$188.50 ,$73.25 ,$198.25 ,$79.62 ,$178.43 ,$178.43 ,$82.81 ,$178.43 ,$144.43 ,$227.50 ,$451.45 ,$73.25 ,$70.07 ,$243.75 ,$230.75 ,$230.75 ,$73.25 ,$230.75 ,$282.75 ,$282.75 ,$282.75 , N/A ,$292.50 ,$186.88 ,$276.25 ,$70.07 ,$325.00 ,$182.33 ,$70.07 ,$134.55 , N/A , N/A ,$73.25 ,$276.25 ,$139.19 ,$178.43 ,$91.00 ,$292.50 ,$325.00 ,$70.07 ,$282.75 ,$325.00 ,$325.00 ,$325.00 ,$74.75 ,$211.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$358.00 ,$257.76 ,$77.18 ,$451.45 ,$205.85 ,$225.54 ,$214.80 ,$77.18 ,$100.24 ,$207.64 ,$80.69 ,$218.38 ,$87.71 ,$196.54 ,$196.54 ,$91.22 ,$196.54 ,$159.10 ,$250.60 ,$451.45 ,$80.69 ,$77.18 ,$268.50 ,$254.18 ,$254.18 ,$80.69 ,$254.18 ,$311.46 ,$311.46 ,$311.46 , N/A ,$322.20 ,$205.85 ,$304.30 ,$77.18 ,$358.00 ,$200.84 ,$77.18 ,$148.21 , N/A , N/A ,$80.69 ,$304.30 ,$153.32 ,$196.54 ,$100.24 ,$322.20 ,$358.00 ,$77.18 ,$311.46 ,$358.00 ,$358.00 ,$358.00 ,$82.34 ,$232.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$393.00 ,$282.96 ,$84.73 ,$932.68 ,$225.98 ,$247.59 ,$235.80 ,$84.73 ,$110.04 ,$227.94 ,$88.58 ,$239.73 ,$96.28 ,$215.76 ,$215.76 ,$100.14 ,$215.76 ,$174.65 ,$275.10 ,$932.68 ,$88.58 ,$84.73 ,$294.75 ,$279.03 ,$279.03 ,$88.58 ,$279.03 ,$341.91 ,$341.91 ,$341.91 , N/A ,$353.70 ,$225.98 ,$334.05 ,$84.73 ,$393.00 ,$220.47 ,$84.73 ,$162.70 , N/A , N/A ,$88.58 ,$334.05 ,$168.31 ,$215.76 ,$110.04 ,$353.70 ,$393.00 ,$84.73 ,$341.91 ,$393.00 ,$393.00 ,$393.00 ,$90.39 ,$255.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000025,12017,HC SIMP F/E/E/N/L/MM 20.1-30.0CM,450,1 ,$433.00 ,$311.76 ,$93.35 ,$932.68 ,$248.98 ,$272.79 ,$259.80 ,$93.35 ,$121.24 ,$251.14 ,$97.60 ,$264.13 ,$106.08 ,$237.72 ,$237.72 ,$110.33 ,$237.72 ,$192.43 ,$303.10 ,$932.68 ,$97.60 ,$93.35 ,$324.75 ,$307.43 ,$307.43 ,$97.60 ,$307.43 ,$376.71 ,$376.71 ,$376.71 , N/A ,$389.70 ,$248.98 ,$368.05 ,$93.35 ,$433.00 ,$242.91 ,$93.35 ,$179.26 , N/A , N/A ,$97.60 ,$368.05 ,$185.44 ,$237.72 ,$121.24 ,$389.70 ,$433.00 ,$93.35 ,$376.71 ,$433.00 ,$433.00 ,$433.00 ,$99.59 ,$281.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000026,12018,HC SIMP F/E/E/N/L/MM OVER 30CM,450,1 ,$476.00 ,$342.72 ,$102.63 ,$476.00 ,$273.70 ,$299.88 ,$285.60 ,$102.63 ,$133.28 ,$276.08 ,$107.29 ,$290.36 ,$116.62 ,$261.32 ,$261.32 ,$121.28 ,$261.32 ,$211.53 ,$333.20 ,$451.45 ,$107.29 ,$102.63 ,$357.00 ,$337.96 ,$337.96 ,$107.29 ,$337.96 ,$414.12 ,$414.12 ,$414.12 , N/A ,$428.40 ,$273.70 ,$404.60 ,$102.63 ,$476.00 ,$267.04 ,$102.63 ,$197.06 , N/A , N/A ,$107.29 ,$404.60 ,$203.85 ,$261.32 ,$133.28 ,$428.40 ,$476.00 ,$102.63 ,$414.12 ,$476.00 ,$476.00 ,$476.00 ,$109.48 ,$309.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$279.00 ,$200.88 ,$60.15 ,$932.68 ,$160.43 ,$175.77 ,$167.40 ,$60.15 ,$78.12 ,$161.82 ,$62.89 ,$170.19 ,$68.35 ,$153.17 ,$153.17 ,$71.09 ,$153.17 ,$123.99 ,$195.30 ,$932.68 ,$62.89 ,$60.15 ,$209.25 ,$198.09 ,$198.09 ,$62.89 ,$198.09 ,$242.73 ,$242.73 ,$242.73 , N/A ,$251.10 ,$160.43 ,$237.15 ,$60.15 ,$279.00 ,$156.52 ,$60.15 ,$115.51 , N/A , N/A ,$62.89 ,$237.15 ,$119.48 ,$153.17 ,$78.12 ,$251.10 ,$279.00 ,$60.15 ,$242.73 ,$279.00 ,$279.00 ,$279.00 ,$64.17 ,$181.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$307.00 ,$221.04 ,$66.19 ,$932.68 ,$176.53 ,$193.41 ,$184.20 ,$66.19 ,$85.96 ,$178.06 ,$69.20 ,$187.27 ,$75.21 ,$168.54 ,$168.54 ,$78.22 ,$168.54 ,$136.43 ,$214.90 ,$932.68 ,$69.20 ,$66.19 ,$230.25 ,$217.97 ,$217.97 ,$69.20 ,$217.97 ,$267.09 ,$267.09 ,$267.09 , N/A ,$276.30 ,$176.53 ,$260.95 ,$66.19 ,$307.00 ,$172.23 ,$66.19 ,$127.10 , N/A , N/A ,$69.20 ,$260.95 ,$131.48 ,$168.54 ,$85.96 ,$276.30 ,$307.00 ,$66.19 ,$267.09 ,$307.00 ,$307.00 ,$307.00 ,$70.61 ,$199.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$338.00 ,$243.36 ,$72.87 ,$932.68 ,$194.35 ,$212.94 ,$202.80 ,$72.87 ,$94.64 ,$196.04 ,$76.19 ,$206.18 ,$82.81 ,$185.56 ,$185.56 ,$86.12 ,$185.56 ,$150.21 ,$236.60 ,$932.68 ,$76.19 ,$72.87 ,$253.50 ,$239.98 ,$239.98 ,$76.19 ,$239.98 ,$294.06 ,$294.06 ,$294.06 , N/A ,$304.20 ,$194.35 ,$287.30 ,$72.87 ,$338.00 ,$189.62 ,$72.87 ,$139.93 , N/A , N/A ,$76.19 ,$287.30 ,$144.76 ,$185.56 ,$94.64 ,$304.20 ,$338.00 ,$72.87 ,$294.06 ,$338.00 ,$338.00 ,$338.00 ,$77.74 ,$219.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,$371.00 ,$267.12 ,$79.99 ,$932.68 ,$213.33 ,$233.73 ,$222.60 ,$79.99 ,$103.88 ,$215.18 ,$83.62 ,$226.31 ,$90.89 ,$203.68 ,$203.68 ,$94.53 ,$203.68 ,$164.87 ,$259.70 ,$932.68 ,$83.62 ,$79.99 ,$278.25 ,$263.41 ,$263.41 ,$83.62 ,$263.41 ,$322.77 ,$322.77 ,$322.77 , N/A ,$333.90 ,$213.33 ,$315.35 ,$79.99 ,$371.00 ,$208.13 ,$79.99 ,$153.59 , N/A , N/A ,$83.62 ,$315.35 ,$158.89 ,$203.68 ,$103.88 ,$333.90 ,$371.00 ,$79.99 ,$322.77 ,$371.00 ,$371.00 ,$371.00 ,$85.33 ,$241.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000033,12036,HC INTRM S/A/T/EXT 20.1-30.0CM,450,1 ,$408.00 ,$293.76 ,$87.96 ,"$1,452.38 ",$234.60 ,$257.04 ,$244.80 ,$87.96 ,$114.24 ,$236.64 ,$91.96 ,$248.88 ,$99.96 ,$223.99 ,$223.99 ,$103.96 ,$223.99 ,$181.32 ,$285.60 ,"$1,452.38 ",$91.96 ,$87.96 ,$306.00 ,$289.68 ,$289.68 ,$91.96 ,$289.68 ,$354.96 ,$354.96 ,$354.96 , N/A ,$367.20 ,$234.60 ,$346.80 ,$87.96 ,$408.00 ,$228.89 ,$87.96 ,$168.91 , N/A , N/A ,$91.96 ,$346.80 ,$174.73 ,$223.99 ,$114.24 ,$367.20 ,$408.00 ,$87.96 ,$354.96 ,$408.00 ,$408.00 ,$408.00 ,$93.84 ,$265.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000034,12037,HC INTRM S/A/T/EXT OVER 30CM,450,1 ,$449.00 ,$323.28 ,$96.80 ,"$4,314.65 ",$258.18 ,$282.87 ,$269.40 ,$96.80 ,$125.72 ,$260.42 ,$101.20 ,$273.89 ,$110.00 ,$246.50 ,$246.50 ,$114.41 ,$246.50 ,$199.54 ,$314.30 ,"$4,314.65 ",$101.20 ,$96.80 ,$336.75 ,$318.79 ,$318.79 ,$101.20 ,$318.79 ,$390.63 ,$390.63 ,$390.63 , N/A ,$404.10 ,$258.18 ,$381.65 ,$96.80 ,$449.00 ,$251.89 ,$96.80 ,$185.89 , N/A , N/A ,$101.20 ,$381.65 ,$192.29 ,$246.50 ,$125.72 ,$404.10 ,$449.00 ,$96.80 ,$390.63 ,$449.00 ,$449.00 ,$449.00 ,$103.27 ,$291.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$244.00 ,$175.68 ,$52.61 ,$932.68 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,$932.68 ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$244.00 ,$175.68 ,$52.61 ,$932.68 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,$932.68 ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$244.00 ,$175.68 ,$52.61 ,"$1,452.38 ",$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,"$1,452.38 ",$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000038,12045,HC INTRM N/H/F/GEN 12.6-20.0CM,450,1 ,$244.00 ,$175.68 ,$52.61 ,"$1,452.38 ",$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,"$1,452.38 ",$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000039,12046,HC INTRM N/H/F/GEN 20.1-30CM,450,1 ,$244.00 ,$175.68 ,$52.61 ,"$1,452.38 ",$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,"$1,452.38 ",$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000040,12047,HC INTRM N/H/F/GEN OVER 30CM,450,1 ,$768.00 ,$552.96 ,$165.58 ,"$4,314.65 ",$441.60 ,$483.84 ,$460.80 ,$165.58 ,$215.04 ,$445.44 ,$173.11 ,$468.48 ,$188.16 ,$421.63 ,$421.63 ,$195.69 ,$421.63 ,$341.30 ,$537.60 ,"$4,314.65 ",$173.11 ,$165.58 ,$576.00 ,$545.28 ,$545.28 ,$173.11 ,$545.28 ,$668.16 ,$668.16 ,$668.16 , N/A ,$691.20 ,$441.60 ,$652.80 ,$165.58 ,$768.00 ,$430.85 ,$165.58 ,$317.95 , N/A , N/A ,$173.11 ,$652.80 ,$328.91 ,$421.63 ,$215.04 ,$691.20 ,$768.00 ,$165.58 ,$668.16 ,$532.00 ,$768.00 ,$532.00 ,$176.64 ,$499.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$244.00 ,$175.68 ,$52.61 ,$932.68 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 ,$932.68 ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$269.00 ,$193.68 ,$58.00 ,$932.68 ,$154.68 ,$169.47 ,$161.40 ,$58.00 ,$75.32 ,$156.02 ,$60.63 ,$164.09 ,$65.90 ,$147.68 ,$147.68 ,$68.54 ,$147.68 ,$119.54 ,$188.30 ,$932.68 ,$60.63 ,$58.00 ,$201.75 ,$190.99 ,$190.99 ,$60.63 ,$190.99 ,$234.03 ,$234.03 ,$234.03 , N/A ,$242.10 ,$154.68 ,$228.65 ,$58.00 ,$269.00 ,$150.91 ,$58.00 ,$111.37 , N/A , N/A ,$60.63 ,$228.65 ,$115.20 ,$147.68 ,$75.32 ,$242.10 ,$269.00 ,$58.00 ,$234.03 ,$269.00 ,$269.00 ,$269.00 ,$61.87 ,$174.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$295.00 ,$212.40 ,$63.60 ,$932.68 ,$169.63 ,$185.85 ,$177.00 ,$63.60 ,$82.60 ,$171.10 ,$66.49 ,$179.95 ,$72.27 ,$161.96 ,$161.96 ,$75.17 ,$161.96 ,$131.10 ,$206.50 ,$932.68 ,$66.49 ,$63.60 ,$221.25 ,$209.45 ,$209.45 ,$66.49 ,$209.45 ,$256.65 ,$256.65 ,$256.65 , N/A ,$265.50 ,$169.63 ,$250.75 ,$63.60 ,$295.00 ,$165.50 ,$63.60 ,$122.13 , N/A , N/A ,$66.49 ,$250.75 ,$126.34 ,$161.96 ,$82.60 ,$265.50 ,$295.00 ,$63.60 ,$256.65 ,$295.00 ,$295.00 ,$295.00 ,$67.85 ,$191.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000044,12054,HC INTRM F/E/E/N/L/MM 7.6-12.5CM,450,1 ,$325.00 ,$234.00 ,$70.07 ,$932.68 ,$186.88 ,$204.75 ,$195.00 ,$70.07 ,$91.00 ,$188.50 ,$73.25 ,$198.25 ,$79.62 ,$178.43 ,$178.43 ,$82.81 ,$178.43 ,$144.43 ,$227.50 ,$932.68 ,$73.25 ,$70.07 ,$243.75 ,$230.75 ,$230.75 ,$73.25 ,$230.75 ,$282.75 ,$282.75 ,$282.75 , N/A ,$292.50 ,$186.88 ,$276.25 ,$70.07 ,$325.00 ,$182.33 ,$70.07 ,$134.55 , N/A , N/A ,$73.25 ,$276.25 ,$139.19 ,$178.43 ,$91.00 ,$292.50 ,$325.00 ,$70.07 ,$282.75 ,$325.00 ,$325.00 ,$325.00 ,$74.75 ,$211.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000045,12055,HC INTRM F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$357.00 ,$257.04 ,$76.97 ,$932.68 ,$205.28 ,$224.91 ,$214.20 ,$76.97 ,$99.96 ,$207.06 ,$80.47 ,$217.77 ,$87.46 ,$195.99 ,$195.99 ,$90.96 ,$195.99 ,$158.65 ,$249.90 ,$932.68 ,$80.47 ,$76.97 ,$267.75 ,$253.47 ,$253.47 ,$80.47 ,$253.47 ,$310.59 ,$310.59 ,$310.59 , N/A ,$321.30 ,$205.28 ,$303.45 ,$76.97 ,$357.00 ,$200.28 ,$76.97 ,$147.80 , N/A , N/A ,$80.47 ,$303.45 ,$152.89 ,$195.99 ,$99.96 ,$321.30 ,$357.00 ,$76.97 ,$310.59 ,$357.00 ,$357.00 ,$357.00 ,$82.11 ,$232.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000046,12056,HC INTRM F/E/E/N/L/MM 20.1-30.0CM,450,1 ,$393.00 ,$282.96 ,$84.73 ,$932.68 ,$225.98 ,$247.59 ,$235.80 ,$84.73 ,$110.04 ,$227.94 ,$88.58 ,$239.73 ,$96.28 ,$215.76 ,$215.76 ,$100.14 ,$215.76 ,$174.65 ,$275.10 ,$932.68 ,$88.58 ,$84.73 ,$294.75 ,$279.03 ,$279.03 ,$88.58 ,$279.03 ,$341.91 ,$341.91 ,$341.91 , N/A ,$353.70 ,$225.98 ,$334.05 ,$84.73 ,$393.00 ,$220.47 ,$84.73 ,$162.70 , N/A , N/A ,$88.58 ,$334.05 ,$168.31 ,$215.76 ,$110.04 ,$353.70 ,$393.00 ,$84.73 ,$341.91 ,$393.00 ,$393.00 ,$393.00 ,$90.39 ,$255.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000047,12057,HC INTRM F/E/E/N/L/MM OVER 30.0CM,450,1 ,$432.00 ,$311.04 ,$93.14 ,$932.68 ,$248.40 ,$272.16 ,$259.20 ,$93.14 ,$120.96 ,$250.56 ,$97.37 ,$263.52 ,$105.84 ,$237.17 ,$237.17 ,$110.07 ,$237.17 ,$191.98 ,$302.40 ,$932.68 ,$97.37 ,$93.14 ,$324.00 ,$306.72 ,$306.72 ,$97.37 ,$306.72 ,$375.84 ,$375.84 ,$375.84 , N/A ,$388.80 ,$248.40 ,$367.20 ,$93.14 ,$432.00 ,$242.35 ,$93.14 ,$178.85 , N/A , N/A ,$97.37 ,$367.20 ,$185.00 ,$237.17 ,$120.96 ,$388.80 ,$432.00 ,$93.14 ,$375.84 ,$432.00 ,$432.00 ,$432.00 ,$99.36 ,$280.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000048,13100,HC CMPLX TRUNK 1.1-2.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000049,13101,HC CMPLX TRUNK 2.6-7.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000051,13120,HC CMPLX S/A/L 1.1-2.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000053,13122,HC CMPLX S/A/L EA ADDL 5 CM OR LESS,450,1 ,$244.00 ,$175.68 ,$52.61 ,$244.00 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 , N/A ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,$932.68 ,$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,$932.68 ,$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000056,13133,HC CMPLX F/C/C/M/N/A/G/H/F EA ADDL 5 CM OR LESS,450,1 ,$244.00 ,$175.68 ,$52.61 ,$244.00 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 , N/A ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000058,13151,HC CMPLX E/N/E/L 1.1-2.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,$767.00 ,$552.24 ,$165.37 ,"$1,452.38 ",$441.03 ,$483.21 ,$460.20 ,$165.37 ,$214.76 ,$444.86 ,$172.88 ,$467.87 ,$187.91 ,$421.08 ,$421.08 ,$195.43 ,$421.08 ,$340.85 ,$536.90 ,"$1,452.38 ",$172.88 ,$165.37 ,$575.25 ,$544.57 ,$544.57 ,$172.88 ,$544.57 ,$667.29 ,$667.29 ,$667.29 , N/A ,$690.30 ,$441.03 ,$651.95 ,$165.37 ,$767.00 ,$430.29 ,$165.37 ,$317.54 , N/A , N/A ,$172.88 ,$651.95 ,$328.48 ,$421.08 ,$214.76 ,$690.30 ,$767.00 ,$165.37 ,$667.29 ,$532.00 ,$767.00 ,$532.00 ,$176.41 ,$498.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000060,13153,HC CMPLX E/N/E/L EA ADDL 5 CM OR LESS,450,1 ,$244.00 ,$175.68 ,$52.61 ,$244.00 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 , N/A ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$244.00 ,$244.00 ,$244.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$157.00 ,$113.04 ,$33.85 ,$451.45 ,$90.28 ,$98.91 ,$94.20 ,$33.85 ,$43.96 ,$91.06 ,$35.39 ,$95.77 ,$38.46 ,$86.19 ,$86.19 ,$40.00 ,$86.19 ,$69.77 ,$109.90 ,$451.45 ,$35.39 ,$33.85 ,$117.75 ,$111.47 ,$111.47 ,$35.39 ,$111.47 ,$136.59 ,$136.59 ,$136.59 , N/A ,$141.30 ,$90.28 ,$133.45 ,$33.85 ,$157.00 ,$88.08 ,$33.85 ,$65.00 , N/A , N/A ,$35.39 ,$133.45 ,$67.24 ,$86.19 ,$43.96 ,$141.30 ,$157.00 ,$33.85 ,$136.59 ,$157.00 ,$157.00 ,$157.00 ,$36.11 ,$102.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$293.00 ,$210.96 ,$63.17 ,$451.45 ,$168.48 ,$184.59 ,$175.80 ,$63.17 ,$82.04 ,$169.94 ,$66.04 ,$178.73 ,$71.78 ,$160.86 ,$160.86 ,$74.66 ,$160.86 ,$130.21 ,$205.10 ,$451.45 ,$66.04 ,$63.17 ,$219.75 ,$208.03 ,$208.03 ,$66.04 ,$208.03 ,$254.91 ,$254.91 ,$254.91 , N/A ,$263.70 ,$168.48 ,$249.05 ,$63.17 ,$293.00 ,$164.37 ,$63.17 ,$121.30 , N/A , N/A ,$66.04 ,$249.05 ,$125.48 ,$160.86 ,$82.04 ,$263.70 ,$293.00 ,$63.17 ,$254.91 ,$293.00 ,$293.00 ,$293.00 ,$67.39 ,$190.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$346.00 ,$249.12 ,$74.60 ,$451.45 ,$198.95 ,$217.98 ,$207.60 ,$74.60 ,$96.88 ,$200.68 ,$77.99 ,$211.06 ,$84.77 ,$189.95 ,$189.95 ,$88.16 ,$189.95 ,$153.76 ,$242.20 ,$451.45 ,$77.99 ,$74.60 ,$259.50 ,$245.66 ,$245.66 ,$77.99 ,$245.66 ,$301.02 ,$301.02 ,$301.02 , N/A ,$311.40 ,$198.95 ,$294.10 ,$74.60 ,$346.00 ,$194.11 ,$74.60 ,$143.24 , N/A , N/A ,$77.99 ,$294.10 ,$148.18 ,$189.95 ,$96.88 ,$311.40 ,$346.00 ,$74.60 ,$301.02 ,$346.00 ,$346.00 ,$346.00 ,$79.58 ,$224.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$412.00 ,$296.64 ,$88.83 ,$932.68 ,$236.90 ,$259.56 ,$247.20 ,$88.83 ,$115.36 ,$238.96 ,$92.86 ,$251.32 ,$100.94 ,$226.19 ,$226.19 ,$104.98 ,$226.19 ,$183.09 ,$288.40 ,$932.68 ,$92.86 ,$88.83 ,$309.00 ,$292.52 ,$292.52 ,$92.86 ,$292.52 ,$358.44 ,$358.44 ,$358.44 , N/A ,$370.80 ,$236.90 ,$350.20 ,$88.83 ,$412.00 ,$231.13 ,$88.83 ,$170.57 , N/A , N/A ,$92.86 ,$350.20 ,$176.44 ,$226.19 ,$115.36 ,$370.80 ,$412.00 ,$88.83 ,$358.44 ,$412.00 ,$412.00 ,$412.00 ,$94.76 ,$267.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$307.00 ,$221.04 ,$66.19 ,$451.45 ,$176.53 ,$193.41 ,$184.20 ,$66.19 ,$85.96 ,$178.06 ,$69.20 ,$187.27 ,$75.21 ,$168.54 ,$168.54 ,$78.22 ,$168.54 ,$136.43 ,$214.90 ,$451.45 ,$69.20 ,$66.19 ,$230.25 ,$217.97 ,$217.97 ,$69.20 ,$217.97 ,$267.09 ,$267.09 ,$267.09 , N/A ,$276.30 ,$176.53 ,$260.95 ,$66.19 ,$307.00 ,$172.23 ,$66.19 ,$127.10 , N/A , N/A ,$69.20 ,$260.95 ,$131.48 ,$168.54 ,$85.96 ,$276.30 ,$307.00 ,$66.19 ,$267.09 ,$307.00 ,$307.00 ,$307.00 ,$70.61 ,$199.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000068,20103,HC EXPL PENTR WOUND EXTREMITY,450,1 ,$493.00 ,$354.96 ,$106.29 ,"$3,748.88 ",$283.48 ,$310.59 ,$295.80 ,$106.29 ,$138.04 ,$285.94 ,$111.12 ,$300.73 ,$120.78 ,$270.66 ,$270.66 ,$125.62 ,$270.66 ,$219.09 ,$345.10 ,"$3,748.88 ",$111.12 ,$106.29 ,$369.75 ,$350.03 ,$350.03 ,$111.12 ,$350.03 ,$428.91 ,$428.91 ,$428.91 , N/A ,$443.70 ,$283.48 ,$419.05 ,$106.29 ,$493.00 ,$276.57 ,$106.29 ,$204.10 , N/A , N/A ,$111.12 ,$419.05 ,$211.13 ,$270.66 ,$138.04 ,$443.70 ,$493.00 ,$106.29 ,$428.91 ,$493.00 ,$493.00 ,$493.00 ,$113.39 ,$320.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 , N/A , N/A ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$532.00 ,$713.00 ,$532.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 , N/A , N/A ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$532.00 ,$713.00 ,$532.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,"$1,070.00 ",$770.40 ,$230.69 ,"$1,070.00 ",$615.25 ,$674.10 ,$642.00 ,$230.69 ,$299.60 ,$620.60 ,$241.18 ,$652.70 ,$262.15 ,$587.43 ,$587.43 ,$272.64 ,$587.43 ,$475.51 ,$749.00 ,"$1,019.59 ",$241.18 ,$230.69 ,$802.50 ,$759.70 ,$759.70 ,$241.18 ,$759.70 ,$930.90 ,$930.90 ,$930.90 , N/A ,$963.00 ,$615.25 ,$909.50 ,$230.69 ,"$1,070.00 ",$600.27 ,$230.69 ,$442.98 , N/A , N/A ,$241.18 ,$909.50 ,$458.24 ,$587.43 ,$299.60 ,$963.00 ,"$1,070.00 ",$230.69 ,$930.90 ,$532.00 ,"$1,070.00 ",$532.00 ,$246.10 ,$695.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 , N/A , N/A ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$532.00 ,$713.00 ,$532.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,070.00 ",$770.40 ,$230.69 ,"$1,070.00 ",$615.25 ,$674.10 ,$642.00 ,$230.69 ,$299.60 ,$620.60 ,$241.18 ,$652.70 ,$262.15 ,$587.43 ,$587.43 ,$272.64 ,$587.43 ,$475.51 ,$749.00 ,"$1,019.59 ",$241.18 ,$230.69 ,$802.50 ,$759.70 ,$759.70 ,$241.18 ,$759.70 ,$930.90 ,$930.90 ,$930.90 , N/A ,$963.00 ,$615.25 ,$909.50 ,$230.69 ,"$1,070.00 ",$600.27 ,$230.69 ,$442.98 , N/A , N/A ,$241.18 ,$909.50 ,$458.24 ,$587.43 ,$299.60 ,$963.00 ,"$1,070.00 ",$230.69 ,$930.90 ,$532.00 ,"$1,070.00 ",$532.00 ,$246.10 ,$695.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$587.00 ,$422.64 ,$126.56 ,$587.00 ,$337.53 ,$369.81 ,$352.20 ,$126.56 ,$164.36 ,$340.46 ,$132.31 ,$358.07 ,$143.81 ,$322.26 ,$322.26 ,$149.57 ,$322.26 ,$260.86 ,$410.90 ,$517.53 ,$132.31 ,$126.56 ,$440.25 ,$416.77 ,$416.77 ,$132.31 ,$416.77 ,$510.69 ,$510.69 ,$510.69 , N/A ,$528.30 ,$337.53 ,$498.95 ,$126.56 ,$587.00 ,$329.31 ,$126.56 ,$243.02 , N/A , N/A ,$132.31 ,$498.95 ,$251.39 ,$322.26 ,$164.36 ,$528.30 ,$587.00 ,$126.56 ,$510.69 ,$532.00 ,$587.00 ,$532.00 ,$135.01 ,$381.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000075,23655,HC TX DISL SHLDR W/MAN/ANES CLS,450,1 ,"$3,691.00 ","$2,657.52 ",$532.00 ,"$3,691.00 ","$2,122.33 ","$2,325.33 ","$2,214.60 ",$795.78 ,"$1,033.48 ","$2,140.78 ",$831.95 ,"$2,251.51 ",$904.28 ,"$2,026.36 ","$2,026.36 ",$940.47 ,"$2,026.36 ","$1,640.28 ","$2,583.70 ","$3,586.30 ",$831.95 ,$795.78 ,"$2,768.25 ","$2,620.61 ","$2,620.61 ",$831.95 ,"$2,620.61 ","$3,211.17 ","$3,211.17 ","$3,211.17 ", N/A ,"$3,321.90 ","$2,122.33 ","$3,137.35 ",$795.78 ,"$3,691.00 ","$2,070.65 ",$795.78 ,"$1,528.07 ", N/A , N/A ,$831.95 ,"$3,137.35 ","$1,580.71 ","$2,026.36 ","$1,033.48 ","$3,321.90 ","$3,691.00 ",$795.78 ,"$3,211.17 ",$532.00 ,"$3,691.00 ",$532.00 ,$848.93 ,"$2,399.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,$574.00 ,$413.28 ,$123.75 ,"$3,586.30 ",$330.05 ,$361.62 ,$344.40 ,$123.75 ,$160.72 ,$332.92 ,$129.38 ,$350.14 ,$140.63 ,$315.13 ,$315.13 ,$146.26 ,$315.13 ,$255.09 ,$401.80 ,"$3,586.30 ",$129.38 ,$123.75 ,$430.50 ,$407.54 ,$407.54 ,$129.38 ,$407.54 ,$499.38 ,$499.38 ,$499.38 , N/A ,$516.60 ,$330.05 ,$487.90 ,$123.75 ,$574.00 ,$322.01 ,$123.75 ,$237.64 , N/A , N/A ,$129.38 ,$487.90 ,$245.82 ,$315.13 ,$160.72 ,$516.60 ,$574.00 ,$123.75 ,$499.38 ,$532.00 ,$574.00 ,$532.00 ,$132.02 ,$373.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$327.00 ,$235.44 ,$70.50 ,"$3,586.30 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,"$3,586.30 ",$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$490.00 ,$352.80 ,$105.64 ,"$3,586.30 ",$281.75 ,$308.70 ,$294.00 ,$105.64 ,$137.20 ,$284.20 ,$110.45 ,$298.90 ,$120.05 ,$269.01 ,$269.01 ,$124.85 ,$269.01 ,$217.76 ,$343.00 ,"$3,586.30 ",$110.45 ,$105.64 ,$367.50 ,$347.90 ,$347.90 ,$110.45 ,$347.90 ,$426.30 ,$426.30 ,$426.30 , N/A ,$441.00 ,$281.75 ,$416.50 ,$105.64 ,$490.00 ,$274.89 ,$105.64 ,$202.86 , N/A , N/A ,$110.45 ,$416.50 ,$209.85 ,$269.01 ,$137.20 ,$441.00 ,$490.00 ,$105.64 ,$426.30 ,$490.00 ,$490.00 ,$490.00 ,$112.70 ,$318.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,$550.00 ,$396.00 ,$118.58 ,$550.00 ,$316.25 ,$346.50 ,$330.00 ,$118.58 ,$154.00 ,$319.00 ,$123.97 ,$335.50 ,$134.75 ,$301.95 ,$301.95 ,$140.14 ,$301.95 ,$244.42 ,$385.00 ,$451.45 ,$123.97 ,$118.58 ,$412.50 ,$390.50 ,$390.50 ,$123.97 ,$390.50 ,$478.50 ,$478.50 ,$478.50 , N/A ,$495.00 ,$316.25 ,$467.50 ,$118.58 ,$550.00 ,$308.55 ,$118.58 ,$227.70 , N/A , N/A ,$123.97 ,$467.50 ,$235.54 ,$301.95 ,$154.00 ,$495.00 ,$550.00 ,$118.58 ,$478.50 ,$532.00 ,$550.00 ,$532.00 ,$126.50 ,$357.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$4,221.00 ","$3,039.12 ",$532.00 ,"$4,221.00 ","$2,427.08 ","$2,659.23 ","$2,532.60 ",$910.05 ,"$1,181.88 ","$2,448.18 ",$951.41 ,"$2,574.81 ","$1,034.14 ","$2,317.33 ","$2,317.33 ","$1,075.51 ","$2,317.33 ","$1,875.81 ","$2,954.70 ","$3,748.88 ",$951.41 ,$910.05 ,"$3,165.75 ","$2,996.91 ","$2,996.91 ",$951.41 ,"$2,996.91 ","$3,672.27 ","$3,672.27 ","$3,672.27 ", N/A ,"$3,798.90 ","$2,427.08 ","$3,587.85 ",$910.05 ,"$4,221.00 ","$2,367.98 ",$910.05 ,"$1,747.49 ", N/A , N/A ,$951.41 ,"$3,587.85 ","$1,807.69 ","$2,317.33 ","$1,181.88 ","$3,798.90 ","$4,221.00 ",$910.05 ,"$3,672.27 ",$532.00 ,"$4,221.00 ",$532.00 ,$970.83 ,"$2,743.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$327.00 ,$235.44 ,$70.50 ,$517.53 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,$517.53 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000088,26742,HC TX FX (M-P)(I-P) JT W/MAN,450,1 ,$529.00 ,$380.88 ,$114.05 ,"$3,586.30 ",$304.18 ,$333.27 ,$317.40 ,$114.05 ,$148.12 ,$306.82 ,$119.24 ,$322.69 ,$129.60 ,$290.42 ,$290.42 ,$134.79 ,$290.42 ,$235.09 ,$370.30 ,"$3,586.30 ",$119.24 ,$114.05 ,$396.75 ,$375.59 ,$375.59 ,$119.24 ,$375.59 ,$460.23 ,$460.23 ,$460.23 , N/A ,$476.10 ,$304.18 ,$449.65 ,$114.05 ,$529.00 ,$296.77 ,$114.05 ,$219.01 , N/A , N/A ,$119.24 ,$449.65 ,$226.55 ,$290.42 ,$148.12 ,$476.10 ,$529.00 ,$114.05 ,$460.23 ,$529.00 ,$529.00 ,$529.00 ,$121.67 ,$343.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000089,26755,HC TX FX PHALANX DIST W/MAN CLS,450,1 ,$327.00 ,$235.44 ,$70.50 ,$517.53 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,$517.53 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$650.00 ,$468.00 ,$140.14 ,$650.00 ,$373.75 ,$409.50 ,$390.00 ,$140.14 ,$182.00 ,$377.00 ,$146.51 ,$396.50 ,$159.25 ,$356.85 ,$356.85 ,$165.62 ,$356.85 ,$288.86 ,$455.00 ,$517.53 ,$146.51 ,$140.14 ,$487.50 ,$461.50 ,$461.50 ,$146.51 ,$461.50 ,$565.50 ,$565.50 ,$565.50 , N/A ,$585.00 ,$373.75 ,$552.50 ,$140.14 ,$650.00 ,$364.65 ,$140.14 ,$269.10 , N/A , N/A ,$146.51 ,$552.50 ,$278.37 ,$356.85 ,$182.00 ,$585.00 ,$650.00 ,$140.14 ,$565.50 ,$532.00 ,$650.00 ,$532.00 ,$149.50 ,$422.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,"$8,212.00 ","$5,912.64 ",$532.00 ,"$8,212.00 ","$4,721.90 ","$5,173.56 ","$4,927.20 ","$1,770.51 ","$2,299.36 ","$4,085.00 ","$1,850.98 ","$4,300.00 ","$2,011.94 ","$3,870.00 ","$3,870.00 ","$2,092.42 ","$3,870.00 ","$3,649.41 ","$5,748.40 ","$7,441.65 ","$1,850.98 ","$1,770.51 ","$6,159.00 ","$5,830.52 ","$5,830.52 ","$1,850.98 ","$5,830.52 ","$7,144.44 ","$7,144.44 ","$7,144.44 ", N/A ,"$7,390.80 ","$4,721.90 ","$6,980.20 ","$1,770.51 ","$8,212.00 ","$4,606.93 ","$1,770.51 ","$3,399.77 ", N/A , N/A ,"$1,850.98 ","$6,980.20 ","$3,516.87 ","$3,870.00 ","$2,299.36 ","$7,390.80 ","$8,212.00 ","$1,770.51 ","$7,144.44 ",$532.00 ,"$8,212.00 ",$532.00 ,"$1,888.76 ","$5,337.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000092,27250,HC TX DISCL HIP CLOSED W/O ANES,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$249.00 ,$179.28 ,$53.68 ,$517.53 ,$143.18 ,$156.87 ,$149.40 ,$53.68 ,$69.72 ,$144.42 ,$56.12 ,$151.89 ,$61.00 ,$136.70 ,$136.70 ,$63.45 ,$136.70 ,$110.66 ,$174.30 ,$517.53 ,$56.12 ,$53.68 ,$186.75 ,$176.79 ,$176.79 ,$56.12 ,$176.79 ,$216.63 ,$216.63 ,$216.63 , N/A ,$224.10 ,$143.18 ,$211.65 ,$53.68 ,$249.00 ,$139.69 ,$53.68 ,$103.09 , N/A , N/A ,$56.12 ,$211.65 ,$106.63 ,$136.70 ,$69.72 ,$224.10 ,$249.00 ,$53.68 ,$216.63 ,$249.00 ,$249.00 ,$249.00 ,$57.27 ,$161.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$373.00 ,$268.56 ,$80.42 ,$776.29 ,$214.48 ,$234.99 ,$223.80 ,$80.42 ,$104.44 ,$216.34 ,$84.07 ,$227.53 ,$91.38 ,$204.78 ,$204.78 ,$95.04 ,$204.78 ,$165.76 ,$261.10 ,$776.29 ,$84.07 ,$80.42 ,$279.75 ,$264.83 ,$264.83 ,$84.07 ,$264.83 ,$324.51 ,$324.51 ,$324.51 , N/A ,$335.70 ,$214.48 ,$317.05 ,$80.42 ,$373.00 ,$209.25 ,$80.42 ,$154.42 , N/A , N/A ,$84.07 ,$317.05 ,$159.74 ,$204.78 ,$104.44 ,$335.70 ,$373.00 ,$80.42 ,$324.51 ,$373.00 ,$373.00 ,$373.00 ,$85.79 ,$242.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$327.00 ,$235.44 ,$70.50 ,$517.53 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,$517.53 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$3,550.00 ","$2,556.00 ",$532.00 ,"$3,550.00 ","$2,041.25 ","$2,236.50 ","$2,130.00 ",$765.38 ,$994.00 ,"$2,059.00 ",$800.17 ,"$2,165.50 ",$869.75 ,"$1,948.95 ","$1,948.95 ",$904.54 ,"$1,948.95 ","$1,577.62 ","$2,485.00 ","$1,622.43 ",$800.17 ,$765.38 ,"$2,662.50 ","$2,520.50 ","$2,520.50 ",$800.17 ,"$2,520.50 ","$3,088.50 ","$3,088.50 ","$3,088.50 ", N/A ,"$3,195.00 ","$2,041.25 ","$3,017.50 ",$765.38 ,"$3,550.00 ","$1,991.55 ",$765.38 ,"$1,469.70 ", N/A , N/A ,$800.17 ,"$3,017.50 ","$1,520.32 ","$1,948.95 ",$994.00 ,"$3,195.00 ","$3,550.00 ",$765.38 ,"$3,088.50 ",$532.00 ,"$3,550.00 ",$532.00 ,$816.50 ,"$2,307.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$292.00 ,$210.24 ,$62.96 ,$599.78 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$599.78 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$292.00 ,$210.24 ,$62.96 ,$599.78 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$599.78 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$292.00 ,$210.24 ,$62.96 ,$364.40 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$364.40 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$292.00 ,$210.24 ,$62.96 ,$292.00 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$290.28 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$327.00 ,$235.44 ,$70.50 ,$327.00 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,$290.28 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$139.00 ,$100.08 ,$29.97 ,$290.28 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$76.31 ,$61.77 ,$97.30 ,$290.28 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 , N/A , N/A ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$139.00 ,$139.00 ,$139.00 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000105,29240,HC STRAPPING SHLDR,450,1 ,$211.00 ,$151.92 ,$45.49 ,$290.28 ,$121.33 ,$132.93 ,$126.60 ,$45.49 ,$59.08 ,$122.38 ,$47.56 ,$128.71 ,$51.69 ,$115.84 ,$115.84 ,$53.76 ,$115.84 ,$93.77 ,$147.70 ,$290.28 ,$47.56 ,$45.49 ,$158.25 ,$149.81 ,$149.81 ,$47.56 ,$149.81 ,$183.57 ,$183.57 ,$183.57 , N/A ,$189.90 ,$121.33 ,$179.35 ,$45.49 ,$211.00 ,$118.37 ,$45.49 ,$87.35 , N/A , N/A ,$47.56 ,$179.35 ,$90.37 ,$115.84 ,$59.08 ,$189.90 ,$211.00 ,$45.49 ,$183.57 ,$211.00 ,$211.00 ,$211.00 ,$48.53 ,$137.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$292.00 ,$210.24 ,$62.96 ,$599.78 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$599.78 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$139.00 ,$100.08 ,$29.97 ,$364.40 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$76.31 ,$61.77 ,$97.30 ,$364.40 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 , N/A , N/A ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$139.00 ,$139.00 ,$139.00 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$238.00 ,$171.36 ,$51.31 ,$364.40 ,$136.85 ,$149.94 ,$142.80 ,$51.31 ,$66.64 ,$138.04 ,$53.65 ,$145.18 ,$58.31 ,$130.66 ,$130.66 ,$60.64 ,$130.66 ,$105.77 ,$166.60 ,$364.40 ,$53.65 ,$51.31 ,$178.50 ,$168.98 ,$168.98 ,$53.65 ,$168.98 ,$207.06 ,$207.06 ,$207.06 , N/A ,$214.20 ,$136.85 ,$202.30 ,$51.31 ,$238.00 ,$133.52 ,$51.31 ,$98.53 , N/A , N/A ,$53.65 ,$202.30 ,$101.93 ,$130.66 ,$66.64 ,$214.20 ,$238.00 ,$51.31 ,$207.06 ,$238.00 ,$238.00 ,$238.00 ,$54.74 ,$154.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000110,30300,HC REM FB INTRANASAL,450,1 ,$88.00 ,$63.36 ,$18.97 ,$290.28 ,$50.60 ,$55.44 ,$52.80 ,$18.97 ,$24.64 ,$51.04 ,$19.84 ,$53.68 ,$21.56 ,$48.31 ,$48.31 ,$22.42 ,$48.31 ,$39.11 ,$61.60 ,$290.28 ,$19.84 ,$18.97 ,$66.00 ,$62.48 ,$62.48 ,$19.84 ,$62.48 ,$76.56 ,$76.56 ,$76.56 , N/A ,$79.20 ,$50.60 ,$74.80 ,$18.97 ,$88.00 ,$49.37 ,$18.97 ,$36.43 , N/A , N/A ,$19.84 ,$74.80 ,$37.69 ,$48.31 ,$24.64 ,$79.20 ,$88.00 ,$18.97 ,$76.56 ,$88.00 ,$88.00 ,$88.00 ,$20.24 ,$57.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$215.00 ,$154.80 ,$46.35 ,$290.28 ,$123.63 ,$135.45 ,$129.00 ,$46.35 ,$60.20 ,$124.70 ,$48.46 ,$131.15 ,$52.67 ,$118.04 ,$118.04 ,$54.78 ,$118.04 ,$95.55 ,$150.50 ,$290.28 ,$48.46 ,$46.35 ,$161.25 ,$152.65 ,$152.65 ,$48.46 ,$152.65 ,$187.05 ,$187.05 ,$187.05 , N/A ,$193.50 ,$123.63 ,$182.75 ,$46.35 ,$215.00 ,$120.62 ,$46.35 ,$89.01 , N/A , N/A ,$48.46 ,$182.75 ,$92.08 ,$118.04 ,$60.20 ,$193.50 ,$215.00 ,$46.35 ,$187.05 ,$215.00 ,$215.00 ,$215.00 ,$49.45 ,$139.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$322.00 ,$231.84 ,$69.42 ,$322.00 ,$185.15 ,$202.86 ,$193.20 ,$69.42 ,$90.16 ,$186.76 ,$72.58 ,$196.42 ,$78.89 ,$176.78 ,$176.78 ,$82.05 ,$176.78 ,$143.10 ,$225.40 ,$290.28 ,$72.58 ,$69.42 ,$241.50 ,$228.62 ,$228.62 ,$72.58 ,$228.62 ,$280.14 ,$280.14 ,$280.14 , N/A ,$289.80 ,$185.15 ,$273.70 ,$69.42 ,$322.00 ,$180.64 ,$69.42 ,$133.31 , N/A , N/A ,$72.58 ,$273.70 ,$137.90 ,$176.78 ,$90.16 ,$289.80 ,$322.00 ,$69.42 ,$280.14 ,$322.00 ,$322.00 ,$322.00 ,$74.06 ,$209.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$336.00 ,$241.92 ,$72.44 ,$336.00 ,$193.20 ,$211.68 ,$201.60 ,$72.44 ,$94.08 ,$194.88 ,$75.73 ,$204.96 ,$82.32 ,$184.46 ,$184.46 ,$85.61 ,$184.46 ,$149.32 ,$235.20 ,$290.28 ,$75.73 ,$72.44 ,$252.00 ,$238.56 ,$238.56 ,$75.73 ,$238.56 ,$292.32 ,$292.32 ,$292.32 , N/A ,$302.40 ,$193.20 ,$285.60 ,$72.44 ,$336.00 ,$188.50 ,$72.44 ,$139.10 , N/A , N/A ,$75.73 ,$285.60 ,$143.89 ,$184.46 ,$94.08 ,$302.40 ,$336.00 ,$72.44 ,$292.32 ,$336.00 ,$336.00 ,$336.00 ,$77.28 ,$218.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$215.00 ,$154.80 ,$46.35 ,$290.28 ,$123.63 ,$135.45 ,$129.00 ,$46.35 ,$60.20 ,$124.70 ,$48.46 ,$131.15 ,$52.67 ,$118.04 ,$118.04 ,$54.78 ,$118.04 ,$95.55 ,$150.50 ,$290.28 ,$48.46 ,$46.35 ,$161.25 ,$152.65 ,$152.65 ,$48.46 ,$152.65 ,$187.05 ,$187.05 ,$187.05 , N/A ,$193.50 ,$123.63 ,$182.75 ,$46.35 ,$215.00 ,$120.62 ,$46.35 ,$89.01 , N/A , N/A ,$48.46 ,$182.75 ,$92.08 ,$118.04 ,$60.20 ,$193.50 ,$215.00 ,$46.35 ,$187.05 ,$215.00 ,$215.00 ,$215.00 ,$49.45 ,$139.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000116,31720,HC ASP CATH NASOTRACHEAL,450,1 ,$132.00 ,$95.04 ,$28.46 ,$478.75 ,$75.90 ,$83.16 ,$79.20 ,$28.46 ,$36.96 ,$76.56 ,$29.75 ,$80.52 ,$32.34 ,$72.47 ,$72.47 ,$33.63 ,$72.47 ,$58.66 ,$92.40 ,$478.75 ,$29.75 ,$28.46 ,$99.00 ,$93.72 ,$93.72 ,$29.75 ,$93.72 ,$114.84 ,$114.84 ,$114.84 , N/A ,$118.80 ,$75.90 ,$112.20 ,$28.46 ,$132.00 ,$74.05 ,$28.46 ,$54.65 , N/A , N/A ,$29.75 ,$112.20 ,$56.53 ,$72.47 ,$36.96 ,$118.80 ,$132.00 ,$28.46 ,$114.84 ,$132.00 ,$132.00 ,$132.00 ,$30.36 ,$85.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$286.00 ,$205.92 ,$61.66 ,$943.93 ,$164.45 ,$180.18 ,$171.60 ,$61.66 ,$80.08 ,$165.88 ,$64.46 ,$174.46 ,$70.07 ,$157.01 ,$157.01 ,$72.87 ,$157.01 ,$127.10 ,$200.20 ,$943.93 ,$64.46 ,$61.66 ,$214.50 ,$203.06 ,$203.06 ,$64.46 ,$203.06 ,$248.82 ,$248.82 ,$248.82 , N/A ,$257.40 ,$164.45 ,$243.10 ,$61.66 ,$286.00 ,$160.45 ,$61.66 ,$118.40 , N/A , N/A ,$64.46 ,$243.10 ,$122.48 ,$157.01 ,$80.08 ,$257.40 ,$286.00 ,$61.66 ,$248.82 ,$286.00 ,$286.00 ,$286.00 ,$65.78 ,$185.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,"$1,830.00 ","$1,317.60 ",$394.55 ,"$1,830.00 ","$1,052.25 ","$1,152.90 ","$1,098.00 ",$394.55 ,$512.40 ,"$1,061.40 ",$412.48 ,"$1,116.30 ",$448.35 ,"$1,004.67 ","$1,004.67 ",$466.28 ,"$1,004.67 ",$813.25 ,"$1,281.00 ","$1,622.43 ",$412.48 ,$394.55 ,"$1,372.50 ","$1,299.30 ","$1,299.30 ",$412.48 ,"$1,299.30 ","$1,592.10 ","$1,592.10 ","$1,592.10 ", N/A ,"$1,647.00 ","$1,052.25 ","$1,555.50 ",$394.55 ,"$1,830.00 ","$1,026.63 ",$394.55 ,$757.62 , N/A , N/A ,$412.48 ,"$1,555.50 ",$783.72 ,"$1,004.67 ",$512.40 ,"$1,647.00 ","$1,830.00 ",$394.55 ,"$1,592.10 ",$532.00 ,"$1,830.00 ",$532.00 ,$420.90 ,"$1,189.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000137,40830,HC LAC REPAIR VESTIBULE MOUTH 2.5 CM OR LESS,450,1 ,$408.00 ,$293.76 ,$87.96 ,$519.58 ,$234.60 ,$257.04 ,$244.80 ,$87.96 ,$114.24 ,$236.64 ,$91.96 ,$248.88 ,$99.96 ,$223.99 ,$223.99 ,$103.96 ,$223.99 ,$181.32 ,$285.60 ,$519.58 ,$91.96 ,$87.96 ,$306.00 ,$289.68 ,$289.68 ,$91.96 ,$289.68 ,$354.96 ,$354.96 ,$354.96 , N/A ,$367.20 ,$234.60 ,$346.80 ,$87.96 ,$408.00 ,$228.89 ,$87.96 ,$168.91 , N/A , N/A ,$91.96 ,$346.80 ,$174.73 ,$223.99 ,$114.24 ,$367.20 ,$408.00 ,$87.96 ,$354.96 ,$408.00 ,$408.00 ,$408.00 ,$93.84 ,$265.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$140.00 ,$100.80 ,$30.18 ,$943.93 ,$80.50 ,$88.20 ,$84.00 ,$30.18 ,$39.20 ,$81.20 ,$31.56 ,$85.40 ,$34.30 ,$76.86 ,$76.86 ,$35.67 ,$76.86 ,$62.22 ,$98.00 ,$943.93 ,$31.56 ,$30.18 ,$105.00 ,$99.40 ,$99.40 ,$31.56 ,$99.40 ,$121.80 ,$121.80 ,$121.80 , N/A ,$126.00 ,$80.50 ,$119.00 ,$30.18 ,$140.00 ,$78.54 ,$30.18 ,$57.96 , N/A , N/A ,$31.56 ,$119.00 ,$59.96 ,$76.86 ,$39.20 ,$126.00 ,$140.00 ,$30.18 ,$121.80 ,$140.00 ,$140.00 ,$140.00 ,$32.20 ,$91.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$174.00 ,$125.28 ,$37.51 ,$290.28 ,$100.05 ,$109.62 ,$104.40 ,$37.51 ,$48.72 ,$100.92 ,$39.22 ,$106.14 ,$42.63 ,$95.53 ,$95.53 ,$44.34 ,$95.53 ,$77.33 ,$121.80 ,$290.28 ,$39.22 ,$37.51 ,$130.50 ,$123.54 ,$123.54 ,$39.22 ,$123.54 ,$151.38 ,$151.38 ,$151.38 , N/A ,$156.60 ,$100.05 ,$147.90 ,$37.51 ,$174.00 ,$97.61 ,$37.51 ,$72.04 , N/A , N/A ,$39.22 ,$147.90 ,$74.52 ,$95.53 ,$48.72 ,$156.60 ,$174.00 ,$37.51 ,$151.38 ,$174.00 ,$174.00 ,$174.00 ,$40.02 ,$113.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000140,42700,HC I AND D ABSC PERITONSILLAR,450,1 ,$648.00 ,$466.56 ,$139.71 ,$648.00 ,$372.60 ,$408.24 ,$388.80 ,$139.71 ,$181.44 ,$375.84 ,$146.06 ,$395.28 ,$158.76 ,$355.75 ,$355.75 ,$165.11 ,$355.75 ,$287.97 ,$453.60 ,$519.58 ,$146.06 ,$139.71 ,$486.00 ,$460.08 ,$460.08 ,$146.06 ,$460.08 ,$563.76 ,$563.76 ,$563.76 , N/A ,$583.20 ,$372.60 ,$550.80 ,$139.71 ,$648.00 ,$363.53 ,$139.71 ,$268.27 , N/A , N/A ,$146.06 ,$550.80 ,$277.52 ,$355.75 ,$181.44 ,$583.20 ,$648.00 ,$139.71 ,$563.76 ,$532.00 ,$648.00 ,$532.00 ,$149.04 ,$421.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000141,42809,HC REMOVE PHARYNX FOREIGN BODY,450,1 ,$884.00 ,$636.48 ,$190.59 ,$943.93 ,$508.30 ,$556.92 ,$530.40 ,$190.59 ,$247.52 ,$512.72 ,$199.25 ,$539.24 ,$216.58 ,$485.32 ,$485.32 ,$225.24 ,$485.32 ,$392.85 ,$618.80 ,$943.93 ,$199.25 ,$190.59 ,$663.00 ,$627.64 ,$627.64 ,$199.25 ,$627.64 ,$769.08 ,$769.08 ,$769.08 , N/A ,$795.60 ,$508.30 ,$751.40 ,$190.59 ,$884.00 ,$495.92 ,$190.59 ,$365.98 , N/A , N/A ,$199.25 ,$751.40 ,$378.58 ,$485.32 ,$247.52 ,$795.60 ,$884.00 ,$190.59 ,$769.08 ,$532.00 ,$884.00 ,$532.00 ,$203.32 ,$574.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000143,43753,HC GASTRIC LAVAGE,450,1 ,$215.00 ,$154.80 ,$46.35 ,$700.15 ,$123.63 ,$135.45 ,$129.00 ,$46.35 ,$60.20 ,$124.70 ,$48.46 ,$131.15 ,$52.67 ,$118.04 ,$118.04 ,$54.78 ,$118.04 ,$95.55 ,$150.50 ,$700.15 ,$48.46 ,$46.35 ,$161.25 ,$152.65 ,$152.65 ,$48.46 ,$152.65 ,$187.05 ,$187.05 ,$187.05 , N/A ,$193.50 ,$123.63 ,$182.75 ,$46.35 ,$215.00 ,$120.62 ,$46.35 ,$89.01 , N/A , N/A ,$48.46 ,$182.75 ,$92.08 ,$118.04 ,$60.20 ,$193.50 ,$215.00 ,$46.35 ,$187.05 ,$215.00 ,$215.00 ,$215.00 ,$49.45 ,$139.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$3,190.00 ","$2,296.80 ",$532.00 ,"$3,190.00 ","$1,834.25 ","$2,009.70 ","$1,914.00 ",$687.76 ,$893.20 ,"$1,850.20 ",$719.03 ,"$1,945.90 ",$781.55 ,"$1,751.31 ","$1,751.31 ",$812.81 ,"$1,751.31 ","$1,417.64 ","$2,233.00 ","$2,707.28 ",$719.03 ,$687.76 ,"$2,392.50 ","$2,264.90 ","$2,264.90 ",$719.03 ,"$2,264.90 ","$2,775.30 ","$2,775.30 ","$2,775.30 ", N/A ,"$2,871.00 ","$1,834.25 ","$2,711.50 ",$687.76 ,"$3,190.00 ","$1,789.59 ",$687.76 ,"$1,320.66 ", N/A , N/A ,$719.03 ,"$2,711.50 ","$1,366.15 ","$1,751.31 ",$893.20 ,"$2,871.00 ","$3,190.00 ",$687.76 ,"$2,775.30 ",$532.00 ,"$3,190.00 ",$532.00 ,$733.70 ,"$2,073.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,$649.00 ,$467.28 ,$139.92 ,"$2,077.60 ",$373.18 ,$408.87 ,$389.40 ,$139.92 ,$181.72 ,$376.42 ,$146.28 ,$395.89 ,$159.00 ,$356.30 ,$356.30 ,$165.37 ,$356.30 ,$288.42 ,$454.30 ,"$2,077.60 ",$146.28 ,$139.92 ,$486.75 ,$460.79 ,$460.79 ,$146.28 ,$460.79 ,$564.63 ,$564.63 ,$564.63 , N/A ,$584.10 ,$373.18 ,$551.65 ,$139.92 ,$649.00 ,$364.09 ,$139.92 ,$268.69 , N/A , N/A ,$146.28 ,$551.65 ,$277.94 ,$356.30 ,$181.72 ,$584.10 ,$649.00 ,$139.92 ,$564.63 ,$532.00 ,$649.00 ,$532.00 ,$149.27 ,$421.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$496.00 ,$357.12 ,$106.94 ,$537.18 ,$285.20 ,$312.48 ,$297.60 ,$106.94 ,$138.88 ,$287.68 ,$111.80 ,$302.56 ,$121.52 ,$272.30 ,$272.30 ,$126.38 ,$272.30 ,$220.42 ,$347.20 ,$537.18 ,$111.80 ,$106.94 ,$372.00 ,$352.16 ,$352.16 ,$111.80 ,$352.16 ,$431.52 ,$431.52 ,$431.52 , N/A ,$446.40 ,$285.20 ,$421.60 ,$106.94 ,$496.00 ,$278.26 ,$106.94 ,$205.34 , N/A , N/A ,$111.80 ,$421.60 ,$212.41 ,$272.30 ,$138.88 ,$446.40 ,$496.00 ,$106.94 ,$431.52 ,$496.00 ,$496.00 ,$496.00 ,$114.08 ,$322.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000150,46600,HC ANOSCOPY,450,1 ,$281.00 ,$202.32 ,$60.58 ,$290.28 ,$161.58 ,$177.03 ,$168.60 ,$60.58 ,$78.68 ,$162.98 ,$63.34 ,$171.41 ,$68.84 ,$154.27 ,$154.27 ,$71.60 ,$154.27 ,$124.88 ,$196.70 ,$290.28 ,$63.34 ,$60.58 ,$210.75 ,$199.51 ,$199.51 ,$63.34 ,$199.51 ,$244.47 ,$244.47 ,$244.47 , N/A ,$252.90 ,$161.58 ,$238.85 ,$60.58 ,$281.00 ,$157.64 ,$60.58 ,$116.33 , N/A , N/A ,$63.34 ,$238.85 ,$120.34 ,$154.27 ,$78.68 ,$252.90 ,$281.00 ,$60.58 ,$244.47 ,$281.00 ,$281.00 ,$281.00 ,$64.63 ,$182.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$396.00 ,$285.12 ,$85.38 ,$537.18 ,$227.70 ,$249.48 ,$237.60 ,$85.38 ,$110.88 ,$229.68 ,$89.26 ,$241.56 ,$97.02 ,$217.40 ,$217.40 ,$100.90 ,$217.40 ,$175.98 ,$277.20 ,$537.18 ,$89.26 ,$85.38 ,$297.00 ,$281.16 ,$281.16 ,$89.26 ,$281.16 ,$344.52 ,$344.52 ,$344.52 , N/A ,$356.40 ,$227.70 ,$336.60 ,$85.38 ,$396.00 ,$222.16 ,$85.38 ,$163.94 , N/A , N/A ,$89.26 ,$336.60 ,$169.59 ,$217.40 ,$110.88 ,$356.40 ,$396.00 ,$85.38 ,$344.52 ,$396.00 ,$396.00 ,$396.00 ,$91.08 ,$257.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$482.00 ,$347.04 ,$103.92 ,$537.18 ,$277.15 ,$303.66 ,$289.20 ,$103.92 ,$134.96 ,$279.56 ,$108.64 ,$294.02 ,$118.09 ,$264.62 ,$264.62 ,$122.81 ,$264.62 ,$214.20 ,$337.40 ,$537.18 ,$108.64 ,$103.92 ,$361.50 ,$342.22 ,$342.22 ,$108.64 ,$342.22 ,$419.34 ,$419.34 ,$419.34 , N/A ,$433.80 ,$277.15 ,$409.70 ,$103.92 ,$482.00 ,$270.40 ,$103.92 ,$199.55 , N/A , N/A ,$108.64 ,$409.70 ,$206.42 ,$264.62 ,$134.96 ,$433.80 ,$482.00 ,$103.92 ,$419.34 ,$482.00 ,$482.00 ,$482.00 ,$110.86 ,$313.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000161,54700,HC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,450,1 ,"$5,315.00 ","$3,826.80 ",$532.00 ,"$5,315.00 ","$3,056.13 ","$3,348.45 ","$3,189.00 ","$1,145.91 ","$1,488.20 ","$3,082.70 ","$1,198.00 ","$3,242.15 ","$1,302.17 ","$2,917.94 ","$2,917.94 ","$1,354.26 ","$2,917.94 ","$2,361.99 ","$3,720.50 ","$4,637.20 ","$1,198.00 ","$1,145.91 ","$3,986.25 ","$3,773.65 ","$3,773.65 ","$1,198.00 ","$3,773.65 ","$4,624.05 ","$4,624.05 ","$4,624.05 ", N/A ,"$4,783.50 ","$3,056.13 ","$4,517.75 ","$1,145.91 ","$5,315.00 ","$2,981.72 ","$1,145.91 ","$2,200.41 ", N/A , N/A ,"$1,198.00 ","$4,517.75 ","$2,276.21 ","$2,917.94 ","$1,488.20 ","$4,783.50 ","$5,315.00 ","$1,145.91 ","$4,624.05 ",$532.00 ,"$5,315.00 ",$532.00 ,"$1,222.45 ","$3,454.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000162,55100,HC DRAIN ABSC SCROTAL WALL,450,1 ,"$4,161.00 ","$2,995.92 ",$532.00 ,"$4,161.00 ","$2,392.58 ","$2,621.43 ","$2,496.60 ",$897.11 ,"$1,165.08 ","$2,413.38 ",$937.89 ,"$2,538.21 ","$1,019.44 ","$2,284.39 ","$2,284.39 ","$1,060.22 ","$2,284.39 ","$1,849.15 ","$2,912.70 ","$3,748.88 ",$937.89 ,$897.11 ,"$3,120.75 ","$2,954.31 ","$2,954.31 ",$937.89 ,"$2,954.31 ","$3,620.07 ","$3,620.07 ","$3,620.07 ", N/A ,"$3,744.90 ","$2,392.58 ","$3,536.85 ",$897.11 ,"$4,161.00 ","$2,334.32 ",$897.11 ,"$1,722.65 ", N/A , N/A ,$937.89 ,"$3,536.85 ","$1,781.99 ","$2,284.39 ","$1,165.08 ","$3,744.90 ","$4,161.00 ",$897.11 ,"$3,620.07 ",$532.00 ,"$4,161.00 ",$532.00 ,$957.03 ,"$2,704.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$380.00 ,$273.60 ,$81.93 ,$729.90 ,$218.50 ,$239.40 ,$228.00 ,$81.93 ,$106.40 ,$220.40 ,$85.65 ,$231.80 ,$93.10 ,$208.62 ,$208.62 ,$96.82 ,$208.62 ,$168.87 ,$266.00 ,$729.90 ,$85.65 ,$81.93 ,$285.00 ,$269.80 ,$269.80 ,$85.65 ,$269.80 ,$330.60 ,$330.60 ,$330.60 , N/A ,$342.00 ,$218.50 ,$323.00 ,$81.93 ,$380.00 ,$213.18 ,$81.93 ,$157.32 , N/A , N/A ,$85.65 ,$323.00 ,$162.74 ,$208.62 ,$106.40 ,$342.00 ,$380.00 ,$81.93 ,$330.60 ,$380.00 ,$380.00 ,$380.00 ,$87.40 ,$247.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$498.00 ,$358.56 ,$107.37 ,$498.00 ,$286.35 ,$313.74 ,$298.80 ,$107.37 ,$139.44 ,$288.84 ,$112.25 ,$303.78 ,$122.01 ,$273.40 ,$273.40 ,$126.89 ,$273.40 ,$221.31 ,$348.60 ,$445.33 ,$112.25 ,$107.37 ,$373.50 ,$353.58 ,$353.58 ,$112.25 ,$353.58 ,$433.26 ,$433.26 ,$433.26 , N/A ,$448.20 ,$286.35 ,$423.30 ,$107.37 ,$498.00 ,$279.38 ,$107.37 ,$206.17 , N/A , N/A ,$112.25 ,$423.30 ,$213.28 ,$273.40 ,$139.44 ,$448.20 ,$498.00 ,$107.37 ,$433.26 ,$498.00 ,$498.00 ,$498.00 ,$114.54 ,$323.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000166,59414,HC DELIVERY OF PLACENTA,450,1 ,"$1,897.00 ","$1,365.84 ",$408.99 ,"$7,068.60 ","$1,090.78 ","$1,195.11 ","$1,138.20 ",$408.99 ,$531.16 ,"$1,100.26 ",$427.58 ,"$1,157.17 ",$464.76 ,"$1,041.45 ","$1,041.45 ",$483.36 ,"$1,041.45 ",$843.03 ,"$1,327.90 ","$7,068.60 ",$427.58 ,$408.99 ,"$1,422.75 ","$1,346.87 ","$1,346.87 ",$427.58 ,"$1,346.87 ","$1,650.39 ","$1,650.39 ","$1,650.39 ", N/A ,"$1,707.30 ","$1,090.78 ","$1,612.45 ",$408.99 ,"$1,897.00 ","$1,064.22 ",$408.99 ,$785.36 , N/A , N/A ,$427.58 ,"$1,612.45 ",$812.41 ,"$1,041.45 ",$531.16 ,"$1,707.30 ","$1,897.00 ",$408.99 ,"$1,650.39 ",$532.00 ,"$1,897.00 ",$532.00 ,$436.31 ,"$1,233.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000168,64400,HC DENTAL BLOCK,450,1 ,$705.00 ,$507.60 ,$152.00 ,$705.00 ,$405.38 ,$444.15 ,$423.00 ,$152.00 ,$197.40 ,$408.90 ,$158.91 ,$430.05 ,$172.72 ,$387.05 ,$387.05 ,$179.63 ,$387.05 ,$313.30 ,$493.50 ,$679.73 ,$158.91 ,$152.00 ,$528.75 ,$500.55 ,$500.55 ,$158.91 ,$500.55 ,$613.35 ,$613.35 ,$613.35 , N/A ,$634.50 ,$405.38 ,$599.25 ,$152.00 ,$705.00 ,$395.51 ,$152.00 ,$291.87 , N/A , N/A ,$158.91 ,$599.25 ,$301.93 ,$387.05 ,$197.40 ,$634.50 ,$705.00 ,$152.00 ,$613.35 ,$532.00 ,$705.00 ,$532.00 ,$162.15 ,$458.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$388.00 ,$279.36 ,$83.65 ,$679.73 ,$223.10 ,$244.44 ,$232.80 ,$83.65 ,$108.64 ,$225.04 ,$87.46 ,$236.68 ,$95.06 ,$213.01 ,$213.01 ,$98.86 ,$213.01 ,$172.43 ,$271.60 ,$679.73 ,$87.46 ,$83.65 ,$291.00 ,$275.48 ,$275.48 ,$87.46 ,$275.48 ,$337.56 ,$337.56 ,$337.56 , N/A ,$349.20 ,$223.10 ,$329.80 ,$83.65 ,$388.00 ,$217.67 ,$83.65 ,$160.63 , N/A , N/A ,$87.46 ,$329.80 ,$166.17 ,$213.01 ,$108.64 ,$349.20 ,$388.00 ,$83.65 ,$337.56 ,$388.00 ,$388.00 ,$388.00 ,$89.24 ,$252.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,797.00 ","$1,293.84 ",$387.43 ,"$1,797.00 ","$1,033.28 ","$1,132.11 ","$1,078.20 ",$387.43 ,$503.16 ,"$1,042.26 ",$405.04 ,"$1,096.17 ",$440.26 ,$986.55 ,$986.55 ,$457.88 ,$986.55 ,$798.59 ,"$1,257.90 ","$1,610.85 ",$405.04 ,$387.43 ,"$1,347.75 ","$1,275.87 ","$1,275.87 ",$405.04 ,"$1,275.87 ","$1,563.39 ","$1,563.39 ","$1,563.39 ", N/A ,"$1,617.30 ","$1,033.28 ","$1,527.45 ",$387.43 ,"$1,797.00 ","$1,008.12 ",$387.43 ,$743.96 , N/A , N/A ,$405.04 ,"$1,527.45 ",$769.58 ,$986.55 ,$503.16 ,"$1,617.30 ","$1,797.00 ",$387.43 ,"$1,563.39 ",$532.00 ,"$1,797.00 ",$532.00 ,$413.31 ,"$1,168.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$412.00 ,$296.64 ,$88.83 ,$412.00 ,$236.90 ,$259.56 ,$247.20 ,$88.83 ,$115.36 ,$238.96 ,$92.86 ,$251.32 ,$100.94 ,$226.19 ,$226.19 ,$104.98 ,$226.19 ,$183.09 ,$288.40 ,$290.28 ,$92.86 ,$88.83 ,$309.00 ,$292.52 ,$292.52 ,$92.86 ,$292.52 ,$358.44 ,$358.44 ,$358.44 , N/A ,$370.80 ,$236.90 ,$350.20 ,$88.83 ,$412.00 ,$231.13 ,$88.83 ,$170.57 , N/A , N/A ,$92.86 ,$350.20 ,$176.44 ,$226.19 ,$115.36 ,$370.80 ,$412.00 ,$88.83 ,$358.44 ,$412.00 ,$412.00 ,$412.00 ,$94.76 ,$267.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000172,65210,HC REM EYE FB CONJUCT EMBED,450,1 ,"$1,200.00 ",$864.00 ,$258.72 ,"$1,200.00 ",$690.00 ,$756.00 ,$720.00 ,$258.72 ,$336.00 ,$696.00 ,$270.48 ,$732.00 ,$294.00 ,$658.80 ,$658.80 ,$305.76 ,$658.80 ,$533.28 ,$840.00 ,$943.93 ,$270.48 ,$258.72 ,$900.00 ,$852.00 ,$852.00 ,$270.48 ,$852.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ", N/A ,"$1,080.00 ",$690.00 ,"$1,020.00 ",$258.72 ,"$1,200.00 ",$673.20 ,$258.72 ,$496.80 , N/A , N/A ,$270.48 ,"$1,020.00 ",$513.91 ,$658.80 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$258.72 ,"$1,044.00 ",$532.00 ,"$1,200.00 ",$532.00 ,$276.00 ,$780.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$363.00 ,$261.36 ,$78.26 ,$943.93 ,$208.73 ,$228.69 ,$217.80 ,$78.26 ,$101.64 ,$210.54 ,$81.82 ,$221.43 ,$88.93 ,$199.29 ,$199.29 ,$92.49 ,$199.29 ,$161.32 ,$254.10 ,$943.93 ,$81.82 ,$78.26 ,$272.25 ,$257.73 ,$257.73 ,$81.82 ,$257.73 ,$315.81 ,$315.81 ,$315.81 , N/A ,$326.70 ,$208.73 ,$308.55 ,$78.26 ,$363.00 ,$203.64 ,$78.26 ,$150.28 , N/A , N/A ,$81.82 ,$308.55 ,$155.46 ,$199.29 ,$101.64 ,$326.70 ,$363.00 ,$78.26 ,$315.81 ,$363.00 ,$363.00 ,$363.00 ,$83.49 ,$235.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$345.00 ,$248.40 ,$74.38 ,$345.00 ,$198.38 ,$217.35 ,$207.00 ,$74.38 ,$96.60 ,$200.10 ,$77.76 ,$210.45 ,$84.52 ,$189.41 ,$189.41 ,$87.91 ,$189.41 ,$153.32 ,$241.50 ,$290.28 ,$77.76 ,$74.38 ,$258.75 ,$244.95 ,$244.95 ,$77.76 ,$244.95 ,$300.15 ,$300.15 ,$300.15 , N/A ,$310.50 ,$198.38 ,$293.25 ,$74.38 ,$345.00 ,$193.55 ,$74.38 ,$142.83 , N/A , N/A ,$77.76 ,$293.25 ,$147.75 ,$189.41 ,$96.60 ,$310.50 ,$345.00 ,$74.38 ,$300.15 ,$345.00 ,$345.00 ,$345.00 ,$79.35 ,$224.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000178,67938,HC REMOVE EMBEDDED FB EYELID,450,1 ,$155.00 ,$111.60 ,$33.42 ,$661.78 ,$89.13 ,$97.65 ,$93.00 ,$33.42 ,$43.40 ,$89.90 ,$34.94 ,$94.55 ,$37.97 ,$85.10 ,$85.10 ,$39.49 ,$85.10 ,$68.88 ,$108.50 ,$661.78 ,$34.94 ,$33.42 ,$116.25 ,$110.05 ,$110.05 ,$34.94 ,$110.05 ,$134.85 ,$134.85 ,$134.85 , N/A ,$139.50 ,$89.13 ,$131.75 ,$33.42 ,$155.00 ,$86.96 ,$33.42 ,$64.17 , N/A , N/A ,$34.94 ,$131.75 ,$66.39 ,$85.10 ,$43.40 ,$139.50 ,$155.00 ,$33.42 ,$134.85 ,$155.00 ,$155.00 ,$155.00 ,$35.65 ,$100.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,"$1,830.00 ","$1,317.60 ",$394.55 ,"$1,830.00 ","$1,052.25 ","$1,152.90 ","$1,098.00 ",$394.55 ,$512.40 ,"$1,061.40 ",$412.48 ,"$1,116.30 ",$448.35 ,"$1,004.67 ","$1,004.67 ",$466.28 ,"$1,004.67 ",$813.25 ,"$1,281.00 ","$1,622.43 ",$412.48 ,$394.55 ,"$1,372.50 ","$1,299.30 ","$1,299.30 ",$412.48 ,"$1,299.30 ","$1,592.10 ","$1,592.10 ","$1,592.10 ", N/A ,"$1,647.00 ","$1,052.25 ","$1,555.50 ",$394.55 ,"$1,830.00 ","$1,026.63 ",$394.55 ,$757.62 , N/A , N/A ,$412.48 ,"$1,555.50 ",$783.72 ,"$1,004.67 ",$512.40 ,"$1,647.00 ","$1,830.00 ",$394.55 ,"$1,592.10 ",$532.00 ,"$1,830.00 ",$532.00 ,$420.90 ,"$1,189.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000181,69200,HC FB REMOVAL EAR,450,1 ,$229.00 ,$164.88 ,$49.37 ,$290.28 ,$131.68 ,$144.27 ,$137.40 ,$49.37 ,$64.12 ,$132.82 ,$51.62 ,$139.69 ,$56.10 ,$125.72 ,$125.72 ,$58.35 ,$125.72 ,$101.77 ,$160.30 ,$290.28 ,$51.62 ,$49.37 ,$171.75 ,$162.59 ,$162.59 ,$51.62 ,$162.59 ,$199.23 ,$199.23 ,$199.23 , N/A ,$206.10 ,$131.68 ,$194.65 ,$49.37 ,$229.00 ,$128.47 ,$49.37 ,$94.81 , N/A , N/A ,$51.62 ,$194.65 ,$98.07 ,$125.72 ,$64.12 ,$206.10 ,$229.00 ,$49.37 ,$199.23 ,$229.00 ,$229.00 ,$229.00 ,$52.67 ,$148.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000181,69200,HC FB REMOVAL EAR,450,1 ,$344.00 ,$247.68 ,$74.17 ,$344.00 ,$197.80 ,$216.72 ,$206.40 ,$74.17 ,$96.32 ,$199.52 ,$77.54 ,$209.84 ,$84.28 ,$188.86 ,$188.86 ,$87.65 ,$188.86 ,$152.87 ,$240.80 ,$290.28 ,$77.54 ,$74.17 ,$258.00 ,$244.24 ,$244.24 ,$77.54 ,$244.24 ,$299.28 ,$299.28 ,$299.28 , N/A ,$309.60 ,$197.80 ,$292.40 ,$74.17 ,$344.00 ,$192.98 ,$74.17 ,$142.42 , N/A , N/A ,$77.54 ,$292.40 ,$147.32 ,$188.86 ,$96.32 ,$309.60 ,$344.00 ,$74.17 ,$299.28 ,$344.00 ,$344.00 ,$344.00 ,$79.12 ,$223.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$211.00 ,$151.92 ,$25.00 ,$211.00 ,$121.33 ,$132.93 ,$126.60 ,$45.49 ,$59.08 ,$122.38 ,$47.56 ,$128.71 ,$51.69 ,$115.84 ,$115.84 ,$53.76 ,$115.84 ,$93.77 ,$147.70 ,$143.70 ,$47.56 ,$45.49 ,$158.25 ,$149.81 ,$149.81 ,$47.56 ,$149.81 ,$183.57 ,$183.57 ,$183.57 , N/A ,$189.90 ,$121.33 ,$179.35 ,$45.49 ,$211.00 ,$118.37 ,$45.49 ,$87.35 , N/A , N/A ,$47.56 ,$179.35 ,$90.37 ,$115.84 ,$59.08 ,$189.90 ,$25.00 ,$45.49 ,$183.57 ,$211.00 ,$211.00 ,$211.00 ,$48.53 ,$137.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$316.00 ,$227.52 ,$25.00 ,$316.00 ,$181.70 ,$199.08 ,$189.60 ,$68.13 ,$88.48 ,$183.28 ,$71.23 ,$192.76 ,$77.42 ,$173.48 ,$173.48 ,$80.52 ,$173.48 ,$140.43 ,$221.20 ,$143.70 ,$71.23 ,$68.13 ,$237.00 ,$224.36 ,$224.36 ,$71.23 ,$224.36 ,$274.92 ,$274.92 ,$274.92 , N/A ,$284.40 ,$181.70 ,$268.60 ,$68.13 ,$316.00 ,$177.28 ,$68.13 ,$130.82 , N/A , N/A ,$71.23 ,$268.60 ,$135.33 ,$173.48 ,$88.48 ,$284.40 ,$25.00 ,$68.13 ,$274.92 ,$316.00 ,$316.00 ,$316.00 ,$72.68 ,$205.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000188,99281,HC ER LEVEL 1,450,1 ,$380.00 ,$273.60 ,$81.93 ,$380.00 ,$218.50 ,$239.40 ,$228.00 ,$81.93 ,$106.40 ,$220.40 ,$85.65 ,$231.80 ,$93.10 ,$208.62 ,$208.62 ,$96.82 ,$208.62 ,$168.87 ,$266.00 ,$187.73 ,$85.65 ,$81.93 ,$285.00 ,$269.80 ,$269.80 ,$85.65 ,$269.80 ,$330.60 ,$330.60 ,$330.60 , N/A ,$342.00 ,$218.50 ,$323.00 ,$81.93 ,$380.00 ,$213.18 ,$81.93 ,$157.32 , N/A , N/A ,$85.65 ,$323.00 ,$162.74 ,$208.62 ,$106.40 ,$342.00 ,$380.00 ,$81.93 ,$330.60 ,$380.00 ,$380.00 ,$380.00 ,$87.40 ,$247.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000189,99282,HC ER LEVEL 2,450,1 ,$595.00 ,$428.40 ,$128.28 ,$595.00 ,$342.13 ,$374.85 ,$357.00 ,$128.28 ,$166.60 ,$345.10 ,$134.11 ,$362.95 ,$145.77 ,$326.66 ,$326.66 ,$151.61 ,$326.66 ,$264.42 ,$416.50 ,$349.23 ,$134.11 ,$128.28 ,$446.25 ,$422.45 ,$422.45 ,$134.11 ,$422.45 ,$517.65 ,$517.65 ,$517.65 , N/A ,$535.50 ,$342.13 ,$505.75 ,$128.28 ,$595.00 ,$333.80 ,$128.28 ,$246.33 , N/A , N/A ,$134.11 ,$505.75 ,$254.82 ,$326.66 ,$166.60 ,$535.50 ,$595.00 ,$128.28 ,$517.65 ,$595.00 ,$595.00 ,$595.00 ,$136.85 ,$386.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000190,99283,HC ER LEVEL 3,450,1 ,$847.00 ,$609.84 ,$182.61 ,$847.00 ,$487.03 ,$533.61 ,$508.20 ,$182.61 ,$237.16 ,$491.26 ,$190.91 ,$516.67 ,$207.51 ,$465.00 ,$465.00 ,$215.82 ,$465.00 ,$376.41 ,$592.90 ,$612.58 ,$190.91 ,$182.61 ,$635.25 ,$601.37 ,$601.37 ,$190.91 ,$601.37 ,$736.89 ,$736.89 ,$736.89 , N/A ,$762.30 ,$487.03 ,$719.95 ,$182.61 ,$847.00 ,$475.17 ,$182.61 ,$350.66 , N/A , N/A ,$190.91 ,$719.95 ,$362.74 ,$465.00 ,$237.16 ,$762.30 ,$847.00 ,$182.61 ,$736.89 ,$847.00 ,$847.00 ,$847.00 ,$194.81 ,$550.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000191,99284,HC ER LEVEL 4,450,1 ,"$1,291.00 ",$929.52 ,$217.00 ,"$1,291.00 ",$742.33 ,$813.33 ,$774.60 ,$278.34 ,$361.48 ,$748.78 ,$290.99 ,$787.51 ,$316.29 ,$708.76 ,$708.76 ,$328.95 ,$708.76 ,$573.72 ,$903.70 ,$954.03 ,$290.99 ,$278.34 ,$968.25 ,$916.61 ,$916.61 ,$290.99 ,$916.61 ,"$1,123.17 ","$1,123.17 ","$1,123.17 ", N/A ,"$1,161.90 ",$742.33 ,"$1,097.35 ",$278.34 ,"$1,291.00 ",$724.25 ,$278.34 ,$534.47 ,$238.70 ,$217.00 ,$290.99 ,"$1,097.35 ",$552.89 ,$708.76 ,$361.48 ,"$1,161.90 ","$1,291.00 ",$278.34 ,"$1,123.17 ","$1,291.00 ","$1,291.00 ","$1,291.00 ",$296.93 ,$839.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000192,99285,HC ER LEVEL 5,450,1 ,"$1,837.00 ","$1,322.64 ",$217.00 ,"$1,837.00 ","$1,056.28 ","$1,157.31 ","$1,102.20 ",$396.06 ,$514.36 ,"$1,065.46 ",$414.06 ,"$1,120.57 ",$450.06 ,"$1,008.51 ","$1,008.51 ",$468.07 ,"$1,008.51 ",$816.36 ,"$1,285.90 ","$1,370.28 ",$414.06 ,$396.06 ,"$1,377.75 ","$1,304.27 ","$1,304.27 ",$414.06 ,"$1,304.27 ","$1,598.19 ","$1,598.19 ","$1,598.19 ", N/A ,"$1,653.30 ","$1,056.28 ","$1,561.45 ",$396.06 ,"$1,837.00 ","$1,030.56 ",$396.06 ,$760.52 ,$238.70 ,$217.00 ,$414.06 ,"$1,561.45 ",$786.71 ,"$1,008.51 ",$514.36 ,"$1,653.30 ","$1,837.00 ",$396.06 ,"$1,598.19 ","$1,837.00 ","$1,837.00 ","$1,837.00 ",$422.51 ,"$1,194.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$2,349.00 ","$1,691.28 ",$217.00 ,"$2,349.00 ","$1,350.68 ","$1,479.87 ","$1,409.40 ",$506.44 ,$657.72 ,"$1,362.42 ",$529.46 ,"$1,432.89 ",$575.50 ,"$1,289.60 ","$1,289.60 ",$598.53 ,"$1,289.60 ","$1,043.90 ","$1,644.30 ","$1,919.30 ",$529.46 ,$506.44 ,"$1,761.75 ","$1,667.79 ","$1,667.79 ",$529.46 ,"$1,667.79 ","$2,043.63 ","$2,043.63 ","$2,043.63 ", N/A ,"$2,114.10 ","$1,350.68 ","$1,996.65 ",$506.44 ,"$2,349.00 ","$1,317.79 ",$506.44 ,$972.49 ,$238.70 ,$217.00 ,$529.46 ,"$1,996.65 ","$1,005.98 ","$1,289.60 ",$657.72 ,"$2,114.10 ","$2,349.00 ",$506.44 ,"$2,043.63 ","$2,349.00 ","$2,349.00 ","$2,349.00 ",$540.27 ,"$1,526.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,$892.00 ,$642.24 ,$192.32 ,$892.00 ,$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 ,$624.40 , N/A ,$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 , N/A , N/A ,$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$532.00 ,$892.00 ,$532.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,$370.00 ,$266.40 ,$79.77 ,"$3,586.30 ",$212.75 ,$233.10 ,$222.00 ,$79.77 ,$103.60 ,$214.60 ,$83.40 ,$225.70 ,$90.65 ,$203.13 ,$203.13 ,$94.28 ,$203.13 ,$164.43 ,$259.00 ,"$3,586.30 ",$83.40 ,$79.77 ,$277.50 ,$262.70 ,$262.70 ,$83.40 ,$262.70 ,$321.90 ,$321.90 ,$321.90 , N/A ,$333.00 ,$212.75 ,$314.50 ,$79.77 ,$370.00 ,$207.57 ,$79.77 ,$153.18 , N/A , N/A ,$83.40 ,$314.50 ,$158.46 ,$203.13 ,$103.60 ,$333.00 ,$370.00 ,$79.77 ,$321.90 ,$370.00 ,$370.00 ,$370.00 ,$85.10 ,$240.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$377.00 ,$271.44 ,$81.28 ,$517.53 ,$216.78 ,$237.51 ,$226.20 ,$81.28 ,$105.56 ,$218.66 ,$84.98 ,$229.97 ,$92.36 ,$206.97 ,$206.97 ,$96.06 ,$206.97 ,$167.54 ,$263.90 ,$517.53 ,$84.98 ,$81.28 ,$282.75 ,$267.67 ,$267.67 ,$84.98 ,$267.67 ,$327.99 ,$327.99 ,$327.99 , N/A ,$339.30 ,$216.78 ,$320.45 ,$81.28 ,$377.00 ,$211.50 ,$81.28 ,$156.08 , N/A , N/A ,$84.98 ,$320.45 ,$161.45 ,$206.97 ,$105.56 ,$339.30 ,$377.00 ,$81.28 ,$327.99 ,$377.00 ,$377.00 ,$377.00 ,$86.71 ,$245.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000200,35206,HC RPR VESSEL EXTREM UPR,450,1 ,"$3,678.00 ","$2,648.16 ",$532.00 ,"$7,447.43 ","$2,114.85 ","$2,317.14 ","$2,206.80 ",$792.98 ,"$1,029.84 ","$2,133.24 ",$829.02 ,"$2,243.58 ",$901.11 ,"$2,019.22 ","$2,019.22 ",$937.15 ,"$2,019.22 ","$1,634.50 ","$2,574.60 ","$7,447.43 ",$829.02 ,$792.98 ,"$2,758.50 ","$2,611.38 ","$2,611.38 ",$829.02 ,"$2,611.38 ","$3,199.86 ","$3,199.86 ","$3,199.86 ", N/A ,"$3,310.20 ","$2,114.85 ","$3,126.30 ",$792.98 ,"$3,678.00 ","$2,063.36 ",$792.98 ,"$1,522.69 ", N/A , N/A ,$829.02 ,"$3,126.30 ","$1,575.14 ","$2,019.22 ","$1,029.84 ","$3,310.20 ","$3,678.00 ",$792.98 ,"$3,199.86 ",$532.00 ,"$3,678.00 ",$532.00 ,$845.94 ,"$2,390.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000203,27840,HC TX DISL ANKLE W/O ANES CLS,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,"$4,221.00 ","$3,039.12 ",$532.00 ,"$4,221.00 ","$2,427.08 ","$2,659.23 ","$2,532.60 ",$910.05 ,"$1,181.88 ","$2,448.18 ",$951.41 ,"$2,574.81 ","$1,034.14 ","$2,317.33 ","$2,317.33 ","$1,075.51 ","$2,317.33 ","$1,875.81 ","$2,954.70 ","$3,748.88 ",$951.41 ,$910.05 ,"$3,165.75 ","$2,996.91 ","$2,996.91 ",$951.41 ,"$2,996.91 ","$3,672.27 ","$3,672.27 ","$3,672.27 ", N/A ,"$3,798.90 ","$2,427.08 ","$3,587.85 ",$910.05 ,"$4,221.00 ","$2,367.98 ",$910.05 ,"$1,747.49 ", N/A , N/A ,$951.41 ,"$3,587.85 ","$1,807.69 ","$2,317.33 ","$1,181.88 ","$3,798.90 ","$4,221.00 ",$910.05 ,"$3,672.27 ",$532.00 ,"$4,221.00 ",$532.00 ,$970.83 ,"$2,743.65 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$4,177.00 ","$3,007.44 ",$532.00 ,"$4,177.00 ","$2,401.78 ","$2,631.51 ","$2,506.20 ",$900.56 ,"$1,169.56 ","$2,422.66 ",$941.50 ,"$2,547.97 ","$1,023.36 ","$2,293.17 ","$2,293.17 ","$1,064.30 ","$2,293.17 ","$1,856.26 ","$2,923.90 ","$3,586.30 ",$941.50 ,$900.56 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$941.50 ,"$2,965.67 ","$3,633.99 ","$3,633.99 ","$3,633.99 ", N/A ,"$3,759.30 ","$2,401.78 ","$3,550.45 ",$900.56 ,"$4,177.00 ","$2,343.30 ",$900.56 ,"$1,729.28 ", N/A , N/A ,$941.50 ,"$3,550.45 ","$1,788.84 ","$2,293.17 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$900.56 ,"$3,633.99 ",$532.00 ,"$4,177.00 ",$532.00 ,$960.71 ,"$2,715.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,$865.00 ,$622.80 ,$186.49 ,$865.00 ,$497.38 ,$544.95 ,$519.00 ,$186.49 ,$242.20 ,$501.70 ,$194.97 ,$527.65 ,$211.92 ,$474.89 ,$474.89 ,$220.40 ,$474.89 ,$384.41 ,$605.50 ,$831.55 ,$194.97 ,$186.49 ,$648.75 ,$614.15 ,$614.15 ,$194.97 ,$614.15 ,$752.55 ,$752.55 ,$752.55 , N/A ,$778.50 ,$497.38 ,$735.25 ,$186.49 ,$865.00 ,$485.27 ,$186.49 ,$358.11 , N/A , N/A ,$194.97 ,$735.25 ,$370.45 ,$474.89 ,$242.20 ,$778.50 ,$865.00 ,$186.49 ,$752.55 ,$532.00 ,$865.00 ,$532.00 ,$198.95 ,$562.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000216,41899,HC DENTOALVEOLAR STRUCT PROC,450,1 ,$648.00 ,$466.56 ,$139.71 ,$648.00 ,$372.60 ,$408.24 ,$388.80 ,$139.71 ,$181.44 ,$375.84 ,$146.06 ,$395.28 ,$158.76 ,$355.75 ,$355.75 ,$165.11 ,$355.75 ,$287.97 ,$453.60 ,$519.58 ,$146.06 ,$139.71 ,$486.00 ,$460.08 ,$460.08 ,$146.06 ,$460.08 ,$563.76 ,$563.76 ,$563.76 , N/A ,$583.20 ,$372.60 ,$550.80 ,$139.71 ,$648.00 ,$363.53 ,$139.71 ,$268.27 , N/A , N/A ,$146.06 ,$550.80 ,$277.52 ,$355.75 ,$181.44 ,$583.20 ,$648.00 ,$139.71 ,$563.76 ,$532.00 ,$648.00 ,$532.00 ,$149.04 ,$421.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,$370.00 ,$266.40 ,$79.77 ,"$3,586.30 ",$212.75 ,$233.10 ,$222.00 ,$79.77 ,$103.60 ,$214.60 ,$83.40 ,$225.70 ,$90.65 ,$203.13 ,$203.13 ,$94.28 ,$203.13 ,$164.43 ,$259.00 ,"$3,586.30 ",$83.40 ,$79.77 ,$277.50 ,$262.70 ,$262.70 ,$83.40 ,$262.70 ,$321.90 ,$321.90 ,$321.90 , N/A ,$333.00 ,$212.75 ,$314.50 ,$79.77 ,$370.00 ,$207.57 ,$79.77 ,$153.18 , N/A , N/A ,$83.40 ,$314.50 ,$158.46 ,$203.13 ,$103.60 ,$333.00 ,$370.00 ,$79.77 ,$321.90 ,$370.00 ,$370.00 ,$370.00 ,$85.10 ,$240.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000221,10121,HC RM FB SUBQ W/INC COMPL,450,1 ,"$1,819.00 ","$1,309.68 ",$392.18 ,"$3,748.88 ","$1,045.93 ","$1,145.97 ","$1,091.40 ",$392.18 ,$509.32 ,"$1,055.02 ",$410.00 ,"$1,109.59 ",$445.65 ,$998.63 ,$998.63 ,$463.48 ,$998.63 ,$808.36 ,"$1,273.30 ","$3,748.88 ",$410.00 ,$392.18 ,"$1,364.25 ","$1,291.49 ","$1,291.49 ",$410.00 ,"$1,291.49 ","$1,582.53 ","$1,582.53 ","$1,582.53 ", N/A ,"$1,637.10 ","$1,045.93 ","$1,546.15 ",$392.18 ,"$1,819.00 ","$1,020.46 ",$392.18 ,$753.07 , N/A , N/A ,$410.00 ,"$1,546.15 ",$779.00 ,$998.63 ,$509.32 ,"$1,637.10 ","$1,819.00 ",$392.18 ,"$1,582.53 ",$532.00 ,"$1,819.00 ",$532.00 ,$418.37 ,"$1,182.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000223,25635,HC CLSD CARPAL BONE W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,"$3,586.30 ",$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,"$3,586.30 ",$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000226,23505,HC CLOSED CLAVICLE FX W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,"$3,586.30 ",$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,"$3,586.30 ",$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$587.00 ,$422.64 ,$126.56 ,$587.00 ,$337.53 ,$369.81 ,$352.20 ,$126.56 ,$164.36 ,$340.46 ,$132.31 ,$358.07 ,$143.81 ,$322.26 ,$322.26 ,$149.57 ,$322.26 ,$260.86 ,$410.90 ,$517.53 ,$132.31 ,$126.56 ,$440.25 ,$416.77 ,$416.77 ,$132.31 ,$416.77 ,$510.69 ,$510.69 ,$510.69 , N/A ,$528.30 ,$337.53 ,$498.95 ,$126.56 ,$587.00 ,$329.31 ,$126.56 ,$243.02 , N/A , N/A ,$132.31 ,$498.95 ,$251.39 ,$322.26 ,$164.36 ,$528.30 ,$587.00 ,$126.56 ,$510.69 ,$532.00 ,$587.00 ,$532.00 ,$135.01 ,$381.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$360.00 ,$259.20 ,$77.62 ,$517.53 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$197.64 ,$159.98 ,$252.00 ,$517.53 ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 , N/A , N/A ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$360.00 ,$360.00 ,$360.00 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$327.00 ,$235.44 ,$70.50 ,"$3,586.30 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,"$3,586.30 ",$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$490.00 ,$352.80 ,$105.64 ,"$3,586.30 ",$281.75 ,$308.70 ,$294.00 ,$105.64 ,$137.20 ,$284.20 ,$110.45 ,$298.90 ,$120.05 ,$269.01 ,$269.01 ,$124.85 ,$269.01 ,$217.76 ,$343.00 ,"$3,586.30 ",$110.45 ,$105.64 ,$367.50 ,$347.90 ,$347.90 ,$110.45 ,$347.90 ,$426.30 ,$426.30 ,$426.30 , N/A ,$441.00 ,$281.75 ,$416.50 ,$105.64 ,$490.00 ,$274.89 ,$105.64 ,$202.86 , N/A , N/A ,$110.45 ,$416.50 ,$209.85 ,$269.01 ,$137.20 ,$441.00 ,$490.00 ,$105.64 ,$426.30 ,$490.00 ,$490.00 ,$490.00 ,$112.70 ,$318.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000235,28470,HC CLSD METATARSAL W/O MANIP,450,1 ,$587.00 ,$422.64 ,$126.56 ,$587.00 ,$337.53 ,$369.81 ,$352.20 ,$126.56 ,$164.36 ,$340.46 ,$132.31 ,$358.07 ,$143.81 ,$322.26 ,$322.26 ,$149.57 ,$322.26 ,$260.86 ,$410.90 ,$517.53 ,$132.31 ,$126.56 ,$440.25 ,$416.77 ,$416.77 ,$132.31 ,$416.77 ,$510.69 ,$510.69 ,$510.69 , N/A ,$528.30 ,$337.53 ,$498.95 ,$126.56 ,$587.00 ,$329.31 ,$126.56 ,$243.02 , N/A , N/A ,$132.31 ,$498.95 ,$251.39 ,$322.26 ,$164.36 ,$528.30 ,$587.00 ,$126.56 ,$510.69 ,$532.00 ,$587.00 ,$532.00 ,$135.01 ,$381.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,"$1,525.00 ","$1,098.00 ",$328.79 ,"$1,525.00 ",$876.88 ,$960.75 ,$915.00 ,$328.79 ,$427.00 ,$884.50 ,$343.73 ,$930.25 ,$373.62 ,$837.23 ,$837.23 ,$388.57 ,$837.23 ,$677.71 ,"$1,067.50 ",$517.53 ,$343.73 ,$328.79 ,"$1,143.75 ","$1,082.75 ","$1,082.75 ",$343.73 ,"$1,082.75 ","$1,326.75 ","$1,326.75 ","$1,326.75 ", N/A ,"$1,372.50 ",$876.88 ,"$1,296.25 ",$328.79 ,"$1,525.00 ",$855.53 ,$328.79 ,$631.35 , N/A , N/A ,$343.73 ,"$1,296.25 ",$653.10 ,$837.23 ,$427.00 ,"$1,372.50 ","$1,525.00 ",$328.79 ,"$1,326.75 ",$532.00 ,"$1,525.00 ",$532.00 ,$350.75 ,$991.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000244,28495,HC GREAT TOE RED FX,510,1 ,$327.00 ,$235.44 ,$70.50 ,$964.05 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$150.91 ,$145.32 , N/A ,$517.53 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 ,$964.05 ,$876.41 ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$122.00 ,$327.00 ,$122.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,$615.00 ,$442.80 ,$132.59 ,$615.00 ,$353.63 ,$387.45 ,$369.00 ,$132.59 ,$172.20 ,$356.70 ,$138.62 ,$375.15 ,$150.67 ,$337.64 ,$337.64 ,$156.70 ,$337.64 ,$273.31 ,$430.50 ,$517.53 ,$138.62 ,$132.59 ,$461.25 ,$436.65 ,$436.65 ,$138.62 ,$436.65 ,$535.05 ,$535.05 ,$535.05 , N/A ,$553.50 ,$353.63 ,$522.75 ,$132.59 ,$615.00 ,$345.02 ,$132.59 ,$254.61 , N/A , N/A ,$138.62 ,$522.75 ,$263.38 ,$337.64 ,$172.20 ,$553.50 ,$615.00 ,$132.59 ,$535.05 ,$532.00 ,$615.00 ,$532.00 ,$141.45 ,$399.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000249,28515,HC TOE FX W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000258,29345,HC LONG LEG CAST,450,1 ,$292.00 ,$210.24 ,$62.96 ,$599.78 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$599.78 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000259,28630,HC FOOT DISCL W/O ANES,450,1 ,$607.00 ,$437.04 ,$130.87 ,$607.00 ,$349.03 ,$382.41 ,$364.20 ,$130.87 ,$169.96 ,$352.06 ,$136.82 ,$370.27 ,$148.71 ,$333.24 ,$333.24 ,$154.66 ,$333.24 ,$269.75 ,$424.90 ,$517.53 ,$136.82 ,$130.87 ,$455.25 ,$430.97 ,$430.97 ,$136.82 ,$430.97 ,$528.09 ,$528.09 ,$528.09 , N/A ,$546.30 ,$349.03 ,$515.95 ,$130.87 ,$607.00 ,$340.53 ,$130.87 ,$251.30 , N/A , N/A ,$136.82 ,$515.95 ,$259.95 ,$333.24 ,$169.96 ,$546.30 ,$607.00 ,$130.87 ,$528.09 ,$532.00 ,$607.00 ,$532.00 ,$139.61 ,$394.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$1,702.00 ","$1,225.44 ",$366.95 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,$934.40 ,$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 , N/A , N/A ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ",$532.00 ,"$1,702.00 ",$532.00 ,$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 , N/A , N/A ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$532.00 ,$713.00 ,$532.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$150.00 ,$108.00 ,$6.00 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$105.00 ,$143.70 ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$6.00 ,$32.34 ,$130.50 ,$150.00 ,$150.00 ,$150.00 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$225.00 ,$162.00 ,$6.00 ,$225.00 ,$129.38 ,$141.75 ,$135.00 ,$48.51 ,$63.00 ,$130.50 ,$50.70 ,$137.25 ,$55.12 ,$123.53 ,$123.53 ,$57.33 ,$123.53 ,$99.99 ,$157.50 ,$143.70 ,$50.70 ,$48.51 ,$168.75 ,$159.75 ,$159.75 ,$50.70 ,$159.75 ,$195.75 ,$195.75 ,$195.75 , N/A ,$202.50 ,$129.38 ,$191.25 ,$48.51 ,$225.00 ,$126.23 ,$48.51 ,$93.15 , N/A , N/A ,$50.70 ,$191.25 ,$96.36 ,$123.53 ,$63.00 ,$202.50 ,$6.00 ,$48.51 ,$195.75 ,$225.00 ,$225.00 ,$225.00 ,$51.75 ,$146.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000287,11402,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,450,1 ,"$1,538.00 ","$1,107.36 ",$331.59 ,"$1,622.43 ",$884.35 ,$968.94 ,$922.80 ,$331.59 ,$430.64 ,$892.04 ,$346.67 ,$938.18 ,$376.81 ,$844.36 ,$844.36 ,$391.88 ,$844.36 ,$683.49 ,"$1,076.60 ","$1,622.43 ",$346.67 ,$331.59 ,"$1,153.50 ","$1,091.98 ","$1,091.98 ",$346.67 ,"$1,091.98 ","$1,338.06 ","$1,338.06 ","$1,338.06 ", N/A ,"$1,384.20 ",$884.35 ,"$1,307.30 ",$331.59 ,"$1,538.00 ",$862.82 ,$331.59 ,$636.73 , N/A , N/A ,$346.67 ,"$1,307.30 ",$658.67 ,$844.36 ,$430.64 ,"$1,384.20 ","$1,538.00 ",$331.59 ,"$1,338.06 ",$532.00 ,"$1,538.00 ",$532.00 ,$353.74 ,$999.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000288,11403,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,450,1 ,"$2,243.00 ","$1,614.96 ",$483.59 ,"$2,243.00 ","$1,289.73 ","$1,413.09 ","$1,345.80 ",$483.59 ,$628.04 ,"$1,300.94 ",$505.57 ,"$1,368.23 ",$549.53 ,"$1,231.41 ","$1,231.41 ",$571.52 ,"$1,231.41 ",$996.79 ,"$1,570.10 ","$1,622.43 ",$505.57 ,$483.59 ,"$1,682.25 ","$1,592.53 ","$1,592.53 ",$505.57 ,"$1,592.53 ","$1,951.41 ","$1,951.41 ","$1,951.41 ", N/A ,"$2,018.70 ","$1,289.73 ","$1,906.55 ",$483.59 ,"$2,243.00 ","$1,258.32 ",$483.59 ,$928.60 , N/A , N/A ,$505.57 ,"$1,906.55 ",$960.59 ,"$1,231.41 ",$628.04 ,"$2,018.70 ","$2,243.00 ",$483.59 ,"$1,951.41 ",$532.00 ,"$2,243.00 ",$532.00 ,$515.89 ,"$1,457.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000290,11420,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,450,1 ,"$1,826.00 ","$1,314.72 ",$393.69 ,"$3,748.88 ","$1,049.95 ","$1,150.38 ","$1,095.60 ",$393.69 ,$511.28 ,"$1,059.08 ",$411.58 ,"$1,113.86 ",$447.37 ,"$1,002.47 ","$1,002.47 ",$465.26 ,"$1,002.47 ",$811.47 ,"$1,278.20 ","$3,748.88 ",$411.58 ,$393.69 ,"$1,369.50 ","$1,296.46 ","$1,296.46 ",$411.58 ,"$1,296.46 ","$1,588.62 ","$1,588.62 ","$1,588.62 ", N/A ,"$1,643.40 ","$1,049.95 ","$1,552.10 ",$393.69 ,"$1,826.00 ","$1,024.39 ",$393.69 ,$755.96 , N/A , N/A ,$411.58 ,"$1,552.10 ",$782.00 ,"$1,002.47 ",$511.28 ,"$1,643.40 ","$1,826.00 ",$393.69 ,"$1,588.62 ",$532.00 ,"$1,826.00 ",$532.00 ,$419.98 ,"$1,186.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000296,20100,HC EXPLORE WOUND NECK,450,1 ,$540.00 ,$388.80 ,$116.42 ,"$1,142.05 ",$310.50 ,$340.20 ,$324.00 ,$116.42 ,$151.20 ,$313.20 ,$121.72 ,$329.40 ,$132.30 ,$296.46 ,$296.46 ,$137.59 ,$296.46 ,$239.98 ,$378.00 ,"$1,142.05 ",$121.72 ,$116.42 ,$405.00 ,$383.40 ,$383.40 ,$121.72 ,$383.40 ,$469.80 ,$469.80 ,$469.80 , N/A ,$486.00 ,$310.50 ,$459.00 ,$116.42 ,$540.00 ,$302.94 ,$116.42 ,$223.56 , N/A , N/A ,$121.72 ,$459.00 ,$231.26 ,$296.46 ,$151.20 ,$486.00 ,$540.00 ,$116.42 ,$469.80 ,$532.00 ,$540.00 ,$532.00 ,$124.20 ,$351.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,"$1,812.00 ","$1,304.64 ",$390.67 ,"$3,748.88 ","$1,041.90 ","$1,141.56 ","$1,087.20 ",$390.67 ,$507.36 ,"$1,050.96 ",$408.42 ,"$1,105.32 ",$443.94 ,$994.79 ,$994.79 ,$461.70 ,$994.79 ,$805.25 ,"$1,268.40 ","$3,748.88 ",$408.42 ,$390.67 ,"$1,359.00 ","$1,286.52 ","$1,286.52 ",$408.42 ,"$1,286.52 ","$1,576.44 ","$1,576.44 ","$1,576.44 ", N/A ,"$1,630.80 ","$1,041.90 ","$1,540.20 ",$390.67 ,"$1,812.00 ","$1,016.53 ",$390.67 ,$750.17 , N/A , N/A ,$408.42 ,"$1,540.20 ",$776.00 ,$994.79 ,$507.36 ,"$1,630.80 ","$1,812.00 ",$390.67 ,"$1,576.44 ",$532.00 ,"$1,812.00 ",$532.00 ,$416.76 ,"$1,177.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,"$2,718.00 ","$1,956.96 ",$532.00 ,"$3,748.88 ","$1,562.85 ","$1,712.34 ","$1,630.80 ",$586.00 ,$761.04 ,"$1,576.44 ",$612.64 ,"$1,657.98 ",$665.91 ,"$1,492.18 ","$1,492.18 ",$692.55 ,"$1,492.18 ","$1,207.88 ","$1,902.60 ","$3,748.88 ",$612.64 ,$586.00 ,"$2,038.50 ","$1,929.78 ","$1,929.78 ",$612.64 ,"$1,929.78 ","$2,364.66 ","$2,364.66 ","$2,364.66 ", N/A ,"$2,446.20 ","$1,562.85 ","$2,310.30 ",$586.00 ,"$2,718.00 ","$1,524.80 ",$586.00 ,"$1,125.25 ", N/A , N/A ,$612.64 ,"$2,310.30 ","$1,164.01 ","$1,492.18 ",$761.04 ,"$2,446.20 ","$2,718.00 ",$586.00 ,"$2,364.66 ",$532.00 ,"$2,718.00 ",$532.00 ,$625.14 ,"$1,766.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$128.00 ,$92.16 ,$27.60 ,$446.88 ,$73.60 ,$80.64 ,$76.80 ,$27.60 ,$35.84 ,$74.24 ,$28.85 ,$78.08 ,$31.36 ,$70.27 ,$70.27 ,$32.61 ,$70.27 ,$56.88 ,$89.60 ,$446.88 ,$28.85 ,$27.60 ,$96.00 ,$90.88 ,$90.88 ,$28.85 ,$90.88 ,$111.36 ,$111.36 ,$111.36 , N/A ,$115.20 ,$73.60 ,$108.80 ,$27.60 ,$128.00 ,$71.81 ,$27.60 ,$52.99 , N/A , N/A ,$28.85 ,$108.80 ,$54.82 ,$70.27 ,$35.84 ,$115.20 ,$128.00 ,$27.60 ,$111.36 ,$128.00 ,$128.00 ,$128.00 ,$29.44 ,$83.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000322,23330,HC REMOVE FOREIGN BODY SHOULDER SUBQ,450,1 ,$920.00 ,$662.40 ,$198.35 ,"$3,748.88 ",$529.00 ,$579.60 ,$552.00 ,$198.35 ,$257.60 ,$533.60 ,$207.37 ,$561.20 ,$225.40 ,$505.08 ,$505.08 ,$234.42 ,$505.08 ,$408.85 ,$644.00 ,"$3,748.88 ",$207.37 ,$198.35 ,$690.00 ,$653.20 ,$653.20 ,$207.37 ,$653.20 ,$800.40 ,$800.40 ,$800.40 , N/A ,$828.00 ,$529.00 ,$782.00 ,$198.35 ,$920.00 ,$516.12 ,$198.35 ,$380.88 , N/A , N/A ,$207.37 ,$782.00 ,$394.00 ,$505.08 ,$257.60 ,$828.00 ,$920.00 ,$198.35 ,$800.40 ,$532.00 ,$920.00 ,$532.00 ,$211.60 ,$598.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000325,24655,HC CLOSED TX FX RADIAL HEAD/NECK W/MANIP,450,1 ,$327.00 ,$235.44 ,$70.50 ,"$3,586.30 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,"$3,586.30 ",$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000327,26765,HC TX FX OPEN FINGER/THUMB W/INT FIX EACH,450,1 ,"$4,796.00 ","$3,453.12 ",$532.00 ,"$7,441.65 ","$2,757.70 ","$3,021.48 ","$2,877.60 ","$1,034.02 ","$1,342.88 ","$2,781.68 ","$1,081.02 ","$2,925.56 ","$1,175.02 ","$2,633.00 ","$2,633.00 ","$1,222.02 ","$2,633.00 ","$2,131.34 ","$3,357.20 ","$7,441.65 ","$1,081.02 ","$1,034.02 ","$3,597.00 ","$3,405.16 ","$3,405.16 ","$1,081.02 ","$3,405.16 ","$4,172.52 ","$4,172.52 ","$4,172.52 ", N/A ,"$4,316.40 ","$2,757.70 ","$4,076.60 ","$1,034.02 ","$4,796.00 ","$2,690.56 ","$1,034.02 ","$1,985.54 ", N/A , N/A ,"$1,081.02 ","$4,076.60 ","$2,053.93 ","$2,633.00 ","$1,342.88 ","$4,316.40 ","$4,796.00 ","$1,034.02 ","$4,172.52 ",$532.00 ,"$4,796.00 ",$532.00 ,"$1,103.08 ","$3,117.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$327.00 ,$235.44 ,$70.50 ,$517.53 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,$517.53 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,$370.00 ,$266.40 ,$79.77 ,"$3,586.30 ",$212.75 ,$233.10 ,$222.00 ,$79.77 ,$103.60 ,$214.60 ,$83.40 ,$225.70 ,$90.65 ,$203.13 ,$203.13 ,$94.28 ,$203.13 ,$164.43 ,$259.00 ,"$3,586.30 ",$83.40 ,$79.77 ,$277.50 ,$262.70 ,$262.70 ,$83.40 ,$262.70 ,$321.90 ,$321.90 ,$321.90 , N/A ,$333.00 ,$212.75 ,$314.50 ,$79.77 ,$370.00 ,$207.57 ,$79.77 ,$153.18 , N/A , N/A ,$83.40 ,$314.50 ,$158.46 ,$203.13 ,$103.60 ,$333.00 ,$370.00 ,$79.77 ,$321.90 ,$370.00 ,$370.00 ,$370.00 ,$85.10 ,$240.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,$555.00 ,$399.60 ,$119.66 ,"$3,586.30 ",$319.13 ,$349.65 ,$333.00 ,$119.66 ,$155.40 ,$321.90 ,$125.10 ,$338.55 ,$135.97 ,$304.70 ,$304.70 ,$141.41 ,$304.70 ,$246.64 ,$388.50 ,"$3,586.30 ",$125.10 ,$119.66 ,$416.25 ,$394.05 ,$394.05 ,$125.10 ,$394.05 ,$482.85 ,$482.85 ,$482.85 , N/A ,$499.50 ,$319.13 ,$471.75 ,$119.66 ,$555.00 ,$311.36 ,$119.66 ,$229.77 , N/A , N/A ,$125.10 ,$471.75 ,$237.69 ,$304.70 ,$155.40 ,$499.50 ,$555.00 ,$119.66 ,$482.85 ,$532.00 ,$555.00 ,$532.00 ,$127.65 ,$360.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$370.00 ,$266.40 ,$79.77 ,$517.53 ,$212.75 ,$233.10 ,$222.00 ,$79.77 ,$103.60 ,$214.60 ,$83.40 ,$225.70 ,$90.65 ,$203.13 ,$203.13 ,$94.28 ,$203.13 ,$164.43 ,$259.00 ,$517.53 ,$83.40 ,$79.77 ,$277.50 ,$262.70 ,$262.70 ,$83.40 ,$262.70 ,$321.90 ,$321.90 ,$321.90 , N/A ,$333.00 ,$212.75 ,$314.50 ,$79.77 ,$370.00 ,$207.57 ,$79.77 ,$153.18 , N/A , N/A ,$83.40 ,$314.50 ,$158.46 ,$203.13 ,$103.60 ,$333.00 ,$370.00 ,$79.77 ,$321.90 ,$370.00 ,$370.00 ,$370.00 ,$85.10 ,$240.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000333,29200,HC STRAPPING THORAX,450,1 ,$139.00 ,$100.08 ,$29.97 ,$364.40 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$76.31 ,$61.77 ,$97.30 ,$364.40 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 , N/A , N/A ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$139.00 ,$139.00 ,$139.00 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000335,29530,HC STRAPPING KNEE,450,1 ,$165.00 ,$118.80 ,$35.57 ,$290.28 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$90.59 ,$73.33 ,$115.50 ,$290.28 ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 , N/A , N/A ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$165.00 ,$165.00 ,$165.00 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000336,29550,HC STRAPPING TOES,450,1 ,$139.00 ,$100.08 ,$29.97 ,$143.70 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$76.31 ,$61.77 ,$97.30 ,$143.70 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 , N/A , N/A ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$139.00 ,$139.00 ,$139.00 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,$635.00 ,$457.20 ,$136.91 ,$635.00 ,$365.13 ,$400.05 ,$381.00 ,$136.91 ,$177.80 ,$368.30 ,$143.13 ,$387.35 ,$155.57 ,$348.62 ,$348.62 ,$161.80 ,$348.62 ,$282.19 ,$444.50 ,$519.58 ,$143.13 ,$136.91 ,$476.25 ,$450.85 ,$450.85 ,$143.13 ,$450.85 ,$552.45 ,$552.45 ,$552.45 , N/A ,$571.50 ,$365.13 ,$539.75 ,$136.91 ,$635.00 ,$356.24 ,$136.91 ,$262.89 , N/A , N/A ,$143.13 ,$539.75 ,$271.95 ,$348.62 ,$177.80 ,$571.50 ,$635.00 ,$136.91 ,$552.45 ,$532.00 ,$635.00 ,$532.00 ,$146.05 ,$412.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,"$4,177.00 ","$3,007.44 ",$532.00 ,"$4,177.00 ","$2,401.78 ","$2,631.51 ","$2,506.20 ",$900.56 ,"$1,169.56 ","$2,422.66 ",$941.50 ,"$2,547.97 ","$1,023.36 ","$2,293.17 ","$2,293.17 ","$1,064.30 ","$2,293.17 ","$1,856.26 ","$2,923.90 ","$3,586.30 ",$941.50 ,$900.56 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$941.50 ,"$2,965.67 ","$3,633.99 ","$3,633.99 ","$3,633.99 ", N/A ,"$3,759.30 ","$2,401.78 ","$3,550.45 ",$900.56 ,"$4,177.00 ","$2,343.30 ",$900.56 ,"$1,729.28 ", N/A , N/A ,$941.50 ,"$3,550.45 ","$1,788.84 ","$2,293.17 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$900.56 ,"$3,633.99 ",$532.00 ,"$4,177.00 ",$532.00 ,$960.71 ,"$2,715.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000347,28665,HC CLSD TX DISLOC (I-P) JOINT W/ANES,450,1 ,$971.00 ,$699.12 ,$209.35 ,$971.00 ,$558.33 ,$611.73 ,$582.60 ,$209.35 ,$271.88 ,$563.18 ,$218.86 ,$592.31 ,$237.89 ,$533.08 ,$533.08 ,$247.41 ,$533.08 ,$431.51 ,$679.70 ,$599.78 ,$218.86 ,$209.35 ,$728.25 ,$689.41 ,$689.41 ,$218.86 ,$689.41 ,$844.77 ,$844.77 ,$844.77 , N/A ,$873.90 ,$558.33 ,$825.35 ,$209.35 ,$971.00 ,$544.73 ,$209.35 ,$401.99 , N/A , N/A ,$218.86 ,$825.35 ,$415.84 ,$533.08 ,$271.88 ,$873.90 ,$971.00 ,$209.35 ,$844.77 ,$532.00 ,$971.00 ,$532.00 ,$223.33 ,$631.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000349,27532,HC CLOSED RX TIB PLAT FX+MANIP,450,1 ,$327.00 ,$235.44 ,$70.50 ,"$7,441.65 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,"$7,441.65 ",$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$150.00 ,$108.00 ,$6.00 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$105.00 ,$143.70 ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$6.00 ,$32.34 ,$130.50 ,$150.00 ,$150.00 ,$150.00 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$150.00 ,$108.00 ,$6.00 ,$150.00 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$82.35 ,$66.66 ,$105.00 ,$143.70 ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$6.00 ,$32.34 ,$130.50 ,$150.00 ,$150.00 ,$150.00 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,"$4,893.00 ","$3,522.96 ",$532.00 ,"$4,893.00 ","$2,813.48 ","$3,082.59 ","$2,935.80 ","$1,054.93 ","$1,370.04 ","$2,837.94 ","$1,102.88 ","$2,984.73 ","$1,198.78 ","$2,686.26 ","$2,686.26 ","$1,246.74 ","$2,686.26 ","$2,174.45 ","$3,425.10 ","$3,719.63 ","$1,102.88 ","$1,054.93 ","$3,669.75 ","$3,474.03 ","$3,474.03 ","$1,102.88 ","$3,474.03 ","$4,256.91 ","$4,256.91 ","$4,256.91 ", N/A ,"$4,403.70 ","$2,813.48 ","$4,159.05 ","$1,054.93 ","$4,893.00 ","$2,744.97 ","$1,054.93 ","$2,025.70 ", N/A , N/A ,"$1,102.88 ","$4,159.05 ","$2,095.48 ","$2,686.26 ","$1,370.04 ","$4,403.70 ","$4,893.00 ","$1,054.93 ","$4,256.91 ",$532.00 ,"$4,893.00 ",$532.00 ,"$1,125.39 ","$3,180.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,"$4,893.00 ","$3,522.96 ",$532.00 ,"$4,893.00 ","$2,813.48 ","$3,082.59 ","$2,935.80 ","$1,054.93 ","$1,370.04 ","$2,837.94 ","$1,102.88 ","$2,984.73 ","$1,198.78 ","$2,686.26 ","$2,686.26 ","$1,246.74 ","$2,686.26 ","$2,174.45 ","$3,425.10 ","$3,719.63 ","$1,102.88 ","$1,054.93 ","$3,669.75 ","$3,474.03 ","$3,474.03 ","$1,102.88 ","$3,474.03 ","$4,256.91 ","$4,256.91 ","$4,256.91 ", N/A ,"$4,403.70 ","$2,813.48 ","$4,159.05 ","$1,054.93 ","$4,893.00 ","$2,744.97 ","$1,054.93 ","$2,025.70 ", N/A , N/A ,"$1,102.88 ","$4,159.05 ","$2,095.48 ","$2,686.26 ","$1,370.04 ","$4,403.70 ","$4,893.00 ","$1,054.93 ","$4,256.91 ",$532.00 ,"$4,893.00 ",$532.00 ,"$1,125.39 ","$3,180.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000439,64450,HC INJ ANES OTHER THAN PERIPHERAL-LT,450,1 ,"$1,702.00 ","$1,225.44 ",$366.95 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,$934.40 ,$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 , N/A , N/A ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ",$532.00 ,"$1,702.00 ",$532.00 ,$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000440,64450,HC INJ ANES OTHER THAN PERIPHERAL-RT,450,1 ,"$1,702.00 ","$1,225.44 ",$366.95 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,$934.40 ,$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 , N/A , N/A ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ",$532.00 ,"$1,702.00 ",$532.00 ,$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$211.00 ,$151.92 ,$25.00 ,$211.00 ,$121.33 ,$132.93 ,$126.60 ,$45.49 ,$59.08 ,$122.38 ,$47.56 ,$128.71 ,$51.69 ,$115.84 ,$115.84 ,$53.76 ,$115.84 ,$93.77 ,$147.70 ,$143.70 ,$47.56 ,$45.49 ,$158.25 ,$149.81 ,$149.81 ,$47.56 ,$149.81 ,$183.57 ,$183.57 ,$183.57 , N/A ,$189.90 ,$121.33 ,$179.35 ,$45.49 ,$211.00 ,$118.37 ,$45.49 ,$87.35 , N/A , N/A ,$47.56 ,$179.35 ,$90.37 ,$115.84 ,$59.08 ,$189.90 ,$25.00 ,$45.49 ,$183.57 ,$211.00 ,$211.00 ,$211.00 ,$48.53 ,$137.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$211.00 ,$151.92 ,$25.00 ,$211.00 ,$121.33 ,$132.93 ,$126.60 ,$45.49 ,$59.08 ,$122.38 ,$47.56 ,$128.71 ,$51.69 ,$115.84 ,$115.84 ,$53.76 ,$115.84 ,$93.77 ,$147.70 ,$143.70 ,$47.56 ,$45.49 ,$158.25 ,$149.81 ,$149.81 ,$47.56 ,$149.81 ,$183.57 ,$183.57 ,$183.57 , N/A ,$189.90 ,$121.33 ,$179.35 ,$45.49 ,$211.00 ,$118.37 ,$45.49 ,$87.35 , N/A , N/A ,$47.56 ,$179.35 ,$90.37 ,$115.84 ,$59.08 ,$189.90 ,$25.00 ,$45.49 ,$183.57 ,$211.00 ,$211.00 ,$211.00 ,$48.53 ,$137.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000457,29365,HC APPL CAST CYCLINDER THIGH TO ANKLE,450,1 ,$292.00 ,$210.24 ,$62.96 ,$599.78 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$599.78 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000462,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ULTRA -LT,450,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 , N/A , N/A ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$532.00 ,$713.00 ,$532.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000463,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ULTRA -RT,450,1 ,$713.00 ,$513.36 ,$153.72 ,$713.00 ,$409.98 ,$449.19 ,$427.80 ,$153.72 ,$199.64 ,$413.54 ,$160.71 ,$434.93 ,$174.68 ,$391.44 ,$391.44 ,$181.67 ,$391.44 ,$316.86 ,$499.10 ,$679.73 ,$160.71 ,$153.72 ,$534.75 ,$506.23 ,$506.23 ,$160.71 ,$506.23 ,$620.31 ,$620.31 ,$620.31 , N/A ,$641.70 ,$409.98 ,$606.05 ,$153.72 ,$713.00 ,$399.99 ,$153.72 ,$295.18 , N/A , N/A ,$160.71 ,$606.05 ,$305.35 ,$391.44 ,$199.64 ,$641.70 ,$713.00 ,$153.72 ,$620.31 ,$532.00 ,$713.00 ,$532.00 ,$163.99 ,$463.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000468,23525,HC CLOSED TX STERN-CLAV DISLOC W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$87.00 ,$62.64 ,$18.76 ,$290.28 ,$50.03 ,$54.81 ,$52.20 ,$18.76 ,$24.36 ,$50.46 ,$19.61 ,$53.07 ,$21.31 ,$47.76 ,$47.76 ,$22.17 ,$47.76 ,$38.66 ,$60.90 ,$290.28 ,$19.61 ,$18.76 ,$65.25 ,$61.77 ,$61.77 ,$19.61 ,$61.77 ,$75.69 ,$75.69 ,$75.69 , N/A ,$78.30 ,$50.03 ,$73.95 ,$18.76 ,$87.00 ,$48.81 ,$18.76 ,$36.02 , N/A , N/A ,$19.61 ,$73.95 ,$37.26 ,$47.76 ,$24.36 ,$78.30 ,$87.00 ,$18.76 ,$75.69 ,$87.00 ,$87.00 ,$87.00 ,$20.01 ,$56.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000497,27086,HC REMOVE FB PELVIS/HIP SUBQ TISSUE,450,1 ,$920.00 ,$662.40 ,$198.35 ,"$6,458.13 ",$529.00 ,$579.60 ,$552.00 ,$198.35 ,$257.60 ,$533.60 ,$207.37 ,$561.20 ,$225.40 ,$505.08 ,$505.08 ,$234.42 ,$505.08 ,$408.85 ,$644.00 ,"$6,458.13 ",$207.37 ,$198.35 ,$690.00 ,$653.20 ,$653.20 ,$207.37 ,$653.20 ,$800.40 ,$800.40 ,$800.40 , N/A ,$828.00 ,$529.00 ,$782.00 ,$198.35 ,$920.00 ,$516.12 ,$198.35 ,$380.88 , N/A , N/A ,$207.37 ,$782.00 ,$394.00 ,$505.08 ,$257.60 ,$828.00 ,$920.00 ,$198.35 ,$800.40 ,$532.00 ,$920.00 ,$532.00 ,$211.60 ,$598.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000498,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-BIL,450,1 ,$316.00 ,$227.52 ,$25.00 ,$316.00 ,$181.70 ,$199.08 ,$189.60 ,$68.13 ,$88.48 ,$183.28 ,$71.23 ,$192.76 ,$77.42 ,$173.48 ,$173.48 ,$80.52 ,$173.48 ,$140.43 ,$221.20 ,$143.70 ,$71.23 ,$68.13 ,$237.00 ,$224.36 ,$224.36 ,$71.23 ,$224.36 ,$274.92 ,$274.92 ,$274.92 , N/A ,$284.40 ,$181.70 ,$268.60 ,$68.13 ,$316.00 ,$177.28 ,$68.13 ,$130.82 , N/A , N/A ,$71.23 ,$268.60 ,$135.33 ,$173.48 ,$88.48 ,$284.40 ,$25.00 ,$68.13 ,$274.92 ,$316.00 ,$316.00 ,$316.00 ,$72.68 ,$205.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000499,26540,HC REPAIR LIGAMENT META/INTER PHAL JOINT,450,1 ,"$2,050.00 ","$1,476.00 ",$441.98 ,"$7,441.65 ","$1,178.75 ","$1,291.50 ","$1,230.00 ",$441.98 ,$574.00 ,"$1,189.00 ",$462.07 ,"$1,250.50 ",$502.25 ,"$1,125.45 ","$1,125.45 ",$522.34 ,"$1,125.45 ",$911.02 ,"$1,435.00 ","$7,441.65 ",$462.07 ,$441.98 ,"$1,537.50 ","$1,455.50 ","$1,455.50 ",$462.07 ,"$1,455.50 ","$1,783.50 ","$1,783.50 ","$1,783.50 ", N/A ,"$1,845.00 ","$1,178.75 ","$1,742.50 ",$441.98 ,"$2,050.00 ","$1,150.05 ",$441.98 ,$848.70 , N/A , N/A ,$462.07 ,"$1,742.50 ",$877.93 ,"$1,125.45 ",$574.00 ,"$1,845.00 ","$2,050.00 ",$441.98 ,"$1,783.50 ",$532.00 ,"$2,050.00 ",$532.00 ,$471.50 ,"$1,332.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000500,57200,HC REPAIR SUTURE VAGINA COLPORRHAPHY,450,1 ,"$8,039.00 ","$5,788.08 ",$532.00 ,"$8,039.00 ","$4,622.43 ","$5,064.57 ","$4,823.40 ","$1,733.21 ","$2,250.92 ","$4,085.00 ","$1,811.99 ","$4,300.00 ","$1,969.55 ","$3,870.00 ","$3,870.00 ","$2,048.34 ","$3,870.00 ","$3,572.53 ","$5,627.30 ","$7,068.60 ","$1,811.99 ","$1,733.21 ","$6,029.25 ","$5,707.69 ","$5,707.69 ","$1,811.99 ","$5,707.69 ","$6,993.93 ","$6,993.93 ","$6,993.93 ", N/A ,"$7,235.10 ","$4,622.43 ","$6,833.15 ","$1,733.21 ","$8,039.00 ","$4,509.88 ","$1,733.21 ","$3,328.15 ", N/A , N/A ,"$1,811.99 ","$6,833.15 ","$3,442.78 ","$3,870.00 ","$2,250.92 ","$7,235.10 ","$8,039.00 ","$1,733.21 ","$6,993.93 ",$532.00 ,"$8,039.00 ",$532.00 ,"$1,848.97 ","$5,225.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000513,29580,HC APPLY UNNA BOOT-LT,450,1 ,$309.00 ,$222.48 ,$66.62 ,$364.40 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$179.22 ,$69.65 ,$188.49 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$169.64 ,$137.32 ,$216.30 ,$364.40 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$309.00 ,$173.35 ,$66.62 ,$127.93 , N/A , N/A ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$309.00 ,$309.00 ,$309.00 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000514,29580,HC APPLY UNNA BOOT-RT,450,1 ,$309.00 ,$222.48 ,$66.62 ,$364.40 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$179.22 ,$69.65 ,$188.49 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$169.64 ,$137.32 ,$216.30 ,$364.40 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$309.00 ,$173.35 ,$66.62 ,$127.93 , N/A , N/A ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$309.00 ,$309.00 ,$309.00 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,"$7,340.00 ","$5,284.80 ",$532.00 ,"$7,447.43 ","$4,220.50 ","$4,624.20 ","$4,404.00 ","$1,582.50 ","$2,055.20 ","$4,085.00 ","$1,654.44 ","$4,300.00 ","$1,798.30 ","$3,870.00 ","$3,870.00 ","$1,870.23 ","$3,870.00 ","$3,261.90 ","$5,138.00 ","$7,447.43 ","$1,654.44 ","$1,582.50 ","$5,505.00 ","$5,211.40 ","$5,211.40 ","$1,654.44 ","$5,211.40 ","$6,385.80 ","$6,385.80 ","$6,385.80 ", N/A ,"$6,606.00 ","$4,220.50 ","$6,239.00 ","$1,582.50 ","$7,340.00 ","$4,117.74 ","$1,582.50 ","$3,038.76 ", N/A , N/A ,"$1,654.44 ","$6,239.00 ","$3,143.43 ","$3,870.00 ","$2,055.20 ","$6,606.00 ","$7,340.00 ","$1,582.50 ","$6,385.80 ",$532.00 ,"$7,340.00 ",$532.00 ,"$1,688.20 ","$4,771.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45000516,26775,HC TX DISLOC I-P JOINT W/ANES/MAN,450,1 ,$650.00 ,$468.00 ,$140.14 ,$650.00 ,$373.75 ,$409.50 ,$390.00 ,$140.14 ,$182.00 ,$377.00 ,$146.51 ,$396.50 ,$159.25 ,$356.85 ,$356.85 ,$165.62 ,$356.85 ,$288.86 ,$455.00 ,$599.78 ,$146.51 ,$140.14 ,$487.50 ,$461.50 ,$461.50 ,$146.51 ,$461.50 ,$565.50 ,$565.50 ,$565.50 , N/A ,$585.00 ,$373.75 ,$552.50 ,$140.14 ,$650.00 ,$364.65 ,$140.14 ,$269.10 , N/A , N/A ,$146.51 ,$552.50 ,$278.37 ,$356.85 ,$182.00 ,$585.00 ,$650.00 ,$140.14 ,$565.50 ,$532.00 ,$650.00 ,$532.00 ,$149.50 ,$422.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000518,27200,HC TX FX COCCYGEAL CLOSED,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000529,28600,HC TX FX METATARSAL W/O ANES,450,1 ,$361.00 ,$259.92 ,$77.83 ,$517.53 ,$207.58 ,$227.43 ,$216.60 ,$77.83 ,$101.08 ,$209.38 ,$81.37 ,$220.21 ,$88.44 ,$198.19 ,$198.19 ,$91.98 ,$198.19 ,$160.43 ,$252.70 ,$517.53 ,$81.37 ,$77.83 ,$270.75 ,$256.31 ,$256.31 ,$81.37 ,$256.31 ,$314.07 ,$314.07 ,$314.07 , N/A ,$324.90 ,$207.58 ,$306.85 ,$77.83 ,$361.00 ,$202.52 ,$77.83 ,$149.45 , N/A , N/A ,$81.37 ,$306.85 ,$154.60 ,$198.19 ,$101.08 ,$324.90 ,$361.00 ,$77.83 ,$314.07 ,$361.00 ,$361.00 ,$361.00 ,$83.03 ,$234.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000532,23575,HC TX FX SCAPULA CLOSED W/MANIP W/W/O TRACTION,450,1 ,$327.00 ,$235.44 ,$70.50 ,"$3,586.30 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,"$3,586.30 ",$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000539,22315,HC TX FX/DISLOC VERT CAST/BRACE W/MANIP OR TRACTION,450,1 ,$407.00 ,$293.04 ,$87.75 ,"$7,441.65 ",$234.03 ,$256.41 ,$244.20 ,$87.75 ,$113.96 ,$236.06 ,$91.74 ,$248.27 ,$99.71 ,$223.44 ,$223.44 ,$103.70 ,$223.44 ,$180.87 ,$284.90 ,"$7,441.65 ",$91.74 ,$87.75 ,$305.25 ,$288.97 ,$288.97 ,$91.74 ,$288.97 ,$354.09 ,$354.09 ,$354.09 , N/A ,$366.30 ,$234.03 ,$345.95 ,$87.75 ,$407.00 ,$228.33 ,$87.75 ,$168.50 , N/A , N/A ,$91.74 ,$345.95 ,$174.30 ,$223.44 ,$113.96 ,$366.30 ,$407.00 ,$87.75 ,$354.09 ,$407.00 ,$407.00 ,$407.00 ,$93.61 ,$264.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000548,29425,HC APPLY SHORT LEG CAST WALKING,450,1 ,$292.00 ,$210.24 ,$62.96 ,$599.78 ,$167.90 ,$183.96 ,$175.20 ,$62.96 ,$81.76 ,$169.36 ,$65.82 ,$178.12 ,$71.54 ,$160.31 ,$160.31 ,$74.40 ,$160.31 ,$129.76 ,$204.40 ,$599.78 ,$65.82 ,$62.96 ,$219.00 ,$207.32 ,$207.32 ,$65.82 ,$207.32 ,$254.04 ,$254.04 ,$254.04 , N/A ,$262.80 ,$167.90 ,$248.20 ,$62.96 ,$292.00 ,$163.81 ,$62.96 ,$120.89 , N/A , N/A ,$65.82 ,$248.20 ,$125.05 ,$160.31 ,$81.76 ,$262.80 ,$292.00 ,$62.96 ,$254.04 ,$292.00 ,$292.00 ,$292.00 ,$67.16 ,$189.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$324.00 ,$233.28 ,$69.85 ,$364.40 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$177.88 ,$143.99 ,$226.80 ,$364.40 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 , N/A , N/A ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$324.00 ,$324.00 ,$324.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$324.00 ,$233.28 ,$69.85 ,$364.40 ,$186.30 ,$204.12 ,$194.40 ,$69.85 ,$90.72 ,$187.92 ,$73.03 ,$197.64 ,$79.38 ,$177.88 ,$177.88 ,$82.56 ,$177.88 ,$143.99 ,$226.80 ,$364.40 ,$73.03 ,$69.85 ,$243.00 ,$230.04 ,$230.04 ,$73.03 ,$230.04 ,$281.88 ,$281.88 ,$281.88 , N/A ,$291.60 ,$186.30 ,$275.40 ,$69.85 ,$324.00 ,$181.76 ,$69.85 ,$134.14 , N/A , N/A ,$73.03 ,$275.40 ,$138.76 ,$177.88 ,$90.72 ,$291.60 ,$324.00 ,$69.85 ,$281.88 ,$324.00 ,$324.00 ,$324.00 ,$74.52 ,$210.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,45000785,25624,HC TX CARPAL NAVICULAR W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,"$3,586.30 ",$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,"$3,586.30 ",$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001126,32160,HC THORACOTOMY OPEN HEART MASSAGE,450,1 ,$476.00 ,$342.72 ,$102.63 ,$476.00 ,$273.70 ,$299.88 ,$285.60 ,$102.63 ,$133.28 ,$276.08 ,$107.29 ,$290.36 ,$116.62 ,$261.32 ,$261.32 ,$121.28 ,$261.32 ,$211.53 ,$333.20 , N/A ,$107.29 ,$102.63 ,$357.00 ,$337.96 ,$337.96 ,$107.29 ,$337.96 ,$414.12 ,$414.12 ,$414.12 , N/A ,$428.40 ,$273.70 ,$404.60 ,$102.63 ,$476.00 ,$267.04 ,$102.63 ,$197.06 , N/A , N/A ,$107.29 ,$404.60 ,$203.85 ,$261.32 ,$133.28 ,$428.40 ,$476.00 ,$102.63 ,$414.12 ,$476.00 ,$476.00 ,$476.00 ,$109.48 ,$309.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$5,380.00 ","$3,873.60 ",$532.00 ,"$5,380.00 ","$3,093.50 ","$3,389.40 ","$3,228.00 ","$1,159.93 ","$1,506.40 ","$3,120.40 ","$1,212.65 ","$3,281.80 ","$1,318.10 ","$2,953.62 ","$2,953.62 ","$1,370.82 ","$2,953.62 ","$2,390.87 ","$3,766.00 ","$4,637.20 ","$1,212.65 ","$1,159.93 ","$4,035.00 ","$3,819.80 ","$3,819.80 ","$1,212.65 ","$3,819.80 ","$4,680.60 ","$4,680.60 ","$4,680.60 ", N/A ,"$4,842.00 ","$3,093.50 ","$4,573.00 ","$1,159.93 ","$5,380.00 ","$3,018.18 ","$1,159.93 ","$2,227.32 ", N/A , N/A ,"$1,212.65 ","$4,573.00 ","$2,304.04 ","$2,953.62 ","$1,506.40 ","$4,842.00 ","$5,380.00 ","$1,159.93 ","$4,680.60 ",$532.00 ,"$5,380.00 ",$532.00 ,"$1,237.40 ","$3,497.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001169,54235,HC INJ PENILE W/RX AGENT,450,1 ,$798.00 ,$574.56 ,$172.05 ,$798.00 ,$458.85 ,$502.74 ,$478.80 ,$172.05 ,$223.44 ,$462.84 ,$179.87 ,$486.78 ,$195.51 ,$438.10 ,$438.10 ,$203.33 ,$438.10 ,$354.63 ,$558.60 ,$537.18 ,$179.87 ,$172.05 ,$598.50 ,$566.58 ,$566.58 ,$179.87 ,$566.58 ,$694.26 ,$694.26 ,$694.26 , N/A ,$718.20 ,$458.85 ,$678.30 ,$172.05 ,$798.00 ,$447.68 ,$172.05 ,$330.37 , N/A , N/A ,$179.87 ,$678.30 ,$341.76 ,$438.10 ,$223.44 ,$718.20 ,$798.00 ,$172.05 ,$694.26 ,$532.00 ,$798.00 ,$532.00 ,$183.54 ,$518.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001229,69100,HC BIOPSY EXTERNAL EAR,450,1 ,$892.00 ,$642.24 ,$192.32 ,$892.00 ,$512.90 ,$561.96 ,$535.20 ,$192.32 ,$249.76 ,$517.36 ,$201.06 ,$544.12 ,$218.54 ,$489.71 ,$489.71 ,$227.28 ,$489.71 ,$396.40 ,$624.40 ,$519.58 ,$201.06 ,$192.32 ,$669.00 ,$633.32 ,$633.32 ,$201.06 ,$633.32 ,$776.04 ,$776.04 ,$776.04 , N/A ,$802.80 ,$512.90 ,$758.20 ,$192.32 ,$892.00 ,$500.41 ,$192.32 ,$369.29 , N/A , N/A ,$201.06 ,$758.20 ,$382.00 ,$489.71 ,$249.76 ,$802.80 ,$892.00 ,$192.32 ,$776.04 ,$532.00 ,$892.00 ,$532.00 ,$205.16 ,$579.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,$539.00 ,$388.08 ,$116.21 ,"$3,586.30 ",$309.93 ,$339.57 ,$323.40 ,$116.21 ,$150.92 ,$312.62 ,$121.49 ,$328.79 ,$132.05 ,$295.91 ,$295.91 ,$137.34 ,$295.91 ,$239.53 ,$377.30 ,"$3,586.30 ",$121.49 ,$116.21 ,$404.25 ,$382.69 ,$382.69 ,$121.49 ,$382.69 ,$468.93 ,$468.93 ,$468.93 , N/A ,$485.10 ,$309.93 ,$458.15 ,$116.21 ,$539.00 ,$302.38 ,$116.21 ,$223.15 , N/A , N/A ,$121.49 ,$458.15 ,$230.83 ,$295.91 ,$150.92 ,$485.10 ,$539.00 ,$116.21 ,$468.93 ,$532.00 ,$539.00 ,$532.00 ,$123.97 ,$350.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,$808.00 ,$581.76 ,$174.20 ,"$3,586.30 ",$464.60 ,$509.04 ,$484.80 ,$174.20 ,$226.24 ,$468.64 ,$182.12 ,$492.88 ,$197.96 ,$443.59 ,$443.59 ,$205.88 ,$443.59 ,$359.08 ,$565.60 ,"$3,586.30 ",$182.12 ,$174.20 ,$606.00 ,$573.68 ,$573.68 ,$182.12 ,$573.68 ,$702.96 ,$702.96 ,$702.96 , N/A ,$727.20 ,$464.60 ,$686.80 ,$174.20 ,$808.00 ,$453.29 ,$174.20 ,$334.51 , N/A , N/A ,$182.12 ,$686.80 ,$346.04 ,$443.59 ,$226.24 ,$727.20 ,$808.00 ,$174.20 ,$702.96 ,$532.00 ,$808.00 ,$532.00 ,$185.84 ,$525.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001273,23675,HC TX FX DISLOC SHOULDER W/PROX HUM W/MANIP,450,1 ,"$4,066.00 ","$2,927.52 ",$532.00 ,"$4,066.00 ","$2,337.95 ","$2,561.58 ","$2,439.60 ",$876.63 ,"$1,138.48 ","$2,358.28 ",$916.48 ,"$2,480.26 ",$996.17 ,"$2,232.23 ","$2,232.23 ","$1,036.02 ","$2,232.23 ","$1,806.93 ","$2,846.20 ","$3,586.30 ",$916.48 ,$876.63 ,"$3,049.50 ","$2,886.86 ","$2,886.86 ",$916.48 ,"$2,886.86 ","$3,537.42 ","$3,537.42 ","$3,537.42 ", N/A ,"$3,659.40 ","$2,337.95 ","$3,456.10 ",$876.63 ,"$4,066.00 ","$2,281.03 ",$876.63 ,"$1,683.32 ", N/A , N/A ,$916.48 ,"$3,456.10 ","$1,741.30 ","$2,232.23 ","$1,138.48 ","$3,659.40 ","$4,066.00 ",$876.63 ,"$3,537.42 ",$532.00 ,"$4,066.00 ",$532.00 ,$935.18 ,"$2,642.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001276,24535,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/MANIP,450,1 ,$327.00 ,$235.44 ,$70.50 ,"$3,586.30 ",$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,"$3,586.30 ",$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001277,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED,450,1 ,"$4,177.00 ","$3,007.44 ",$532.00 ,"$4,177.00 ","$2,401.78 ","$2,631.51 ","$2,506.20 ",$900.56 ,"$1,169.56 ","$2,422.66 ",$941.50 ,"$2,547.97 ","$1,023.36 ","$2,293.17 ","$2,293.17 ","$1,064.30 ","$2,293.17 ","$1,856.26 ","$2,923.90 ","$3,586.30 ",$941.50 ,$900.56 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$941.50 ,"$2,965.67 ","$3,633.99 ","$3,633.99 ","$3,633.99 ", N/A ,"$3,759.30 ","$2,401.78 ","$3,550.45 ",$900.56 ,"$4,177.00 ","$2,343.30 ",$900.56 ,"$1,729.28 ", N/A , N/A ,$941.50 ,"$3,550.45 ","$1,788.84 ","$2,293.17 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$900.56 ,"$3,633.99 ",$532.00 ,"$4,177.00 ",$532.00 ,$960.71 ,"$2,715.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001278,24675,HC TX FX CLOSED ULNA PROXIMAL W/MANIP,450,1 ,$361.00 ,$259.92 ,$77.83 ,"$3,586.30 ",$207.58 ,$227.43 ,$216.60 ,$77.83 ,$101.08 ,$209.38 ,$81.37 ,$220.21 ,$88.44 ,$198.19 ,$198.19 ,$91.98 ,$198.19 ,$160.43 ,$252.70 ,"$3,586.30 ",$81.37 ,$77.83 ,$270.75 ,$256.31 ,$256.31 ,$81.37 ,$256.31 ,$314.07 ,$314.07 ,$314.07 , N/A ,$324.90 ,$207.58 ,$306.85 ,$77.83 ,$361.00 ,$202.52 ,$77.83 ,$149.45 , N/A , N/A ,$81.37 ,$306.85 ,$154.60 ,$198.19 ,$101.08 ,$324.90 ,$361.00 ,$77.83 ,$314.07 ,$361.00 ,$361.00 ,$361.00 ,$83.03 ,$234.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001282,25535,HC TX FX ULNAR CLOSED W/MANIP,450,1 ,$327.00 ,$235.44 ,$70.50 ,$517.53 ,$188.03 ,$206.01 ,$196.20 ,$70.50 ,$91.56 ,$189.66 ,$73.71 ,$199.47 ,$80.11 ,$179.52 ,$179.52 ,$83.32 ,$179.52 ,$145.32 ,$228.90 ,$517.53 ,$73.71 ,$70.50 ,$245.25 ,$232.17 ,$232.17 ,$73.71 ,$232.17 ,$284.49 ,$284.49 ,$284.49 , N/A ,$294.30 ,$188.03 ,$277.95 ,$70.50 ,$327.00 ,$183.45 ,$70.50 ,$135.38 , N/A , N/A ,$73.71 ,$277.95 ,$140.04 ,$179.52 ,$91.56 ,$294.30 ,$327.00 ,$70.50 ,$284.49 ,$327.00 ,$327.00 ,$327.00 ,$75.21 ,$212.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$3,593.00 ","$2,586.96 ",$532.00 ,"$3,593.00 ","$2,065.98 ","$2,263.59 ","$2,155.80 ",$774.65 ,"$1,006.04 ","$2,083.94 ",$809.86 ,"$2,191.73 ",$880.28 ,"$1,972.56 ","$1,972.56 ",$915.50 ,"$1,972.56 ","$1,596.73 ","$2,515.10 ","$3,586.30 ",$809.86 ,$774.65 ,"$2,694.75 ","$2,551.03 ","$2,551.03 ",$809.86 ,"$2,551.03 ","$3,125.91 ","$3,125.91 ","$3,125.91 ", N/A ,"$3,233.70 ","$2,065.98 ","$3,054.05 ",$774.65 ,"$3,593.00 ","$2,015.67 ",$774.65 ,"$1,487.50 ", N/A , N/A ,$809.86 ,"$3,054.05 ","$1,538.74 ","$1,972.56 ","$1,006.04 ","$3,233.70 ","$3,593.00 ",$774.65 ,"$3,125.91 ",$532.00 ,"$3,593.00 ",$532.00 ,$826.39 ,"$2,335.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001297,27781,HC TX FX PROXIMAL FIBULA/SHAFT W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,"$3,586.30 ",$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,"$3,586.30 ",$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001298,27816,HC TX FX CLOSED TRIMALLEOLAR ANKLE W/O MANIP,450,1 ,$618.00 ,$444.96 ,$133.24 ,$618.00 ,$355.35 ,$389.34 ,$370.80 ,$133.24 ,$173.04 ,$358.44 ,$139.30 ,$376.98 ,$151.41 ,$339.28 ,$339.28 ,$157.47 ,$339.28 ,$274.64 ,$432.60 ,$517.53 ,$139.30 ,$133.24 ,$463.50 ,$438.78 ,$438.78 ,$139.30 ,$438.78 ,$537.66 ,$537.66 ,$537.66 , N/A ,$556.20 ,$355.35 ,$525.30 ,$133.24 ,$618.00 ,$346.70 ,$133.24 ,$255.85 , N/A , N/A ,$139.30 ,$525.30 ,$264.67 ,$339.28 ,$173.04 ,$556.20 ,$618.00 ,$133.24 ,$537.66 ,$532.00 ,$618.00 ,$532.00 ,$142.14 ,$401.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001300,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES,450,1 ,"$3,593.00 ","$2,586.96 ",$532.00 ,"$3,593.00 ","$2,065.98 ","$2,263.59 ","$2,155.80 ",$774.65 ,"$1,006.04 ","$2,083.94 ",$809.86 ,"$2,191.73 ",$880.28 ,"$1,972.56 ","$1,972.56 ",$915.50 ,"$1,972.56 ","$1,596.73 ","$2,515.10 ","$3,586.30 ",$809.86 ,$774.65 ,"$2,694.75 ","$2,551.03 ","$2,551.03 ",$809.86 ,"$2,551.03 ","$3,125.91 ","$3,125.91 ","$3,125.91 ", N/A ,"$3,233.70 ","$2,065.98 ","$3,054.05 ",$774.65 ,"$3,593.00 ","$2,015.67 ",$774.65 ,"$1,487.50 ", N/A , N/A ,$809.86 ,"$3,054.05 ","$1,538.74 ","$1,972.56 ","$1,006.04 ","$3,233.70 ","$3,593.00 ",$774.65 ,"$3,125.91 ",$532.00 ,"$3,593.00 ",$532.00 ,$826.39 ,"$2,335.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001300,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES,450,1 ,"$5,389.00 ","$3,880.08 ",$532.00 ,"$5,389.00 ","$3,098.68 ","$3,395.07 ","$3,233.40 ","$1,161.87 ","$1,508.92 ","$3,125.62 ","$1,214.68 ","$3,287.29 ","$1,320.30 ","$2,958.56 ","$2,958.56 ","$1,373.12 ","$2,958.56 ","$2,394.87 ","$3,772.30 ","$3,586.30 ","$1,214.68 ","$1,161.87 ","$4,041.75 ","$3,826.19 ","$3,826.19 ","$1,214.68 ","$3,826.19 ","$4,688.43 ","$4,688.43 ","$4,688.43 ", N/A ,"$4,850.10 ","$3,098.68 ","$4,580.65 ","$1,161.87 ","$5,389.00 ","$3,023.23 ","$1,161.87 ","$2,231.05 ", N/A , N/A ,"$1,214.68 ","$4,580.65 ","$2,307.89 ","$2,958.56 ","$1,508.92 ","$4,850.10 ","$5,389.00 ","$1,161.87 ","$4,688.43 ",$532.00 ,"$5,389.00 ",$532.00 ,"$1,239.47 ","$3,502.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001304,28405,HC TX FX CALCANEAL W/MANIP,450,1 ,$329.00 ,$236.88 ,$70.93 ,$517.53 ,$189.18 ,$207.27 ,$197.40 ,$70.93 ,$92.12 ,$190.82 ,$74.16 ,$200.69 ,$80.60 ,$180.62 ,$180.62 ,$83.83 ,$180.62 ,$146.21 ,$230.30 ,$517.53 ,$74.16 ,$70.93 ,$246.75 ,$233.59 ,$233.59 ,$74.16 ,$233.59 ,$286.23 ,$286.23 ,$286.23 , N/A ,$296.10 ,$189.18 ,$279.65 ,$70.93 ,$329.00 ,$184.57 ,$70.93 ,$136.21 , N/A , N/A ,$74.16 ,$279.65 ,$140.89 ,$180.62 ,$92.12 ,$296.10 ,$329.00 ,$70.93 ,$286.23 ,$329.00 ,$329.00 ,$329.00 ,$75.67 ,$213.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001305,28435,HC TX FX CLOSED TALUS W/MANIP,450,1 ,"$4,268.00 ","$3,072.96 ",$532.00 ,"$4,268.00 ","$2,454.10 ","$2,688.84 ","$2,560.80 ",$920.18 ,"$1,195.04 ","$2,475.44 ",$962.01 ,"$2,603.48 ","$1,045.66 ","$2,343.13 ","$2,343.13 ","$1,087.49 ","$2,343.13 ","$1,896.70 ","$2,987.60 ","$3,586.30 ",$962.01 ,$920.18 ,"$3,201.00 ","$3,030.28 ","$3,030.28 ",$962.01 ,"$3,030.28 ","$3,713.16 ","$3,713.16 ","$3,713.16 ", N/A ,"$3,841.20 ","$2,454.10 ","$3,627.80 ",$920.18 ,"$4,268.00 ","$2,394.35 ",$920.18 ,"$1,766.95 ", N/A , N/A ,$962.01 ,"$3,627.80 ","$1,827.82 ","$2,343.13 ","$1,195.04 ","$3,841.20 ","$4,268.00 ",$920.18 ,"$3,713.16 ",$532.00 ,"$4,268.00 ",$532.00 ,$981.64 ,"$2,774.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001317,67935,HC REPAIR EYELID WOUND FULL THICKNESS,450,1 ,"$6,387.00 ","$4,598.64 ",$532.00 ,"$6,387.00 ","$3,672.53 ","$4,023.81 ","$3,832.20 ","$1,377.04 ","$1,788.36 ","$3,704.46 ","$1,439.63 ","$3,896.07 ","$1,564.81 ","$3,506.46 ","$3,506.46 ","$1,627.41 ","$3,506.46 ","$2,838.38 ","$4,470.90 ","$5,285.55 ","$1,439.63 ","$1,377.04 ","$4,790.25 ","$4,534.77 ","$4,534.77 ","$1,439.63 ","$4,534.77 ","$5,556.69 ","$5,556.69 ","$5,556.69 ", N/A ,"$5,748.30 ","$3,672.53 ","$5,428.95 ","$1,377.04 ","$6,387.00 ","$3,583.11 ","$1,377.04 ","$2,644.22 ", N/A , N/A ,"$1,439.63 ","$5,428.95 ","$2,735.30 ","$3,506.46 ","$1,788.36 ","$5,748.30 ","$6,387.00 ","$1,377.04 ","$5,556.69 ",$532.00 ,"$6,387.00 ",$532.00 ,"$1,469.01 ","$4,151.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001329,41005,HC I AND D INTRAORAL LESION,450,1 ,$90.00 ,$64.80 ,$19.40 ,$519.58 ,$51.75 ,$56.70 ,$54.00 ,$19.40 ,$25.20 ,$52.20 ,$20.29 ,$54.90 ,$22.05 ,$49.41 ,$49.41 ,$22.93 ,$49.41 ,$40.00 ,$63.00 ,$519.58 ,$20.29 ,$19.40 ,$67.50 ,$63.90 ,$63.90 ,$20.29 ,$63.90 ,$78.30 ,$78.30 ,$78.30 , N/A ,$81.00 ,$51.75 ,$76.50 ,$19.40 ,$90.00 ,$50.49 ,$19.40 ,$37.26 , N/A , N/A ,$20.29 ,$76.50 ,$38.54 ,$49.41 ,$25.20 ,$81.00 ,$90.00 ,$19.40 ,$78.30 ,$90.00 ,$90.00 ,$90.00 ,$20.70 ,$58.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$659.00 ,$474.48 ,$142.08 ,$659.00 ,$378.93 ,$415.17 ,$395.40 ,$142.08 ,$184.52 ,$382.22 ,$148.54 ,$401.99 ,$161.45 ,$361.79 ,$361.79 ,$167.91 ,$361.79 ,$292.86 ,$461.30 ,$537.18 ,$148.54 ,$142.08 ,$494.25 ,$467.89 ,$467.89 ,$148.54 ,$467.89 ,$573.33 ,$573.33 ,$573.33 , N/A ,$593.10 ,$378.93 ,$560.15 ,$142.08 ,$659.00 ,$369.70 ,$142.08 ,$272.83 , N/A , N/A ,$148.54 ,$560.15 ,$282.22 ,$361.79 ,$184.52 ,$593.10 ,$659.00 ,$142.08 ,$573.33 ,$532.00 ,$659.00 ,$532.00 ,$151.57 ,$428.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001341,42720,HC I AND D ABSCESS PHARYNGEAL INTRAORAL APPROACH,450,1 ,"$7,509.00 ","$5,406.48 ",$532.00 ,"$7,509.00 ","$4,317.68 ","$4,730.67 ","$4,505.40 ","$1,618.94 ","$2,102.52 ","$4,085.00 ","$1,692.53 ","$4,300.00 ","$1,839.70 ","$3,870.00 ","$3,870.00 ","$1,913.29 ","$3,870.00 ","$3,337.00 ","$5,256.30 ","$7,112.58 ","$1,692.53 ","$1,618.94 ","$5,631.75 ","$5,331.39 ","$5,331.39 ","$1,692.53 ","$5,331.39 ","$6,532.83 ","$6,532.83 ","$6,532.83 ", N/A ,"$6,758.10 ","$4,317.68 ","$6,382.65 ","$1,618.94 ","$7,509.00 ","$4,212.55 ","$1,618.94 ","$3,108.73 ", N/A , N/A ,"$1,692.53 ","$6,382.65 ","$3,215.80 ","$3,870.00 ","$2,102.52 ","$6,758.10 ","$7,509.00 ","$1,618.94 ","$6,532.83 ",$532.00 ,"$7,509.00 ",$532.00 ,"$1,727.07 ","$4,880.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001347,27503,HC CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,450,1 ,"$4,473.00 ","$3,220.56 ",$532.00 ,"$4,473.00 ","$2,571.98 ","$2,817.99 ","$2,683.80 ",$964.38 ,"$1,252.44 ","$2,594.34 ","$1,008.21 ","$2,728.53 ","$1,095.88 ","$2,455.68 ","$2,455.68 ","$1,139.72 ","$2,455.68 ","$1,987.80 ","$3,131.10 ","$3,586.30 ","$1,008.21 ",$964.38 ,"$3,354.75 ","$3,175.83 ","$3,175.83 ","$1,008.21 ","$3,175.83 ","$3,891.51 ","$3,891.51 ","$3,891.51 ", N/A ,"$4,025.70 ","$2,571.98 ","$3,802.05 ",$964.38 ,"$4,473.00 ","$2,509.35 ",$964.38 ,"$1,851.82 ", N/A , N/A ,"$1,008.21 ","$3,802.05 ","$1,915.61 ","$2,455.68 ","$1,252.44 ","$4,025.70 ","$4,473.00 ",$964.38 ,"$3,891.51 ",$532.00 ,"$4,473.00 ",$532.00 ,"$1,028.79 ","$2,907.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001350,P9612,HC STRAIGHT CATH FOR URINE SPECIMEN,450,1 ,$194.00 ,$139.68 ,$21.43 ,$194.00 ,$111.55 ,$122.22 ,$116.40 ,$41.83 ,$54.32 ,$112.52 ,$43.73 ,$118.34 ,$47.53 ,$106.51 ,$106.51 ,$49.43 ,$106.51 ,$86.21 ,$135.80 ,$21.43 ,$43.73 ,$41.83 ,$145.50 ,$137.74 ,$137.74 ,$43.73 ,$137.74 ,$168.78 ,$168.78 ,$168.78 , N/A ,$174.60 ,$111.55 ,$164.90 ,$41.83 ,$194.00 ,$108.83 ,$41.83 ,$80.32 , N/A , N/A ,$43.73 ,$164.90 ,$83.08 ,$106.51 ,$54.32 ,$174.60 ,$194.00 ,$41.83 ,$168.78 ,$194.00 ,$194.00 ,$194.00 ,$44.62 ,$126.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001352,26545,HC RECONSTRUCT FINGER JOINT,450,1 ,"$8,212.00 ","$5,912.64 ",$532.00 ,"$8,212.00 ","$4,721.90 ","$5,173.56 ","$4,927.20 ","$1,770.51 ","$2,299.36 ","$4,085.00 ","$1,850.98 ","$4,300.00 ","$2,011.94 ","$3,870.00 ","$3,870.00 ","$2,092.42 ","$3,870.00 ","$3,649.41 ","$5,748.40 ","$7,441.65 ","$1,850.98 ","$1,770.51 ","$6,159.00 ","$5,830.52 ","$5,830.52 ","$1,850.98 ","$5,830.52 ","$7,144.44 ","$7,144.44 ","$7,144.44 ", N/A ,"$7,390.80 ","$4,721.90 ","$6,980.20 ","$1,770.51 ","$8,212.00 ","$4,606.93 ","$1,770.51 ","$3,399.77 ", N/A , N/A ,"$1,850.98 ","$6,980.20 ","$3,516.87 ","$3,870.00 ","$2,299.36 ","$7,390.80 ","$8,212.00 ","$1,770.51 ","$7,144.44 ",$532.00 ,"$8,212.00 ",$532.00 ,"$1,888.76 ","$5,337.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45001355,25660,HC CLTX RDCRPL/INTERCARPL DISLC 1 >BONES W MAN,450,1 ,$587.00 ,$422.64 ,$126.56 ,$587.00 ,$337.53 ,$369.81 ,$352.20 ,$126.56 ,$164.36 ,$340.46 ,$132.31 ,$358.07 ,$143.81 ,$322.26 ,$322.26 ,$149.57 ,$322.26 ,$260.86 ,$410.90 ,$517.53 ,$132.31 ,$126.56 ,$440.25 ,$416.77 ,$416.77 ,$132.31 ,$416.77 ,$510.69 ,$510.69 ,$510.69 , N/A ,$528.30 ,$337.53 ,$498.95 ,$126.56 ,$587.00 ,$329.31 ,$126.56 ,$243.02 , N/A , N/A ,$132.31 ,$498.95 ,$251.39 ,$322.26 ,$164.36 ,$528.30 ,$587.00 ,$126.56 ,$510.69 ,$532.00 ,$587.00 ,$532.00 ,$135.01 ,$381.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,130.00 ",$813.60 ,$243.63 ,"$1,130.00 ",$649.75 ,$711.90 ,$678.00 ,$243.63 ,$316.40 ,$655.40 ,$254.70 ,$689.30 ,$276.85 ,$620.37 ,$620.37 ,$287.92 ,$620.37 ,$502.17 ,$791.00 ,$942.85 ,$254.70 ,$243.63 ,$847.50 ,$802.30 ,$802.30 ,$254.70 ,$802.30 ,$983.10 ,$983.10 ,$983.10 , N/A ,"$1,017.00 ",$649.75 ,$960.50 ,$243.63 ,"$1,130.00 ",$633.93 ,$243.63 ,$467.82 , N/A , N/A ,$254.70 ,$960.50 ,$483.93 ,$620.37 ,$316.40 ,"$1,017.00 ","$1,130.00 ",$243.63 ,$983.10 ,$532.00 ,"$1,130.00 ",$532.00 ,$259.90 ,$734.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001367,15853,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.22 ,$1.00 ,$0.58 ,$0.63 ,$0.60 ,$0.22 ,$0.28 ,$0.58 ,$0.23 ,$0.61 ,$0.24 ,$0.55 ,$0.55 ,$0.25 ,$0.55 ,$0.44 ,$0.70 , N/A ,$0.23 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.23 ,$0.71 ,$0.87 ,$0.87 ,$0.87 , N/A ,$0.90 ,$0.58 ,$0.85 ,$0.22 ,$1.00 ,$0.56 ,$0.22 ,$0.41 , N/A , N/A ,$0.23 ,$0.85 ,$0.43 ,$0.55 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.87 ,$1.00 ,$1.00 ,$1.00 ,$0.23 ,$0.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,45001368,15854,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.22 ,$1.00 ,$0.58 ,$0.63 ,$0.60 ,$0.22 ,$0.28 ,$0.58 ,$0.23 ,$0.61 ,$0.24 ,$0.55 ,$0.55 ,$0.25 ,$0.55 ,$0.44 ,$0.70 , N/A ,$0.23 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.23 ,$0.71 ,$0.87 ,$0.87 ,$0.87 , N/A ,$0.90 ,$0.58 ,$0.85 ,$0.22 ,$1.00 ,$0.56 ,$0.22 ,$0.41 , N/A , N/A ,$0.23 ,$0.85 ,$0.43 ,$0.55 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.87 ,$1.00 ,$1.00 ,$1.00 ,$0.23 ,$0.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,45080003,59409,HC DELIVERY VAGINAL,450,1 ,"$3,252.00 ","$2,341.44 ",$532.00 ,"$7,068.60 ","$1,869.90 ","$2,048.76 ","$1,951.20 ",$701.13 ,$910.56 ,"$1,886.16 ",$733.00 ,"$1,983.72 ",$796.74 ,"$1,785.35 ","$1,785.35 ",$828.61 ,"$1,785.35 ","$1,445.19 ","$2,276.40 ","$7,068.60 ",$733.00 ,$701.13 ,"$2,439.00 ","$2,308.92 ","$2,308.92 ",$733.00 ,"$2,308.92 ","$2,829.24 ","$2,829.24 ","$2,829.24 ", N/A ,"$2,926.80 ","$1,869.90 ","$2,764.20 ",$701.13 ,"$3,252.00 ","$1,824.37 ",$701.13 ,"$1,346.33 ", N/A , N/A ,$733.00 ,"$2,764.20 ","$1,392.70 ","$1,785.35 ",$910.56 ,"$2,926.80 ","$3,252.00 ",$701.13 ,"$2,829.24 ",$532.00 ,"$3,252.00 ",$532.00 ,$747.96 ,"$2,113.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,45080004,23605,HC CLOSED RX PROX HUMERUS FX MANIP,450,1 ,"$4,268.00 ","$3,072.96 ",$532.00 ,"$4,268.00 ","$2,454.10 ","$2,688.84 ","$2,560.80 ",$920.18 ,"$1,195.04 ","$2,475.44 ",$962.01 ,"$2,603.48 ","$1,045.66 ","$2,343.13 ","$2,343.13 ","$1,087.49 ","$2,343.13 ","$1,896.70 ","$2,987.60 ","$3,586.30 ",$962.01 ,$920.18 ,"$3,201.00 ","$3,030.28 ","$3,030.28 ",$962.01 ,"$3,030.28 ","$3,713.16 ","$3,713.16 ","$3,713.16 ", N/A ,"$3,841.20 ","$2,454.10 ","$3,627.80 ",$920.18 ,"$4,268.00 ","$2,394.35 ",$920.18 ,"$1,766.95 ", N/A , N/A ,$962.01 ,"$3,627.80 ","$1,827.82 ","$2,343.13 ","$1,195.04 ","$3,841.20 ","$4,268.00 ",$920.18 ,"$3,713.16 ",$532.00 ,"$4,268.00 ",$532.00 ,$981.64 ,"$2,774.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$448.00 ,$322.56 ,$17.92 ,$448.00 ,$257.60 ,$282.24 ,$268.80 ,$96.59 ,$125.44 ,$259.84 ,$100.98 ,$273.28 ,$109.76 ,$245.95 ,$245.95 ,$114.15 ,$17.92 ,$199.09 ,$313.60 ,$363.58 ,$100.98 ,$96.59 ,$336.00 ,$318.08 ,$318.08 ,$100.98 ,$318.08 ,$389.76 ,$389.76 ,$389.76 , N/A ,$403.20 ,$257.60 ,$380.80 ,$96.59 ,$448.00 ,$251.33 ,$96.59 ,$185.47 ,$126.97 ,$115.43 ,$100.98 ,$380.80 ,$191.86 ,$245.95 ,$125.44 ,$403.20 ,$448.00 ,$96.59 ,$389.76 ,$448.00 ,$448.00 ,$448.00 ,$103.04 ,$291.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000004,94060,HC SPIROMETRY/PFT PRE AND POST,460,1 ,$482.00 ,$347.04 ,$27.06 ,$700.15 ,$277.15 ,$303.66 ,$289.20 ,$103.92 ,$134.96 ,$279.56 ,$108.64 ,$294.02 ,$118.09 ,$264.62 ,$264.62 ,$122.81 ,$27.06 ,$214.20 ,$337.40 ,$700.15 ,$108.64 ,$103.92 ,$361.50 ,$342.22 ,$342.22 ,$108.64 ,$342.22 ,$419.34 ,$419.34 ,$419.34 , N/A ,$433.80 ,$277.15 ,$409.70 ,$103.92 ,$482.00 ,$270.40 ,$103.92 ,$199.55 ,$126.97 ,$115.43 ,$108.64 ,$409.70 ,$206.42 ,$264.62 ,$134.96 ,$433.80 ,$482.00 ,$103.92 ,$419.34 ,$482.00 ,$482.00 ,$482.00 ,$110.86 ,$313.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,"$1,214.00 ",$874.08 ,$32.10 ,"$1,214.00 ",$698.05 ,$764.82 ,$728.40 ,$261.74 ,$339.92 ,$551.53 ,$273.64 ,$580.56 ,$297.43 ,$666.49 ,$666.49 ,$309.33 ,$32.10 ,$539.50 ,$849.80 ,$700.15 ,$273.64 ,$261.74 ,$910.50 ,$861.94 ,$861.94 ,$273.64 ,$861.94 ,"$1,056.18 ","$1,056.18 ","$1,056.18 ", N/A ,"$1,092.60 ",$698.05 ,"$1,031.90 ",$261.74 ,"$1,214.00 ",$681.05 ,$261.74 ,$502.60 ,$387.96 ,$352.69 ,$273.64 ,"$1,031.90 ",$519.91 ,$666.49 ,$339.92 ,"$1,092.60 ","$1,214.00 ",$261.74 ,"$1,056.18 ",$689.00 ,"$1,214.00 ",$689.00 ,$279.22 ,$789.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$120.00 ,$86.40 ,$25.87 ,$363.58 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 ,$363.58 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 ,$126.97 ,$115.43 ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$120.00 ,$120.00 ,$120.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,"$1,038.00 ",$747.36 ,$40.56 ,"$1,038.00 ",$596.85 ,$653.94 ,$622.80 ,$223.79 ,$290.64 ,$602.04 ,$233.97 ,$633.18 ,$254.31 ,$569.86 ,$569.86 ,$264.48 ,$40.56 ,$461.29 ,$726.60 ,$700.15 ,$233.97 ,$223.79 ,$778.50 ,$736.98 ,$736.98 ,$233.97 ,$736.98 ,$903.06 ,$903.06 ,$903.06 , N/A ,$934.20 ,$596.85 ,$882.30 ,$223.79 ,"$1,038.00 ",$582.32 ,$223.79 ,$429.73 ,$126.97 ,$115.43 ,$233.97 ,$882.30 ,$444.54 ,$569.86 ,$290.64 ,$934.20 ,"$1,038.00 ",$223.79 ,$903.06 ,$689.00 ,"$1,038.00 ",$689.00 ,$238.74 ,$674.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$762.00 ,$548.64 ,$11.30 ,$762.00 ,$438.15 ,$480.06 ,$457.20 ,$164.29 ,$213.36 ,$199.50 ,$171.75 ,$210.00 ,$186.69 ,$418.34 ,$418.34 ,$194.16 ,$11.30 ,$338.63 ,$533.40 ,$290.28 ,$171.75 ,$164.29 ,$571.50 ,$541.02 ,$541.02 ,$171.75 ,$541.02 ,$662.94 ,$662.94 ,$662.94 , N/A ,$685.80 ,$438.15 ,$647.70 ,$164.29 ,$762.00 ,$427.48 ,$164.29 ,$315.47 ,$387.96 ,$352.69 ,$171.75 ,$647.70 ,$326.33 ,$418.34 ,$213.36 ,$685.80 ,$762.00 ,$164.29 ,$662.94 ,$689.00 ,$762.00 ,$689.00 ,$175.26 ,$495.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$534.00 ,$384.48 ,$45.34 ,$534.00 ,$307.05 ,$336.42 ,$320.40 ,$115.13 ,$149.52 ,$309.72 ,$120.36 ,$325.74 ,$130.83 ,$293.17 ,$293.17 ,$136.06 ,$45.34 ,$237.31 ,$373.80 , N/A ,$120.36 ,$115.13 ,$400.50 ,$379.14 ,$379.14 ,$120.36 ,$379.14 ,$464.58 ,$464.58 ,$464.58 , N/A ,$480.60 ,$307.05 ,$453.90 ,$115.13 ,$534.00 ,$299.57 ,$115.13 ,$221.08 ,$126.97 ,$115.43 ,$120.36 ,$453.90 ,$228.69 ,$293.17 ,$149.52 ,$480.60 ,$534.00 ,$115.13 ,$464.58 ,$534.00 ,$534.00 ,$534.00 ,$122.82 ,$347.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000021,94760,HC PULSE OX SINGLE,460,1 ,$73.00 ,$52.56 ,$2.47 ,$73.00 ,$41.98 ,$45.99 ,$43.80 ,$15.74 ,$20.44 ,$42.34 ,$16.45 ,$44.53 ,$17.88 ,$40.08 ,$40.08 ,$18.60 ,$2.47 ,$32.44 ,$51.10 , N/A ,$16.45 ,$15.74 ,$54.75 ,$51.83 ,$51.83 ,$16.45 ,$51.83 ,$63.51 ,$63.51 ,$63.51 , N/A ,$65.70 ,$41.98 ,$62.05 ,$15.74 ,$73.00 ,$40.95 ,$15.74 ,$30.22 , N/A , N/A ,$16.45 ,$62.05 ,$31.26 ,$40.08 ,$20.44 ,$65.70 ,$73.00 ,$15.74 ,$63.51 ,$73.00 ,$73.00 ,$73.00 ,$16.79 ,$47.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000022,94200,HC MAXIMAL VOL VENTILATION,942,1 ,$504.00 ,$362.88 ,$11.61 ,$504.00 ,$289.80 ,$317.52 ,$302.40 ,$108.66 ,$141.12 ,$292.32 ,$113.60 ,$307.44 ,$123.48 ,$276.70 ,$276.70 ,$128.42 ,$11.61 ,$223.98 ,$352.80 ,$143.70 ,$113.60 ,$108.66 ,$378.00 ,$357.84 ,$357.84 ,$113.60 ,$357.84 ,$438.48 ,$438.48 ,$438.48 , N/A ,$453.60 ,$289.80 ,$428.40 ,$108.66 ,$504.00 ,$282.74 ,$108.66 ,$208.66 , N/A , N/A ,$113.60 ,$428.40 ,$215.84 ,$276.70 ,$141.12 ,$453.60 ,$504.00 ,$108.66 ,$438.48 ,$111.00 ,$504.00 ,$111.00 ,$115.92 ,$327.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$114.00 ,$82.08 ,$24.58 ,$114.00 ,$65.55 ,$71.82 ,$68.40 ,$24.58 ,$31.92 ,$66.12 ,$25.70 ,$69.54 ,$27.93 ,$62.59 ,$62.59 ,$29.05 ,$62.59 ,$50.66 ,$79.80 , N/A ,$25.70 ,$24.58 ,$85.50 ,$80.94 ,$80.94 ,$25.70 ,$80.94 ,$99.18 ,$99.18 ,$99.18 , N/A ,$102.60 ,$65.55 ,$96.90 ,$24.58 ,$114.00 ,$63.95 ,$24.58 ,$47.20 , N/A , N/A ,$25.70 ,$96.90 ,$48.82 ,$62.59 ,$31.92 ,$102.60 ,$114.00 ,$24.58 ,$99.18 , N/A ,$114.00 , N/A ,$26.22 ,$74.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,46000028,94690,HC O2 UPTAKE EXPIRED GAS REST,460,1 ,$169.00 ,$121.68 ,$36.44 ,$169.00 ,$97.18 ,$106.47 ,$101.40 ,$36.44 ,$47.32 ,$98.02 ,$38.09 ,$103.09 ,$41.40 ,$92.78 ,$92.78 ,$43.06 ,$41.55 ,$75.10 ,$118.30 ,$143.70 ,$38.09 ,$36.44 ,$126.75 ,$119.99 ,$119.99 ,$38.09 ,$119.99 ,$147.03 ,$147.03 ,$147.03 , N/A ,$152.10 ,$97.18 ,$143.65 ,$36.44 ,$169.00 ,$94.81 ,$36.44 ,$69.97 ,$126.97 ,$115.43 ,$38.09 ,$143.65 ,$72.37 ,$92.78 ,$47.32 ,$152.10 ,$169.00 ,$36.44 ,$147.03 ,$169.00 ,$169.00 ,$169.00 ,$38.87 ,$109.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,47000001,92587,HC DISTORTION EVOKED POTENT LTD,470,1 ,$339.00 ,$244.08 ,$4.05 ,$700.15 ,$194.93 ,$213.57 ,$203.40 ,$73.09 ,$94.92 ,$50.27 ,$76.41 ,$52.92 ,$83.05 ,$186.11 ,$186.11 ,$86.38 ,$4.05 ,$150.65 ,$237.30 ,$700.15 ,$76.41 ,$73.09 ,$254.25 ,$240.69 ,$240.69 ,$76.41 ,$240.69 ,$294.93 ,$294.93 ,$294.93 , N/A ,$305.10 ,$194.93 ,$288.15 ,$73.09 ,$339.00 ,$190.18 ,$73.09 ,$140.35 ,$370.29 ,$336.63 ,$76.41 ,$288.15 ,$145.18 ,$186.11 ,$94.92 ,$305.10 ,$339.00 ,$73.09 ,$294.93 ,$160.00 ,$339.00 ,$160.00 ,$77.97 ,$220.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,$778.00 ,$560.16 ,$109.85 ,"$1,470.35 ",$447.35 ,$490.14 ,$466.80 ,$167.74 ,$217.84 ,$451.24 ,$175.36 ,$474.58 ,$190.61 ,$427.12 ,$427.12 ,$198.23 ,$109.85 ,$345.74 ,$544.60 ,"$1,470.35 ",$175.36 ,$167.74 ,$583.50 ,$552.38 ,$552.38 ,$175.36 ,$552.38 ,$676.86 ,$676.86 ,$676.86 , N/A ,$700.20 ,$447.35 ,$661.30 ,$167.74 ,$778.00 ,$436.46 ,$167.74 ,$322.09 ,"$1,034.47 ",$940.43 ,$175.36 ,$661.30 ,$333.19 ,$427.12 ,$217.84 ,$700.20 ,$778.00 ,$167.74 ,$676.86 ,$778.00 ,$778.00 ,$778.00 ,$178.94 ,$505.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,48000015,93618,HC ARRHYTHMIA INDUCTION ELECTRIC,480,1 ,"$3,207.00 ","$2,309.04 ",$229.59 ,"$8,867.14 ","$1,844.03 ","$2,020.41 ","$1,924.20 ",$691.43 ,$897.96 ,"$1,860.06 ",$722.86 ,"$1,956.27 ",$785.71 ,"$1,760.64 ","$1,760.64 ",$817.14 ,$229.59 ,"$1,425.19 ","$2,244.90 ","$2,792.65 ",$722.86 ,$691.43 ,"$2,405.25 ","$2,276.97 ","$2,276.97 ",$722.86 ,"$2,276.97 ","$2,790.09 ","$2,790.09 ","$2,790.09 ", N/A ,"$2,886.30 ","$1,844.03 ","$2,725.95 ",$691.43 ,"$3,207.00 ","$1,799.13 ",$691.43 ,"$1,327.70 ","$8,867.14 ","$8,061.04 ",$722.86 ,"$2,725.95 ","$1,373.43 ","$1,760.64 ",$897.96 ,"$2,886.30 ","$3,207.00 ",$691.43 ,"$2,790.09 ","$1,357.00 ","$3,207.00 ","$1,357.00 ",$737.61 ,"$2,084.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,48000024,93668,HC PAD REHAB PER SESSION,480,1 ,$212.00 ,$152.64 ,$13.82 ,$518.29 ,$121.90 ,$133.56 ,$127.20 ,$45.71 ,$59.36 ,$122.96 ,$47.78 ,$129.32 ,$51.94 ,$116.39 ,$116.39 ,$54.02 ,$13.82 ,$94.21 ,$148.40 ,$143.70 ,$47.78 ,$45.71 ,$159.00 ,$150.52 ,$150.52 ,$47.78 ,$150.52 ,$184.44 ,$184.44 ,$184.44 , N/A ,$190.80 ,$121.90 ,$180.20 ,$45.71 ,$212.00 ,$118.93 ,$45.71 ,$87.77 ,$518.29 ,$471.17 ,$47.78 ,$180.20 ,$90.79 ,$116.39 ,$59.36 ,$190.80 ,$212.00 ,$45.71 ,$184.44 ,$212.00 ,$212.00 ,$212.00 ,$48.76 ,$137.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,$868.00 ,$624.96 ,$34.26 ,$868.00 ,$499.10 ,$546.84 ,$520.80 ,$187.14 ,$243.04 ,$503.44 ,$195.65 ,$529.48 ,$212.66 ,$476.53 ,$476.53 ,$221.17 ,$34.26 ,$385.74 ,$607.60 ,$700.15 ,$195.65 ,$187.14 ,$651.00 ,$616.28 ,$616.28 ,$195.65 ,$616.28 ,$755.16 ,$755.16 ,$755.16 , N/A ,$781.20 ,$499.10 ,$737.80 ,$187.14 ,$868.00 ,$486.95 ,$187.14 ,$359.35 ,$518.29 ,$471.17 ,$195.65 ,$737.80 ,$371.73 ,$476.53 ,$243.04 ,$781.20 ,$868.00 ,$187.14 ,$755.16 ,$868.00 ,$868.00 ,$868.00 ,$199.64 ,$564.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,230.00 ","$2,325.60 ",$122.41 ,"$3,230.00 ","$1,857.25 ","$2,034.90 ","$1,938.00 ",$696.39 ,$904.40 ,"$1,873.40 ",$728.04 ,"$1,970.30 ",$791.35 ,"$1,773.27 ","$1,773.27 ",$823.00 ,$122.41 ,"$1,435.41 ","$2,261.00 ","$1,257.83 ",$728.04 ,$696.39 ,"$2,422.50 ","$2,293.30 ","$2,293.30 ",$728.04 ,"$2,293.30 ","$2,810.10 ","$2,810.10 ","$2,810.10 ", N/A ,"$2,907.00 ","$1,857.25 ","$2,745.50 ",$696.39 ,"$3,230.00 ","$1,812.03 ",$696.39 ,"$1,337.22 ",$823.74 ,$748.85 ,$728.04 ,"$2,745.50 ","$1,383.28 ","$1,773.27 ",$904.40 ,"$2,907.00 ","$3,230.00 ",$696.39 ,"$2,810.10 ",$799.00 ,"$3,230.00 ",$799.00 ,$742.90 ,"$2,099.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,48300001,93307,HC ECHOCARDIOGRAM 2D W/O DOP,483,1 ,"$2,014.00 ","$1,450.08 ",$89.09 ,"$2,014.00 ","$1,158.05 ","$1,268.82 ","$1,208.40 ",$434.22 ,$563.92 ,"$1,168.12 ",$453.96 ,"$1,228.54 ",$493.43 ,"$1,105.69 ","$1,105.69 ",$513.17 ,$89.09 ,$895.02 ,"$1,409.80 ",$583.80 ,$453.96 ,$434.22 ,"$1,510.50 ","$1,429.94 ","$1,429.94 ",$453.96 ,"$1,429.94 ","$1,752.18 ","$1,752.18 ","$1,752.18 ", N/A ,"$1,812.60 ","$1,158.05 ","$1,711.90 ",$434.22 ,"$2,014.00 ","$1,129.85 ",$434.22 ,$833.80 ,$823.74 ,$748.85 ,$453.96 ,"$1,711.90 ",$862.52 ,"$1,105.69 ",$563.92 ,"$1,812.60 ","$2,014.00 ",$434.22 ,"$1,752.18 ",$799.00 ,"$2,014.00 ",$799.00 ,$463.22 ,"$1,309.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$876.00 ,$630.72 ,$70.19 ,$876.00 ,$503.70 ,$551.88 ,$525.60 ,$188.87 ,$245.28 ,$508.08 ,$197.45 ,$534.36 ,$214.62 ,$480.92 ,$480.92 ,$223.20 ,$70.19 ,$389.29 ,$613.20 ,$583.80 ,$197.45 ,$188.87 ,$657.00 ,$621.96 ,$621.96 ,$197.45 ,$621.96 ,$762.12 ,$762.12 ,$762.12 , N/A ,$788.40 ,$503.70 ,$744.60 ,$188.87 ,$876.00 ,$491.44 ,$188.87 ,$362.66 ,$823.74 ,$748.85 ,$197.45 ,$744.60 ,$375.15 ,$480.92 ,$245.28 ,$788.40 ,$876.00 ,$188.87 ,$762.12 ,$799.00 ,$876.00 ,$799.00 ,$201.48 ,$569.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$332.00 ,$239.04 ,$19.22 ,$823.74 ,$190.90 ,$209.16 ,$199.20 ,$71.58 ,$92.96 ,$192.56 ,$74.83 ,$202.52 ,$81.34 ,$182.27 ,$182.27 ,$84.59 ,$19.22 ,$147.54 ,$232.40 , N/A ,$74.83 ,$71.58 ,$249.00 ,$235.72 ,$235.72 ,$74.83 ,$235.72 ,$288.84 ,$288.84 ,$288.84 , N/A ,$298.80 ,$190.90 ,$282.20 ,$71.58 ,$332.00 ,$186.25 ,$71.58 ,$137.45 ,$823.74 ,$748.85 ,$74.83 ,$282.20 ,$142.18 ,$182.27 ,$92.96 ,$298.80 ,$332.00 ,$71.58 ,$288.84 ,$332.00 ,$332.00 ,$332.00 ,$76.36 ,$215.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,48300007,93350,HC ECHO REST AND STRESS W/PF,483,1 ,"$2,926.00 ","$2,106.72 ",$111.79 ,"$2,926.00 ","$1,682.45 ","$1,843.38 ","$1,755.60 ",$630.85 ,$819.28 ,"$1,697.08 ",$659.52 ,"$1,784.86 ",$716.87 ,"$1,606.37 ","$1,606.37 ",$745.54 ,$111.79 ,"$1,300.31 ","$2,048.20 ","$1,257.83 ",$659.52 ,$630.85 ,"$2,194.50 ","$2,077.46 ","$2,077.46 ",$659.52 ,"$2,077.46 ","$2,545.62 ","$2,545.62 ","$2,545.62 ", N/A ,"$2,633.40 ","$1,682.45 ","$2,487.10 ",$630.85 ,"$2,926.00 ","$1,641.49 ",$630.85 ,"$1,211.36 ",$823.74 ,$748.85 ,$659.52 ,"$2,487.10 ","$1,253.09 ","$1,606.37 ",$819.28 ,"$2,633.40 ","$2,926.00 ",$630.85 ,"$2,545.62 ",$799.00 ,"$2,926.00 ",$799.00 ,$672.98 ,"$1,901.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$320.00 ,$230.40 ,$17.02 ,$823.74 ,$184.00 ,$201.60 ,$192.00 ,$68.99 ,$89.60 ,$185.60 ,$72.13 ,$195.20 ,$78.40 ,$175.68 ,$175.68 ,$81.54 ,$17.02 ,$142.21 ,$224.00 , N/A ,$72.13 ,$68.99 ,$240.00 ,$227.20 ,$227.20 ,$72.13 ,$227.20 ,$278.40 ,$278.40 ,$278.40 , N/A ,$288.00 ,$184.00 ,$272.00 ,$68.99 ,$320.00 ,$179.52 ,$68.99 ,$132.48 ,$823.74 ,$748.85 ,$72.13 ,$272.00 ,$137.04 ,$175.68 ,$89.60 ,$288.00 ,$320.00 ,$68.99 ,$278.40 ,$320.00 ,$320.00 ,$320.00 ,$73.60 ,$208.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,48300011,93351,HC ECHO 2D STRESS CONT MONITORING,483,1 ,"$1,784.00 ","$1,284.48 ",$143.21 ,"$1,784.00 ","$1,025.80 ","$1,123.92 ","$1,070.40 ",$384.63 ,$499.52 ,"$1,034.72 ",$402.11 ,"$1,088.24 ",$437.08 ,$979.42 ,$979.42 ,$454.56 ,$143.21 ,$792.81 ,"$1,248.80 ","$1,257.83 ",$402.11 ,$384.63 ,"$1,338.00 ","$1,266.64 ","$1,266.64 ",$402.11 ,"$1,266.64 ","$1,552.08 ","$1,552.08 ","$1,552.08 ", N/A ,"$1,605.60 ","$1,025.80 ","$1,516.40 ",$384.63 ,"$1,784.00 ","$1,000.82 ",$384.63 ,$738.58 ,$823.74 ,$748.85 ,$402.11 ,"$1,516.40 ",$764.02 ,$979.42 ,$499.52 ,"$1,605.60 ","$1,784.00 ",$384.63 ,"$1,552.08 ",$799.00 ,"$1,784.00 ",$799.00 ,$410.32 ,"$1,159.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,48300016,C8924,HC ECHO TTE W/W/O CONT AND W/CONT LIMIT,483,1 ,"$1,261.00 ",$907.92 ,$271.87 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$819.65 ,$560.39 ,$882.70 ,$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$823.74 ,$748.85 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ",$799.00 ,"$1,261.00 ",$799.00 ,$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT AND W/CONT W/PF,483,1 ,"$1,465.00 ","$1,054.80 ",$315.85 ,"$1,851.88 ",$842.38 ,$922.95 ,$879.00 ,$315.85 ,$410.20 ,$849.70 ,$330.21 ,$893.65 ,$358.92 ,$804.29 ,$804.29 ,$373.28 ,$952.25 ,$651.05 ,"$1,025.50 ","$1,851.88 ",$330.21 ,$315.85 ,"$1,098.75 ","$1,040.15 ","$1,040.15 ",$330.21 ,"$1,040.15 ","$1,274.55 ","$1,274.55 ","$1,274.55 ", N/A ,"$1,318.50 ",$842.38 ,"$1,245.25 ",$315.85 ,"$1,465.00 ",$821.87 ,$315.85 ,$606.51 ,$823.74 ,$748.85 ,$330.21 ,"$1,245.25 ",$627.41 ,$804.29 ,$410.20 ,"$1,318.50 ","$1,465.00 ",$315.85 ,"$1,274.55 ",$799.00 ,"$1,465.00 ",$799.00 ,$336.95 ,$952.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT AND W/CONT,483,1 ,"$3,005.00 ","$2,163.60 ",$647.88 ,"$3,005.00 ","$1,727.88 ","$1,893.15 ","$1,803.00 ",$647.88 ,$841.40 ,"$1,742.90 ",$677.33 ,"$1,833.05 ",$736.22 ,"$1,649.75 ","$1,649.75 ",$765.67 ,"$1,953.25 ","$1,335.42 ","$2,103.50 ","$1,851.88 ",$677.33 ,$647.88 ,"$2,253.75 ","$2,133.55 ","$2,133.55 ",$677.33 ,"$2,133.55 ","$2,614.35 ","$2,614.35 ","$2,614.35 ", N/A ,"$2,704.50 ","$1,727.88 ","$2,554.25 ",$647.88 ,"$3,005.00 ","$1,685.81 ",$647.88 ,"$1,244.07 ",$823.74 ,$748.85 ,$677.33 ,"$2,554.25 ","$1,286.93 ","$1,649.75 ",$841.40 ,"$2,704.50 ","$3,005.00 ",$647.88 ,"$2,614.35 ",$799.00 ,"$3,005.00 ",$799.00 ,$691.15 ,"$1,953.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,48300020,C8930,HC ECHO TTE 2D REST/STRESS W/W/O CONT AND W/CONT W/PF,483,1 ,"$2,246.00 ","$1,617.12 ",$484.24 ,"$2,246.00 ","$1,291.45 ","$1,414.98 ","$1,347.60 ",$484.24 ,$628.88 ,"$1,302.68 ",$506.25 ,"$1,370.06 ",$550.27 ,"$1,233.05 ","$1,233.05 ",$572.28 ,"$1,459.90 ",$998.12 ,"$1,572.20 ","$1,851.88 ",$506.25 ,$484.24 ,"$1,684.50 ","$1,594.66 ","$1,594.66 ",$506.25 ,"$1,594.66 ","$1,954.02 ","$1,954.02 ","$1,954.02 ", N/A ,"$2,021.40 ","$1,291.45 ","$1,909.10 ",$484.24 ,"$2,246.00 ","$1,260.01 ",$484.24 ,$929.84 ,$823.74 ,$748.85 ,$506.25 ,"$1,909.10 ",$961.87 ,"$1,233.05 ",$628.88 ,"$2,021.40 ","$2,246.00 ",$484.24 ,"$1,954.02 ",$799.00 ,"$2,246.00 ",$799.00 ,$516.58 ,"$1,459.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,095.00 ",$788.40 ,$61.40 ,"$1,095.00 ",$629.63 ,$689.85 ,$657.00 ,$236.08 ,$306.60 ,$635.10 ,$246.81 ,$667.95 ,$268.27 ,$601.16 ,$601.16 ,$279.01 ,$61.40 ,$486.62 , N/A ,$932.68 ,$246.81 ,$236.08 ,$821.25 ,$777.45 ,$777.45 ,$246.81 ,$777.45 ,$952.65 ,$952.65 ,$952.65 , N/A ,$985.50 ,$629.63 ,$930.75 ,$236.08 ,"$1,095.00 ",$614.30 ,$236.08 ,$453.33 ,$520.60 ,$473.27 ,$246.81 ,$930.75 ,$468.95 ,$601.16 ,$306.60 ,$985.50 ,"$1,095.00 ",$236.08 ,$952.65 ,$122.00 ,"$1,095.00 ",$122.00 ,$251.85 ,$711.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,"$1,619.00 ","$1,165.68 ",$122.00 ,"$1,619.00 ",$930.93 ,"$1,019.97 ",$971.40 ,$349.06 ,$453.32 ,$939.02 ,$364.92 ,$987.59 ,$396.65 ,$888.83 ,$888.83 ,$412.52 ,$160.55 ,$719.48 , N/A ,"$1,452.38 ",$364.92 ,$349.06 ,"$1,214.25 ","$1,149.49 ","$1,149.49 ",$364.92 ,"$1,149.49 ","$1,408.53 ","$1,408.53 ","$1,408.53 ", N/A ,"$1,457.10 ",$930.93 ,"$1,376.15 ",$349.06 ,"$1,619.00 ",$908.26 ,$349.06 ,$670.27 ,"$1,416.34 ","$1,287.58 ",$364.92 ,"$1,376.15 ",$693.35 ,$888.83 ,$453.32 ,"$1,457.10 ","$1,619.00 ",$349.06 ,"$1,408.53 ",$122.00 ,"$1,619.00 ",$122.00 ,$372.37 ,"$1,052.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$2,652.00 ","$1,909.44 ",$122.00 ,"$3,748.88 ","$1,524.90 ","$1,670.76 ","$1,591.20 ",$571.77 ,$742.56 ,"$1,538.16 ",$597.76 ,"$1,617.72 ",$649.74 ,"$1,455.95 ","$1,455.95 ",$675.73 ,$237.40 ,"$1,178.55 ", N/A ,"$3,748.88 ",$597.76 ,$571.77 ,"$1,989.00 ","$1,882.92 ","$1,882.92 ",$597.76 ,"$1,882.92 ","$2,307.24 ","$2,307.24 ","$2,307.24 ", N/A ,"$2,386.80 ","$1,524.90 ","$2,254.20 ",$571.77 ,"$2,652.00 ","$1,487.77 ",$571.77 ,"$1,097.93 ","$2,033.01 ","$1,848.19 ",$597.76 ,"$2,254.20 ","$1,135.74 ","$1,455.95 ",$742.56 ,"$2,386.80 ","$2,652.00 ",$571.77 ,"$2,307.24 ",$122.00 ,"$2,652.00 ",$122.00 ,$609.96 ,"$1,723.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,$763.00 ,$549.36 ,$26.97 ,"$1,416.34 ",$438.73 ,$480.69 ,$457.80 ,$164.50 ,$213.64 ,$442.54 ,$171.98 ,$465.43 ,$186.93 ,$418.89 ,$418.89 ,$194.41 ,$26.97 ,$339.08 , N/A , N/A ,$171.98 ,$164.50 ,$572.25 ,$541.73 ,$541.73 ,$171.98 ,$541.73 ,$663.81 ,$663.81 ,$663.81 , N/A ,$686.70 ,$438.73 ,$648.55 ,$164.50 ,$763.00 ,$428.04 ,$164.50 ,$315.88 ,"$1,416.34 ","$1,287.58 ",$171.98 ,$648.55 ,$326.76 ,$418.89 ,$213.64 ,$686.70 ,$763.00 ,$164.50 ,$663.81 ,$122.00 ,$763.00 ,$122.00 ,$175.49 ,$495.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$826.00 ,$594.72 ,$58.60 ,"$1,416.34 ",$474.95 ,$520.38 ,$495.60 ,$178.09 ,$231.28 ,$479.08 ,$186.18 ,$503.86 ,$202.37 ,$453.47 ,$453.47 ,$210.46 ,$58.60 ,$367.07 , N/A , N/A ,$186.18 ,$178.09 ,$619.50 ,$586.46 ,$586.46 ,$186.18 ,$586.46 ,$718.62 ,$718.62 ,$718.62 , N/A ,$743.40 ,$474.95 ,$702.10 ,$178.09 ,$826.00 ,$463.39 ,$178.09 ,$341.96 ,"$1,416.34 ","$1,287.58 ",$186.18 ,$702.10 ,$353.74 ,$453.47 ,$231.28 ,$743.40 ,$826.00 ,$178.09 ,$718.62 ,$122.00 ,$826.00 ,$122.00 ,$189.98 ,$536.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$2,078.00 ","$1,496.16 ",$104.12 ,"$2,078.00 ","$1,194.85 ","$1,309.14 ","$1,246.80 ",$448.02 ,$581.84 ,"$1,205.24 ",$468.38 ,"$1,267.58 ",$509.11 ,"$1,140.82 ","$1,140.82 ",$529.47 ,$104.12 ,$923.46 , N/A , N/A ,$468.38 ,$448.02 ,"$1,558.50 ","$1,475.38 ","$1,475.38 ",$468.38 ,"$1,475.38 ","$1,807.86 ","$1,807.86 ","$1,807.86 ", N/A ,"$1,870.20 ","$1,194.85 ","$1,766.30 ",$448.02 ,"$2,078.00 ","$1,165.76 ",$448.02 ,$860.29 ,"$2,033.01 ","$1,848.19 ",$468.38 ,"$1,766.30 ",$889.93 ,"$1,140.82 ",$581.84 ,"$1,870.20 ","$2,078.00 ",$448.02 ,"$1,807.86 ",$122.00 ,"$2,078.00 ",$122.00 ,$477.94 ,"$1,350.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$229.00 ,$164.88 ,$16.72 ,$520.60 ,$131.68 ,$144.27 ,$137.40 ,$49.37 ,$64.12 ,$132.82 ,$51.62 ,$139.69 ,$56.10 ,$125.72 ,$125.72 ,$58.35 ,$16.72 ,$101.77 , N/A ,$451.45 ,$51.62 ,$49.37 ,$171.75 ,$162.59 ,$162.59 ,$51.62 ,$162.59 ,$199.23 ,$199.23 ,$199.23 , N/A ,$206.10 ,$131.68 ,$194.65 ,$49.37 ,$229.00 ,$128.47 ,$49.37 ,$94.81 ,$520.60 ,$473.27 ,$51.62 ,$194.65 ,$98.07 ,$125.72 ,$64.12 ,$206.10 ,$229.00 ,$49.37 ,$199.23 ,$122.00 ,$229.00 ,$122.00 ,$52.67 ,$148.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$252.00 ,$181.44 ,$22.75 ,$520.60 ,$144.90 ,$158.76 ,$151.20 ,$54.33 ,$70.56 ,$146.16 ,$56.80 ,$153.72 ,$61.74 ,$138.35 ,$138.35 ,$64.21 ,$22.75 ,$111.99 , N/A ,$451.45 ,$56.80 ,$54.33 ,$189.00 ,$178.92 ,$178.92 ,$56.80 ,$178.92 ,$219.24 ,$219.24 ,$219.24 , N/A ,$226.80 ,$144.90 ,$214.20 ,$54.33 ,$252.00 ,$141.37 ,$54.33 ,$104.33 ,$520.60 ,$473.27 ,$56.80 ,$214.20 ,$107.92 ,$138.35 ,$70.56 ,$226.80 ,$252.00 ,$54.33 ,$219.24 ,$122.00 ,$252.00 ,$122.00 ,$57.96 ,$163.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$173.00 ,$124.56 ,$7.61 ,$173.00 ,$99.48 ,$108.99 ,$103.80 ,$37.30 ,$48.44 ,$100.34 ,$38.99 ,$105.53 ,$42.38 ,$94.98 ,$94.98 ,$44.08 ,$7.61 ,$76.88 , N/A ,$143.70 ,$38.99 ,$37.30 ,$129.75 ,$122.83 ,$122.83 ,$38.99 ,$122.83 ,$150.51 ,$150.51 ,$150.51 , N/A ,$155.70 ,$99.48 ,$147.05 ,$37.30 ,$173.00 ,$97.05 ,$37.30 ,$71.62 ,$139.27 ,$126.61 ,$38.99 ,$147.05 ,$74.09 ,$94.98 ,$48.44 ,$155.70 ,$173.00 ,$37.30 ,$150.51 ,$122.00 ,$173.00 ,$122.00 ,$39.79 ,$112.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$197.00 ,$141.84 ,$15.39 ,$197.00 ,$113.28 ,$124.11 ,$118.20 ,$42.47 ,$55.16 ,$114.26 ,$44.40 ,$120.17 ,$48.26 ,$108.15 ,$108.15 ,$50.20 ,$15.39 ,$87.55 , N/A ,$143.70 ,$44.40 ,$42.47 ,$147.75 ,$139.87 ,$139.87 ,$44.40 ,$139.87 ,$171.39 ,$171.39 ,$171.39 , N/A ,$177.30 ,$113.28 ,$167.45 ,$42.47 ,$197.00 ,$110.52 ,$42.47 ,$81.56 ,$139.27 ,$126.61 ,$44.40 ,$167.45 ,$84.37 ,$108.15 ,$55.16 ,$177.30 ,$197.00 ,$42.47 ,$171.39 ,$122.00 ,$197.00 ,$122.00 ,$45.31 ,$128.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$318.00 ,$228.96 ,$24.42 ,$318.00 ,$182.85 ,$200.34 ,$190.80 ,$68.56 ,$89.04 ,$184.44 ,$71.68 ,$193.98 ,$77.91 ,$174.58 ,$174.58 ,$81.03 ,$24.42 ,$141.32 , N/A ,$143.70 ,$71.68 ,$68.56 ,$238.50 ,$225.78 ,$225.78 ,$71.68 ,$225.78 ,$276.66 ,$276.66 ,$276.66 , N/A ,$286.20 ,$182.85 ,$270.30 ,$68.56 ,$318.00 ,$178.40 ,$68.56 ,$131.65 ,$139.27 ,$126.61 ,$71.68 ,$270.30 ,$136.19 ,$174.58 ,$89.04 ,$286.20 ,$318.00 ,$68.56 ,$276.66 ,$122.00 ,$318.00 ,$122.00 ,$73.14 ,$206.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,$929.00 ,$668.88 ,$101.20 ,"$1,094.18 ",$534.18 ,$585.27 ,$557.40 ,$200.29 ,$260.12 ,$538.82 ,$209.40 ,$566.69 ,$227.60 ,$510.02 ,$510.02 ,$236.71 ,$101.20 ,$412.85 , N/A ,$932.68 ,$209.40 ,$200.29 ,$696.75 ,$659.59 ,$659.59 ,$209.40 ,$659.59 ,$808.23 ,$808.23 ,$808.23 , N/A ,$836.10 ,$534.18 ,$789.65 ,$200.29 ,$929.00 ,$521.17 ,$200.29 ,$384.61 ,"$1,094.18 ",$994.71 ,$209.40 ,$789.65 ,$397.85 ,$510.02 ,$260.12 ,$836.10 ,$929.00 ,$200.29 ,$808.23 ,$122.00 ,$929.00 ,$122.00 ,$213.67 ,$603.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,$778.00 ,$560.16 ,$31.74 ,$831.55 ,$447.35 ,$490.14 ,$466.80 ,$167.74 ,$217.84 ,$451.24 ,$175.36 ,$474.58 ,$190.61 ,$427.12 ,$427.12 ,$198.23 ,$31.74 ,$345.74 , N/A ,$831.55 ,$175.36 ,$167.74 ,$583.50 ,$552.38 ,$552.38 ,$175.36 ,$552.38 ,$676.86 ,$676.86 ,$676.86 , N/A ,$700.20 ,$447.35 ,$661.30 ,$167.74 ,$778.00 ,$436.46 ,$167.74 ,$322.09 ,$202.75 ,$184.32 ,$175.36 ,$661.30 ,$333.19 ,$427.12 ,$217.84 ,$700.20 ,$778.00 ,$167.74 ,$676.86 ,$122.00 ,$778.00 ,$122.00 ,$178.94 ,$505.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000051,20240,HC BX BN OPEN-SUPERFICIAL,510,1 ,"$4,158.00 ","$2,993.76 ",$122.00 ,"$6,458.13 ","$2,390.85 ","$2,619.54 ","$2,494.80 ",$896.46 ,"$1,164.24 ","$2,411.64 ",$937.21 ,"$2,536.38 ","$1,018.71 ","$2,282.74 ","$2,282.74 ","$1,059.46 ",$144.46 ,"$1,847.82 ", N/A ,"$6,458.13 ",$937.21 ,$896.46 ,"$3,118.50 ","$2,952.18 ","$2,952.18 ",$937.21 ,"$2,952.18 ","$3,617.46 ","$3,617.46 ","$3,617.46 ", N/A ,"$3,742.20 ","$2,390.85 ","$3,534.30 ",$896.46 ,"$4,158.00 ","$2,332.64 ",$896.46 ,"$1,721.41 ","$2,188.35 ","$1,989.41 ",$937.21 ,"$3,534.30 ","$1,780.71 ","$2,282.74 ","$1,164.24 ","$3,742.20 ","$4,158.00 ",$896.46 ,"$3,617.46 ",$122.00 ,"$4,158.00 ",$122.00 ,$956.34 ,"$2,702.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000053,29580,HC APPLY UNNA BOOT,510,1 ,$309.00 ,$222.48 ,$27.77 ,$427.90 ,$177.68 ,$194.67 ,$185.40 ,$66.62 ,$86.52 ,$179.22 ,$69.65 ,$188.49 ,$75.70 ,$169.64 ,$169.64 ,$78.73 ,$27.77 ,$137.32 , N/A ,$364.40 ,$69.65 ,$66.62 ,$231.75 ,$219.39 ,$219.39 ,$69.65 ,$219.39 ,$268.83 ,$268.83 ,$268.83 , N/A ,$278.10 ,$177.68 ,$262.65 ,$66.62 ,$309.00 ,$173.35 ,$66.62 ,$127.93 ,$427.90 ,$389.00 ,$69.65 ,$262.65 ,$132.33 ,$169.64 ,$86.52 ,$278.10 ,$309.00 ,$66.62 ,$268.83 ,$122.00 ,$309.00 ,$122.00 ,$71.07 ,$200.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$201.00 ,$144.72 ,$13.91 ,$201.00 ,$115.58 ,$126.63 ,$120.60 ,$43.34 ,$56.28 ,$116.58 ,$45.31 ,$122.61 ,$49.24 ,$110.35 ,$110.35 ,$51.21 ,$13.91 ,$89.32 , N/A ,$168.68 ,$45.31 ,$43.34 ,$150.75 ,$142.71 ,$142.71 ,$45.31 ,$142.71 ,$174.87 ,$174.87 ,$174.87 , N/A ,$180.90 ,$115.58 ,$170.85 ,$43.34 ,$201.00 ,$112.76 ,$43.34 ,$83.21 , N/A , N/A ,$45.31 ,$170.85 ,$86.08 ,$110.35 ,$56.28 ,$180.90 ,$201.00 ,$43.34 ,$174.87 ,$150.75 ,$201.00 ,$150.75 ,$46.23 ,$130.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$326.00 ,$234.72 ,$35.95 ,$516.43 ,$187.45 ,$205.38 ,$195.60 ,$70.29 ,$91.28 ,$189.08 ,$73.48 ,$198.86 ,$79.87 ,$178.97 ,$178.97 ,$83.06 ,$35.95 ,$144.87 , N/A ,$516.43 ,$73.48 ,$70.29 ,$244.50 ,$231.46 ,$231.46 ,$73.48 ,$231.46 ,$283.62 ,$283.62 ,$283.62 , N/A ,$293.40 ,$187.45 ,$277.10 ,$70.29 ,$326.00 ,$182.89 ,$70.29 ,$134.96 , N/A , N/A ,$73.48 ,$277.10 ,$139.61 ,$178.97 ,$91.28 ,$293.40 ,$326.00 ,$70.29 ,$283.62 ,$244.50 ,$326.00 ,$244.50 ,$74.98 ,$211.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$164.00 ,$118.08 ,$15.00 ,$164.00 ,$94.30 ,$103.32 ,$98.40 ,$35.36 ,$45.92 ,$95.12 ,$36.97 ,$100.04 ,$40.18 ,$90.04 ,$90.04 ,$41.79 ,$15.00 ,$72.88 , N/A ,$105.93 ,$36.97 ,$35.36 ,$123.00 ,$116.44 ,$116.44 ,$36.97 ,$116.44 ,$142.68 ,$142.68 ,$142.68 , N/A ,$147.60 ,$94.30 ,$139.40 ,$35.36 ,$164.00 ,$92.00 ,$35.36 ,$67.90 , N/A , N/A ,$36.97 ,$139.40 ,$70.24 ,$90.04 ,$45.92 ,$147.60 ,$164.00 ,$35.36 ,$142.68 ,$123.00 ,$164.00 ,$123.00 ,$37.72 ,$106.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$164.00 ,$118.08 ,$35.36 ,$164.00 ,$94.30 ,$103.32 ,$98.40 ,$35.36 ,$45.92 ,$95.12 ,$36.97 ,$100.04 ,$40.18 ,$90.04 ,$90.04 ,$41.79 ,$106.60 ,$72.88 , N/A , N/A ,$36.97 ,$35.36 ,$123.00 ,$116.44 ,$116.44 ,$36.97 ,$116.44 ,$142.68 ,$142.68 ,$142.68 , N/A ,$147.60 ,$94.30 ,$139.40 ,$35.36 ,$164.00 ,$92.00 ,$35.36 ,$67.90 , N/A , N/A ,$36.97 ,$139.40 ,$70.24 ,$90.04 ,$45.92 ,$147.60 ,$164.00 ,$35.36 ,$142.68 ,$123.00 ,$164.00 ,$123.00 ,$37.72 ,$106.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$195.00 ,$140.40 ,$24.32 ,$202.75 ,$112.13 ,$122.85 ,$117.00 ,$42.04 ,$54.60 ,$113.10 ,$43.95 ,$118.95 ,$47.77 ,$107.06 ,$107.06 ,$49.69 ,$24.32 ,$86.66 , N/A ,$143.70 ,$43.95 ,$42.04 ,$146.25 ,$138.45 ,$138.45 ,$43.95 ,$138.45 ,$169.65 ,$169.65 ,$169.65 , N/A ,$175.50 ,$112.13 ,$165.75 ,$42.04 ,$195.00 ,$109.40 ,$42.04 ,$80.73 ,$202.75 ,$184.32 ,$43.95 ,$165.75 ,$83.52 ,$107.06 ,$54.60 ,$175.50 ,$195.00 ,$42.04 ,$169.65 ,$122.00 ,$195.00 ,$122.00 ,$44.85 ,$126.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$340.00 ,$244.80 ,$36.53 ,$451.45 ,$195.50 ,$214.20 ,$204.00 ,$73.30 ,$95.20 ,$197.20 ,$76.64 ,$207.40 ,$83.30 ,$186.66 ,$186.66 ,$86.63 ,$36.53 ,$151.10 , N/A ,$451.45 ,$76.64 ,$73.30 ,$255.00 ,$241.40 ,$241.40 ,$76.64 ,$241.40 ,$295.80 ,$295.80 ,$295.80 , N/A ,$306.00 ,$195.50 ,$289.00 ,$73.30 ,$340.00 ,$190.74 ,$73.30 ,$140.76 ,$202.75 ,$184.32 ,$76.64 ,$289.00 ,$145.61 ,$186.66 ,$95.20 ,$306.00 ,$340.00 ,$73.30 ,$295.80 ,$122.00 ,$340.00 ,$122.00 ,$78.20 ,$221.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$293.00 ,$210.96 ,$49.11 ,$293.00 ,$168.48 ,$184.59 ,$175.80 ,$63.17 ,$82.04 ,$169.94 ,$66.04 ,$178.73 ,$71.78 ,$160.86 ,$160.86 ,$74.66 ,$49.11 ,$130.21 , N/A , N/A ,$66.04 ,$63.17 ,$219.75 ,$208.03 ,$208.03 ,$66.04 ,$208.03 ,$254.91 ,$254.91 ,$254.91 , N/A ,$263.70 ,$168.48 ,$249.05 ,$63.17 ,$76.98 ,$164.37 ,$63.17 ,$121.30 ,$238.70 ,$217.00 ,$66.04 ,$249.05 ,$125.48 ,$160.86 ,$82.04 ,$263.70 ,$293.00 ,$63.17 ,$254.91 ,$122.00 ,$293.00 ,$122.00 ,$67.39 ,$190.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$387.00 ,$278.64 ,$83.44 ,$387.00 ,$222.53 ,$243.81 ,$232.20 ,$83.44 ,$108.36 ,$224.46 ,$87.23 ,$236.07 ,$94.81 ,$212.46 ,$212.46 ,$98.61 ,$85.58 ,$171.98 , N/A , N/A ,$87.23 ,$83.44 ,$290.25 ,$274.77 ,$274.77 ,$87.23 ,$274.77 ,$336.69 ,$336.69 ,$336.69 , N/A ,$348.30 ,$222.53 ,$328.95 ,$83.44 ,$120.52 ,$217.11 ,$83.44 ,$160.22 ,$238.70 ,$217.00 ,$87.23 ,$328.95 ,$165.74 ,$212.46 ,$108.36 ,$348.30 ,$387.00 ,$83.44 ,$336.69 ,$122.00 ,$387.00 ,$122.00 ,$89.01 ,$251.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$516.00 ,$371.52 ,$111.25 ,$516.00 ,$296.70 ,$325.08 ,$309.60 ,$111.25 ,$144.48 ,$299.28 ,$116.31 ,$314.76 ,$126.42 ,$283.28 ,$283.28 ,$131.48 ,$136.52 ,$229.31 , N/A , N/A ,$116.31 ,$111.25 ,$387.00 ,$366.36 ,$366.36 ,$116.31 ,$366.36 ,$448.92 ,$448.92 ,$448.92 , N/A ,$464.40 ,$296.70 ,$438.60 ,$111.25 ,$177.92 ,$289.48 ,$111.25 ,$213.62 ,$238.70 ,$217.00 ,$116.31 ,$438.60 ,$220.98 ,$283.28 ,$144.48 ,$464.40 ,$516.00 ,$111.25 ,$448.92 ,$122.00 ,$516.00 ,$122.00 ,$118.68 ,$335.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$644.00 ,$463.68 ,$122.00 ,$644.00 ,$370.30 ,$405.72 ,$386.40 ,$138.85 ,$180.32 ,$373.52 ,$145.16 ,$392.84 ,$157.78 ,$353.56 ,$353.56 ,$164.09 ,$185.24 ,$286.19 , N/A , N/A ,$145.16 ,$138.85 ,$483.00 ,$457.24 ,$457.24 ,$145.16 ,$457.24 ,$560.28 ,$560.28 ,$560.28 , N/A ,$579.60 ,$370.30 ,$547.40 ,$138.85 ,$234.97 ,$361.28 ,$138.85 ,$266.62 ,$238.70 ,$217.00 ,$145.16 ,$547.40 ,$275.80 ,$353.56 ,$180.32 ,$579.60 ,$644.00 ,$138.85 ,$560.28 ,$122.00 ,$644.00 ,$122.00 ,$148.12 ,$418.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$232.00 ,$167.04 ,$8.89 ,$238.70 ,$133.40 ,$146.16 ,$139.20 ,$50.02 ,$64.96 ,$120.61 ,$52.29 ,$126.96 ,$56.84 ,$127.37 ,$127.37 ,$59.11 ,$8.89 ,$103.10 , N/A , N/A ,$52.29 ,$50.02 ,$174.00 ,$164.72 ,$164.72 ,$52.29 ,$164.72 ,$201.84 ,$201.84 ,$201.84 , N/A ,$208.80 ,$133.40 ,$197.20 ,$50.02 ,$232.00 ,$130.15 ,$50.02 ,$96.05 ,$238.70 ,$217.00 ,$52.29 ,$197.20 ,$99.35 ,$127.37 ,$64.96 ,$208.80 ,$232.00 ,$50.02 ,$201.84 ,$122.00 ,$232.00 ,$122.00 ,$53.36 ,$150.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$248.00 ,$178.56 ,$36.36 ,$248.00 ,$142.60 ,$156.24 ,$148.80 ,$53.47 ,$69.44 ,$143.84 ,$55.90 ,$151.28 ,$60.76 ,$136.15 ,$136.15 ,$63.19 ,$36.36 ,$110.21 , N/A , N/A ,$55.90 ,$53.47 ,$186.00 ,$176.08 ,$176.08 ,$55.90 ,$176.08 ,$215.76 ,$215.76 ,$215.76 , N/A ,$223.20 ,$142.60 ,$210.80 ,$53.47 ,$60.09 ,$139.13 ,$53.47 ,$102.67 ,$238.70 ,$217.00 ,$55.90 ,$210.80 ,$106.21 ,$136.15 ,$69.44 ,$223.20 ,$248.00 ,$53.47 ,$215.76 ,$122.00 ,$248.00 ,$122.00 ,$57.04 ,$161.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$296.00 ,$213.12 ,$63.82 ,$296.00 ,$170.20 ,$186.48 ,$177.60 ,$63.82 ,$82.88 ,$171.68 ,$66.72 ,$180.56 ,$72.52 ,$162.50 ,$162.50 ,$75.42 ,$67.23 ,$131.54 , N/A , N/A ,$66.72 ,$63.82 ,$222.00 ,$210.16 ,$210.16 ,$66.72 ,$210.16 ,$257.52 ,$257.52 ,$257.52 , N/A ,$266.40 ,$170.20 ,$251.60 ,$63.82 ,$95.85 ,$166.06 ,$63.82 ,$122.54 ,$238.70 ,$217.00 ,$66.72 ,$251.60 ,$126.76 ,$162.50 ,$82.88 ,$266.40 ,$296.00 ,$63.82 ,$257.52 ,$122.00 ,$296.00 ,$122.00 ,$68.08 ,$192.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$420.00 ,$302.40 ,$90.55 ,$420.00 ,$241.50 ,$264.60 ,$252.00 ,$90.55 ,$117.60 ,$243.60 ,$94.67 ,$256.20 ,$102.90 ,$230.58 ,$230.58 ,$107.02 ,$99.08 ,$186.65 , N/A , N/A ,$94.67 ,$90.55 ,$315.00 ,$298.20 ,$298.20 ,$94.67 ,$298.20 ,$365.40 ,$365.40 ,$365.40 , N/A ,$378.00 ,$241.50 ,$357.00 ,$90.55 ,$420.00 ,$235.62 ,$90.55 ,$173.88 ,$238.70 ,$217.00 ,$94.67 ,$357.00 ,$179.87 ,$230.58 ,$117.60 ,$378.00 ,$420.00 ,$90.55 ,$365.40 ,$122.00 ,$420.00 ,$122.00 ,$96.60 ,$273.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$531.00 ,$382.32 ,$114.48 ,$531.00 ,$305.33 ,$334.53 ,$318.60 ,$114.48 ,$148.68 ,$307.98 ,$119.69 ,$323.91 ,$130.09 ,$291.52 ,$291.52 ,$135.30 ,$145.33 ,$235.98 , N/A , N/A ,$119.69 ,$114.48 ,$398.25 ,$377.01 ,$377.01 ,$119.69 ,$377.01 ,$461.97 ,$461.97 ,$461.97 , N/A ,$477.90 ,$305.33 ,$451.35 ,$114.48 ,$531.00 ,$297.89 ,$114.48 ,$219.83 ,$238.70 ,$217.00 ,$119.69 ,$451.35 ,$227.41 ,$291.52 ,$148.68 ,$477.90 ,$531.00 ,$114.48 ,$461.97 ,$122.00 ,$531.00 ,$122.00 ,$122.13 ,$345.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$194.00 ,$139.68 ,$5.15 ,$194.00 ,$111.55 ,$122.22 ,$116.40 ,$41.83 ,$54.32 ,$16.77 ,$43.73 ,$17.55 ,$47.53 ,$106.51 ,$106.51 ,$49.43 ,$126.10 ,$86.21 ,$5.15 ,$21.43 ,$43.73 ,$41.83 ,$145.50 ,$137.74 ,$137.74 ,$43.73 ,$137.74 ,$168.78 ,$168.78 ,$168.78 , N/A ,$174.60 ,$111.55 ,$164.90 ,$41.83 ,$194.00 ,$108.83 ,$41.83 ,$80.32 , N/A , N/A ,$43.73 ,$164.90 ,$83.08 ,$106.51 ,$54.32 ,$174.60 ,$194.00 ,$41.83 ,$168.78 ,$6.00 ,$194.00 ,$6.00 ,$44.62 ,$126.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$198.00 ,$142.56 ,$26.70 ,$290.28 ,$113.85 ,$124.74 ,$118.80 ,$42.69 ,$55.44 ,$114.84 ,$44.63 ,$120.78 ,$48.51 ,$108.70 ,$108.70 ,$50.45 ,$26.70 ,$87.99 , N/A ,$290.28 ,$44.63 ,$42.69 ,$148.50 ,$140.58 ,$140.58 ,$44.63 ,$140.58 ,$172.26 ,$172.26 ,$172.26 , N/A ,$178.20 ,$113.85 ,$168.30 ,$42.69 ,$198.00 ,$111.08 ,$42.69 ,$81.97 ,$202.75 ,$184.32 ,$44.63 ,$168.30 ,$84.80 ,$108.70 ,$55.44 ,$178.20 ,$198.00 ,$42.69 ,$172.26 ,$122.00 ,$198.00 ,$122.00 ,$45.54 ,$128.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000172,51702,HC CATH BLADDER SMP,510,1 ,$151.00 ,$108.72 ,$26.12 ,$290.28 ,$86.83 ,$95.13 ,$90.60 ,$32.56 ,$42.28 ,$87.58 ,$34.04 ,$92.11 ,$36.99 ,$82.90 ,$82.90 ,$38.47 ,$26.12 ,$67.10 , N/A ,$290.28 ,$34.04 ,$32.56 ,$113.25 ,$107.21 ,$107.21 ,$34.04 ,$107.21 ,$131.37 ,$131.37 ,$131.37 , N/A ,$135.90 ,$86.83 ,$128.35 ,$32.56 ,$151.00 ,$84.71 ,$32.56 ,$62.51 ,$202.75 ,$184.32 ,$34.04 ,$128.35 ,$64.67 ,$82.90 ,$42.28 ,$135.90 ,$151.00 ,$32.56 ,$131.37 ,$122.00 ,$151.00 ,$122.00 ,$34.73 ,$98.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000173,51703,HC CATH BLADDER CPLX,510,1 ,$254.00 ,$182.88 ,$54.76 ,$363.58 ,$146.05 ,$160.02 ,$152.40 ,$54.76 ,$71.12 ,$147.32 ,$57.25 ,$154.94 ,$62.23 ,$139.45 ,$139.45 ,$64.72 ,$79.23 ,$112.88 , N/A ,$363.58 ,$57.25 ,$54.76 ,$190.50 ,$180.34 ,$180.34 ,$57.25 ,$180.34 ,$220.98 ,$220.98 ,$220.98 , N/A ,$228.60 ,$146.05 ,$215.90 ,$54.76 ,$254.00 ,$142.49 ,$54.76 ,$105.16 ,$202.75 ,$184.32 ,$57.25 ,$215.90 ,$108.78 ,$139.45 ,$71.12 ,$228.60 ,$254.00 ,$54.76 ,$220.98 ,$122.00 ,$254.00 ,$122.00 ,$58.42 ,$165.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000201,29799,HC REMOVAL REVISION LEGCAST FACILITY,510,1 ,$139.00 ,$100.08 ,$29.97 ,$427.90 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$80.62 ,$31.33 ,$84.79 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$90.35 ,$61.77 , N/A ,$364.40 ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 ,$427.90 ,$389.00 ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$122.00 ,$139.00 ,$122.00 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$1,724.00 ","$1,241.28 ",$83.11 ,"$1,842.97 ",$991.30 ,"$1,086.12 ","$1,034.40 ",$371.69 ,$482.72 ,$999.92 ,$388.59 ,"$1,051.64 ",$422.38 ,$946.48 ,$946.48 ,$439.28 ,$83.11 ,$766.15 , N/A ,"$1,563.35 ",$388.59 ,$371.69 ,"$1,293.00 ","$1,224.04 ","$1,224.04 ",$388.59 ,"$1,224.04 ","$1,499.88 ","$1,499.88 ","$1,499.88 ", N/A ,"$1,551.60 ",$991.30 ,"$1,465.40 ",$371.69 ,"$1,724.00 ",$967.16 ,$371.69 ,$713.74 ,"$1,842.97 ","$1,675.43 ",$388.59 ,"$1,465.40 ",$738.32 ,$946.48 ,$482.72 ,"$1,551.60 ","$1,724.00 ",$371.69 ,"$1,499.88 ",$122.00 ,"$1,724.00 ",$122.00 ,$396.52 ,"$1,120.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000329,15275,HC APL SKIN SUB OTH<100 INT 25CM,761,1 ,"$5,146.00 ","$3,705.12 ",$96.11 ,"$5,146.00 ","$2,958.95 ","$3,241.98 ","$3,087.60 ","$1,109.48 ","$1,440.88 ","$2,984.68 ","$1,159.91 ","$3,139.06 ","$1,260.77 ","$2,825.15 ","$2,825.15 ","$1,311.20 ",$96.11 ,"$2,286.88 ","$3,602.20 ","$4,314.65 ","$1,159.91 ","$1,109.48 ","$3,859.50 ","$3,653.66 ","$3,653.66 ","$1,159.91 ","$3,653.66 ","$4,477.02 ","$4,477.02 ","$4,477.02 ", N/A ,"$4,631.40 ","$2,958.95 ","$4,374.10 ","$1,109.48 ","$5,146.00 ","$2,886.91 ","$1,109.48 ","$2,130.44 ","$2,689.51 ","$2,445.01 ","$1,159.91 ","$4,374.10 ","$2,203.82 ","$2,825.15 ","$1,440.88 ","$4,631.40 ","$5,146.00 ","$1,109.48 ","$4,477.02 ",$133.00 ,"$5,146.00 ",$133.00 ,"$1,183.58 ","$3,344.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$277.00 ,$199.44 ,$29.09 ,$520.60 ,$159.28 ,$174.51 ,$166.20 ,$59.72 ,$77.56 ,$160.66 ,$62.44 ,$168.97 ,$67.86 ,$152.07 ,$152.07 ,$70.58 ,$29.09 ,$123.10 , N/A ,$451.45 ,$62.44 ,$59.72 ,$207.75 ,$196.67 ,$196.67 ,$62.44 ,$196.67 ,$240.99 ,$240.99 ,$240.99 , N/A ,$249.30 ,$159.28 ,$235.45 ,$59.72 ,$277.00 ,$155.40 ,$59.72 ,$114.68 ,$520.60 ,$473.27 ,$62.44 ,$235.45 ,$118.63 ,$152.07 ,$77.56 ,$249.30 ,$277.00 ,$59.72 ,$240.99 ,$122.00 ,$277.00 ,$122.00 ,$63.71 ,$180.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$464.00 ,$334.08 ,$27.77 ,$641.84 ,$266.80 ,$292.32 ,$278.40 ,$100.04 ,$129.92 ,$269.12 ,$104.59 ,$283.04 ,$113.68 ,$254.74 ,$254.74 ,$118.23 ,$27.77 ,$206.20 , N/A ,$546.60 ,$104.59 ,$100.04 ,$348.00 ,$329.44 ,$329.44 ,$104.59 ,$329.44 ,$403.68 ,$403.68 ,$403.68 , N/A ,$417.60 ,$266.80 ,$394.40 ,$100.04 ,$464.00 ,$260.30 ,$100.04 ,$192.10 ,$641.84 ,$583.49 ,$104.59 ,$394.40 ,$198.71 ,$254.74 ,$129.92 ,$417.60 ,$464.00 ,$100.04 ,$403.68 ,$122.00 ,$464.00 ,$122.00 ,$106.72 ,$301.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$486.00 ,$349.92 ,$26.59 ,$641.84 ,$279.45 ,$306.18 ,$291.60 ,$104.78 ,$136.08 ,$281.88 ,$109.54 ,$296.46 ,$119.07 ,$266.81 ,$266.81 ,$123.83 ,$26.59 ,$215.98 , N/A ,$546.60 ,$109.54 ,$104.78 ,$364.50 ,$345.06 ,$345.06 ,$109.54 ,$345.06 ,$422.82 ,$422.82 ,$422.82 , N/A ,$437.40 ,$279.45 ,$413.10 ,$104.78 ,$486.00 ,$272.65 ,$104.78 ,$201.20 ,$641.84 ,$583.49 ,$109.54 ,$413.10 ,$208.13 ,$266.81 ,$136.08 ,$437.40 ,$486.00 ,$104.78 ,$422.82 ,$122.00 ,$486.00 ,$122.00 ,$111.78 ,$315.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,$524.00 ,$377.28 ,$76.49 ,$524.00 ,$301.30 ,$330.12 ,$314.40 ,$112.97 ,$146.72 ,$303.92 ,$118.11 ,$319.64 ,$128.38 ,$287.68 ,$287.68 ,$133.52 ,$76.49 ,$232.87 , N/A ,$451.45 ,$118.11 ,$112.97 ,$393.00 ,$372.04 ,$372.04 ,$118.11 ,$372.04 ,$455.88 ,$455.88 ,$455.88 , N/A ,$471.60 ,$301.30 ,$445.40 ,$112.97 ,$524.00 ,$293.96 ,$112.97 ,$216.94 ,$520.60 ,$473.27 ,$118.11 ,$445.40 ,$224.41 ,$287.68 ,$146.72 ,$471.60 ,$524.00 ,$112.97 ,$455.88 ,$122.00 ,$524.00 ,$122.00 ,$120.52 ,$340.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000434,11606,HC EXC MAL LESION >4CM TRUNK/ARM/LEG,510,1 ,"$4,128.00 ","$2,972.16 ",$122.00 ,"$4,128.00 ","$2,373.60 ","$2,600.64 ","$2,476.80 ",$890.00 ,"$1,155.84 ","$2,394.24 ",$930.45 ,"$2,518.08 ","$1,011.36 ","$2,266.27 ","$2,266.27 ","$1,051.81 ",$330.14 ,"$1,834.48 ", N/A ,"$3,748.88 ",$930.45 ,$890.00 ,"$3,096.00 ","$2,930.88 ","$2,930.88 ",$930.45 ,"$2,930.88 ","$3,591.36 ","$3,591.36 ","$3,591.36 ", N/A ,"$3,715.20 ","$2,373.60 ","$3,508.80 ",$890.00 ,"$4,128.00 ","$2,315.81 ",$890.00 ,"$1,708.99 ","$2,188.35 ","$1,989.41 ",$930.45 ,"$3,508.80 ","$1,767.86 ","$2,266.27 ","$1,155.84 ","$3,715.20 ","$4,128.00 ",$890.00 ,"$3,591.36 ",$122.00 ,"$4,128.00 ",$122.00 ,$949.44 ,"$2,683.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,51000435,11604,HC EXC MAL LESION 3.1-4CM TRUNK/ARM/LEG,510,1 ,$930.00 ,$669.60 ,$122.00 ,"$1,622.43 ",$534.75 ,$585.90 ,$558.00 ,$200.51 ,$260.40 ,$539.40 ,$209.62 ,$567.30 ,$227.85 ,$510.57 ,$510.57 ,$236.96 ,$217.98 ,$413.29 , N/A ,"$1,622.43 ",$209.62 ,$200.51 ,$697.50 ,$660.30 ,$660.30 ,$209.62 ,$660.30 ,$809.10 ,$809.10 ,$809.10 , N/A ,$837.00 ,$534.75 ,$790.50 ,$200.51 ,$930.00 ,$521.73 ,$200.51 ,$385.02 ,"$1,094.18 ",$994.71 ,$209.62 ,$790.50 ,$398.28 ,$510.57 ,$260.40 ,$837.00 ,$930.00 ,$200.51 ,$809.10 ,$122.00 ,$930.00 ,$122.00 ,$213.90 ,$604.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$293.00 ,$210.96 ,$49.11 ,$293.00 ,$168.48 ,$184.59 ,$175.80 ,$63.17 ,$82.04 ,$169.94 ,$66.04 ,$178.73 ,$71.78 ,$160.86 ,$160.86 ,$74.66 ,$49.11 ,$130.21 , N/A , N/A ,$66.04 ,$63.17 ,$219.75 ,$208.03 ,$208.03 ,$66.04 ,$208.03 ,$254.91 ,$254.91 ,$254.91 , N/A ,$263.70 ,$168.48 ,$249.05 ,$63.17 ,$76.98 ,$164.37 ,$63.17 ,$121.30 ,$238.70 ,$217.00 ,$66.04 ,$249.05 ,$125.48 ,$160.86 ,$82.04 ,$263.70 ,$293.00 ,$63.17 ,$254.91 ,$122.00 ,$293.00 ,$122.00 ,$67.39 ,$190.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$387.00 ,$278.64 ,$83.44 ,$387.00 ,$222.53 ,$243.81 ,$232.20 ,$83.44 ,$108.36 ,$224.46 ,$87.23 ,$236.07 ,$94.81 ,$212.46 ,$212.46 ,$98.61 ,$85.58 ,$171.98 , N/A , N/A ,$87.23 ,$83.44 ,$290.25 ,$274.77 ,$274.77 ,$87.23 ,$274.77 ,$336.69 ,$336.69 ,$336.69 , N/A ,$348.30 ,$222.53 ,$328.95 ,$83.44 ,$120.52 ,$217.11 ,$83.44 ,$160.22 ,$238.70 ,$217.00 ,$87.23 ,$328.95 ,$165.74 ,$212.46 ,$108.36 ,$348.30 ,$387.00 ,$83.44 ,$336.69 ,$122.00 ,$387.00 ,$122.00 ,$89.01 ,$251.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$516.00 ,$371.52 ,$111.25 ,$516.00 ,$296.70 ,$325.08 ,$309.60 ,$111.25 ,$144.48 ,$299.28 ,$116.31 ,$314.76 ,$126.42 ,$283.28 ,$283.28 ,$131.48 ,$136.52 ,$229.31 , N/A , N/A ,$116.31 ,$111.25 ,$387.00 ,$366.36 ,$366.36 ,$116.31 ,$366.36 ,$448.92 ,$448.92 ,$448.92 , N/A ,$464.40 ,$296.70 ,$438.60 ,$111.25 ,$177.92 ,$289.48 ,$111.25 ,$213.62 ,$238.70 ,$217.00 ,$116.31 ,$438.60 ,$220.98 ,$283.28 ,$144.48 ,$464.40 ,$516.00 ,$111.25 ,$448.92 ,$122.00 ,$516.00 ,$122.00 ,$118.68 ,$335.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$644.00 ,$463.68 ,$122.00 ,$644.00 ,$370.30 ,$405.72 ,$386.40 ,$138.85 ,$180.32 ,$373.52 ,$145.16 ,$392.84 ,$157.78 ,$353.56 ,$353.56 ,$164.09 ,$185.24 ,$286.19 , N/A , N/A ,$145.16 ,$138.85 ,$483.00 ,$457.24 ,$457.24 ,$145.16 ,$457.24 ,$560.28 ,$560.28 ,$560.28 , N/A ,$579.60 ,$370.30 ,$547.40 ,$138.85 ,$234.97 ,$361.28 ,$138.85 ,$266.62 ,$238.70 ,$217.00 ,$145.16 ,$547.40 ,$275.80 ,$353.56 ,$180.32 ,$579.60 ,$644.00 ,$138.85 ,$560.28 ,$122.00 ,$644.00 ,$122.00 ,$148.12 ,$418.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$248.00 ,$178.56 ,$36.36 ,$248.00 ,$142.60 ,$156.24 ,$148.80 ,$53.47 ,$69.44 ,$143.84 ,$55.90 ,$151.28 ,$60.76 ,$136.15 ,$136.15 ,$63.19 ,$36.36 ,$110.21 , N/A , N/A ,$55.90 ,$53.47 ,$186.00 ,$176.08 ,$176.08 ,$55.90 ,$176.08 ,$215.76 ,$215.76 ,$215.76 , N/A ,$223.20 ,$142.60 ,$210.80 ,$53.47 ,$60.09 ,$139.13 ,$53.47 ,$102.67 ,$238.70 ,$217.00 ,$55.90 ,$210.80 ,$106.21 ,$136.15 ,$69.44 ,$223.20 ,$248.00 ,$53.47 ,$215.76 ,$122.00 ,$248.00 ,$122.00 ,$57.04 ,$161.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$296.00 ,$213.12 ,$63.82 ,$296.00 ,$170.20 ,$186.48 ,$177.60 ,$63.82 ,$82.88 ,$171.68 ,$66.72 ,$180.56 ,$72.52 ,$162.50 ,$162.50 ,$75.42 ,$67.23 ,$131.54 , N/A , N/A ,$66.72 ,$63.82 ,$222.00 ,$210.16 ,$210.16 ,$66.72 ,$210.16 ,$257.52 ,$257.52 ,$257.52 , N/A ,$266.40 ,$170.20 ,$251.60 ,$63.82 ,$95.85 ,$166.06 ,$63.82 ,$122.54 ,$238.70 ,$217.00 ,$66.72 ,$251.60 ,$126.76 ,$162.50 ,$82.88 ,$266.40 ,$296.00 ,$63.82 ,$257.52 ,$122.00 ,$296.00 ,$122.00 ,$68.08 ,$192.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$420.00 ,$302.40 ,$90.55 ,$420.00 ,$241.50 ,$264.60 ,$252.00 ,$90.55 ,$117.60 ,$243.60 ,$94.67 ,$256.20 ,$102.90 ,$230.58 ,$230.58 ,$107.02 ,$99.08 ,$186.65 , N/A , N/A ,$94.67 ,$90.55 ,$315.00 ,$298.20 ,$298.20 ,$94.67 ,$298.20 ,$365.40 ,$365.40 ,$365.40 , N/A ,$378.00 ,$241.50 ,$357.00 ,$90.55 ,$420.00 ,$235.62 ,$90.55 ,$173.88 ,$238.70 ,$217.00 ,$94.67 ,$357.00 ,$179.87 ,$230.58 ,$117.60 ,$378.00 ,$420.00 ,$90.55 ,$365.40 ,$122.00 ,$420.00 ,$122.00 ,$96.60 ,$273.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$531.00 ,$382.32 ,$114.48 ,$531.00 ,$305.33 ,$334.53 ,$318.60 ,$114.48 ,$148.68 ,$307.98 ,$119.69 ,$323.91 ,$130.09 ,$291.52 ,$291.52 ,$135.30 ,$145.33 ,$235.98 , N/A , N/A ,$119.69 ,$114.48 ,$398.25 ,$377.01 ,$377.01 ,$119.69 ,$377.01 ,$461.97 ,$461.97 ,$461.97 , N/A ,$477.90 ,$305.33 ,$451.35 ,$114.48 ,$531.00 ,$297.89 ,$114.48 ,$219.83 ,$238.70 ,$217.00 ,$119.69 ,$451.35 ,$227.41 ,$291.52 ,$148.68 ,$477.90 ,$531.00 ,$114.48 ,$461.97 ,$122.00 ,$531.00 ,$122.00 ,$122.13 ,$345.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,51000481,98925,HC OSTEOPATHIC MAN 1-2 REGIONS,510,1 ,$82.00 ,$59.04 ,$17.68 ,$82.00 ,$47.15 ,$51.66 ,$49.20 ,$17.68 ,$22.96 ,$47.56 ,$18.48 ,$50.02 ,$20.09 ,$45.02 ,$45.02 ,$20.89 ,$23.91 ,$36.44 , N/A ,$62.45 ,$18.48 ,$17.68 ,$61.50 ,$58.22 ,$58.22 ,$18.48 ,$58.22 ,$71.34 ,$71.34 ,$71.34 , N/A ,$73.80 ,$47.15 ,$69.70 ,$17.68 ,$82.00 ,$46.00 ,$17.68 ,$33.95 ,$78.73 ,$71.57 ,$18.48 ,$69.70 ,$35.11 ,$45.02 ,$22.96 ,$73.80 ,$82.00 ,$17.68 ,$71.34 ,$82.00 ,$82.00 ,$82.00 ,$18.86 ,$53.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,51070001,98960,HC EDUCATION SELF MGNT NON PHY HLTCARE PROF,510,1 ,$176.00 ,$126.72 ,$37.95 ,$176.00 ,$101.20 ,$110.88 ,$105.60 ,$37.95 ,$49.28 ,$102.08 ,$39.67 ,$107.36 ,$43.12 ,$96.62 ,$96.62 ,$44.84 ,$114.40 ,$78.21 , N/A , N/A ,$39.67 ,$37.95 ,$132.00 ,$124.96 ,$124.96 ,$39.67 ,$124.96 ,$153.12 ,$153.12 ,$153.12 , N/A ,$158.40 ,$101.20 ,$149.60 ,$37.95 ,$176.00 ,$98.74 ,$37.95 ,$72.86 ,$61.28 ,$55.71 ,$39.67 ,$149.60 ,$75.37 ,$96.62 ,$49.28 ,$158.40 ,$176.00 ,$37.95 ,$153.12 ,$122.00 ,$176.00 ,$122.00 ,$40.48 ,$114.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$4,716.00 ","$3,395.52 ",$240.27 ,"$4,716.00 ","$2,711.70 ","$2,971.08 ","$2,829.60 ","$1,016.77 ","$1,320.48 ","$2,735.28 ","$1,062.99 ","$2,876.76 ","$1,155.42 ","$2,589.08 ","$2,589.08 ","$1,201.64 ",$240.27 ,"$2,095.79 ","$1,700.00 ",$921.08 ,"$1,062.99 ","$1,016.77 ","$3,537.00 ","$3,348.36 ","$3,348.36 ","$1,062.99 ","$3,348.36 ","$4,102.92 ","$4,102.92 ","$4,102.92 ", N/A ,"$4,244.40 ","$2,711.70 ","$4,008.60 ","$1,016.77 ","$4,716.00 ","$2,645.68 ","$1,016.77 ","$1,952.42 ",$588.18 ,$534.71 ,"$1,062.99 ","$4,008.60 ","$2,019.67 ","$2,589.08 ","$1,320.48 ","$4,244.40 ","$4,716.00 ","$1,016.77 ","$4,102.92 ","$1,863.00 ","$4,716.00 ","$1,863.00 ","$1,084.68 ","$3,065.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$3,839.00 ","$2,764.08 ",$158.74 ,"$3,839.00 ","$2,207.43 ","$2,418.57 ","$2,303.40 ",$827.69 ,"$1,074.92 ","$2,226.62 ",$865.31 ,"$2,341.79 ",$940.55 ,"$2,107.61 ","$2,107.61 ",$978.18 ,$158.74 ,"$1,706.05 ","$1,700.00 ",$583.80 ,$865.31 ,$827.69 ,"$2,879.25 ","$2,725.69 ","$2,725.69 ",$865.31 ,"$2,725.69 ","$3,339.93 ","$3,339.93 ","$3,339.93 ", N/A ,"$3,455.10 ","$2,207.43 ","$3,263.15 ",$827.69 ,"$3,839.00 ","$2,153.68 ",$827.69 ,"$1,589.35 ",$720.09 ,$654.63 ,$865.31 ,"$3,263.15 ","$1,644.09 ","$2,107.61 ","$1,074.92 ","$3,455.10 ","$3,839.00 ",$827.69 ,"$3,339.93 ","$1,863.00 ","$3,839.00 ","$1,863.00 ",$882.97 ,"$2,495.35 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$1,261.00 ",$907.92 ,$171.57 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$171.57 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$720.09 ,$654.63 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$4,210.00 ","$3,031.20 ",$259.50 ,"$4,210.00 ","$2,420.75 ","$2,652.30 ","$2,526.00 ",$907.68 ,"$1,178.80 ","$2,441.80 ",$948.93 ,"$2,568.10 ","$1,031.45 ","$2,311.29 ","$2,311.29 ","$1,072.71 ",$259.50 ,"$1,870.92 ","$1,700.00 ",$921.08 ,$948.93 ,$907.68 ,"$3,157.50 ","$2,989.10 ","$2,989.10 ",$948.93 ,"$2,989.10 ","$3,662.70 ","$3,662.70 ","$3,662.70 ", N/A ,"$3,789.00 ","$2,420.75 ","$3,578.50 ",$907.68 ,"$4,210.00 ","$2,361.81 ",$907.68 ,"$1,742.94 ",$720.09 ,$654.63 ,$948.93 ,"$3,578.50 ","$1,802.97 ","$2,311.29 ","$1,178.80 ","$3,789.00 ","$4,210.00 ",$907.68 ,"$3,662.70 ","$1,863.00 ","$4,210.00 ","$1,863.00 ",$968.30 ,"$2,736.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$3,265.00 ","$2,350.80 ",$159.06 ,"$3,265.00 ","$1,877.38 ","$2,056.95 ","$1,959.00 ",$703.93 ,$914.20 ,"$1,893.70 ",$735.93 ,"$1,991.65 ",$799.92 ,"$1,792.49 ","$1,792.49 ",$831.92 ,$159.06 ,"$1,450.97 ","$1,700.00 ",$583.80 ,$735.93 ,$703.93 ,"$2,448.75 ","$2,318.15 ","$2,318.15 ",$735.93 ,"$2,318.15 ","$2,840.55 ","$2,840.55 ","$2,840.55 ", N/A ,"$2,938.50 ","$1,877.38 ","$2,775.25 ",$703.93 ,"$3,265.00 ","$1,831.67 ",$703.93 ,"$1,351.71 ",$720.09 ,$654.63 ,$735.93 ,"$2,775.25 ","$1,398.27 ","$1,792.49 ",$914.20 ,"$2,938.50 ","$3,265.00 ",$703.93 ,"$2,840.55 ","$1,863.00 ","$3,265.00 ","$1,863.00 ",$750.95 ,"$2,122.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$3,885.00 ","$2,797.20 ",$176.30 ,"$3,885.00 ","$2,233.88 ","$2,447.55 ","$2,331.00 ",$837.61 ,"$1,087.80 ","$2,253.30 ",$875.68 ,"$2,369.85 ",$951.82 ,"$2,132.87 ","$2,132.87 ",$989.90 ,$176.30 ,"$1,726.49 ","$1,700.00 ",$921.08 ,$875.68 ,$837.61 ,"$2,913.75 ","$2,758.35 ","$2,758.35 ",$875.68 ,"$2,758.35 ","$3,379.95 ","$3,379.95 ","$3,379.95 ", N/A ,"$3,496.50 ","$2,233.88 ","$3,302.25 ",$837.61 ,"$3,885.00 ","$2,179.49 ",$837.61 ,"$1,608.39 ",$720.09 ,$654.63 ,$875.68 ,"$3,302.25 ","$1,663.79 ","$2,132.87 ","$1,087.80 ","$3,496.50 ","$3,885.00 ",$837.61 ,"$3,379.95 ","$1,863.00 ","$3,885.00 ","$1,863.00 ",$893.55 ,"$2,525.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$4,838.00 ","$3,483.36 ",$260.76 ,"$4,838.00 ","$2,781.85 ","$3,047.94 ","$2,902.80 ","$1,043.07 ","$1,354.64 ","$2,806.04 ","$1,090.49 ","$2,951.18 ","$1,185.31 ","$2,656.06 ","$2,656.06 ","$1,232.72 ",$260.76 ,"$2,150.01 ","$1,700.00 ",$921.08 ,"$1,090.49 ","$1,043.07 ","$3,628.50 ","$3,434.98 ","$3,434.98 ","$1,090.49 ","$3,434.98 ","$4,209.06 ","$4,209.06 ","$4,209.06 ", N/A ,"$4,354.20 ","$2,781.85 ","$4,112.30 ","$1,043.07 ","$4,838.00 ","$2,714.12 ","$1,043.07 ","$2,002.93 ",$720.09 ,$654.63 ,"$1,090.49 ","$4,112.30 ","$2,071.93 ","$2,656.06 ","$1,354.64 ","$4,354.20 ","$4,838.00 ","$1,043.07 ","$4,209.06 ","$1,863.00 ","$4,838.00 ","$1,863.00 ","$1,112.74 ","$3,144.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$3,742.00 ","$2,694.24 ",$126.91 ,"$3,742.00 ","$2,151.65 ","$2,357.46 ","$2,245.20 ",$806.78 ,"$1,047.76 ","$2,170.36 ",$843.45 ,"$2,282.62 ",$916.79 ,"$2,054.36 ","$2,054.36 ",$953.46 ,$126.91 ,"$1,662.94 ","$1,700.00 ",$583.80 ,$843.45 ,$806.78 ,"$2,806.50 ","$2,656.82 ","$2,656.82 ",$843.45 ,"$2,656.82 ","$3,255.54 ","$3,255.54 ","$3,255.54 ", N/A ,"$3,367.80 ","$2,151.65 ","$3,180.70 ",$806.78 ,"$3,742.00 ","$2,099.26 ",$806.78 ,"$1,549.19 ",$659.03 ,$599.12 ,$843.45 ,"$3,180.70 ","$1,602.54 ","$2,054.36 ","$1,047.76 ","$3,367.80 ","$3,742.00 ",$806.78 ,"$3,255.54 ","$1,863.00 ","$3,742.00 ","$1,863.00 ",$860.66 ,"$2,432.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$3,836.00 ","$2,761.92 ",$187.96 ,"$3,836.00 ","$2,205.70 ","$2,416.68 ","$2,301.60 ",$827.04 ,"$1,074.08 ","$2,224.88 ",$864.63 ,"$2,339.96 ",$939.82 ,"$2,105.96 ","$2,105.96 ",$977.41 ,$187.96 ,"$1,704.72 ","$1,700.00 ",$921.08 ,$864.63 ,$827.04 ,"$2,877.00 ","$2,723.56 ","$2,723.56 ",$864.63 ,"$2,723.56 ","$3,337.32 ","$3,337.32 ","$3,337.32 ", N/A ,"$3,452.40 ","$2,205.70 ","$3,260.60 ",$827.04 ,"$3,836.00 ","$2,152.00 ",$827.04 ,"$1,588.10 ",$659.03 ,$599.12 ,$864.63 ,"$3,260.60 ","$1,642.80 ","$2,105.96 ","$1,074.08 ","$3,452.40 ","$3,836.00 ",$827.04 ,"$3,337.32 ","$1,863.00 ","$3,836.00 ","$1,863.00 ",$882.28 ,"$2,493.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$5,115.00 ","$3,682.80 ",$212.86 ,"$5,115.00 ","$2,941.13 ","$3,222.45 ","$3,069.00 ","$1,102.79 ","$1,432.20 ","$2,966.70 ","$1,152.92 ","$3,120.15 ","$1,253.17 ","$2,808.14 ","$2,808.14 ","$1,303.30 ",$212.86 ,"$2,273.11 ","$1,700.00 ",$921.08 ,"$1,152.92 ","$1,102.79 ","$3,836.25 ","$3,631.65 ","$3,631.65 ","$1,152.92 ","$3,631.65 ","$4,450.05 ","$4,450.05 ","$4,450.05 ", N/A ,"$4,603.50 ","$2,941.13 ","$4,347.75 ","$1,102.79 ","$5,115.00 ","$2,869.52 ","$1,102.79 ","$2,117.61 ",$659.03 ,$599.12 ,"$1,152.92 ","$4,347.75 ","$2,190.55 ","$2,808.14 ","$1,432.20 ","$4,603.50 ","$5,115.00 ","$1,102.79 ","$4,450.05 ","$1,863.00 ","$5,115.00 ","$1,863.00 ","$1,176.45 ","$3,324.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$4,055.00 ","$2,919.60 ",$121.56 ,"$4,055.00 ","$2,331.63 ","$2,554.65 ","$2,433.00 ",$874.26 ,"$1,135.40 ","$2,351.90 ",$914.00 ,"$2,473.55 ",$993.46 ,"$2,226.20 ","$2,226.20 ","$1,033.21 ",$121.56 ,"$1,802.04 ","$1,700.00 ",$583.80 ,$914.00 ,$874.26 ,"$3,041.25 ","$2,879.05 ","$2,879.05 ",$914.00 ,"$2,879.05 ","$3,527.85 ","$3,527.85 ","$3,527.85 ", N/A ,"$3,649.50 ","$2,331.63 ","$3,446.75 ",$874.26 ,"$4,055.00 ","$2,274.86 ",$874.26 ,"$1,678.77 ",$475.30 ,$432.09 ,$914.00 ,"$3,446.75 ","$1,736.60 ","$2,226.20 ","$1,135.40 ","$3,649.50 ","$4,055.00 ",$874.26 ,"$3,527.85 ","$1,863.00 ","$4,055.00 ","$1,863.00 ",$932.65 ,"$2,635.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$4,214.00 ","$3,034.08 ",$191.83 ,"$4,214.00 ","$2,423.05 ","$2,654.82 ","$2,528.40 ",$908.54 ,"$1,179.92 ","$2,444.12 ",$949.84 ,"$2,570.54 ","$1,032.43 ","$2,313.49 ","$2,313.49 ","$1,073.73 ",$191.83 ,"$1,872.70 ","$1,700.00 ",$921.08 ,$949.84 ,$908.54 ,"$3,160.50 ","$2,991.94 ","$2,991.94 ",$949.84 ,"$2,991.94 ","$3,666.18 ","$3,666.18 ","$3,666.18 ", N/A ,"$3,792.60 ","$2,423.05 ","$3,581.90 ",$908.54 ,"$4,214.00 ","$2,364.05 ",$908.54 ,"$1,744.60 ",$475.30 ,$432.09 ,$949.84 ,"$3,581.90 ","$1,804.69 ","$2,313.49 ","$1,179.92 ","$3,792.60 ","$4,214.00 ",$908.54 ,"$3,666.18 ","$1,863.00 ","$4,214.00 ","$1,863.00 ",$969.22 ,"$2,739.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$4,235.00 ","$3,049.20 ",$121.56 ,"$4,235.00 ","$2,435.13 ","$2,668.05 ","$2,541.00 ",$913.07 ,"$1,185.80 ","$2,348.49 ",$954.57 ,"$2,457.72 ","$1,037.57 ","$2,325.02 ","$2,325.02 ","$1,079.08 ",$121.56 ,"$1,882.03 ","$1,700.00 ",$583.80 ,$954.57 ,$913.07 ,"$3,176.25 ","$3,006.85 ","$3,006.85 ",$954.57 ,"$3,006.85 ","$3,684.45 ","$3,684.45 ","$3,684.45 ", N/A ,"$3,811.50 ","$2,435.13 ","$3,599.75 ",$913.07 ,"$4,235.00 ","$2,375.84 ",$913.07 ,"$1,753.29 ",$475.30 ,$432.09 ,$954.57 ,"$3,599.75 ","$1,813.69 ","$2,325.02 ","$1,185.80 ","$3,811.50 ","$4,235.00 ",$913.07 ,"$3,684.45 ","$1,863.00 ","$4,235.00 ","$1,863.00 ",$974.05 ,"$2,752.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$4,660.00 ","$3,355.20 ",$189.94 ,"$4,660.00 ","$2,679.50 ","$2,935.80 ","$2,796.00 ","$1,004.70 ","$1,304.80 ","$2,702.80 ","$1,050.36 ","$2,842.60 ","$1,141.70 ","$2,558.34 ","$2,558.34 ","$1,187.37 ",$189.94 ,"$2,070.90 ","$1,700.00 ",$921.08 ,"$1,050.36 ","$1,004.70 ","$3,495.00 ","$3,308.60 ","$3,308.60 ","$1,050.36 ","$3,308.60 ","$4,054.20 ","$4,054.20 ","$4,054.20 ", N/A ,"$4,194.00 ","$2,679.50 ","$3,961.00 ","$1,004.70 ","$4,660.00 ","$2,614.26 ","$1,004.70 ","$1,929.24 ",$475.30 ,$432.09 ,"$1,050.36 ","$3,961.00 ","$1,995.69 ","$2,558.34 ","$1,304.80 ","$4,194.00 ","$4,660.00 ","$1,004.70 ","$4,054.20 ","$1,863.00 ","$4,660.00 ","$1,863.00 ","$1,071.80 ","$3,029.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$4,082.00 ","$2,939.04 ",$122.19 ,"$4,082.00 ","$2,347.15 ","$2,571.66 ","$2,449.20 ",$880.08 ,"$1,142.96 ","$2,367.56 ",$920.08 ,"$2,490.02 ","$1,000.09 ","$2,241.02 ","$2,241.02 ","$1,040.09 ",$122.19 ,"$1,814.04 ","$1,700.00 ",$583.80 ,$920.08 ,$880.08 ,"$3,061.50 ","$2,898.22 ","$2,898.22 ",$920.08 ,"$2,898.22 ","$3,551.34 ","$3,551.34 ","$3,551.34 ", N/A ,"$3,673.80 ","$2,347.15 ","$3,469.70 ",$880.08 ,"$4,082.00 ","$2,290.00 ",$880.08 ,"$1,689.95 ",$475.30 ,$432.09 ,$920.08 ,"$3,469.70 ","$1,748.15 ","$2,241.02 ","$1,142.96 ","$3,673.80 ","$4,082.00 ",$880.08 ,"$3,551.34 ","$1,863.00 ","$4,082.00 ","$1,863.00 ",$938.86 ,"$2,653.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$4,524.00 ","$3,257.28 ",$187.42 ,"$4,524.00 ","$2,601.30 ","$2,850.12 ","$2,714.40 ",$975.37 ,"$1,266.72 ","$2,623.92 ","$1,019.71 ","$2,759.64 ","$1,108.38 ","$2,483.68 ","$2,483.68 ","$1,152.72 ",$187.42 ,"$2,010.47 ","$1,700.00 ",$921.08 ,"$1,019.71 ",$975.37 ,"$3,393.00 ","$3,212.04 ","$3,212.04 ","$1,019.71 ","$3,212.04 ","$3,935.88 ","$3,935.88 ","$3,935.88 ", N/A ,"$4,071.60 ","$2,601.30 ","$3,845.40 ",$975.37 ,"$4,524.00 ","$2,537.96 ",$975.37 ,"$1,872.94 ",$475.30 ,$432.09 ,"$1,019.71 ","$3,845.40 ","$1,937.45 ","$2,483.68 ","$1,266.72 ","$4,071.60 ","$4,524.00 ",$975.37 ,"$3,935.88 ","$1,863.00 ","$4,524.00 ","$1,863.00 ","$1,040.52 ","$2,940.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$5,083.00 ","$3,659.76 ",$214.43 ,"$5,083.00 ","$2,922.73 ","$3,202.29 ","$3,049.80 ","$1,095.89 ","$1,423.24 ","$2,948.14 ","$1,145.71 ","$3,100.63 ","$1,245.33 ","$2,790.57 ","$2,790.57 ","$1,295.15 ",$214.43 ,"$2,258.89 ","$1,700.00 ",$921.08 ,"$1,145.71 ","$1,095.89 ","$3,812.25 ","$3,608.93 ","$3,608.93 ","$1,145.71 ","$3,608.93 ","$4,422.21 ","$4,422.21 ","$4,422.21 ", N/A ,"$4,574.70 ","$2,922.73 ","$4,320.55 ","$1,095.89 ","$5,083.00 ","$2,851.56 ","$1,095.89 ","$2,104.36 ",$475.30 ,$432.09 ,"$1,145.71 ","$4,320.55 ","$2,176.84 ","$2,790.57 ","$1,423.24 ","$4,574.70 ","$5,083.00 ","$1,095.89 ","$4,422.21 ","$1,863.00 ","$5,083.00 ","$1,863.00 ","$1,169.09 ","$3,303.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$5,447.00 ","$3,921.84 ",$215.06 ,"$5,447.00 ","$3,132.03 ","$3,431.61 ","$3,268.20 ","$1,174.37 ","$1,525.16 ","$3,159.26 ","$1,227.75 ","$3,322.67 ","$1,334.51 ","$2,990.40 ","$2,990.40 ","$1,387.90 ",$215.06 ,"$2,420.65 ","$1,700.00 ",$921.08 ,"$1,227.75 ","$1,174.37 ","$4,085.25 ","$3,867.37 ","$3,867.37 ","$1,227.75 ","$3,867.37 ","$4,738.89 ","$4,738.89 ","$4,738.89 ", N/A ,"$4,902.30 ","$3,132.03 ","$4,629.95 ","$1,174.37 ","$5,447.00 ","$3,055.77 ","$1,174.37 ","$2,255.06 ",$475.30 ,$432.09 ,"$1,227.75 ","$4,629.95 ","$2,332.73 ","$2,990.40 ","$1,525.16 ","$4,902.30 ","$5,447.00 ","$1,174.37 ","$4,738.89 ","$1,863.00 ","$5,447.00 ","$1,863.00 ","$1,252.81 ","$3,540.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$5,955.00 ","$4,287.60 ",$213.80 ,"$5,955.00 ","$3,424.13 ","$3,751.65 ","$3,573.00 ","$1,283.90 ","$1,667.40 ","$3,453.90 ","$1,342.26 ","$3,632.55 ","$1,458.97 ","$3,269.30 ","$3,269.30 ","$1,517.33 ",$213.80 ,"$2,646.40 ","$1,700.00 ",$921.08 ,"$1,342.26 ","$1,283.90 ","$4,466.25 ","$4,228.05 ","$4,228.05 ","$1,342.26 ","$4,228.05 ","$5,180.85 ","$5,180.85 ","$5,180.85 ", N/A ,"$5,359.50 ","$3,424.13 ","$5,061.75 ","$1,283.90 ","$5,955.00 ","$3,340.76 ","$1,283.90 ","$2,465.37 ",$475.30 ,$432.09 ,"$1,342.26 ","$5,061.75 ","$2,550.29 ","$3,269.30 ","$1,667.40 ","$5,359.50 ","$5,955.00 ","$1,283.90 ","$5,180.85 ","$1,863.00 ","$5,955.00 ","$1,863.00 ","$1,369.65 ","$3,870.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$4,035.00 ","$2,905.20 ",$161.26 ,"$4,035.00 ","$2,320.13 ","$2,542.05 ","$2,421.00 ",$869.95 ,"$1,129.80 ","$2,340.30 ",$909.49 ,"$2,461.35 ",$988.57 ,"$2,215.22 ","$2,215.22 ","$1,028.12 ",$161.26 ,"$1,793.15 ","$1,700.00 ",$583.80 ,$909.49 ,$869.95 ,"$3,026.25 ","$2,864.85 ","$2,864.85 ",$909.49 ,"$2,864.85 ","$3,510.45 ","$3,510.45 ","$3,510.45 ", N/A ,"$3,631.50 ","$2,320.13 ","$3,429.75 ",$869.95 ,"$4,035.00 ","$2,263.64 ",$869.95 ,"$1,670.49 ",$588.18 ,$534.71 ,$909.49 ,"$3,429.75 ","$1,728.03 ","$2,215.22 ","$1,129.80 ","$3,631.50 ","$4,035.00 ",$869.95 ,"$3,510.45 ","$1,863.00 ","$4,035.00 ","$1,863.00 ",$928.05 ,"$2,622.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$1,261.00 ",$907.92 ,$188.37 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$188.37 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$588.18 ,$534.71 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$5,488.00 ","$3,951.36 ",$236.49 ,"$5,488.00 ","$3,155.60 ","$3,457.44 ","$3,292.80 ","$1,183.21 ","$1,536.64 ","$3,183.04 ","$1,237.00 ","$3,347.68 ","$1,344.56 ","$3,012.91 ","$3,012.91 ","$1,398.34 ",$236.49 ,"$2,438.87 ","$1,700.00 ",$921.08 ,"$1,237.00 ","$1,183.21 ","$4,116.00 ","$3,896.48 ","$3,896.48 ","$1,237.00 ","$3,896.48 ","$4,774.56 ","$4,774.56 ","$4,774.56 ", N/A ,"$4,939.20 ","$3,155.60 ","$4,664.80 ","$1,183.21 ","$5,488.00 ","$3,078.77 ","$1,183.21 ","$2,272.03 ",$588.18 ,$534.71 ,"$1,237.00 ","$4,664.80 ","$2,350.29 ","$3,012.91 ","$1,536.64 ","$4,939.20 ","$5,488.00 ","$1,183.21 ","$4,774.56 ","$1,863.00 ","$5,488.00 ","$1,863.00 ","$1,262.24 ","$3,567.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$4,335.00 ","$3,121.20 ",$241.54 ,"$4,335.00 ","$2,492.63 ","$2,731.05 ","$2,601.00 ",$934.63 ,"$1,213.80 ","$2,514.30 ",$977.11 ,"$2,644.35 ","$1,062.07 ","$2,379.92 ","$2,379.92 ","$1,104.56 ",$241.54 ,"$1,926.47 ","$1,700.00 ",$583.80 ,$977.11 ,$934.63 ,"$3,251.25 ","$3,077.85 ","$3,077.85 ",$977.11 ,"$3,077.85 ","$3,771.45 ","$3,771.45 ","$3,771.45 ", N/A ,"$3,901.50 ","$2,492.63 ","$3,684.75 ",$934.63 ,"$4,335.00 ","$2,431.94 ",$934.63 ,"$1,794.69 ",$588.18 ,$534.71 ,$977.11 ,"$3,684.75 ","$1,856.51 ","$2,379.92 ","$1,213.80 ","$3,901.50 ","$4,335.00 ",$934.63 ,"$3,771.45 ","$1,863.00 ","$4,335.00 ","$1,863.00 ",$997.05 ,"$2,817.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$4,542.00 ","$3,270.24 ",$257.61 ,"$4,542.00 ","$2,611.65 ","$2,861.46 ","$2,725.20 ",$979.26 ,"$1,271.76 ","$2,634.36 ","$1,023.77 ","$2,770.62 ","$1,112.79 ","$2,493.56 ","$2,493.56 ","$1,157.30 ",$257.61 ,"$2,018.46 ","$1,700.00 ",$921.08 ,"$1,023.77 ",$979.26 ,"$3,406.50 ","$3,224.82 ","$3,224.82 ","$1,023.77 ","$3,224.82 ","$3,951.54 ","$3,951.54 ","$3,951.54 ", N/A ,"$4,087.80 ","$2,611.65 ","$3,860.70 ",$979.26 ,"$4,542.00 ","$2,548.06 ",$979.26 ,"$1,880.39 ",$588.18 ,$534.71 ,"$1,023.77 ","$3,860.70 ","$1,945.15 ","$2,493.56 ","$1,271.76 ","$4,087.80 ","$4,542.00 ",$979.26 ,"$3,951.54 ","$1,863.00 ","$4,542.00 ","$1,863.00 ","$1,044.66 ","$2,952.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$6,812.00 ","$4,904.64 ",$257.61 ,"$6,812.00 ","$3,916.90 ","$4,291.56 ","$4,087.20 ","$1,468.67 ","$1,907.36 ","$3,950.96 ","$1,535.42 ","$4,155.32 ","$1,668.94 ","$3,739.79 ","$3,739.79 ","$1,735.70 ",$257.61 ,"$3,027.25 ","$1,700.00 ","$2,114.30 ","$1,535.42 ","$1,468.67 ","$5,109.00 ","$4,836.52 ","$4,836.52 ","$1,535.42 ","$4,836.52 ","$5,926.44 ","$5,926.44 ","$5,926.44 ", N/A ,"$6,130.80 ","$3,916.90 ","$5,790.20 ","$1,468.67 ","$6,812.00 ","$3,821.53 ","$1,468.67 ","$2,820.17 ",$882.28 ,$802.07 ,"$1,535.42 ","$5,790.20 ","$2,917.30 ","$3,739.79 ","$1,907.36 ","$6,130.80 ","$6,812.00 ","$1,468.67 ","$5,926.44 ","$1,863.00 ","$6,812.00 ","$1,863.00 ","$1,566.76 ","$4,427.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$4,822.00 ","$3,471.84 ",$311.50 ,"$4,822.00 ","$2,772.65 ","$3,037.86 ","$2,893.20 ","$1,039.62 ","$1,350.16 ","$2,796.76 ","$1,086.88 ","$2,941.42 ","$1,181.39 ","$2,647.28 ","$2,647.28 ","$1,228.65 ",$311.50 ,"$2,142.90 ","$1,700.00 ",$921.08 ,"$1,086.88 ","$1,039.62 ","$3,616.50 ","$3,423.62 ","$3,423.62 ","$1,086.88 ","$3,423.62 ","$4,195.14 ","$4,195.14 ","$4,195.14 ", N/A ,"$4,339.80 ","$2,772.65 ","$4,098.70 ","$1,039.62 ","$4,822.00 ","$2,705.14 ","$1,039.62 ","$1,996.31 ",$588.18 ,$534.71 ,"$1,086.88 ","$4,098.70 ","$2,065.07 ","$2,647.28 ","$1,350.16 ","$4,339.80 ","$4,822.00 ","$1,039.62 ","$4,195.14 ","$1,863.00 ","$4,822.00 ","$1,863.00 ","$1,109.06 ","$3,134.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$3,332.00 ","$2,399.04 ",$138.89 ,"$3,332.00 ","$1,915.90 ","$2,099.16 ","$1,999.20 ",$718.38 ,$932.96 ,"$1,932.56 ",$751.03 ,"$2,032.52 ",$816.34 ,"$1,829.27 ","$1,829.27 ",$848.99 ,$138.89 ,"$1,480.74 ","$1,700.00 ",$583.80 ,$751.03 ,$718.38 ,"$2,499.00 ","$2,365.72 ","$2,365.72 ",$751.03 ,"$2,365.72 ","$2,898.84 ","$2,898.84 ","$2,898.84 ", N/A ,"$2,998.80 ","$1,915.90 ","$2,832.20 ",$718.38 ,"$3,332.00 ","$1,869.25 ",$718.38 ,"$1,379.45 ",$396.99 ,$360.90 ,$751.03 ,"$2,832.20 ","$1,426.96 ","$1,829.27 ",$932.96 ,"$2,998.80 ","$3,332.00 ",$718.38 ,"$2,898.84 ","$1,863.00 ","$3,332.00 ","$1,863.00 ",$766.36 ,"$2,165.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,542.00 ","$3,270.24 ",$237.85 ,"$4,542.00 ","$2,611.65 ","$2,861.46 ","$2,725.20 ",$979.26 ,"$1,271.76 ","$2,634.36 ","$1,023.77 ","$2,770.62 ","$1,112.79 ","$2,493.56 ","$2,493.56 ","$1,157.30 ",$237.85 ,"$2,018.46 ","$1,700.00 ","$1,851.88 ","$1,023.77 ",$979.26 ,"$3,406.50 ","$3,224.82 ","$3,224.82 ","$1,023.77 ","$3,224.82 ","$3,951.54 ","$3,951.54 ","$3,951.54 ", N/A ,"$4,087.80 ","$2,611.65 ","$3,860.70 ",$979.26 ,"$4,542.00 ","$2,548.06 ",$979.26 ,"$1,880.39 ",$396.99 ,$360.90 ,"$1,023.77 ","$3,860.70 ","$1,945.15 ","$2,493.56 ","$1,271.76 ","$4,087.80 ","$4,542.00 ",$979.26 ,"$3,951.54 ","$1,863.00 ","$4,542.00 ","$1,863.00 ","$1,044.66 ","$2,952.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$5,202.00 ","$3,745.44 ",$288.49 ,"$5,202.00 ","$2,991.15 ","$3,277.26 ","$3,121.20 ","$1,121.55 ","$1,456.56 ","$3,017.16 ","$1,172.53 ","$3,173.22 ","$1,274.49 ","$2,855.90 ","$2,855.90 ","$1,325.47 ",$288.49 ,"$2,311.77 ","$1,700.00 ",$921.08 ,"$1,172.53 ","$1,121.55 ","$3,901.50 ","$3,693.42 ","$3,693.42 ","$1,172.53 ","$3,693.42 ","$4,525.74 ","$4,525.74 ","$4,525.74 ", N/A ,"$4,681.80 ","$2,991.15 ","$4,421.70 ","$1,121.55 ","$5,202.00 ","$2,918.32 ","$1,121.55 ","$2,153.63 ",$396.99 ,$360.90 ,"$1,172.53 ","$4,421.70 ","$2,227.80 ","$2,855.90 ","$1,456.56 ","$4,681.80 ","$5,202.00 ","$1,121.55 ","$4,525.74 ","$1,863.00 ","$5,202.00 ","$1,863.00 ","$1,196.46 ","$3,381.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$4,335.00 ","$3,121.20 ",$160.95 ,"$4,335.00 ","$2,492.63 ","$2,731.05 ","$2,601.00 ",$934.63 ,"$1,213.80 ","$2,514.30 ",$977.11 ,"$2,644.35 ","$1,062.07 ","$2,379.92 ","$2,379.92 ","$1,104.56 ",$160.95 ,"$1,926.47 ","$1,700.00 ",$583.80 ,$977.11 ,$934.63 ,"$3,251.25 ","$3,077.85 ","$3,077.85 ",$977.11 ,"$3,077.85 ","$3,771.45 ","$3,771.45 ","$3,771.45 ", N/A ,"$3,901.50 ","$2,492.63 ","$3,684.75 ",$934.63 ,"$4,335.00 ","$2,431.94 ",$934.63 ,"$1,794.69 ",$588.18 ,$534.71 ,$977.11 ,"$3,684.75 ","$1,856.51 ","$2,379.92 ","$1,213.80 ","$3,901.50 ","$4,335.00 ",$934.63 ,"$3,771.45 ","$1,863.00 ","$4,335.00 ","$1,863.00 ",$997.05 ,"$2,817.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$4,552.00 ","$3,277.44 ",$187.42 ,"$4,552.00 ","$2,617.40 ","$2,867.76 ","$2,731.20 ",$981.41 ,"$1,274.56 ","$2,640.16 ","$1,026.02 ","$2,776.72 ","$1,115.24 ","$2,499.05 ","$2,499.05 ","$1,159.85 ",$187.42 ,"$2,022.91 ","$1,700.00 ",$921.08 ,"$1,026.02 ",$981.41 ,"$3,414.00 ","$3,231.92 ","$3,231.92 ","$1,026.02 ","$3,231.92 ","$3,960.24 ","$3,960.24 ","$3,960.24 ", N/A ,"$4,096.80 ","$2,617.40 ","$3,869.20 ",$981.41 ,"$4,552.00 ","$2,553.67 ",$981.41 ,"$1,884.53 ",$588.18 ,$534.71 ,"$1,026.02 ","$3,869.20 ","$1,949.44 ","$2,499.05 ","$1,274.56 ","$4,096.80 ","$4,552.00 ",$981.41 ,"$3,960.24 ","$1,863.00 ","$4,552.00 ","$1,863.00 ","$1,046.96 ","$2,958.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$5,202.00 ","$3,745.44 ",$238.70 ,"$5,202.00 ","$2,991.15 ","$3,277.26 ","$3,121.20 ","$1,121.55 ","$1,456.56 ","$3,017.16 ","$1,172.53 ","$3,173.22 ","$1,274.49 ","$2,855.90 ","$2,855.90 ","$1,325.47 ",$238.70 ,"$2,311.77 ","$1,700.00 ",$921.08 ,"$1,172.53 ","$1,121.55 ","$3,901.50 ","$3,693.42 ","$3,693.42 ","$1,172.53 ","$3,693.42 ","$4,525.74 ","$4,525.74 ","$4,525.74 ", N/A ,"$4,681.80 ","$2,991.15 ","$4,421.70 ","$1,121.55 ","$5,202.00 ","$2,918.32 ","$1,121.55 ","$2,153.63 ",$588.18 ,$534.71 ,"$1,172.53 ","$4,421.70 ","$2,227.80 ","$2,855.90 ","$1,456.56 ","$4,681.80 ","$5,202.00 ","$1,121.55 ","$4,525.74 ","$1,863.00 ","$5,202.00 ","$1,863.00 ","$1,196.46 ","$3,381.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$3,332.00 ","$2,399.04 ",$138.89 ,"$3,332.00 ","$1,915.90 ","$2,099.16 ","$1,999.20 ",$718.38 ,$932.96 ,"$1,932.56 ",$751.03 ,"$2,032.52 ",$816.34 ,"$1,829.27 ","$1,829.27 ",$848.99 ,$138.89 ,"$1,480.74 ","$1,700.00 ",$583.80 ,$751.03 ,$718.38 ,"$2,499.00 ","$2,365.72 ","$2,365.72 ",$751.03 ,"$2,365.72 ","$2,898.84 ","$2,898.84 ","$2,898.84 ", N/A ,"$2,998.80 ","$1,915.90 ","$2,832.20 ",$718.38 ,"$3,332.00 ","$1,869.25 ",$718.38 ,"$1,379.45 ",$396.99 ,$360.90 ,$751.03 ,"$2,832.20 ","$1,426.96 ","$1,829.27 ",$932.96 ,"$2,998.80 ","$3,332.00 ",$718.38 ,"$2,898.84 ","$1,863.00 ","$3,332.00 ","$1,863.00 ",$766.36 ,"$2,165.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$4,524.00 ","$3,257.28 ",$238.16 ,"$4,524.00 ","$2,601.30 ","$2,850.12 ","$2,714.40 ",$975.37 ,"$1,266.72 ","$2,623.92 ","$1,019.71 ","$2,759.64 ","$1,108.38 ","$2,483.68 ","$2,483.68 ","$1,152.72 ",$238.16 ,"$2,010.47 ","$1,700.00 ","$1,851.88 ","$1,019.71 ",$975.37 ,"$3,393.00 ","$3,212.04 ","$3,212.04 ","$1,019.71 ","$3,212.04 ","$3,935.88 ","$3,935.88 ","$3,935.88 ", N/A ,"$4,071.60 ","$2,601.30 ","$3,845.40 ",$975.37 ,"$4,524.00 ","$2,537.96 ",$975.37 ,"$1,872.94 ",$396.99 ,$360.90 ,"$1,019.71 ","$3,845.40 ","$1,937.45 ","$2,483.68 ","$1,266.72 ","$4,071.60 ","$4,524.00 ",$975.37 ,"$3,935.88 ","$1,863.00 ","$4,524.00 ","$1,863.00 ","$1,040.52 ","$2,940.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$5,202.00 ","$3,745.44 ",$287.55 ,"$5,202.00 ","$2,991.15 ","$3,277.26 ","$3,121.20 ","$1,121.55 ","$1,456.56 ","$3,017.16 ","$1,172.53 ","$3,173.22 ","$1,274.49 ","$2,855.90 ","$2,855.90 ","$1,325.47 ",$287.55 ,"$2,311.77 ","$1,700.00 ",$921.08 ,"$1,172.53 ","$1,121.55 ","$3,901.50 ","$3,693.42 ","$3,693.42 ","$1,172.53 ","$3,693.42 ","$4,525.74 ","$4,525.74 ","$4,525.74 ", N/A ,"$4,681.80 ","$2,991.15 ","$4,421.70 ","$1,121.55 ","$5,202.00 ","$2,918.32 ","$1,121.55 ","$2,153.63 ",$396.99 ,$360.90 ,"$1,172.53 ","$4,421.70 ","$2,227.80 ","$2,855.90 ","$1,456.56 ","$4,681.80 ","$5,202.00 ","$1,121.55 ","$4,525.74 ","$1,863.00 ","$5,202.00 ","$1,863.00 ","$1,196.46 ","$3,381.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$4,035.00 ","$2,905.20 ",$128.49 ,"$4,035.00 ","$2,320.13 ","$2,542.05 ","$2,421.00 ",$869.95 ,"$1,129.80 ","$2,340.30 ",$909.49 ,"$2,461.35 ",$988.57 ,"$2,215.22 ","$2,215.22 ","$1,028.12 ",$128.49 ,"$1,793.15 ","$1,700.00 ",$583.80 ,$909.49 ,$869.95 ,"$3,026.25 ","$2,864.85 ","$2,864.85 ",$909.49 ,"$2,864.85 ","$3,510.45 ","$3,510.45 ","$3,510.45 ", N/A ,"$3,631.50 ","$2,320.13 ","$3,429.75 ",$869.95 ,"$4,035.00 ","$2,263.64 ",$869.95 ,"$1,670.49 ",$704.96 ,$640.87 ,$909.49 ,"$3,429.75 ","$1,728.03 ","$2,215.22 ","$1,129.80 ","$3,631.50 ","$4,035.00 ",$869.95 ,"$3,510.45 ","$1,863.00 ","$4,035.00 ","$1,863.00 ",$928.05 ,"$2,622.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$1,261.00 ",$907.92 ,$223.26 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$223.26 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$704.96 ,$640.87 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$5,248.00 ","$3,778.56 ",$237.75 ,"$5,248.00 ","$3,017.60 ","$3,306.24 ","$3,148.80 ","$1,131.47 ","$1,469.44 ","$3,043.84 ","$1,182.90 ","$3,201.28 ","$1,285.76 ","$2,881.15 ","$2,881.15 ","$1,337.19 ",$237.75 ,"$2,332.21 ","$1,700.00 ",$921.08 ,"$1,182.90 ","$1,131.47 ","$3,936.00 ","$3,726.08 ","$3,726.08 ","$1,182.90 ","$3,726.08 ","$4,565.76 ","$4,565.76 ","$4,565.76 ", N/A ,"$4,723.20 ","$3,017.60 ","$4,460.80 ","$1,131.47 ","$5,248.00 ","$2,944.13 ","$1,131.47 ","$2,172.67 ",$704.96 ,$640.87 ,"$1,182.90 ","$4,460.80 ","$2,247.51 ","$2,881.15 ","$1,469.44 ","$4,723.20 ","$5,248.00 ","$1,131.47 ","$4,565.76 ","$1,863.00 ","$5,248.00 ","$1,863.00 ","$1,207.04 ","$3,411.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000050,C8937,HC MRI BREAST CAD,610,1 ,$154.00 ,$110.88 ,$33.20 ,$154.00 ,$88.55 ,$97.02 ,$92.40 ,$33.20 ,$43.12 ,$89.32 ,$34.71 ,$93.94 ,$37.73 ,$84.55 ,$84.55 ,$39.24 ,$100.10 ,$68.44 ,$107.80 , N/A ,$34.71 ,$33.20 ,$115.50 ,$109.34 ,$109.34 ,$34.71 ,$109.34 ,$133.98 ,$133.98 ,$133.98 , N/A ,$138.60 ,$88.55 ,$130.90 ,$33.20 ,$154.00 ,$86.39 ,$33.20 ,$63.76 , N/A , N/A ,$34.71 ,$130.90 ,$65.95 ,$84.55 ,$43.12 ,$138.60 ,$154.00 ,$33.20 ,$133.98 ,$154.00 ,$154.00 ,$154.00 ,$35.42 ,$100.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$1,261.00 ",$907.92 ,$271.87 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$819.65 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$760.56 ,$691.42 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000052,C8901,HC MRA ABDOMEN W/O CONTRAST,610,1 ,$769.00 ,$553.68 ,$165.80 ,$769.00 ,$442.18 ,$484.47 ,$461.40 ,$165.80 ,$215.32 ,$446.02 ,$173.33 ,$469.09 ,$188.40 ,$422.18 ,$422.18 ,$195.94 ,$499.85 ,$341.74 ,$769.00 ,$583.80 ,$173.33 ,$165.80 ,$576.75 ,$545.99 ,$545.99 ,$173.33 ,$545.99 ,$669.03 ,$669.03 ,$669.03 , N/A ,$692.10 ,$442.18 ,$653.65 ,$165.80 ,$769.00 ,$431.41 ,$165.80 ,$318.37 ,$760.56 ,$691.42 ,$173.33 ,$653.65 ,$329.33 ,$422.18 ,$215.32 ,$692.10 ,$769.00 ,$165.80 ,$669.03 ,$769.00 ,$769.00 ,$769.00 ,$176.87 ,$499.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$4,222.00 ","$3,039.84 ",$691.42 ,"$4,222.00 ","$2,427.65 ","$2,659.86 ","$2,533.20 ",$910.26 ,"$1,182.16 ","$2,448.76 ",$951.64 ,"$2,575.42 ","$1,034.39 ","$2,317.88 ","$2,317.88 ","$1,075.77 ","$2,744.30 ","$1,876.26 ","$1,700.00 ",$921.08 ,$951.64 ,$910.26 ,"$3,166.50 ","$2,997.62 ","$2,997.62 ",$951.64 ,"$2,997.62 ","$3,673.14 ","$3,673.14 ","$3,673.14 ", N/A ,"$3,799.80 ","$2,427.65 ","$3,588.70 ",$910.26 ,"$4,222.00 ","$2,368.54 ",$910.26 ,"$1,747.91 ",$760.56 ,$691.42 ,$951.64 ,"$3,588.70 ","$1,808.11 ","$2,317.88 ","$1,182.16 ","$3,799.80 ","$4,222.00 ",$910.26 ,"$3,673.14 ","$1,863.00 ","$4,222.00 ","$1,863.00 ",$971.06 ,"$2,744.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000056,C8905,HC MRI BREAST UNI W AND W/O CONTRAST,610,1 ,"$4,188.00 ","$3,015.36 ",$534.71 ,"$4,188.00 ","$2,408.10 ","$2,638.44 ","$2,512.80 ",$902.93 ,"$1,172.64 ","$2,429.04 ",$943.98 ,"$2,554.68 ","$1,026.06 ","$2,299.21 ","$2,299.21 ","$1,067.10 ","$2,722.20 ","$1,861.15 ","$1,700.00 ",$921.08 ,$943.98 ,$902.93 ,"$3,141.00 ","$2,973.48 ","$2,973.48 ",$943.98 ,"$2,973.48 ","$3,643.56 ","$3,643.56 ","$3,643.56 ", N/A ,"$3,769.20 ","$2,408.10 ","$3,559.80 ",$902.93 ,"$4,188.00 ","$2,349.47 ",$902.93 ,"$1,733.83 ",$588.18 ,$534.71 ,$943.98 ,"$3,559.80 ","$1,793.56 ","$2,299.21 ","$1,172.64 ","$3,769.20 ","$4,188.00 ",$902.93 ,"$3,643.56 ","$1,863.00 ","$4,188.00 ","$1,863.00 ",$963.24 ,"$2,722.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000058,77047,HC MRI BREAST BI W/O CON,610,1 ,"$3,973.00 ","$2,860.56 ",$145.82 ,"$3,973.00 ","$2,284.48 ","$2,502.99 ","$2,383.80 ",$856.58 ,"$1,112.44 ","$2,304.34 ",$895.51 ,"$2,423.53 ",$973.37 ,"$2,181.18 ","$2,181.18 ","$1,012.32 ",$145.82 ,"$1,765.60 ","$1,700.00 ",$583.80 ,$895.51 ,$856.58 ,"$2,979.75 ","$2,820.83 ","$2,820.83 ",$895.51 ,"$2,820.83 ","$3,456.51 ","$3,456.51 ","$3,456.51 ", N/A ,"$3,575.70 ","$2,284.48 ","$3,377.05 ",$856.58 ,$161.99 ,"$2,228.85 ",$856.58 ,"$1,644.82 ",$588.18 ,$534.71 ,$895.51 ,"$3,377.05 ","$1,701.48 ","$2,181.18 ","$1,112.44 ","$3,575.70 ","$3,973.00 ",$856.58 ,"$3,456.51 ","$1,863.00 ","$3,973.00 ","$1,863.00 ",$913.79 ,"$2,582.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000059,C8908,HC MRI BREAST BI W AND W/O CON,610,1 ,"$4,811.00 ","$3,463.92 ",$534.71 ,"$4,811.00 ","$2,766.33 ","$3,030.93 ","$2,886.60 ","$1,037.25 ","$1,347.08 ","$2,790.38 ","$1,084.40 ","$2,934.71 ","$1,178.69 ","$2,641.24 ","$2,641.24 ","$1,225.84 ","$3,127.15 ","$2,138.01 ","$1,700.00 ",$921.08 ,"$1,084.40 ","$1,037.25 ","$3,608.25 ","$3,415.81 ","$3,415.81 ","$1,084.40 ","$3,415.81 ","$4,185.57 ","$4,185.57 ","$4,185.57 ", N/A ,"$4,329.90 ","$2,766.33 ","$4,089.35 ","$1,037.25 ","$4,811.00 ","$2,698.97 ","$1,037.25 ","$1,991.75 ",$588.18 ,$534.71 ,"$1,084.40 ","$4,089.35 ","$2,060.36 ","$2,641.24 ","$1,347.08 ","$4,329.90 ","$4,811.00 ","$1,037.25 ","$4,185.57 ","$1,863.00 ","$4,811.00 ","$1,863.00 ","$1,106.53 ","$3,127.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000060,C8909,HC MRA CHEST W/CONTRAST,610,1 ,"$1,261.00 ",$907.92 ,$271.87 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$819.65 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$669.01 ,$608.19 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000061,C8910,HC MRA CHEST W/O CONTRAST,610,1 ,$769.00 ,$553.68 ,$165.80 ,$769.00 ,$442.18 ,$484.47 ,$461.40 ,$165.80 ,$215.32 ,$446.02 ,$173.33 ,$469.09 ,$188.40 ,$422.18 ,$422.18 ,$195.94 ,$499.85 ,$341.74 ,$769.00 ,$583.80 ,$173.33 ,$165.80 ,$576.75 ,$545.99 ,$545.99 ,$173.33 ,$545.99 ,$669.03 ,$669.03 ,$669.03 , N/A ,$692.10 ,$442.18 ,$653.65 ,$165.80 ,$769.00 ,$431.41 ,$165.80 ,$318.37 ,$669.01 ,$608.19 ,$173.33 ,$653.65 ,$329.33 ,$422.18 ,$215.32 ,$692.10 ,$769.00 ,$165.80 ,$669.03 ,$769.00 ,$769.00 ,$769.00 ,$176.87 ,$499.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000062,C8911,HC MRA CHEST W AND W/O CONTRAST,610,1 ,"$4,645.00 ","$3,344.40 ",$608.19 ,"$4,645.00 ","$2,670.88 ","$2,926.35 ","$2,787.00 ","$1,001.46 ","$1,300.60 ","$2,694.10 ","$1,046.98 ","$2,833.45 ","$1,138.02 ","$2,550.11 ","$2,550.11 ","$1,183.55 ","$3,019.25 ","$2,064.24 ","$1,700.00 ",$921.08 ,"$1,046.98 ","$1,001.46 ","$3,483.75 ","$3,297.95 ","$3,297.95 ","$1,046.98 ","$3,297.95 ","$4,041.15 ","$4,041.15 ","$4,041.15 ", N/A ,"$4,180.50 ","$2,670.88 ","$3,948.25 ","$1,001.46 ","$4,645.00 ","$2,605.85 ","$1,001.46 ","$1,923.03 ",$669.01 ,$608.19 ,"$1,046.98 ","$3,948.25 ","$1,989.27 ","$2,550.11 ","$1,300.60 ","$4,180.50 ","$4,645.00 ","$1,001.46 ","$4,041.15 ","$1,863.00 ","$4,645.00 ","$1,863.00 ","$1,068.35 ","$3,019.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,$769.00 ,$553.68 ,$165.80 ,$769.00 ,$442.18 ,$484.47 ,$461.40 ,$165.80 ,$215.32 ,$446.02 ,$173.33 ,$469.09 ,$188.40 ,$422.18 ,$422.18 ,$195.94 ,$499.85 ,$341.74 ,$769.00 ,$583.80 ,$173.33 ,$165.80 ,$576.75 ,$545.99 ,$545.99 ,$173.33 ,$545.99 ,$669.03 ,$669.03 ,$669.03 , N/A ,$692.10 ,$442.18 ,$653.65 ,$165.80 ,$769.00 ,$431.41 ,$165.80 ,$318.37 ,$760.56 ,$691.42 ,$173.33 ,$653.65 ,$329.33 ,$422.18 ,$215.32 ,$692.10 ,$769.00 ,$165.80 ,$669.03 ,$769.00 ,$769.00 ,$769.00 ,$176.87 ,$499.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$1,261.00 ",$907.92 ,$271.87 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$819.65 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$760.56 ,$691.42 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$1,261.00 ",$907.92 ,$271.87 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$819.65 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$760.56 ,$691.42 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$5,115.00 ","$3,682.80 ",$212.86 ,"$5,115.00 ","$2,941.13 ","$3,222.45 ","$3,069.00 ","$1,102.79 ","$1,432.20 ","$2,966.70 ","$1,152.92 ","$3,120.15 ","$1,253.17 ","$2,808.14 ","$2,808.14 ","$1,303.30 ",$212.86 ,"$2,273.11 ","$1,700.00 ",$921.08 ,"$1,152.92 ","$1,102.79 ","$3,836.25 ","$3,631.65 ","$3,631.65 ","$1,152.92 ","$3,631.65 ","$4,450.05 ","$4,450.05 ","$4,450.05 ", N/A ,"$4,603.50 ","$2,941.13 ","$4,347.75 ","$1,102.79 ","$5,115.00 ","$2,869.52 ","$1,102.79 ","$2,117.61 ",$659.03 ,$599.12 ,"$1,152.92 ","$4,347.75 ","$2,190.55 ","$2,808.14 ","$1,432.20 ","$4,603.50 ","$5,115.00 ","$1,102.79 ","$4,450.05 ","$1,863.00 ","$5,115.00 ","$1,863.00 ","$1,176.45 ","$3,324.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$1,261.00 ",$907.92 ,$193.41 ,"$1,261.00 ",$725.08 ,$794.43 ,$756.60 ,$271.87 ,$353.08 ,$731.38 ,$284.23 ,$769.21 ,$308.94 ,$692.29 ,$692.29 ,$321.30 ,$193.41 ,$560.39 ,"$1,261.00 ",$921.08 ,$284.23 ,$271.87 ,$945.75 ,$895.31 ,$895.31 ,$284.23 ,$895.31 ,"$1,097.07 ","$1,097.07 ","$1,097.07 ", N/A ,"$1,134.90 ",$725.08 ,"$1,071.85 ",$271.87 ,"$1,261.00 ",$707.42 ,$271.87 ,$522.05 ,$588.18 ,$534.71 ,$284.23 ,"$1,071.85 ",$540.04 ,$692.29 ,$353.08 ,"$1,134.90 ","$1,261.00 ",$271.87 ,"$1,097.07 ","$1,261.00 ","$1,261.00 ","$1,261.00 ",$290.03 ,$819.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,62300009,A6022,HC DRESSING COLLAGEN >16 = <48 SQ IN,623,1 ,$27.00 ,$19.44 ,$5.82 ,$27.00 ,$15.53 ,$17.01 ,$16.20 ,$5.82 ,$7.56 ,$15.66 ,$6.09 ,$16.47 ,$6.61 ,$14.82 ,$14.82 ,$6.88 ,$17.55 ,$12.00 , N/A , N/A ,$6.09 ,$5.82 ,$20.25 ,$19.17 ,$19.17 ,$6.09 ,$19.17 ,$23.49 ,$23.49 ,$23.49 , N/A ,$24.30 ,$15.53 ,$22.95 ,$5.82 ,$27.00 ,$15.15 ,$5.82 ,$11.18 , N/A , N/A ,$6.09 ,$22.95 ,$11.56 ,$14.82 ,$7.56 ,$24.30 ,$27.00 ,$5.82 ,$23.49 ,$20.25 ,$27.00 ,$20.25 ,$6.21 ,$17.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,62300010,A6197,HC DRESSING ALGINATE >16 = <48 SQ IN,623,1 ,$113.00 ,$81.36 ,$24.36 ,$113.00 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$73.45 ,$50.22 , N/A , N/A ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 , N/A , N/A ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$84.75 ,$113.00 ,$84.75 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,0.9 % NACL WITH KCL 40 MEQ 40-0.9 MEQ/L-% SOLN per2 mEq,636,1 ,$2.60 ,$1.87 ,$0.23 ,$2.60 ,$1.50 ,$1.64 ,$1.56 ,$0.56 ,$0.73 ,$1.51 ,$0.59 ,$1.59 ,$0.64 ,$1.43 ,$1.43 ,$0.67 ,$1.43 ,$1.15 ,$0.32 , N/A ,$0.59 ,$0.56 ,$1.95 ,$1.85 ,$1.85 ,$0.59 ,$1.85 ,$2.26 ,$2.26 ,$2.26 , N/A ,$2.34 ,$1.50 ,$2.21 ,$0.56 ,$2.60 ,$1.46 ,$0.56 ,$1.08 , N/A , N/A ,$0.59 ,$2.21 ,$1.12 ,$1.43 ,$0.73 ,$2.34 ,$2.60 ,$0.56 ,$2.26 ,$0.23 ,$2.60 ,$0.23 ,$0.60 ,$1.69 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0129,ABATACEPT 250 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$249.98 ,$179.99 ,$53.90 ,"$3,681.11 ",$143.75 ,$157.49 ,$149.99 ,$53.90 ,$69.99 ,$144.99 ,$56.35 ,$152.49 ,$61.25 ,$137.24 ,$137.24 ,$63.69 ,$137.24 ,$111.10 ,$87.82 ,$106.90 ,$56.35 ,$53.90 ,$187.49 ,$177.49 ,$177.49 ,$56.35 ,$177.49 ,$217.48 ,$217.48 ,$217.48 , N/A ,$224.98 ,$143.75 ,$212.48 ,$53.90 ,$249.98 ,$140.24 ,$53.90 ,$103.49 ,"$3,681.11 ","$3,346.46 ",$56.35 ,$212.48 ,$107.06 ,$137.24 ,$69.99 ,$224.98 ,$249.98 ,$53.90 ,$217.48 ,$71.78 ,$249.98 ,$71.78 ,$57.50 ,$162.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0132,ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL per100 mg,636,1 ,$14.78 ,$10.64 ,$1.36 ,$14.78 ,$8.50 ,$9.31 ,$8.87 ,$3.18 ,$4.14 ,$8.57 ,$3.33 ,$9.02 ,$3.63 ,$8.11 ,$8.11 ,$3.76 ,$8.11 ,$6.57 ,$1.36 , N/A ,$3.33 ,$3.18 ,$11.09 ,$10.49 ,$10.49 ,$3.33 ,$10.49 ,$12.86 ,$12.86 ,$12.86 , N/A ,$13.30 ,$8.50 ,$12.56 ,$3.18 ,$14.78 ,$8.29 ,$3.18 ,$6.12 , N/A , N/A ,$3.33 ,$12.56 ,$6.33 ,$8.11 ,$4.14 ,$13.30 ,$14.78 ,$3.18 ,$12.86 ,$1.63 ,$14.78 ,$1.63 ,$3.40 ,$9.61 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0133,ACYCLOVIR 50 MG/ML SOLN 10 ML VIAL per5 mg,636,1 ,$0.64 ,$0.46 ,$0.06 ,$0.64 ,$0.38 ,$0.40 ,$0.38 ,$0.14 ,$0.18 ,$0.37 ,$0.15 ,$0.39 ,$0.16 ,$0.35 ,$0.35 ,$0.17 ,$0.35 ,$0.28 ,$0.06 , N/A ,$0.15 ,$0.14 ,$0.48 ,$0.45 ,$0.45 ,$0.15 ,$0.45 ,$0.56 ,$0.56 ,$0.56 , N/A ,$0.58 ,$0.38 ,$0.54 ,$0.14 ,$0.64 ,$0.36 ,$0.14 ,$0.27 , N/A , N/A ,$0.15 ,$0.54 ,$0.28 ,$0.35 ,$0.18 ,$0.58 ,$0.64 ,$0.14 ,$0.56 ,$0.08 ,$0.64 ,$0.08 ,$0.15 ,$0.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0153,ADENOSINE 6 MG/2ML SOLN per1 mg,636,1 ,$8.77 ,$6.31 ,$0.86 ,$8.77 ,$5.05 ,$5.53 ,$5.26 ,$1.89 ,$2.46 ,$5.09 ,$1.98 ,$5.35 ,$2.15 ,$4.81 ,$4.81 ,$2.23 ,$4.81 ,$3.90 ,$0.92 , N/A ,$1.98 ,$1.89 ,$6.58 ,$6.23 ,$6.23 ,$1.98 ,$6.23 ,$7.63 ,$7.63 ,$7.63 , N/A ,$7.89 ,$5.05 ,$7.45 ,$1.89 ,$8.77 ,$4.92 ,$1.89 ,$3.63 , N/A , N/A ,$1.98 ,$7.45 ,$3.76 ,$4.81 ,$2.46 ,$7.89 ,$8.77 ,$1.89 ,$7.63 ,$0.86 ,$8.77 ,$0.86 ,$2.02 ,$5.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,P9047,ALBUMIN HUMAN 25 % SOLN per50 mL,636,1 ,$222.20 ,$159.98 ,$47.90 ,"$1,127.07 ",$127.78 ,$139.99 ,$133.32 ,$47.90 ,$62.22 ,$128.88 ,$50.09 ,$135.54 ,$54.44 ,$121.99 ,$121.99 ,$56.61 ,$121.99 ,$98.74 ,$106.88 ,$132.69 ,$50.09 ,$47.90 ,$166.65 ,$157.76 ,$157.76 ,$50.09 ,$157.76 ,$193.31 ,$193.31 ,$193.31 , N/A ,$199.98 ,$127.78 ,$188.87 ,$47.90 ,$222.20 ,$124.65 ,$47.90 ,$91.99 ,"$1,127.07 ","$1,024.61 ",$50.09 ,$188.87 ,$95.17 ,$121.99 ,$62.22 ,$199.98 ,$222.20 ,$47.90 ,$193.31 ,$87.07 ,$222.20 ,$87.07 ,$51.11 ,$144.43 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0256,ALPHA1-PROTEINASE INHIBITOR (HUMAN) 1000 MG/20ML SOLN per10 mg,636,1 ,$26.00 ,$18.72 ,$5.61 ,"$3,681.11 ",$14.95 ,$16.38 ,$15.60 ,$5.61 ,$7.28 ,$15.08 ,$5.86 ,$15.86 ,$6.37 ,$14.27 ,$14.27 ,$6.62 ,$14.27 ,$11.55 ,$9.08 ,$11.94 ,$5.86 ,$5.61 ,$19.50 ,$18.46 ,$18.46 ,$5.86 ,$18.46 ,$22.62 ,$22.62 ,$22.62 , N/A ,$23.40 ,$14.95 ,$22.10 ,$5.61 ,$26.00 ,$14.59 ,$5.61 ,$10.76 ,"$3,681.11 ","$3,346.46 ",$5.86 ,$22.10 ,$11.13 ,$14.27 ,$7.28 ,$23.40 ,$26.00 ,$5.61 ,$22.62 ,$7.57 ,$26.00 ,$7.57 ,$5.98 ,$16.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2997,ALTEPLASE 100 MG SOLR per1 mg,636,1 ,$420.25 ,$302.58 ,$90.61 ,$420.25 ,$241.65 ,$264.76 ,$252.15 ,$90.61 ,$117.67 ,$243.75 ,$94.73 ,$256.35 ,$102.96 ,$230.72 ,$230.72 ,$107.08 ,$230.72 ,$186.77 ,$176.56 ,$218.91 ,$94.73 ,$90.61 ,$315.19 ,$298.38 ,$298.38 ,$94.73 ,$298.38 ,$365.62 ,$365.62 ,$365.62 , N/A ,$378.23 ,$241.65 ,$357.21 ,$90.61 ,$420.25 ,$235.76 ,$90.61 ,$173.98 ,$136.11 ,$123.74 ,$94.73 ,$357.21 ,$179.98 ,$230.72 ,$117.67 ,$378.23 ,$420.25 ,$90.61 ,$365.62 ,$145.25 ,$420.25 ,$145.25 ,$96.66 ,$273.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2997,ALTEPLASE 2 MG SOLR per1 mg,636,1 ,$385.70 ,$277.70 ,$83.15 ,$385.70 ,$221.78 ,$242.99 ,$231.42 ,$83.15 ,$108.00 ,$223.71 ,$86.94 ,$235.28 ,$94.50 ,$211.75 ,$211.75 ,$98.27 ,$211.75 ,$171.40 ,$176.56 ,$218.91 ,$86.94 ,$83.15 ,$289.28 ,$273.85 ,$273.85 ,$86.94 ,$273.85 ,$335.56 ,$335.56 ,$335.56 , N/A ,$347.13 ,$221.78 ,$327.85 ,$83.15 ,$385.70 ,$216.38 ,$83.15 ,$159.68 ,$136.11 ,$123.74 ,$86.94 ,$327.85 ,$165.18 ,$211.75 ,$108.00 ,$347.13 ,$385.70 ,$83.15 ,$335.56 ,$145.25 ,$385.70 ,$145.25 ,$88.71 ,$250.71 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0280,AMINOPHYLLINE 25 MG/ML SOLN per250 mg,636,1 ,$26.40 ,$19.01 ,$5.69 ,$26.40 ,$15.18 ,$16.63 ,$15.84 ,$5.69 ,$7.39 ,$15.31 ,$5.95 ,$16.10 ,$6.47 ,$14.49 ,$14.49 ,$6.72 ,$14.49 ,$11.74 ,$23.16 , N/A ,$5.95 ,$5.69 ,$19.80 ,$18.74 ,$18.74 ,$5.95 ,$18.74 ,$22.97 ,$22.97 ,$22.97 , N/A ,$23.76 ,$15.18 ,$22.44 ,$5.69 ,$26.40 ,$14.81 ,$5.69 ,$10.93 , N/A , N/A ,$5.95 ,$22.44 ,$11.30 ,$14.49 ,$7.39 ,$23.76 ,$26.40 ,$5.69 ,$22.97 ,$21.60 ,$26.40 ,$21.60 ,$6.07 ,$17.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0282,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL per30 mg,636,1 ,$3.60 ,$2.59 ,$0.46 ,$3.60 ,$2.08 ,$2.27 ,$2.16 ,$0.77 ,$1.01 ,$2.09 ,$0.81 ,$2.20 ,$0.88 ,$1.98 ,$1.98 ,$0.92 ,$1.98 ,$1.60 ,$0.46 , N/A ,$0.81 ,$0.77 ,$2.70 ,$2.56 ,$2.56 ,$0.81 ,$2.56 ,$3.13 ,$3.13 ,$3.13 , N/A ,$3.24 ,$2.08 ,$3.06 ,$0.77 ,$3.60 ,$2.02 ,$0.77 ,$1.49 , N/A , N/A ,$0.81 ,$3.06 ,$1.55 ,$1.98 ,$1.01 ,$3.24 ,$3.60 ,$0.77 ,$3.13 ,$1.35 ,$3.60 ,$1.35 ,$0.83 ,$2.34 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0282,AMIODARONE 360-4.14 MG/200ML-% SOLN per30 mg,636,1 ,$18.47 ,$13.30 ,$0.46 ,$18.47 ,$10.63 ,$11.64 ,$11.08 ,$3.98 ,$5.17 ,$5.25 ,$4.16 ,$5.50 ,$4.53 ,$10.14 ,$10.14 ,$4.70 ,$10.14 ,$8.20 ,$0.46 , N/A ,$4.16 ,$3.98 ,$13.85 ,$13.11 ,$13.11 ,$4.16 ,$13.11 ,$16.07 ,$16.07 ,$16.07 , N/A ,$16.62 ,$10.63 ,$15.70 ,$3.98 ,$18.47 ,$10.36 ,$3.98 ,$7.65 , N/A , N/A ,$4.16 ,$15.70 ,$7.92 ,$10.14 ,$5.17 ,$16.62 ,$18.47 ,$3.98 ,$16.07 ,$1.35 ,$18.47 ,$1.35 ,$4.25 ,$12.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0290,AMPICILLIN 2 G SOLR 1 EACH VIAL per500 mg,636,1 ,$16.75 ,$12.06 ,$1.20 ,$16.75 ,$9.63 ,$10.55 ,$10.05 ,$3.62 ,$4.69 ,$9.72 ,$3.77 ,$10.22 ,$4.11 ,$9.20 ,$9.20 ,$4.27 ,$9.20 ,$7.45 ,$1.30 , N/A ,$3.77 ,$3.62 ,$12.56 ,$11.89 ,$11.89 ,$3.77 ,$11.89 ,$14.57 ,$14.57 ,$14.57 , N/A ,$15.08 ,$9.63 ,$14.24 ,$3.62 ,$16.75 ,$9.40 ,$3.62 ,$6.93 , N/A , N/A ,$3.77 ,$14.24 ,$7.17 ,$9.20 ,$4.69 ,$15.08 ,$16.75 ,$3.62 ,$14.57 ,$1.20 ,$16.75 ,$1.20 ,$3.85 ,$10.89 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0295,AMPICILLIN-SULBACTAM 3 (2-1) G SOLR 1 EACH VIAL per1.5 g,636,1 ,$38.30 ,$27.58 ,$3.76 ,$38.30 ,$22.03 ,$24.13 ,$22.98 ,$8.26 ,$10.72 ,$22.21 ,$8.63 ,$23.36 ,$9.39 ,$21.03 ,$21.03 ,$9.76 ,$21.03 ,$17.03 ,$4.84 , N/A ,$8.63 ,$8.26 ,$28.73 ,$27.19 ,$27.19 ,$8.63 ,$27.19 ,$33.32 ,$33.32 ,$33.32 , N/A ,$34.47 ,$22.03 ,$32.56 ,$8.26 ,$38.30 ,$21.49 ,$8.26 ,$15.86 , N/A , N/A ,$8.63 ,$32.56 ,$16.41 ,$21.03 ,$10.72 ,$34.47 ,$38.30 ,$8.26 ,$33.32 ,$3.76 ,$38.30 ,$3.76 ,$8.81 ,$24.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0461,ATROPINE 0.4 MG/ML SOLN per0.01 mg,636,1 ,$0.96 ,$0.69 ,$0.10 ,$0.96 ,$0.55 ,$0.60 ,$0.58 ,$0.21 ,$0.27 ,$0.56 ,$0.22 ,$0.59 ,$0.24 ,$0.53 ,$0.53 ,$0.24 ,$0.53 ,$0.42 ,$0.16 , N/A ,$0.22 ,$0.21 ,$0.72 ,$0.68 ,$0.68 ,$0.22 ,$0.68 ,$0.84 ,$0.84 ,$0.84 , N/A ,$0.86 ,$0.55 ,$0.82 ,$0.21 ,$0.96 ,$0.54 ,$0.21 ,$0.40 , N/A , N/A ,$0.22 ,$0.82 ,$0.41 ,$0.53 ,$0.27 ,$0.86 ,$0.96 ,$0.21 ,$0.84 ,$0.10 ,$0.96 ,$0.10 ,$0.22 ,$0.62 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0461,ATROPINE 1 MG/10ML SOSY per0.01 mg,636,1 ,$0.61 ,$0.44 ,$0.10 ,$0.61 ,$0.35 ,$0.38 ,$0.37 ,$0.13 ,$0.17 ,$0.35 ,$0.14 ,$0.37 ,$0.15 ,$0.33 ,$0.33 ,$0.16 ,$0.33 ,$0.26 ,$0.16 , N/A ,$0.14 ,$0.13 ,$0.46 ,$0.43 ,$0.43 ,$0.14 ,$0.43 ,$0.53 ,$0.53 ,$0.53 , N/A ,$0.55 ,$0.35 ,$0.52 ,$0.13 ,$0.61 ,$0.34 ,$0.13 ,$0.25 , N/A , N/A ,$0.14 ,$0.52 ,$0.26 ,$0.33 ,$0.17 ,$0.55 ,$0.61 ,$0.13 ,$0.53 ,$0.10 ,$0.61 ,$0.10 ,$0.14 ,$0.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7500,AZATHIOPRINE 50 MG TABS per50 mg,636,1 ,$3.00 ,$2.16 ,$0.65 ,$3.00 ,$1.73 ,$1.89 ,$1.80 ,$0.65 ,$0.84 ,$1.74 ,$0.68 ,$1.83 ,$0.73 ,$1.65 ,$1.65 ,$0.76 ,$1.65 ,$1.33 ,$3.00 , N/A ,$0.68 ,$0.65 ,$2.25 ,$2.13 ,$2.13 ,$0.68 ,$2.13 ,$2.61 ,$2.61 ,$2.61 , N/A ,$2.70 ,$1.73 ,$2.55 ,$0.65 ,$3.00 ,$1.68 ,$0.65 ,$1.24 , N/A , N/A ,$0.68 ,$2.55 ,$1.28 ,$1.65 ,$0.84 ,$2.70 ,$3.00 ,$0.65 ,$2.61 ,$3.00 ,$3.00 ,$3.00 ,$0.69 ,$1.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0456,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL per500 mg,636,1 ,$69.20 ,$49.82 ,$4.24 ,$69.20 ,$39.80 ,$43.60 ,$41.52 ,$14.92 ,$19.38 ,$31.71 ,$15.60 ,$33.22 ,$16.95 ,$37.99 ,$37.99 ,$17.63 ,$37.99 ,$30.74 ,$5.66 , N/A ,$15.60 ,$14.92 ,$51.90 ,$49.13 ,$49.13 ,$15.60 ,$49.13 ,$60.20 ,$60.20 ,$60.20 , N/A ,$62.28 ,$39.80 ,$58.82 ,$14.92 ,$69.20 ,$38.82 ,$14.92 ,$28.65 , N/A , N/A ,$15.60 ,$58.82 ,$29.64 ,$37.99 ,$19.38 ,$62.28 ,$69.20 ,$14.92 ,$60.20 ,$4.24 ,$69.20 ,$4.24 ,$15.92 ,$44.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0517,BENRALIZUMAB 30 MG/ML SOSY per1 mg,636,1 ,$856.14 ,$616.42 ,$184.58 ,"$5,466.79 ",$492.28 ,$539.37 ,$513.68 ,$184.58 ,$239.72 ,$496.56 ,$192.97 ,$522.25 ,$209.76 ,$470.02 ,$470.02 ,$218.15 ,$470.02 ,$380.47 ,$331.14 ,$417.79 ,$192.97 ,$184.58 ,$642.11 ,$607.86 ,$607.86 ,$192.97 ,$607.86 ,$744.84 ,$744.84 ,$744.84 , N/A ,$770.53 ,$492.28 ,$727.72 ,$184.58 ,$856.14 ,$480.29 ,$184.58 ,$354.44 ,"$5,466.79 ","$4,969.81 ",$192.97 ,$727.72 ,$366.65 ,$470.02 ,$239.72 ,$770.53 ,$856.14 ,$184.58 ,$744.84 ,$277.61 ,$856.14 ,$277.61 ,$196.91 ,$556.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0610,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL per10 mL,636,1 ,$48.10 ,$34.63 ,$8.10 ,$48.10 ,$27.65 ,$30.30 ,$28.86 ,$10.37 ,$13.47 ,$27.90 ,$10.84 ,$29.34 ,$11.79 ,$26.41 ,$26.41 ,$12.26 ,$26.41 ,$21.37 ,$8.10 , N/A ,$10.84 ,$10.37 ,$36.08 ,$34.15 ,$34.15 ,$10.84 ,$34.15 ,$41.85 ,$41.85 ,$41.85 , N/A ,$43.29 ,$27.65 ,$40.89 ,$10.37 ,$48.10 ,$26.98 ,$10.37 ,$19.91 , N/A , N/A ,$10.84 ,$40.89 ,$20.59 ,$26.41 ,$13.47 ,$43.29 ,$48.10 ,$10.37 ,$41.85 ,$8.53 ,$48.10 ,$8.53 ,$11.06 ,$31.27 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0690,CEFAZOLIN 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$4.50 ,$3.24 ,$0.97 ,$4.50 ,$2.60 ,$2.84 ,$2.70 ,$0.97 ,$1.26 ,$2.61 ,$1.02 ,$2.75 ,$1.11 ,$2.47 ,$2.47 ,$1.15 ,$2.47 ,$2.00 ,$2.74 , N/A ,$1.02 ,$0.97 ,$3.38 ,$3.20 ,$3.20 ,$1.02 ,$3.20 ,$3.92 ,$3.92 ,$3.92 , N/A ,$4.05 ,$2.60 ,$3.83 ,$0.97 ,$4.50 ,$2.52 ,$0.97 ,$1.86 , N/A , N/A ,$1.02 ,$3.83 ,$1.94 ,$2.47 ,$1.26 ,$4.05 ,$4.50 ,$0.97 ,$3.92 ,$1.20 ,$4.50 ,$1.20 ,$1.04 ,$2.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0692,CEFEPIME 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$13.70 ,$9.86 ,$2.13 ,$13.70 ,$7.88 ,$8.63 ,$8.22 ,$2.95 ,$3.84 ,$7.95 ,$3.09 ,$8.36 ,$3.36 ,$7.52 ,$7.52 ,$3.49 ,$7.52 ,$6.08 ,$3.56 , N/A ,$3.09 ,$2.95 ,$10.28 ,$9.73 ,$9.73 ,$3.09 ,$9.73 ,$11.92 ,$11.92 ,$11.92 , N/A ,$12.33 ,$7.88 ,$11.65 ,$2.95 ,$13.70 ,$7.69 ,$2.95 ,$5.67 , N/A , N/A ,$3.09 ,$11.65 ,$5.87 ,$7.52 ,$3.84 ,$12.33 ,$13.70 ,$2.95 ,$11.92 ,$2.13 ,$13.70 ,$2.13 ,$3.15 ,$8.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0692,CEFEPIME 2 G SOLR 1 EACH VIAL per500 mg,636,1 ,$12.06 ,$8.68 ,$2.13 ,$12.06 ,$6.93 ,$7.60 ,$7.24 ,$2.60 ,$3.38 ,$6.99 ,$2.71 ,$7.36 ,$2.96 ,$6.62 ,$6.62 ,$3.08 ,$6.62 ,$5.35 ,$3.56 , N/A ,$2.71 ,$2.60 ,$9.05 ,$8.56 ,$8.56 ,$2.71 ,$8.56 ,$10.49 ,$10.49 ,$10.49 , N/A ,$10.85 ,$6.93 ,$10.25 ,$2.60 ,$12.06 ,$6.77 ,$2.60 ,$4.99 , N/A , N/A ,$2.71 ,$10.25 ,$5.15 ,$6.62 ,$3.38 ,$10.85 ,$12.06 ,$2.60 ,$10.49 ,$2.13 ,$12.06 ,$2.13 ,$2.77 ,$7.84 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0694,CEFOXITIN 2 G SOLR 1 EACH VIAL per1 g,636,1 ,$30.60 ,$22.03 ,$6.60 ,$30.60 ,$17.60 ,$19.28 ,$18.36 ,$6.60 ,$8.57 ,$17.75 ,$6.90 ,$18.67 ,$7.50 ,$16.80 ,$16.80 ,$7.80 ,$16.80 ,$13.59 ,$9.30 , N/A ,$6.90 ,$6.60 ,$22.95 ,$21.73 ,$21.73 ,$6.90 ,$21.73 ,$26.62 ,$26.62 ,$26.62 , N/A ,$27.54 ,$17.60 ,$26.01 ,$6.60 ,$30.60 ,$17.17 ,$6.60 ,$12.67 , N/A , N/A ,$6.90 ,$26.01 ,$13.11 ,$16.80 ,$8.57 ,$27.54 ,$30.60 ,$6.60 ,$26.62 ,$8.04 ,$30.60 ,$8.04 ,$7.04 ,$19.89 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0712,CEFTAROLINE 600 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$17.79 ,$12.81 ,$3.83 ,$694.55 ,$10.23 ,$11.21 ,$10.67 ,$3.83 ,$4.98 ,$10.32 ,$4.01 ,$10.85 ,$4.36 ,$9.77 ,$9.77 ,$4.54 ,$9.77 ,$7.90 ,$7.12 ,$9.41 ,$4.01 ,$3.83 ,$13.34 ,$12.63 ,$12.63 ,$4.01 ,$12.63 ,$15.48 ,$15.48 ,$15.48 , N/A ,$16.01 ,$10.23 ,$15.12 ,$3.83 ,$17.79 ,$9.98 ,$3.83 ,$7.37 ,$694.55 ,$631.41 ,$4.01 ,$15.12 ,$7.61 ,$9.77 ,$4.98 ,$16.01 ,$17.79 ,$3.83 ,$15.48 ,$6.24 ,$17.79 ,$6.24 ,$4.09 ,$11.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0713,CEFTAZIDIME 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$12.50 ,$9.00 ,$2.69 ,$12.50 ,$7.20 ,$7.88 ,$7.50 ,$2.69 ,$3.50 ,$7.25 ,$2.82 ,$7.63 ,$3.07 ,$6.86 ,$6.86 ,$3.18 ,$6.86 ,$5.56 ,$3.94 , N/A ,$2.82 ,$2.69 ,$9.38 ,$8.88 ,$8.88 ,$2.82 ,$8.88 ,$10.88 ,$10.88 ,$10.88 , N/A ,$11.25 ,$7.20 ,$10.63 ,$2.69 ,$12.50 ,$7.01 ,$2.69 ,$5.18 , N/A , N/A ,$2.82 ,$10.63 ,$5.36 ,$6.86 ,$3.50 ,$11.25 ,$12.50 ,$2.69 ,$10.88 ,$3.27 ,$12.50 ,$3.27 ,$2.88 ,$8.13 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G SOLR 1 EACH VIAL per75 mg,636,1 ,$30.05 ,$21.64 ,$6.48 ,$542.26 ,$17.28 ,$18.93 ,$18.03 ,$6.48 ,$8.41 ,$17.43 ,$6.77 ,$18.33 ,$7.36 ,$16.50 ,$16.50 ,$7.65 ,$16.50 ,$13.35 ,$12.80 ,$16.79 ,$6.77 ,$6.48 ,$22.54 ,$21.34 ,$21.34 ,$6.77 ,$21.34 ,$26.14 ,$26.14 ,$26.14 , N/A ,$27.05 ,$17.28 ,$25.54 ,$6.48 ,$30.05 ,$16.86 ,$6.48 ,$12.44 ,$542.26 ,$492.96 ,$6.77 ,$25.54 ,$12.87 ,$16.50 ,$8.41 ,$27.05 ,$30.05 ,$6.48 ,$26.14 ,$10.82 ,$30.05 ,$10.82 ,$6.91 ,$19.53 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0696,CEFTRIAXONE 1 G SOLR 1 EACH VIAL per250 mg,636,1 ,$45.95 ,$33.08 ,$0.87 ,$45.95 ,$26.43 ,$28.95 ,$27.57 ,$9.91 ,$12.87 ,$7.56 ,$10.36 ,$7.92 ,$11.26 ,$25.23 ,$25.23 ,$11.71 ,$25.23 ,$20.42 ,$1.02 , N/A ,$10.36 ,$9.91 ,$34.46 ,$32.62 ,$32.62 ,$10.36 ,$32.62 ,$39.98 ,$39.98 ,$39.98 , N/A ,$41.36 ,$26.43 ,$39.06 ,$9.91 ,$45.95 ,$25.78 ,$9.91 ,$19.02 , N/A , N/A ,$10.36 ,$39.06 ,$19.68 ,$25.23 ,$12.87 ,$41.36 ,$45.95 ,$9.91 ,$39.98 ,$0.87 ,$45.95 ,$0.87 ,$10.57 ,$29.87 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0696,CEFTRIAXONE 2 G SOLR 1 EACH VIAL per250 mg,636,1 ,$45.66 ,$32.88 ,$0.87 ,$45.66 ,$26.25 ,$28.77 ,$27.40 ,$9.85 ,$12.78 ,$7.56 ,$10.29 ,$7.92 ,$11.19 ,$25.07 ,$25.07 ,$11.63 ,$25.07 ,$20.30 ,$1.02 , N/A ,$10.29 ,$9.85 ,$34.25 ,$32.42 ,$32.42 ,$10.29 ,$32.42 ,$39.72 ,$39.72 ,$39.72 , N/A ,$41.09 ,$26.25 ,$38.81 ,$9.85 ,$45.66 ,$25.62 ,$9.85 ,$18.90 , N/A , N/A ,$10.29 ,$38.81 ,$19.55 ,$25.07 ,$12.78 ,$41.09 ,$45.66 ,$9.85 ,$39.72 ,$0.87 ,$45.66 ,$0.87 ,$10.50 ,$29.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0696,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL per250 mg,636,1 ,$18.00 ,$12.96 ,$0.87 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$7.56 ,$4.06 ,$7.92 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.02 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$0.87 ,$18.00 ,$0.87 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0696,CEFTRIAXONE 500 MG SOLR 1 EACH VIAL per250 mg,636,1 ,$56.00 ,$40.32 ,$0.87 ,$56.00 ,$32.20 ,$35.28 ,$33.60 ,$12.07 ,$15.68 ,$7.56 ,$12.62 ,$7.92 ,$13.72 ,$30.74 ,$30.74 ,$14.27 ,$30.74 ,$24.89 ,$1.02 , N/A ,$12.62 ,$12.07 ,$42.00 ,$39.76 ,$39.76 ,$12.62 ,$39.76 ,$48.72 ,$48.72 ,$48.72 , N/A ,$50.40 ,$32.20 ,$47.60 ,$12.07 ,$56.00 ,$31.42 ,$12.07 ,$23.18 , N/A , N/A ,$12.62 ,$47.60 ,$23.98 ,$30.74 ,$15.68 ,$50.40 ,$56.00 ,$12.07 ,$48.72 ,$0.87 ,$56.00 ,$0.87 ,$12.88 ,$36.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3230,CHLORPROMAZINE 25 MG/ML SOLN per50 mg,636,1 ,$138.70 ,$99.86 ,$29.90 ,$138.70 ,$79.75 ,$87.38 ,$83.22 ,$29.90 ,$38.84 ,$80.45 ,$31.26 ,$84.61 ,$33.99 ,$76.15 ,$76.15 ,$35.34 ,$76.15 ,$61.63 ,$62.46 , N/A ,$31.26 ,$29.90 ,$104.03 ,$98.48 ,$98.48 ,$31.26 ,$98.48 ,$120.67 ,$120.67 ,$120.67 , N/A ,$124.83 ,$79.75 ,$117.90 ,$29.90 ,$138.70 ,$77.81 ,$29.90 ,$57.42 , N/A , N/A ,$31.26 ,$117.90 ,$59.40 ,$76.15 ,$38.84 ,$124.83 ,$138.70 ,$29.90 ,$120.67 ,$60.01 ,$138.70 ,$60.01 ,$31.90 ,$90.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0735,CLONIDINE 100 MCG/ML SOLN per1 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$18.00 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$18.00 ,$18.00 ,$18.00 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,C9046,COCAINE 40 MG/ML SOLN 4 ML BOTTLE per1 mg,636,1 ,$3.68 ,$2.65 ,$0.79 ,$3.68 ,$2.13 ,$2.32 ,$2.21 ,$0.79 ,$1.03 ,$2.13 ,$0.83 ,$2.24 ,$0.90 ,$2.02 ,$2.02 ,$0.94 ,$2.02 ,$1.64 ,$2.80 , N/A ,$0.83 ,$0.79 ,$2.76 ,$2.61 ,$2.61 ,$0.83 ,$2.61 ,$3.20 ,$3.20 ,$3.20 , N/A ,$3.31 ,$2.13 ,$3.13 ,$0.79 ,$3.68 ,$2.06 ,$0.79 ,$1.52 , N/A , N/A ,$0.83 ,$3.13 ,$1.59 ,$2.02 ,$1.03 ,$3.31 ,$3.68 ,$0.79 ,$3.20 , N/A ,$3.68 , N/A ,$0.85 ,$2.39 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0834,COSYNTROPIN 0.25 MG SOLR per0.25 mg,636,1 ,$511.60 ,$368.35 ,$40.29 ,$511.60 ,$294.18 ,$322.31 ,$306.96 ,$110.30 ,$143.25 ,$296.73 ,$115.32 ,$312.08 ,$125.34 ,$280.87 ,$280.87 ,$130.36 ,$280.87 ,$227.35 ,$65.14 , N/A ,$115.32 ,$110.30 ,$383.70 ,$363.24 ,$363.24 ,$115.32 ,$363.24 ,$445.09 ,$445.09 ,$445.09 , N/A ,$460.44 ,$294.18 ,$434.86 ,$110.30 ,$511.60 ,$287.01 ,$110.30 ,$211.80 ,$136.11 ,$123.74 ,$115.32 ,$434.86 ,$219.10 ,$280.87 ,$143.25 ,$460.44 ,$511.60 ,$110.30 ,$445.09 ,$40.29 ,$511.60 ,$40.29 ,$117.67 ,$332.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3420,CYANOCOBALAMIN 1000 MCG/ML SOLN per1000 mcg,636,1 ,$35.00 ,$25.20 ,$3.22 ,$35.00 ,$20.13 ,$22.05 ,$21.00 ,$7.55 ,$9.80 ,$20.30 ,$7.89 ,$21.35 ,$8.57 ,$19.22 ,$19.22 ,$8.92 ,$19.22 ,$15.55 ,$3.22 , N/A ,$7.89 ,$7.55 ,$26.25 ,$24.85 ,$24.85 ,$7.89 ,$24.85 ,$30.45 ,$30.45 ,$30.45 , N/A ,$31.50 ,$20.13 ,$29.75 ,$7.55 ,$35.00 ,$19.64 ,$7.55 ,$14.49 , N/A , N/A ,$7.89 ,$29.75 ,$14.99 ,$19.22 ,$9.80 ,$31.50 ,$35.00 ,$7.55 ,$30.45 ,$3.38 ,$35.00 ,$3.38 ,$8.05 ,$22.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0878,DAPTOMYCIN 500 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$0.29 ,$0.21 ,$0.06 ,$564.75 ,$0.18 ,$0.18 ,$0.17 ,$0.06 ,$0.08 ,$0.17 ,$0.07 ,$0.18 ,$0.07 ,$0.16 ,$0.16 ,$0.08 ,$0.16 ,$0.12 ,$0.10 , N/A ,$0.07 ,$0.06 ,$0.22 ,$0.21 ,$0.21 ,$0.07 ,$0.21 ,$0.25 ,$0.25 ,$0.25 , N/A ,$0.26 ,$0.18 ,$0.25 ,$0.06 ,$0.29 ,$0.16 ,$0.06 ,$0.12 ,$564.75 ,$513.41 ,$0.07 ,$0.25 ,$0.13 ,$0.16 ,$0.08 ,$0.26 ,$0.29 ,$0.06 ,$0.25 ,$0.08 ,$0.29 ,$0.08 ,$0.07 ,$0.19 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0881,DARBEPOETIN ALFA 500 MCG/ML SOSY per1 mcg,636,1 ,$37.15 ,$26.75 ,$5.15 ,$569.48 ,$21.35 ,$23.40 ,$22.29 ,$8.01 ,$10.40 ,$21.55 ,$8.37 ,$22.66 ,$9.10 ,$20.40 ,$20.40 ,$9.47 ,$20.40 ,$16.50 ,$6.38 ,$7.72 ,$8.37 ,$8.01 ,$27.86 ,$26.38 ,$26.38 ,$8.37 ,$26.38 ,$32.32 ,$32.32 ,$32.32 , N/A ,$33.44 ,$21.35 ,$31.58 ,$8.01 ,$37.15 ,$20.84 ,$8.01 ,$15.38 ,$569.48 ,$517.71 ,$8.37 ,$31.58 ,$15.91 ,$20.40 ,$10.40 ,$33.44 ,$37.15 ,$8.01 ,$32.32 ,$5.15 ,$37.15 ,$5.15 ,$8.54 ,$24.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0897,DENOSUMAB 60 MG/ML SOSY per1 mg,636,1 ,$118.17 ,$85.08 ,$25.48 ,"$1,545.19 ",$67.95 ,$74.45 ,$70.90 ,$25.48 ,$33.09 ,$68.54 ,$26.64 ,$72.08 ,$28.95 ,$64.88 ,$64.88 ,$30.11 ,$64.88 ,$52.52 ,$42.52 ,$57.55 ,$26.64 ,$25.48 ,$88.63 ,$83.90 ,$83.90 ,$26.64 ,$83.90 ,$102.81 ,$102.81 ,$102.81 , N/A ,$106.35 ,$67.95 ,$100.44 ,$25.48 ,$118.17 ,$66.29 ,$25.48 ,$48.92 ,"$1,545.19 ","$1,404.72 ",$26.64 ,$100.44 ,$50.61 ,$64.88 ,$33.09 ,$106.35 ,$118.17 ,$25.48 ,$102.81 ,$38.07 ,$118.17 ,$38.07 ,$27.18 ,$76.81 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J8540,DEXAMETHASONE 0.5 MG TABS per0.25 mg,636,1 ,$0.75 ,$0.54 ,$0.12 ,$0.75 ,$0.43 ,$0.47 ,$0.45 ,$0.17 ,$0.21 ,$0.44 ,$0.17 ,$0.46 ,$0.19 ,$0.41 ,$0.41 ,$0.20 ,$0.41 ,$0.34 ,$0.12 , N/A ,$0.17 ,$0.17 ,$0.56 ,$0.53 ,$0.53 ,$0.17 ,$0.53 ,$0.65 ,$0.65 ,$0.65 , N/A ,$0.68 ,$0.43 ,$0.64 ,$0.17 ,$0.75 ,$0.42 ,$0.17 ,$0.31 , N/A , N/A ,$0.17 ,$0.64 ,$0.31 ,$0.41 ,$0.21 ,$0.68 ,$0.75 ,$0.17 ,$0.65 ,$0.18 ,$0.75 ,$0.18 ,$0.17 ,$0.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1100,DEXAMETHASONE 20 MG/5ML SOLN per1 mg,636,1 ,$4.50 ,$3.24 ,$0.21 ,$4.50 ,$2.60 ,$2.84 ,$2.70 ,$0.97 ,$1.26 ,$2.61 ,$1.02 ,$2.75 ,$1.11 ,$2.47 ,$2.47 ,$1.15 ,$2.47 ,$2.00 ,$0.24 , N/A ,$1.02 ,$0.97 ,$3.38 ,$3.20 ,$3.20 ,$1.02 ,$3.20 ,$3.92 ,$3.92 ,$3.92 , N/A ,$4.05 ,$2.60 ,$3.83 ,$0.97 ,$4.50 ,$2.52 ,$0.97 ,$1.86 , N/A , N/A ,$1.02 ,$3.83 ,$1.94 ,$2.47 ,$1.26 ,$4.05 ,$4.50 ,$0.97 ,$3.92 ,$0.21 ,$4.50 ,$0.21 ,$1.04 ,$2.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J8540,DEXAMETHASONE 4 MG TABS per0.25 mg,636,1 ,$0.38 ,$0.27 ,$0.08 ,$0.38 ,$0.23 ,$0.24 ,$0.23 ,$0.08 ,$0.11 ,$0.22 ,$0.09 ,$0.23 ,$0.10 ,$0.21 ,$0.21 ,$0.10 ,$0.21 ,$0.16 ,$0.12 , N/A ,$0.09 ,$0.08 ,$0.29 ,$0.27 ,$0.27 ,$0.09 ,$0.27 ,$0.33 ,$0.33 ,$0.33 , N/A ,$0.34 ,$0.23 ,$0.32 ,$0.08 ,$0.38 ,$0.21 ,$0.08 ,$0.16 , N/A , N/A ,$0.09 ,$0.32 ,$0.17 ,$0.21 ,$0.11 ,$0.34 ,$0.38 ,$0.08 ,$0.33 ,$0.18 ,$0.38 ,$0.18 ,$0.09 ,$0.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1100,DEXAMETHASONE PF 10 MG/ML SOLN per1 mg,636,1 ,$3.29 ,$2.37 ,$0.21 ,$3.29 ,$1.90 ,$2.07 ,$1.97 ,$0.71 ,$0.92 ,$1.91 ,$0.74 ,$2.01 ,$0.80 ,$1.81 ,$1.81 ,$0.84 ,$1.81 ,$1.45 ,$0.24 , N/A ,$0.74 ,$0.71 ,$2.47 ,$2.34 ,$2.34 ,$0.74 ,$2.34 ,$2.86 ,$2.86 ,$2.86 , N/A ,$2.96 ,$1.90 ,$2.80 ,$0.71 ,$3.29 ,$1.85 ,$0.71 ,$1.36 , N/A , N/A ,$0.74 ,$2.80 ,$1.41 ,$1.81 ,$0.92 ,$2.96 ,$3.29 ,$0.71 ,$2.86 ,$0.21 ,$3.29 ,$0.21 ,$0.76 ,$2.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 20-5-0.45 MEQ/L-%-% SOLN per2 mEq,636,1 ,$4.50 ,$3.24 ,$0.23 ,$4.50 ,$2.60 ,$2.84 ,$2.70 ,$0.97 ,$1.26 ,$2.61 ,$1.02 ,$2.75 ,$1.11 ,$2.47 ,$2.47 ,$1.15 ,$2.47 ,$2.00 ,$0.32 , N/A ,$1.02 ,$0.97 ,$3.38 ,$3.20 ,$3.20 ,$1.02 ,$3.20 ,$3.92 ,$3.92 ,$3.92 , N/A ,$4.05 ,$2.60 ,$3.83 ,$0.97 ,$4.50 ,$2.52 ,$0.97 ,$1.86 , N/A , N/A ,$1.02 ,$3.83 ,$1.94 ,$2.47 ,$1.26 ,$4.05 ,$4.50 ,$0.97 ,$3.92 ,$0.23 ,$4.50 ,$0.23 ,$1.04 ,$2.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,0.45 % NACL WITH KCL 20 MEQ 20-0.45 MEQ/L-% SOLN per2 mEq,636,1 ,$4.50 ,$3.24 ,$0.23 ,$4.50 ,$2.60 ,$2.84 ,$2.70 ,$0.97 ,$1.26 ,$2.61 ,$1.02 ,$2.75 ,$1.11 ,$2.47 ,$2.47 ,$1.15 ,$2.47 ,$2.00 ,$0.32 , N/A ,$1.02 ,$0.97 ,$3.38 ,$3.20 ,$3.20 ,$1.02 ,$3.20 ,$3.92 ,$3.92 ,$3.92 , N/A ,$4.05 ,$2.60 ,$3.83 ,$0.97 ,$4.50 ,$2.52 ,$0.97 ,$1.86 , N/A , N/A ,$1.02 ,$3.83 ,$1.94 ,$2.47 ,$1.26 ,$4.05 ,$4.50 ,$0.97 ,$3.92 ,$0.23 ,$4.50 ,$0.23 ,$1.04 ,$2.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 40 MEQ 40-5-0.45 MEQ/L-%-% SOLN per2 mEq,636,1 ,$2.40 ,$1.73 ,$0.23 ,$2.40 ,$1.38 ,$1.51 ,$1.44 ,$0.52 ,$0.67 ,$1.39 ,$0.54 ,$1.46 ,$0.59 ,$1.32 ,$1.32 ,$0.61 ,$1.32 ,$1.07 ,$0.32 , N/A ,$0.54 ,$0.52 ,$1.80 ,$1.70 ,$1.70 ,$0.54 ,$1.70 ,$2.09 ,$2.09 ,$2.09 , N/A ,$2.16 ,$1.38 ,$2.04 ,$0.52 ,$2.40 ,$1.35 ,$0.52 ,$0.99 , N/A , N/A ,$0.54 ,$2.04 ,$1.03 ,$1.32 ,$0.67 ,$2.16 ,$2.40 ,$0.52 ,$2.09 ,$0.23 ,$2.40 ,$0.23 ,$0.55 ,$1.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 20 MEQ 20-5-0.9 MEQ/L-%-% SOLN per2 mEq,636,1 ,$4.80 ,$3.46 ,$0.23 ,$4.80 ,$2.75 ,$3.02 ,$2.88 ,$1.04 ,$1.34 ,$2.78 ,$1.08 ,$2.93 ,$1.18 ,$2.64 ,$2.64 ,$1.22 ,$2.64 ,$2.14 ,$0.32 , N/A ,$1.08 ,$1.04 ,$3.60 ,$3.41 ,$3.41 ,$1.08 ,$3.41 ,$4.18 ,$4.18 ,$4.18 , N/A ,$4.32 ,$2.75 ,$4.08 ,$1.04 ,$4.80 ,$2.69 ,$1.04 ,$1.99 , N/A , N/A ,$1.08 ,$4.08 ,$2.05 ,$2.64 ,$1.34 ,$4.32 ,$4.80 ,$1.04 ,$4.18 ,$0.23 ,$4.80 ,$0.23 ,$1.10 ,$3.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,0.9 % NACL WITH KCL 20 MEQ 20-0.9 MEQ/L-% SOLN per2 mEq,636,1 ,$4.80 ,$3.46 ,$0.23 ,$4.80 ,$2.75 ,$3.02 ,$2.88 ,$1.04 ,$1.34 ,$2.78 ,$1.08 ,$2.93 ,$1.18 ,$2.64 ,$2.64 ,$1.22 ,$2.64 ,$2.14 ,$0.32 , N/A ,$1.08 ,$1.04 ,$3.60 ,$3.41 ,$3.41 ,$1.08 ,$3.41 ,$4.18 ,$4.18 ,$4.18 , N/A ,$4.32 ,$2.75 ,$4.08 ,$1.04 ,$4.80 ,$2.69 ,$1.04 ,$1.99 , N/A , N/A ,$1.08 ,$4.08 ,$2.05 ,$2.64 ,$1.34 ,$4.32 ,$4.80 ,$1.04 ,$4.18 ,$0.23 ,$4.80 ,$0.23 ,$1.10 ,$3.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,DEXTROSE 5 % AND 0.9 % NACL WITH KCL 40 MEQ 40-5-0.9 MEQ/L-%-% SOLN per2 mEq,636,1 ,$2.25 ,$1.62 ,$0.23 ,$2.25 ,$1.30 ,$1.42 ,$1.35 ,$0.49 ,$0.63 ,$1.31 ,$0.51 ,$1.37 ,$0.55 ,$1.24 ,$1.24 ,$0.58 ,$1.24 ,$1.01 ,$0.32 , N/A ,$0.51 ,$0.49 ,$1.69 ,$1.60 ,$1.60 ,$0.51 ,$1.60 ,$1.96 ,$1.96 ,$1.96 , N/A ,$2.03 ,$1.30 ,$1.91 ,$0.49 ,$2.25 ,$1.26 ,$0.49 ,$0.93 , N/A , N/A ,$0.51 ,$1.91 ,$0.97 ,$1.24 ,$0.63 ,$2.03 ,$2.25 ,$0.49 ,$1.96 ,$0.23 ,$2.25 ,$0.23 ,$0.52 ,$1.46 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7042,DEXTROSE 5 %-SODIUM CHLORIDE 0.9 % 5-0.9 % SOLN per500 mL,636,1 ,$22.50 ,$16.20 ,$1.75 ,$22.50 ,$12.95 ,$14.18 ,$13.50 ,$4.85 ,$6.30 ,$12.60 ,$5.08 ,$13.20 ,$5.52 ,$12.35 ,$12.35 ,$5.73 ,$12.35 ,$10.00 ,$2.04 , N/A ,$5.08 ,$4.85 ,$16.88 ,$15.98 ,$15.98 ,$5.08 ,$15.98 ,$19.58 ,$19.58 ,$19.58 , N/A ,$20.25 ,$12.95 ,$19.13 ,$4.85 ,$22.50 ,$12.62 ,$4.85 ,$9.32 , N/A , N/A ,$5.08 ,$19.13 ,$9.64 ,$12.35 ,$6.30 ,$20.25 ,$22.50 ,$4.85 ,$19.58 ,$1.75 ,$22.50 ,$1.75 ,$5.18 ,$14.63 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7121,"DEXTROSE 5% LACTATED RINGERS 5 % SOLN 1,000 ML FLEX CONT per1000 mL",636,1 ,$45.00 ,$32.40 ,$9.11 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$24.71 ,$20.00 ,$11.74 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$9.11 ,$45.00 ,$9.11 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3360,DIAZEPAM 5 MG/ML SOLN per5 mg,636,1 ,$66.80 ,$48.10 ,$13.38 ,$66.80 ,$38.40 ,$42.08 ,$40.08 ,$14.41 ,$18.70 ,$38.74 ,$15.05 ,$40.75 ,$16.37 ,$36.67 ,$36.67 ,$17.02 ,$36.67 ,$29.69 ,$13.38 , N/A ,$15.05 ,$14.41 ,$50.10 ,$47.43 ,$47.43 ,$15.05 ,$47.43 ,$58.12 ,$58.12 ,$58.12 , N/A ,$60.12 ,$38.40 ,$56.78 ,$14.41 ,$66.80 ,$37.47 ,$14.41 ,$27.66 , N/A , N/A ,$15.05 ,$56.78 ,$28.60 ,$36.67 ,$18.70 ,$60.12 ,$66.80 ,$14.41 ,$58.12 ,$14.11 ,$66.80 ,$14.11 ,$15.36 ,$43.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0500,DICYCLOMINE 10 MG/ML SOLN per20 mg,636,1 ,$363.15 ,$261.47 ,$39.91 ,$363.15 ,$208.80 ,$228.78 ,$217.89 ,$78.29 ,$101.68 ,$210.63 ,$81.85 ,$221.52 ,$88.97 ,$199.37 ,$199.37 ,$92.53 ,$199.37 ,$161.38 ,$52.16 , N/A ,$81.85 ,$78.29 ,$272.36 ,$257.84 ,$257.84 ,$81.85 ,$257.84 ,$315.94 ,$315.94 ,$315.94 , N/A ,$326.84 ,$208.80 ,$308.68 ,$78.29 ,$363.15 ,$203.73 ,$78.29 ,$150.34 , N/A , N/A ,$81.85 ,$308.68 ,$155.52 ,$199.37 ,$101.68 ,$326.84 ,$363.15 ,$78.29 ,$315.94 ,$39.91 ,$363.15 ,$39.91 ,$83.52 ,$236.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1160,DIGOXIN 0.25 MG/ML SOLN per0.5 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$18.00 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$13.40 ,$18.00 ,$13.40 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN per50 mg,636,1 ,$18.00 ,$12.96 ,$1.62 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$6.62 ,$4.06 ,$6.93 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.62 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.91 ,$18.00 ,$1.91 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1250,DOBUTAMINE 1 MG/ML SOLN per250 mg,636,1 ,$108.00 ,$77.76 ,$11.50 ,$108.00 ,$62.10 ,$68.04 ,$64.80 ,$23.28 ,$30.24 ,$45.99 ,$24.34 ,$48.18 ,$26.46 ,$59.29 ,$59.29 ,$27.52 ,$59.29 ,$48.00 ,$12.00 , N/A ,$24.34 ,$23.28 ,$81.00 ,$76.68 ,$76.68 ,$24.34 ,$76.68 ,$93.96 ,$93.96 ,$93.96 , N/A ,$97.20 ,$62.10 ,$91.80 ,$23.28 ,$108.00 ,$60.59 ,$23.28 ,$44.71 , N/A , N/A ,$24.34 ,$91.80 ,$46.26 ,$59.29 ,$30.24 ,$97.20 ,$108.00 ,$23.28 ,$93.96 ,$11.50 ,$108.00 ,$11.50 ,$24.84 ,$70.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1265,DOPAMINE 1.6-5 MG/ML-% SOLN per40 mg,636,1 ,$9.10 ,$6.55 ,$1.02 ,$9.10 ,$5.23 ,$5.73 ,$5.46 ,$1.96 ,$2.55 ,$5.28 ,$2.05 ,$5.55 ,$2.23 ,$5.00 ,$5.00 ,$2.32 ,$5.00 ,$4.04 ,$1.32 , N/A ,$2.05 ,$1.96 ,$6.83 ,$6.46 ,$6.46 ,$2.05 ,$6.46 ,$7.92 ,$7.92 ,$7.92 , N/A ,$8.19 ,$5.23 ,$7.74 ,$1.96 ,$9.10 ,$5.11 ,$1.96 ,$3.77 , N/A , N/A ,$2.05 ,$7.74 ,$3.89 ,$5.00 ,$2.55 ,$8.19 ,$9.10 ,$1.96 ,$7.92 ,$1.02 ,$9.10 ,$1.02 ,$2.09 ,$5.92 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1790,DROPERIDOL 2.5 MG/ML SOLN per5 mg,636,1 ,$20.70 ,$14.90 ,$4.28 ,$20.70 ,$11.90 ,$13.04 ,$12.42 ,$4.46 ,$5.80 ,$12.01 ,$4.66 ,$12.63 ,$5.08 ,$11.36 ,$11.36 ,$5.27 ,$11.36 ,$9.19 ,$4.28 , N/A ,$4.66 ,$4.46 ,$15.53 ,$14.70 ,$14.70 ,$4.66 ,$14.70 ,$18.01 ,$18.01 ,$18.01 , N/A ,$18.63 ,$11.90 ,$17.60 ,$4.46 ,$20.70 ,$11.61 ,$4.46 ,$8.57 , N/A , N/A ,$4.66 ,$17.60 ,$8.86 ,$11.36 ,$5.80 ,$18.63 ,$20.70 ,$4.46 ,$18.01 ,$17.04 ,$20.70 ,$17.04 ,$4.76 ,$13.46 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 150 MG/ML SOSY per10 mg,636,1 ,$6.94 ,$5.00 ,$1.34 ,$6.94 ,$4.00 ,$4.37 ,$4.16 ,$1.50 ,$1.94 ,$4.03 ,$1.57 ,$4.23 ,$1.71 ,$3.81 ,$3.81 ,$1.76 ,$3.81 ,$3.09 ,$1.56 , N/A ,$1.57 ,$1.50 ,$5.21 ,$4.93 ,$4.93 ,$1.57 ,$4.93 ,$6.04 ,$6.04 ,$6.04 , N/A ,$6.25 ,$4.00 ,$5.90 ,$1.50 ,$6.94 ,$3.89 ,$1.50 ,$2.87 , N/A , N/A ,$1.57 ,$5.90 ,$2.98 ,$3.81 ,$1.94 ,$6.25 ,$6.94 ,$1.50 ,$6.04 ,$1.34 ,$6.94 ,$1.34 ,$1.60 ,$4.51 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 30 MG/0.3ML SOLN per10 mg,636,1 ,$9.57 ,$6.89 ,$1.34 ,$9.57 ,$5.50 ,$6.03 ,$5.74 ,$2.07 ,$2.68 ,$5.55 ,$2.16 ,$5.84 ,$2.34 ,$5.25 ,$5.25 ,$2.44 ,$5.25 ,$4.26 ,$1.56 , N/A ,$2.16 ,$2.07 ,$7.18 ,$6.79 ,$6.79 ,$2.16 ,$6.79 ,$8.33 ,$8.33 ,$8.33 , N/A ,$8.61 ,$5.50 ,$8.13 ,$2.07 ,$9.57 ,$5.37 ,$2.07 ,$3.96 , N/A , N/A ,$2.16 ,$8.13 ,$4.10 ,$5.25 ,$2.68 ,$8.61 ,$9.57 ,$2.07 ,$8.33 ,$1.34 ,$9.57 ,$1.34 ,$2.20 ,$6.22 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOSY per10 mg,636,1 ,$10.25 ,$7.38 ,$1.34 ,$10.25 ,$5.90 ,$6.46 ,$6.15 ,$2.21 ,$2.87 ,$5.95 ,$2.31 ,$6.25 ,$2.51 ,$5.63 ,$5.63 ,$2.62 ,$5.63 ,$4.57 ,$1.56 , N/A ,$2.31 ,$2.21 ,$7.69 ,$7.28 ,$7.28 ,$2.31 ,$7.28 ,$8.92 ,$8.92 ,$8.92 , N/A ,$9.23 ,$5.90 ,$8.71 ,$2.21 ,$10.25 ,$5.75 ,$2.21 ,$4.24 , N/A , N/A ,$2.31 ,$8.71 ,$4.39 ,$5.63 ,$2.87 ,$9.23 ,$10.25 ,$2.21 ,$8.92 ,$1.34 ,$10.25 ,$1.34 ,$2.36 ,$6.66 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 80 MG/0.8 ML SOSY per10 mg,636,1 ,$9.54 ,$6.87 ,$1.34 ,$9.54 ,$5.48 ,$6.01 ,$5.72 ,$2.06 ,$2.67 ,$5.53 ,$2.15 ,$5.82 ,$2.34 ,$5.24 ,$5.24 ,$2.43 ,$5.24 ,$4.24 ,$1.56 , N/A ,$2.15 ,$2.06 ,$7.16 ,$6.77 ,$6.77 ,$2.15 ,$6.77 ,$8.30 ,$8.30 ,$8.30 , N/A ,$8.59 ,$5.48 ,$8.11 ,$2.06 ,$9.54 ,$5.35 ,$2.06 ,$3.95 , N/A , N/A ,$2.15 ,$8.11 ,$4.08 ,$5.24 ,$2.67 ,$8.59 ,$9.54 ,$2.06 ,$8.30 ,$1.34 ,$9.54 ,$1.34 ,$2.19 ,$6.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 80 MG/0.8ML SOLN per10 mg,636,1 ,$7.20 ,$5.18 ,$1.34 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$3.95 ,$3.19 ,$1.56 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$1.34 ,$7.20 ,$1.34 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 100 MG/ML SOSY 1 ML SYRINGE per10 mg,636,1 ,$7.20 ,$5.18 ,$1.34 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$3.95 ,$3.19 ,$1.56 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$1.34 ,$7.20 ,$1.34 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 120 MG/0.8ML SOSY 0.8 ML SYRINGE per10 mg,636,1 ,$7.20 ,$5.18 ,$1.34 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$3.95 ,$3.19 ,$1.56 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$1.34 ,$7.20 ,$1.34 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 30 MG/0.3ML SOSY per10 mg,636,1 ,$7.20 ,$5.18 ,$1.34 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$3.95 ,$3.19 ,$1.56 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$1.34 ,$7.20 ,$1.34 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOLN per10 mg,636,1 ,$7.20 ,$5.18 ,$1.34 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$3.95 ,$3.19 ,$1.56 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$1.34 ,$7.20 ,$1.34 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1650,ENOXAPARIN 60 MG/0.6ML SOSY 0.6 ML SYRINGE per10 mg,636,1 ,$7.20 ,$5.18 ,$1.34 ,$7.20 ,$4.15 ,$4.54 ,$4.32 ,$1.55 ,$2.02 ,$4.18 ,$1.63 ,$4.39 ,$1.76 ,$3.95 ,$3.95 ,$1.83 ,$3.95 ,$3.19 ,$1.56 , N/A ,$1.63 ,$1.55 ,$5.40 ,$5.11 ,$5.11 ,$1.63 ,$5.11 ,$6.26 ,$6.26 ,$6.26 , N/A ,$6.48 ,$4.15 ,$6.12 ,$1.55 ,$7.20 ,$4.04 ,$1.55 ,$2.98 , N/A , N/A ,$1.63 ,$6.12 ,$3.09 ,$3.95 ,$2.02 ,$6.48 ,$7.20 ,$1.55 ,$6.26 ,$1.34 ,$7.20 ,$1.34 ,$1.66 ,$4.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3490,EPHEDRINE 50 MG/ML SOLN per50 mg,636,1 ,$139.40 ,$100.37 ,$30.06 ,$139.40 ,$80.15 ,$87.82 ,$83.64 ,$30.06 ,$39.03 ,$80.85 ,$31.42 ,$85.03 ,$34.15 ,$76.53 ,$76.53 ,$35.52 ,$76.53 ,$61.95 ,$69.70 , N/A ,$31.42 ,$30.06 ,$104.55 ,$98.97 ,$98.97 ,$31.42 ,$98.97 ,$121.28 ,$121.28 ,$121.28 , N/A ,$125.46 ,$80.15 ,$118.49 ,$30.06 ,$139.40 ,$78.20 ,$30.06 ,$57.71 , N/A , N/A ,$31.42 ,$118.49 ,$59.69 ,$76.53 ,$39.03 ,$125.46 ,$139.40 ,$30.06 ,$121.28 , N/A ,$139.40 , N/A ,$32.06 ,$90.61 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0171,EPINEPHRINE 1 MG/10ML SOSY per0.1 mg,636,1 ,$18.00 ,$12.96 ,$1.19 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$6.51 ,$4.06 ,$6.82 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.52 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.19 ,$18.00 ,$1.19 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0171,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE per0.1 mg,636,1 ,$7.00 ,$5.04 ,$1.19 ,$7.00 ,$4.03 ,$4.41 ,$4.20 ,$1.51 ,$1.96 ,$4.06 ,$1.58 ,$4.27 ,$1.71 ,$3.84 ,$3.84 ,$1.78 ,$3.84 ,$3.11 ,$1.52 , N/A ,$1.58 ,$1.51 ,$5.25 ,$4.97 ,$4.97 ,$1.58 ,$4.97 ,$6.09 ,$6.09 ,$6.09 , N/A ,$6.30 ,$4.03 ,$5.95 ,$1.51 ,$7.00 ,$3.93 ,$1.51 ,$2.90 , N/A , N/A ,$1.58 ,$5.95 ,$3.00 ,$3.84 ,$1.96 ,$6.30 ,$7.00 ,$1.51 ,$6.09 ,$1.19 ,$7.00 ,$1.19 ,$1.61 ,$4.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0885,EPOETIN ALFA 20000 UNIT/ML SOLN per1000 Units,636,1 ,$128.28 ,$92.36 ,$13.61 ,$542.26 ,$73.75 ,$80.82 ,$76.97 ,$27.66 ,$35.92 ,$74.40 ,$28.91 ,$78.25 ,$31.43 ,$70.43 ,$70.43 ,$32.68 ,$70.43 ,$57.00 ,$16.22 ,$19.82 ,$28.91 ,$27.66 ,$96.21 ,$91.08 ,$91.08 ,$28.91 ,$91.08 ,$111.60 ,$111.60 ,$111.60 , N/A ,$115.45 ,$73.75 ,$109.04 ,$27.66 ,$128.28 ,$71.97 ,$27.66 ,$53.11 ,$542.26 ,$492.96 ,$28.91 ,$109.04 ,$54.93 ,$70.43 ,$35.92 ,$115.45 ,$128.28 ,$27.66 ,$111.60 ,$13.61 ,$128.28 ,$13.61 ,$29.50 ,$83.38 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q5106,EPOETIN ALFA-EPBX 10000 UNITS/ML SOLN per1000 Units,636,1 ,$52.95 ,$38.12 ,$11.42 ,$542.26 ,$30.45 ,$33.36 ,$31.77 ,$11.42 ,$14.83 ,$30.71 ,$11.94 ,$32.30 ,$12.98 ,$29.07 ,$29.07 ,$13.49 ,$29.07 ,$23.53 ,$16.52 ,$21.29 ,$11.94 ,$11.42 ,$39.71 ,$37.59 ,$37.59 ,$11.94 ,$37.59 ,$46.07 ,$46.07 ,$46.07 , N/A ,$47.66 ,$30.45 ,$45.01 ,$11.42 ,$52.95 ,$29.71 ,$11.42 ,$21.92 ,$542.26 ,$492.96 ,$11.94 ,$45.01 ,$22.68 ,$29.07 ,$14.83 ,$47.66 ,$52.95 ,$11.42 ,$46.07 ,$13.30 ,$52.95 ,$13.30 ,$12.18 ,$34.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1335,ERTAPENEM 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$308.80 ,$222.34 ,$25.36 ,$308.80 ,$177.55 ,$194.54 ,$185.28 ,$66.58 ,$86.46 ,$179.10 ,$69.60 ,$188.37 ,$75.66 ,$169.53 ,$169.53 ,$78.68 ,$169.53 ,$137.24 ,$41.74 , N/A ,$69.60 ,$66.58 ,$231.60 ,$219.25 ,$219.25 ,$69.60 ,$219.25 ,$268.66 ,$268.66 ,$268.66 , N/A ,$277.92 ,$177.55 ,$262.48 ,$66.58 ,$308.80 ,$173.24 ,$66.58 ,$127.84 , N/A , N/A ,$69.60 ,$262.48 ,$132.24 ,$169.53 ,$86.46 ,$277.92 ,$308.80 ,$66.58 ,$268.66 ,$25.36 ,$308.80 ,$25.36 ,$71.02 ,$200.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3010,FENTANYL 250 MCG/5ML SOLN 50 ML VIAL per0.1 mg,636,1 ,$4.80 ,$3.46 ,$1.04 ,$4.80 ,$2.75 ,$3.02 ,$2.88 ,$1.04 ,$1.34 ,$2.78 ,$1.08 ,$2.93 ,$1.18 ,$2.64 ,$2.64 ,$1.22 ,$2.64 ,$2.14 ,$1.44 , N/A ,$1.08 ,$1.04 ,$3.60 ,$3.41 ,$3.41 ,$1.08 ,$3.41 ,$4.18 ,$4.18 ,$4.18 , N/A ,$4.32 ,$2.75 ,$4.08 ,$1.04 ,$4.80 ,$2.69 ,$1.04 ,$1.99 , N/A , N/A ,$1.08 ,$4.08 ,$2.05 ,$2.64 ,$1.34 ,$4.32 ,$4.80 ,$1.04 ,$4.18 ,$1.52 ,$4.80 ,$1.52 ,$1.10 ,$3.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3010,FENTANYL 50 MCG/ML SOLN per0.1 mg,636,1 ,$18.00 ,$12.96 ,$1.44 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$5.46 ,$4.06 ,$5.72 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.44 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.52 ,$18.00 ,$1.52 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3010,FENTANYL 100 MCG/2ML SOLN per0.1 mg,636,1 ,$18.00 ,$12.96 ,$1.44 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$5.46 ,$4.06 ,$5.72 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.44 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.52 ,$18.00 ,$1.52 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1439,FERRIC CARBOXYMALTOSE 750 MG/15ML SOLN 15 ML VIAL per1 mg,636,1 ,$8.30 ,$5.98 ,$1.79 ,$296.09 ,$4.78 ,$5.23 ,$4.98 ,$1.79 ,$2.32 ,$4.81 ,$1.87 ,$5.06 ,$2.04 ,$4.56 ,$4.56 ,$2.12 ,$4.56 ,$3.70 ,$2.28 ,$2.84 ,$1.87 ,$1.79 ,$6.23 ,$5.89 ,$5.89 ,$1.87 ,$5.89 ,$7.22 ,$7.22 ,$7.22 , N/A ,$7.47 ,$4.78 ,$7.06 ,$1.79 ,$8.30 ,$4.66 ,$1.79 ,$3.44 ,$296.09 ,$269.17 ,$1.87 ,$7.06 ,$3.56 ,$4.56 ,$2.32 ,$7.47 ,$8.30 ,$1.79 ,$7.22 ,$1.82 ,$8.30 ,$1.82 ,$1.91 ,$5.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q0138,FERUMOXYTOL 510 MG/17ML SOLN 17 ML VIAL per1 mg,636,1 ,$11.23 ,$8.09 ,$0.92 ,$542.26 ,$6.45 ,$7.07 ,$6.74 ,$2.42 ,$3.14 ,$6.51 ,$2.53 ,$6.85 ,$2.75 ,$6.17 ,$6.17 ,$2.86 ,$6.17 ,$4.99 ,$1.86 ,$1.20 ,$2.53 ,$2.42 ,$8.42 ,$7.97 ,$7.97 ,$2.53 ,$7.97 ,$9.77 ,$9.77 ,$9.77 , N/A ,$10.11 ,$6.45 ,$9.55 ,$2.42 ,$11.23 ,$6.30 ,$2.42 ,$4.65 ,$542.26 ,$492.96 ,$2.53 ,$9.55 ,$4.80 ,$6.17 ,$3.14 ,$10.11 ,$11.23 ,$2.42 ,$9.77 ,$0.92 ,$11.23 ,$0.92 ,$2.58 ,$7.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1450,FLUCONAZOLE 200 MG/100 ML SOLN per200 mg,636,1 ,$45.50 ,$32.76 ,$3.84 ,$45.50 ,$26.18 ,$28.67 ,$27.30 ,$9.81 ,$12.74 ,$26.39 ,$10.26 ,$27.76 ,$11.15 ,$24.98 ,$24.98 ,$11.59 ,$24.98 ,$20.22 ,$6.24 , N/A ,$10.26 ,$9.81 ,$34.13 ,$32.31 ,$32.31 ,$10.26 ,$32.31 ,$39.59 ,$39.59 ,$39.59 , N/A ,$40.95 ,$26.18 ,$38.68 ,$9.81 ,$45.50 ,$25.53 ,$9.81 ,$18.84 , N/A , N/A ,$10.26 ,$38.68 ,$19.49 ,$24.98 ,$12.74 ,$40.95 ,$45.50 ,$9.81 ,$39.59 ,$3.84 ,$45.50 ,$3.84 ,$10.47 ,$29.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q2009,FOSPHENYTOIN 100 MG PE/2ML SOLN 2 ML VIAL per50 mg PE,636,1 ,$35.52 ,$25.57 ,$2.82 ,$35.52 ,$20.43 ,$22.38 ,$21.31 ,$7.65 ,$9.95 ,$20.60 ,$8.01 ,$21.67 ,$8.70 ,$19.50 ,$19.50 ,$9.06 ,$19.50 ,$15.78 ,$2.82 , N/A ,$8.01 ,$7.65 ,$26.64 ,$25.22 ,$25.22 ,$8.01 ,$25.22 ,$30.90 ,$30.90 ,$30.90 , N/A ,$31.97 ,$20.43 ,$30.19 ,$7.65 ,$35.52 ,$19.93 ,$7.65 ,$14.71 , N/A , N/A ,$8.01 ,$30.19 ,$15.21 ,$19.50 ,$9.95 ,$31.97 ,$35.52 ,$7.65 ,$30.90 ,$13.56 ,$35.52 ,$13.56 ,$8.17 ,$23.09 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1940,FUROSEMIDE 10 MG/ML SOLN per20 mg,636,1 ,$18.00 ,$12.96 ,$1.09 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.28 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.09 ,$18.00 ,$1.09 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1580,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL per80 mg,636,1 ,$17.00 ,$12.24 ,$3.12 ,$17.00 ,$9.78 ,$10.71 ,$10.20 ,$3.67 ,$4.76 ,$9.86 ,$3.83 ,$10.37 ,$4.16 ,$9.33 ,$9.33 ,$4.33 ,$9.33 ,$7.55 ,$3.12 , N/A ,$3.83 ,$3.67 ,$12.75 ,$12.07 ,$12.07 ,$3.83 ,$12.07 ,$14.79 ,$14.79 ,$14.79 , N/A ,$15.30 ,$9.78 ,$14.45 ,$3.67 ,$17.00 ,$9.54 ,$3.67 ,$7.04 , N/A , N/A ,$3.83 ,$14.45 ,$7.28 ,$9.33 ,$4.76 ,$15.30 ,$17.00 ,$3.67 ,$14.79 ,$4.60 ,$17.00 ,$4.60 ,$3.91 ,$11.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1610,GLUCAGON 1 MG SOLR per1 mg,636,1 ,$823.70 ,$593.06 ,$123.74 ,$823.70 ,$473.63 ,$518.93 ,$494.22 ,$177.59 ,$230.64 ,$477.75 ,$185.66 ,$502.46 ,$201.81 ,$452.21 ,$452.21 ,$209.88 ,$452.21 ,$366.04 ,$339.48 ,$475.65 ,$185.66 ,$177.59 ,$617.78 ,$584.83 ,$584.83 ,$185.66 ,$584.83 ,$716.62 ,$716.62 ,$716.62 , N/A ,$741.33 ,$473.63 ,$700.15 ,$177.59 ,$823.70 ,$462.10 ,$177.59 ,$341.01 ,$136.11 ,$123.74 ,$185.66 ,$700.15 ,$352.76 ,$452.21 ,$230.64 ,$741.33 ,$823.70 ,$177.59 ,$716.62 ,$286.74 ,$823.70 ,$286.74 ,$189.45 ,$535.41 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1602,GOLIMUMAB 50 MG/4ML SOLN 4 ML VIAL per1 mg,636,1 ,$191.93 ,$138.19 ,$22.85 ,"$3,681.11 ",$110.35 ,$120.92 ,$115.16 ,$41.38 ,$53.74 ,$111.32 ,$43.26 ,$117.08 ,$47.02 ,$105.37 ,$105.37 ,$48.90 ,$105.37 ,$85.28 ,$30.02 ,$34.62 ,$43.26 ,$41.38 ,$143.95 ,$136.27 ,$136.27 ,$43.26 ,$136.27 ,$166.98 ,$166.98 ,$166.98 , N/A ,$172.74 ,$110.35 ,$163.14 ,$41.38 ,$191.93 ,$107.67 ,$41.38 ,$79.46 ,"$3,681.11 ","$3,346.46 ",$43.26 ,$163.14 ,$82.19 ,$105.37 ,$53.74 ,$172.74 ,$191.93 ,$41.38 ,$166.98 ,$22.85 ,$191.93 ,$22.85 ,$44.14 ,$124.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1630,HALOPERIDOL LACTATE 5 MG/ML SOLN per5 mg,636,1 ,$28.80 ,$20.74 ,$1.42 ,$28.80 ,$16.55 ,$18.14 ,$17.28 ,$6.21 ,$8.06 ,$10.19 ,$6.49 ,$10.67 ,$7.06 ,$15.81 ,$15.81 ,$7.34 ,$15.81 ,$12.81 ,$2.50 , N/A ,$6.49 ,$6.21 ,$21.60 ,$20.45 ,$20.45 ,$6.49 ,$20.45 ,$25.06 ,$25.06 ,$25.06 , N/A ,$25.92 ,$16.55 ,$24.48 ,$6.21 ,$28.80 ,$16.16 ,$6.21 ,$11.92 , N/A , N/A ,$6.49 ,$24.48 ,$12.33 ,$15.81 ,$8.06 ,$25.92 ,$28.80 ,$6.21 ,$25.06 ,$1.42 ,$28.80 ,$1.42 ,$6.62 ,$18.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1644,HEPARIN (PORCINE) 1000 UNIT/ML SOLN 30 ML VIAL per1000 Units,636,1 ,$1.24 ,$0.89 ,$0.21 ,$1.24 ,$0.73 ,$0.78 ,$0.74 ,$0.26 ,$0.35 ,$0.72 ,$0.28 ,$0.76 ,$0.30 ,$0.68 ,$0.68 ,$0.31 ,$0.68 ,$0.55 ,$0.46 , N/A ,$0.28 ,$0.26 ,$0.93 ,$0.88 ,$0.88 ,$0.28 ,$0.88 ,$1.08 ,$1.08 ,$1.08 , N/A ,$1.12 ,$0.73 ,$1.05 ,$0.26 ,$1.24 ,$0.70 ,$0.26 ,$0.51 , N/A , N/A ,$0.28 ,$1.05 ,$0.54 ,$0.68 ,$0.35 ,$1.12 ,$1.24 ,$0.26 ,$1.08 ,$0.21 ,$1.24 ,$0.21 ,$0.29 ,$0.81 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1644,HEPARIN (PORCINE) 25000-0.45 UT/250ML-% SOLN per1000 Units,636,1 ,$3.64 ,$2.62 ,$0.21 ,$3.64 ,$2.10 ,$2.29 ,$2.18 ,$0.78 ,$1.02 ,$2.11 ,$0.82 ,$2.22 ,$0.89 ,$2.00 ,$2.00 ,$0.93 ,$2.00 ,$1.62 ,$0.46 , N/A ,$0.82 ,$0.78 ,$2.73 ,$2.58 ,$2.58 ,$0.82 ,$2.58 ,$3.17 ,$3.17 ,$3.17 , N/A ,$3.28 ,$2.10 ,$3.09 ,$0.78 ,$3.64 ,$2.04 ,$0.78 ,$1.51 , N/A , N/A ,$0.82 ,$3.09 ,$1.57 ,$2.00 ,$1.02 ,$3.28 ,$3.64 ,$0.78 ,$3.17 ,$0.21 ,$3.64 ,$0.21 ,$0.84 ,$2.37 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1644,HEPARIN (PORCINE) 5000 UNIT/ML SOLN per1000 Units,636,1 ,$4.16 ,$3.00 ,$0.21 ,$4.16 ,$2.40 ,$2.62 ,$2.50 ,$0.90 ,$1.16 ,$2.41 ,$0.94 ,$2.54 ,$1.02 ,$2.28 ,$2.28 ,$1.06 ,$2.28 ,$1.86 ,$0.46 , N/A ,$0.94 ,$0.90 ,$3.12 ,$2.95 ,$2.95 ,$0.94 ,$2.95 ,$3.62 ,$3.62 ,$3.62 , N/A ,$3.74 ,$2.40 ,$3.54 ,$0.90 ,$4.16 ,$2.33 ,$0.90 ,$1.72 , N/A , N/A ,$0.94 ,$3.54 ,$1.78 ,$2.28 ,$1.16 ,$3.74 ,$4.16 ,$0.90 ,$3.62 ,$0.21 ,$4.16 ,$0.21 ,$0.96 ,$2.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1642,HEPARIN FLUSH 100 UNIT/ML SOLN per10 Units,636,1 ,$0.12 ,$0.09 ,$0.03 ,$0.12 ,$0.08 ,$0.08 ,$0.07 ,$0.03 ,$0.03 ,$0.07 ,$0.03 ,$0.07 ,$0.03 ,$0.07 ,$0.07 ,$0.03 ,$0.07 ,$0.06 , N/A , N/A ,$0.03 ,$0.03 ,$0.09 ,$0.09 ,$0.09 ,$0.03 ,$0.09 ,$0.10 ,$0.10 ,$0.10 , N/A ,$0.11 ,$0.08 ,$0.10 ,$0.03 ,$0.12 ,$0.07 ,$0.03 ,$0.05 , N/A , N/A ,$0.03 ,$0.10 ,$0.06 ,$0.07 ,$0.03 ,$0.11 ,$0.12 ,$0.03 ,$0.10 ,$0.03 ,$0.12 ,$0.03 ,$0.03 ,$0.08 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0360,HYDRALAZINE 20 MG/ML SOLN per20 mg,636,1 ,$68.75 ,$49.50 ,$8.88 ,$68.75 ,$39.53 ,$43.31 ,$41.25 ,$14.83 ,$19.25 ,$38.12 ,$15.49 ,$39.93 ,$16.85 ,$37.74 ,$37.74 ,$17.52 ,$37.74 ,$30.56 ,$8.88 , N/A ,$15.49 ,$14.83 ,$51.56 ,$48.81 ,$48.81 ,$15.49 ,$48.81 ,$59.81 ,$59.81 ,$59.81 , N/A ,$61.88 ,$39.53 ,$58.44 ,$14.83 ,$68.75 ,$38.57 ,$14.83 ,$28.46 , N/A , N/A ,$15.49 ,$58.44 ,$29.44 ,$37.74 ,$19.25 ,$61.88 ,$68.75 ,$14.83 ,$59.81 ,$11.15 ,$68.75 ,$11.15 ,$15.81 ,$44.69 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLR per100 mg,636,1 ,$88.85 ,$63.97 ,$19.16 ,$88.85 ,$51.10 ,$55.98 ,$53.31 ,$19.16 ,$24.88 ,$51.53 ,$20.03 ,$54.20 ,$21.77 ,$48.78 ,$48.78 ,$22.64 ,$48.78 ,$39.49 ,$29.48 , N/A ,$20.03 ,$19.16 ,$66.64 ,$63.08 ,$63.08 ,$20.03 ,$63.08 ,$77.30 ,$77.30 ,$77.30 , N/A ,$79.97 ,$51.10 ,$75.52 ,$19.16 ,$88.85 ,$49.84 ,$19.16 ,$36.78 , N/A , N/A ,$20.03 ,$75.52 ,$38.06 ,$48.78 ,$24.88 ,$79.97 ,$88.85 ,$19.16 ,$77.30 ,$29.50 ,$88.85 ,$29.50 ,$20.44 ,$57.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1170,HYDROMORPHONE 1 MG/ML SOLN per4 mg,636,1 ,$19.95 ,$14.36 ,$4.30 ,$19.95 ,$11.48 ,$12.57 ,$11.97 ,$4.30 ,$5.59 ,$11.57 ,$4.50 ,$12.17 ,$4.89 ,$10.95 ,$10.95 ,$5.09 ,$10.95 ,$8.87 ,$5.72 , N/A ,$4.50 ,$4.30 ,$14.96 ,$14.16 ,$14.16 ,$4.50 ,$14.16 ,$17.36 ,$17.36 ,$17.36 , N/A ,$17.96 ,$11.48 ,$16.96 ,$4.30 ,$19.95 ,$11.19 ,$4.30 ,$8.26 , N/A , N/A ,$4.50 ,$16.96 ,$8.55 ,$10.95 ,$5.59 ,$17.96 ,$19.95 ,$4.30 ,$17.36 ,$6.96 ,$19.95 ,$6.96 ,$4.59 ,$12.97 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1170,HYDROMORPHONE 2 MG/ML SOLN per4 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.72 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$6.96 ,$18.00 ,$6.96 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1170,HYDROMORPHONE HCL PF 50 MG/5ML SOLN per4 mg,636,1 ,$2.59 ,$1.86 ,$0.56 ,$2.59 ,$1.50 ,$1.63 ,$1.55 ,$0.56 ,$0.73 ,$1.50 ,$0.59 ,$1.58 ,$0.64 ,$1.42 ,$1.42 ,$0.66 ,$1.42 ,$1.15 ,$2.59 , N/A ,$0.59 ,$0.56 ,$1.94 ,$1.84 ,$1.84 ,$0.59 ,$1.84 ,$2.25 ,$2.25 ,$2.25 , N/A ,$2.33 ,$1.50 ,$2.20 ,$0.56 ,$2.59 ,$1.45 ,$0.56 ,$1.07 , N/A , N/A ,$0.59 ,$2.20 ,$1.12 ,$1.42 ,$0.73 ,$2.33 ,$2.59 ,$0.56 ,$2.25 ,$2.59 ,$2.59 ,$2.59 ,$0.60 ,$1.68 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3410,HYDROXYZINE 50 MG/ML SOLN per25 mg,636,1 ,$58.55 ,$42.16 ,$12.62 ,$58.55 ,$33.68 ,$36.89 ,$35.13 ,$12.62 ,$16.39 ,$33.96 ,$13.20 ,$35.72 ,$14.35 ,$32.14 ,$32.14 ,$14.92 ,$32.14 ,$26.02 ,$19.50 , N/A ,$13.20 ,$12.62 ,$43.91 ,$41.57 ,$41.57 ,$13.20 ,$41.57 ,$50.94 ,$50.94 ,$50.94 , N/A ,$52.70 ,$33.68 ,$49.77 ,$12.62 ,$58.55 ,$32.85 ,$12.62 ,$24.24 , N/A , N/A ,$13.20 ,$49.77 ,$25.08 ,$32.14 ,$16.39 ,$52.70 ,$58.55 ,$12.62 ,$50.94 ,$17.62 ,$58.55 ,$17.62 ,$13.47 ,$38.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1459,IMMUNE GLOBULIN 20 GM/200ML SOLN per500 mg,636,1 ,$390.22 ,$280.96 ,$78.49 ,"$3,681.11 ",$224.38 ,$245.84 ,$234.13 ,$84.13 ,$109.26 ,$226.33 ,$87.95 ,$238.03 ,$95.61 ,$214.23 ,$214.23 ,$99.43 ,$214.23 ,$173.42 ,$90.10 ,$117.98 ,$87.95 ,$84.13 ,$292.67 ,$277.06 ,$277.06 ,$87.95 ,$277.06 ,$339.49 ,$339.49 ,$339.49 , N/A ,$351.20 ,$224.38 ,$331.69 ,$84.13 ,$390.22 ,$218.91 ,$84.13 ,$161.55 ,"$3,681.11 ","$3,346.46 ",$87.95 ,$331.69 ,$167.12 ,$214.23 ,$109.26 ,$351.20 ,$390.22 ,$84.13 ,$339.49 ,$78.49 ,$390.22 ,$78.49 ,$89.75 ,$253.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1459,IMMUNE GLOBULIN (HUMAN) 40 GM/400ML SOLN per500 mg,636,1 ,$390.22 ,$280.96 ,$78.49 ,"$3,681.11 ",$224.38 ,$245.84 ,$234.13 ,$84.13 ,$109.26 ,$226.33 ,$87.95 ,$238.03 ,$95.61 ,$214.23 ,$214.23 ,$99.43 ,$214.23 ,$173.42 ,$90.10 ,$117.98 ,$87.95 ,$84.13 ,$292.67 ,$277.06 ,$277.06 ,$87.95 ,$277.06 ,$339.49 ,$339.49 ,$339.49 , N/A ,$351.20 ,$224.38 ,$331.69 ,$84.13 ,$390.22 ,$218.91 ,$84.13 ,$161.55 ,"$3,681.11 ","$3,346.46 ",$87.95 ,$331.69 ,$167.12 ,$214.23 ,$109.26 ,$351.20 ,$390.22 ,$84.13 ,$339.49 ,$78.49 ,$390.22 ,$78.49 ,$89.75 ,$253.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1459,IMMUNE GLOBULIN 10 GM/100ML SOLN per500 mg,636,1 ,$390.22 ,$280.96 ,$78.49 ,"$3,681.11 ",$224.38 ,$245.84 ,$234.13 ,$84.13 ,$109.26 ,$226.33 ,$87.95 ,$238.03 ,$95.61 ,$214.23 ,$214.23 ,$99.43 ,$214.23 ,$173.42 ,$90.10 ,$117.98 ,$87.95 ,$84.13 ,$292.67 ,$277.06 ,$277.06 ,$87.95 ,$277.06 ,$339.49 ,$339.49 ,$339.49 , N/A ,$351.20 ,$224.38 ,$331.69 ,$84.13 ,$390.22 ,$218.91 ,$84.13 ,$161.55 ,"$3,681.11 ","$3,346.46 ",$87.95 ,$331.69 ,$167.12 ,$214.23 ,$109.26 ,$351.20 ,$390.22 ,$84.13 ,$339.49 ,$78.49 ,$390.22 ,$78.49 ,$89.75 ,$253.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1745,INFLIXIMAB 100 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$560.55 ,$403.60 ,$57.52 ,"$3,681.11 ",$322.33 ,$353.15 ,$336.33 ,$120.85 ,$156.95 ,$325.12 ,$126.35 ,$341.94 ,$137.34 ,$307.74 ,$307.74 ,$142.83 ,$307.74 ,$249.11 ,$73.04 ,$85.11 ,$126.35 ,$120.85 ,$420.41 ,$397.99 ,$397.99 ,$126.35 ,$397.99 ,$487.68 ,$487.68 ,$487.68 , N/A ,$504.50 ,$322.33 ,$476.47 ,$120.85 ,$560.55 ,$314.47 ,$120.85 ,$232.07 ,"$3,681.11 ","$3,346.46 ",$126.35 ,$476.47 ,$240.07 ,$307.74 ,$156.95 ,$504.50 ,$560.55 ,$120.85 ,$487.68 ,$57.52 ,$560.55 ,$57.52 ,$128.93 ,$364.36 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q5104,INFLIXIMAB-ABDA 100 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$361.63 ,$260.37 ,$75.03 ,"$3,681.11 ",$207.93 ,$227.83 ,$216.98 ,$77.97 ,$101.26 ,$209.75 ,$81.51 ,$220.59 ,$88.60 ,$198.53 ,$198.53 ,$92.14 ,$198.53 ,$160.71 ,$122.20 ,$91.08 ,$81.51 ,$77.97 ,$271.22 ,$256.76 ,$256.76 ,$81.51 ,$256.76 ,$314.62 ,$314.62 ,$314.62 , N/A ,$325.47 ,$207.93 ,$307.39 ,$77.97 ,$361.63 ,$202.87 ,$77.97 ,$149.71 ,"$3,681.11 ","$3,346.46 ",$81.51 ,$307.39 ,$154.86 ,$198.53 ,$101.26 ,$325.47 ,$361.63 ,$77.97 ,$314.62 ,$75.03 ,$361.63 ,$75.03 ,$83.17 ,$235.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q5103,INFLIXIMAB-DYYB 100 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$454.22 ,$327.04 ,$40.92 ,"$3,681.11 ",$261.18 ,$286.16 ,$272.53 ,$97.93 ,$127.18 ,$263.45 ,$102.38 ,$277.07 ,$111.29 ,$249.37 ,$249.37 ,$115.74 ,$249.37 ,$201.86 ,$77.36 ,$51.48 ,$102.38 ,$97.93 ,$340.67 ,$322.50 ,$322.50 ,$102.38 ,$322.50 ,$395.17 ,$395.17 ,$395.17 , N/A ,$408.80 ,$261.18 ,$386.09 ,$97.93 ,$454.22 ,$254.82 ,$97.93 ,$188.05 ,"$3,681.11 ","$3,346.46 ",$102.38 ,$386.09 ,$194.52 ,$249.37 ,$127.18 ,$408.80 ,$454.22 ,$97.93 ,$395.17 ,$40.92 ,$454.22 ,$40.92 ,$104.47 ,$295.24 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,90686,INFLUENZA VIRUS VACCINE (QUAD) 0.5 ML SUSY per0.5 mL,636,1 ,$92.45 ,$66.56 ,$19.93 ,$92.45 ,$53.15 ,$58.24 ,$55.47 ,$19.93 ,$25.89 ,$53.62 ,$20.83 ,$56.39 ,$22.65 ,$50.76 ,$50.76 ,$23.56 ,$50.76 ,$41.09 ,$40.62 ,$78.58 ,$20.83 ,$19.93 ,$69.34 ,$65.64 ,$65.64 ,$20.83 ,$65.64 ,$80.43 ,$80.43 ,$80.43 , N/A ,$83.21 ,$53.15 ,$78.58 ,$19.93 ,$92.45 ,$51.86 ,$19.93 ,$38.27 ,$37.31 ,$33.92 ,$20.83 ,$78.58 ,$39.58 ,$50.76 ,$25.89 ,$83.21 ,$92.45 ,$19.93 ,$80.43 ,$35.51 ,$92.45 ,$35.51 ,$21.26 ,$60.09 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1756,IRON SUCROSE 20 MG/ML SOLN per1 mg,636,1 ,$2.77 ,$1.99 ,$0.36 ,$136.11 ,$1.60 ,$1.75 ,$1.66 ,$0.60 ,$0.78 ,$1.61 ,$0.63 ,$1.69 ,$0.68 ,$1.52 ,$1.52 ,$0.71 ,$1.52 ,$1.23 ,$0.44 , N/A ,$0.63 ,$0.60 ,$2.08 ,$1.97 ,$1.97 ,$0.63 ,$1.97 ,$2.41 ,$2.41 ,$2.41 , N/A ,$2.49 ,$1.60 ,$2.35 ,$0.60 ,$2.77 ,$1.55 ,$0.60 ,$1.15 ,$136.11 ,$123.74 ,$0.63 ,$2.35 ,$1.20 ,$1.52 ,$0.78 ,$2.49 ,$2.77 ,$0.60 ,$2.41 ,$0.36 ,$2.77 ,$0.36 ,$0.64 ,$1.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1756,IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL per1 mg,636,1 ,$2.77 ,$1.99 ,$0.36 ,$136.11 ,$1.60 ,$1.75 ,$1.66 ,$0.60 ,$0.78 ,$1.61 ,$0.63 ,$1.69 ,$0.68 ,$1.52 ,$1.52 ,$0.71 ,$1.52 ,$1.23 ,$0.44 , N/A ,$0.63 ,$0.60 ,$2.08 ,$1.97 ,$1.97 ,$0.63 ,$1.97 ,$2.41 ,$2.41 ,$2.41 , N/A ,$2.49 ,$1.60 ,$2.35 ,$0.60 ,$2.77 ,$1.55 ,$0.60 ,$1.15 ,$136.11 ,$123.74 ,$0.63 ,$2.35 ,$1.20 ,$1.52 ,$0.78 ,$2.49 ,$2.77 ,$0.60 ,$2.41 ,$0.36 ,$2.77 ,$0.36 ,$0.64 ,$1.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1885,KETOROLAC 30 MG/ML SOLN 1 ML VIAL per15 mg,636,1 ,$12.00 ,$8.64 ,$0.94 ,$12.00 ,$6.90 ,$7.56 ,$7.20 ,$2.59 ,$3.36 ,$6.09 ,$2.70 ,$6.38 ,$2.94 ,$6.59 ,$6.59 ,$3.06 ,$6.59 ,$5.33 ,$0.94 , N/A ,$2.70 ,$2.59 ,$9.00 ,$8.52 ,$8.52 ,$2.70 ,$8.52 ,$10.44 ,$10.44 ,$10.44 , N/A ,$10.80 ,$6.90 ,$10.20 ,$2.59 ,$12.00 ,$6.73 ,$2.59 ,$4.97 , N/A , N/A ,$2.70 ,$10.20 ,$5.14 ,$6.59 ,$3.36 ,$10.80 ,$12.00 ,$2.59 ,$10.44 ,$0.97 ,$12.00 ,$0.97 ,$2.76 ,$7.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1885,KETOROLAC 30 MG/ML SOLN per15 mg,636,1 ,$9.00 ,$6.48 ,$0.94 ,$9.00 ,$5.18 ,$5.67 ,$5.40 ,$1.94 ,$2.52 ,$5.22 ,$2.03 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$2.29 ,$4.94 ,$4.00 ,$0.94 , N/A ,$2.03 ,$1.94 ,$6.75 ,$6.39 ,$6.39 ,$2.03 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$5.18 ,$7.65 ,$1.94 ,$9.00 ,$5.05 ,$1.94 ,$3.73 , N/A , N/A ,$2.03 ,$7.65 ,$3.85 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$1.94 ,$7.83 ,$0.97 ,$9.00 ,$0.97 ,$2.07 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1885,KETOROLAC 60 MG/2ML SOLN per15 mg,636,1 ,$18.00 ,$12.96 ,$0.94 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$6.09 ,$4.06 ,$6.38 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$0.94 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$0.97 ,$18.00 ,$0.97 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1885,KETOROLAC 15 MG/ML SOLN 1 ML VIAL per15 mg,636,1 ,$18.00 ,$12.96 ,$0.94 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$6.09 ,$4.06 ,$6.38 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$0.94 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$0.97 ,$18.00 ,$0.97 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1885,KETOROLAC 15 MG/ML SOLN per15 mg,636,1 ,$18.00 ,$12.96 ,$0.94 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$6.09 ,$4.06 ,$6.38 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$0.94 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$0.97 ,$18.00 ,$0.97 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7120,LACTATED RINGERS SOLN per1000 mL,636,1 ,$45.00 ,$32.40 ,$4.13 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$26.10 ,$10.14 ,$27.45 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$24.71 ,$20.00 ,$4.96 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$4.13 ,$45.00 ,$4.13 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1953,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL per10 mg,636,1 ,$1.20 ,$0.86 ,$0.15 ,$1.20 ,$0.70 ,$0.76 ,$0.72 ,$0.25 ,$0.34 ,$0.70 ,$0.27 ,$0.73 ,$0.29 ,$0.66 ,$0.66 ,$0.30 ,$0.66 ,$0.53 ,$0.20 , N/A ,$0.27 ,$0.25 ,$0.90 ,$0.85 ,$0.85 ,$0.27 ,$0.85 ,$1.04 ,$1.04 ,$1.04 , N/A ,$1.08 ,$0.70 ,$1.02 ,$0.25 ,$1.20 ,$0.67 ,$0.25 ,$0.50 , N/A , N/A ,$0.27 ,$1.02 ,$0.52 ,$0.66 ,$0.34 ,$1.08 ,$1.20 ,$0.25 ,$1.04 ,$0.15 ,$1.20 ,$0.15 ,$0.28 ,$0.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1956,LEVOFLOXACIN 250 MG/50ML SOLN per250 mg,636,1 ,$91.00 ,$65.52 ,$1.60 ,$91.00 ,$52.33 ,$57.33 ,$54.60 ,$19.62 ,$25.48 ,$17.33 ,$20.51 ,$18.15 ,$22.29 ,$49.96 ,$49.96 ,$23.19 ,$49.96 ,$40.44 ,$1.74 , N/A ,$20.51 ,$19.62 ,$68.25 ,$64.61 ,$64.61 ,$20.51 ,$64.61 ,$79.17 ,$79.17 ,$79.17 , N/A ,$81.90 ,$52.33 ,$77.35 ,$19.62 ,$91.00 ,$51.05 ,$19.62 ,$37.67 , N/A , N/A ,$20.51 ,$77.35 ,$38.97 ,$49.96 ,$25.48 ,$81.90 ,$91.00 ,$19.62 ,$79.17 ,$1.60 ,$91.00 ,$1.60 ,$20.93 ,$59.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1956,LEVOFLOXACIN 500 MG/100ML SOLN per250 mg,636,1 ,$45.50 ,$32.76 ,$1.60 ,$45.50 ,$26.18 ,$28.67 ,$27.30 ,$9.81 ,$12.74 ,$17.33 ,$10.26 ,$18.15 ,$11.15 ,$24.98 ,$24.98 ,$11.59 ,$24.98 ,$20.22 ,$1.74 , N/A ,$10.26 ,$9.81 ,$34.13 ,$32.31 ,$32.31 ,$10.26 ,$32.31 ,$39.59 ,$39.59 ,$39.59 , N/A ,$40.95 ,$26.18 ,$38.68 ,$9.81 ,$45.50 ,$25.53 ,$9.81 ,$18.84 , N/A , N/A ,$10.26 ,$38.68 ,$19.49 ,$24.98 ,$12.74 ,$40.95 ,$45.50 ,$9.81 ,$39.59 ,$1.60 ,$45.50 ,$1.60 ,$10.47 ,$29.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1956,LEVOFLOXACIN 750 MG/150ML SOLN per250 mg,636,1 ,$30.33 ,$21.84 ,$1.60 ,$30.33 ,$17.45 ,$19.11 ,$18.20 ,$6.54 ,$8.49 ,$17.33 ,$6.84 ,$18.15 ,$7.43 ,$16.65 ,$16.65 ,$7.73 ,$16.65 ,$13.47 ,$1.74 , N/A ,$6.84 ,$6.54 ,$22.75 ,$21.53 ,$21.53 ,$6.84 ,$21.53 ,$26.39 ,$26.39 ,$26.39 , N/A ,$27.30 ,$17.45 ,$25.78 ,$6.54 ,$30.33 ,$17.02 ,$6.54 ,$12.56 , N/A , N/A ,$6.84 ,$25.78 ,$12.99 ,$16.65 ,$8.49 ,$27.30 ,$30.33 ,$6.54 ,$26.39 ,$1.60 ,$30.33 ,$1.60 ,$6.98 ,$19.71 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2020,LINEZOLID 600 MG/300ML SOLN per200 mg,636,1 ,$146.80 ,$105.70 ,$5.33 ,$146.80 ,$84.40 ,$92.48 ,$88.08 ,$31.65 ,$41.10 ,$85.14 ,$33.08 ,$89.55 ,$35.97 ,$80.59 ,$80.59 ,$37.41 ,$80.59 ,$65.25 ,$11.74 , N/A ,$33.08 ,$31.65 ,$110.10 ,$104.23 ,$104.23 ,$33.08 ,$104.23 ,$127.72 ,$127.72 ,$127.72 , N/A ,$132.12 ,$84.40 ,$124.78 ,$31.65 ,$146.80 ,$82.35 ,$31.65 ,$60.78 ,$136.11 ,$123.74 ,$33.08 ,$124.78 ,$62.86 ,$80.59 ,$41.10 ,$132.12 ,$146.80 ,$31.65 ,$127.72 ,$5.33 ,$146.80 ,$5.33 ,$33.76 ,$95.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2060,LORAZEPAM 2 MG/ML SOLN 1 ML VIAL per2 mg,636,1 ,$5.65 ,$4.07 ,$1.22 ,$5.65 ,$3.25 ,$3.56 ,$3.39 ,$1.22 ,$1.58 ,$3.28 ,$1.27 ,$3.45 ,$1.38 ,$3.10 ,$3.10 ,$1.44 ,$3.10 ,$2.50 ,$1.44 , N/A ,$1.27 ,$1.22 ,$4.24 ,$4.01 ,$4.01 ,$1.27 ,$4.01 ,$4.92 ,$4.92 ,$4.92 , N/A ,$5.09 ,$3.25 ,$4.80 ,$1.22 ,$5.65 ,$3.17 ,$1.22 ,$2.34 , N/A , N/A ,$1.27 ,$4.80 ,$2.42 ,$3.10 ,$1.58 ,$5.09 ,$5.65 ,$1.22 ,$4.92 ,$1.50 ,$5.65 ,$1.50 ,$1.30 ,$3.67 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2060,LORAZEPAM 2 MG/ML SOLN per2 mg,636,1 ,$18.00 ,$12.96 ,$1.44 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$9.77 ,$4.06 ,$10.23 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.44 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.50 ,$18.00 ,$1.50 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3475,MAGNESIUM SULFATE 2 GM/50ML SOLN per500 mg,636,1 ,$22.75 ,$16.38 ,$1.09 ,$22.75 ,$13.08 ,$14.33 ,$13.65 ,$4.91 ,$6.37 ,$5.99 ,$5.13 ,$6.27 ,$5.58 ,$12.49 ,$12.49 ,$5.80 ,$12.49 ,$10.12 ,$1.52 , N/A ,$5.13 ,$4.91 ,$17.06 ,$16.15 ,$16.15 ,$5.13 ,$16.15 ,$19.79 ,$19.79 ,$19.79 , N/A ,$20.48 ,$13.08 ,$19.34 ,$4.91 ,$22.75 ,$12.76 ,$4.91 ,$9.42 , N/A , N/A ,$5.13 ,$19.34 ,$9.74 ,$12.49 ,$6.37 ,$20.48 ,$22.75 ,$4.91 ,$19.79 ,$1.09 ,$22.75 ,$1.09 ,$5.23 ,$14.79 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3475,MAGNESIUM SULFATE 4 GM/50ML SOLN per500 mg,636,1 ,$11.38 ,$8.19 ,$1.09 ,$11.38 ,$6.55 ,$7.17 ,$6.83 ,$2.45 ,$3.19 ,$5.99 ,$2.57 ,$6.27 ,$2.79 ,$6.25 ,$6.25 ,$2.90 ,$6.25 ,$5.05 ,$1.52 , N/A ,$2.57 ,$2.45 ,$8.54 ,$8.08 ,$8.08 ,$2.57 ,$8.08 ,$9.90 ,$9.90 ,$9.90 , N/A ,$10.24 ,$6.55 ,$9.67 ,$2.45 ,$11.38 ,$6.38 ,$2.45 ,$4.71 , N/A , N/A ,$2.57 ,$9.67 ,$4.88 ,$6.25 ,$3.19 ,$10.24 ,$11.38 ,$2.45 ,$9.90 ,$1.09 ,$11.38 ,$1.09 ,$2.62 ,$7.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3475,MAGNESIUM SULFATE 50 % SOLN 2 ML VIAL per500 mg,636,1 ,$9.00 ,$6.48 ,$1.09 ,$9.00 ,$5.18 ,$5.67 ,$5.40 ,$1.94 ,$2.52 ,$5.22 ,$2.03 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$2.29 ,$4.94 ,$4.00 ,$1.52 , N/A ,$2.03 ,$1.94 ,$6.75 ,$6.39 ,$6.39 ,$2.03 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$5.18 ,$7.65 ,$1.94 ,$9.00 ,$5.05 ,$1.94 ,$3.73 , N/A , N/A ,$2.03 ,$7.65 ,$3.85 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$1.94 ,$7.83 ,$1.09 ,$9.00 ,$1.09 ,$2.07 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2175,MEPERIDINE 25 MG/ML SOLN per100 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$13.32 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$15.82 ,$18.00 ,$15.82 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2185,MEROPENEM 1 G SOLR 1 EACH VIAL per100 mg,636,1 ,$14.40 ,$10.37 ,$1.02 ,$14.40 ,$8.28 ,$9.07 ,$8.64 ,$3.11 ,$4.03 ,$8.35 ,$3.24 ,$8.78 ,$3.53 ,$7.91 ,$7.91 ,$3.67 ,$7.91 ,$6.40 ,$1.38 , N/A ,$3.24 ,$3.11 ,$10.80 ,$10.22 ,$10.22 ,$3.24 ,$10.22 ,$12.53 ,$12.53 ,$12.53 , N/A ,$12.96 ,$8.28 ,$12.24 ,$3.11 ,$14.40 ,$8.08 ,$3.11 ,$5.96 , N/A , N/A ,$3.24 ,$12.24 ,$6.16 ,$7.91 ,$4.03 ,$12.96 ,$14.40 ,$3.11 ,$12.53 ,$1.02 ,$14.40 ,$1.02 ,$3.31 ,$9.36 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2185,MEROPENEM 500 MG SOLR 1 EACH VIAL per100 mg,636,1 ,$13.99 ,$10.07 ,$1.02 ,$13.99 ,$8.05 ,$8.81 ,$8.39 ,$3.02 ,$3.92 ,$8.11 ,$3.16 ,$8.53 ,$3.43 ,$7.68 ,$7.68 ,$3.57 ,$7.68 ,$6.22 ,$1.38 , N/A ,$3.16 ,$3.02 ,$10.49 ,$9.93 ,$9.93 ,$3.16 ,$9.93 ,$12.17 ,$12.17 ,$12.17 , N/A ,$12.59 ,$8.05 ,$11.89 ,$3.02 ,$13.99 ,$7.85 ,$3.02 ,$5.79 , N/A , N/A ,$3.16 ,$11.89 ,$6.00 ,$7.68 ,$3.92 ,$12.59 ,$13.99 ,$3.02 ,$12.17 ,$1.02 ,$13.99 ,$1.02 ,$3.22 ,$9.09 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J8610,METHOTREXATE 2.5 MG TABS per2.5 mg,636,1 ,$12.48 ,$8.99 ,$0.38 ,$12.48 ,$7.18 ,$7.86 ,$7.49 ,$2.69 ,$3.49 ,$5.25 ,$2.81 ,$5.50 ,$3.06 ,$6.85 ,$6.85 ,$3.18 ,$6.85 ,$5.56 ,$0.42 , N/A ,$2.81 ,$2.69 ,$9.36 ,$8.86 ,$8.86 ,$2.81 ,$8.86 ,$10.86 ,$10.86 ,$10.86 , N/A ,$11.23 ,$7.18 ,$10.61 ,$2.69 ,$12.48 ,$7.00 ,$2.69 ,$5.17 , N/A , N/A ,$2.81 ,$10.61 ,$5.34 ,$6.85 ,$3.49 ,$11.23 ,$12.48 ,$2.69 ,$10.86 ,$0.38 ,$12.48 ,$0.38 ,$2.87 ,$8.11 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,C9399,METHYLENE BLUE 50 MG/10ML SOLN per1 mL,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$10.80 ,$9.88 ,$9.88 , N/A ,$9.88 , N/A ,$9.00 ,$12.60 ,$4.06 , N/A ,$13.50 ,$12.78 ,$12.78 , N/A ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 , N/A ,$18.00 , N/A ,$18.00 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2212,METHYLNALTREXONE 12 MG/0.6ML SOLN per0.1 mg,636,1 ,$5.81 ,$4.18 ,$1.25 ,$5.81 ,$3.35 ,$3.66 ,$3.49 ,$1.25 ,$1.63 ,$3.37 ,$1.31 ,$3.54 ,$1.42 ,$3.19 ,$3.19 ,$1.48 ,$3.19 ,$2.59 ,$2.46 , N/A ,$1.31 ,$1.25 ,$4.36 ,$4.13 ,$4.13 ,$1.31 ,$4.13 ,$5.05 ,$5.05 ,$5.05 , N/A ,$5.23 ,$3.35 ,$4.94 ,$1.25 ,$5.81 ,$3.26 ,$1.25 ,$2.41 , N/A , N/A ,$1.31 ,$4.94 ,$2.50 ,$3.19 ,$1.63 ,$5.23 ,$5.81 ,$1.25 ,$5.05 ,$2.69 ,$5.81 ,$2.69 ,$1.34 ,$3.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7509,METHYLPREDNISOLONE (PAK) 4 MG TBPK per4 mg,636,1 ,$3.00 ,$2.16 ,$0.41 ,$3.00 ,$1.73 ,$1.89 ,$1.80 ,$0.65 ,$0.84 ,$1.74 ,$0.68 ,$1.83 ,$0.73 ,$1.65 ,$1.65 ,$0.76 ,$1.65 ,$1.33 ,$0.54 , N/A ,$0.68 ,$0.65 ,$2.25 ,$2.13 ,$2.13 ,$0.68 ,$2.13 ,$2.61 ,$2.61 ,$2.61 , N/A ,$2.70 ,$1.73 ,$2.55 ,$0.65 ,$3.00 ,$1.68 ,$0.65 ,$1.24 , N/A , N/A ,$0.68 ,$2.55 ,$1.28 ,$1.65 ,$0.84 ,$2.70 ,$3.00 ,$0.65 ,$2.61 ,$0.41 ,$3.00 ,$0.41 ,$0.69 ,$1.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1030,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP per40 mg,636,1 ,$46.30 ,$33.34 ,$9.99 ,$46.30 ,$26.63 ,$29.17 ,$27.78 ,$9.99 ,$12.96 ,$26.85 ,$10.44 ,$28.24 ,$11.35 ,$25.42 ,$25.42 ,$11.80 ,$25.42 ,$20.58 ,$11.82 , N/A ,$10.44 ,$9.99 ,$34.73 ,$32.87 ,$32.87 ,$10.44 ,$32.87 ,$40.28 ,$40.28 ,$40.28 , N/A ,$41.67 ,$26.63 ,$39.36 ,$9.99 ,$46.30 ,$25.97 ,$9.99 ,$19.17 , N/A , N/A ,$10.44 ,$39.36 ,$19.84 ,$25.42 ,$12.96 ,$41.67 ,$46.30 ,$9.99 ,$40.28 ,$13.30 ,$46.30 ,$13.30 ,$10.65 ,$30.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL per125 mg,636,1 ,$38.65 ,$27.83 ,$8.33 ,$38.65 ,$22.23 ,$24.35 ,$23.19 ,$8.33 ,$10.82 ,$22.42 ,$8.71 ,$23.58 ,$9.47 ,$21.22 ,$21.22 ,$9.85 ,$21.22 ,$17.17 ,$12.24 , N/A ,$8.71 ,$8.33 ,$28.99 ,$27.44 ,$27.44 ,$8.71 ,$27.44 ,$33.63 ,$33.63 ,$33.63 , N/A ,$34.79 ,$22.23 ,$32.85 ,$8.33 ,$38.65 ,$21.68 ,$8.33 ,$16.00 , N/A , N/A ,$8.71 ,$32.85 ,$16.55 ,$21.22 ,$10.82 ,$34.79 ,$38.65 ,$8.33 ,$33.63 ,$9.82 ,$38.65 ,$9.82 ,$8.89 ,$25.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLR per125 mg,636,1 ,$46.80 ,$33.70 ,$9.82 ,$46.80 ,$26.90 ,$29.48 ,$28.08 ,$10.09 ,$13.10 ,$27.14 ,$10.54 ,$28.55 ,$11.47 ,$25.69 ,$25.69 ,$11.93 ,$25.69 ,$20.81 ,$12.24 , N/A ,$10.54 ,$10.09 ,$35.10 ,$33.23 ,$33.23 ,$10.54 ,$33.23 ,$40.72 ,$40.72 ,$40.72 , N/A ,$42.12 ,$26.90 ,$39.78 ,$10.09 ,$46.80 ,$26.25 ,$10.09 ,$19.38 , N/A , N/A ,$10.54 ,$39.78 ,$20.03 ,$25.69 ,$13.10 ,$42.12 ,$46.80 ,$10.09 ,$40.72 ,$9.82 ,$46.80 ,$9.82 ,$10.76 ,$30.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2920,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLR per40 mg,636,1 ,$29.05 ,$20.92 ,$6.26 ,$29.05 ,$16.70 ,$18.30 ,$17.43 ,$6.26 ,$8.13 ,$16.85 ,$6.55 ,$17.72 ,$7.11 ,$15.95 ,$15.95 ,$7.40 ,$15.95 ,$12.91 ,$8.50 , N/A ,$6.55 ,$6.26 ,$21.79 ,$20.63 ,$20.63 ,$6.55 ,$20.63 ,$25.27 ,$25.27 ,$25.27 , N/A ,$26.15 ,$16.70 ,$24.69 ,$6.26 ,$29.05 ,$16.30 ,$6.26 ,$12.03 , N/A , N/A ,$6.55 ,$24.69 ,$12.44 ,$15.95 ,$8.13 ,$26.15 ,$29.05 ,$6.26 ,$25.27 ,$6.73 ,$29.05 ,$6.73 ,$6.68 ,$18.88 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2765,METOCLOPRAMIDE 5 MG/ML SOLN per10 mg,636,1 ,$18.00 ,$12.96 ,$1.82 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$9.66 ,$4.06 ,$10.12 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$2.08 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$1.82 ,$18.00 ,$1.82 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2248,MICAFUNGIN 50 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$8.98 ,$6.47 ,$1.52 ,$136.11 ,$5.18 ,$5.66 ,$5.39 ,$1.94 ,$2.51 ,$5.21 ,$2.03 ,$5.48 ,$2.20 ,$4.93 ,$4.93 ,$2.28 ,$4.93 ,$4.00 ,$1.62 , N/A ,$2.03 ,$1.94 ,$6.74 ,$6.38 ,$6.38 ,$2.03 ,$6.38 ,$7.81 ,$7.81 ,$7.81 , N/A ,$8.08 ,$5.18 ,$7.63 ,$1.94 ,$8.98 ,$5.04 ,$1.94 ,$3.72 ,$136.11 ,$123.74 ,$2.03 ,$7.63 ,$3.85 ,$4.93 ,$2.51 ,$8.08 ,$8.98 ,$1.94 ,$7.81 ,$1.52 ,$8.98 ,$1.52 ,$2.07 ,$5.84 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2248,MICAFUNGIN 100 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$8.98 ,$6.47 ,$1.52 ,$136.11 ,$5.18 ,$5.66 ,$5.39 ,$1.94 ,$2.51 ,$5.21 ,$2.03 ,$5.48 ,$2.20 ,$4.93 ,$4.93 ,$2.28 ,$4.93 ,$4.00 ,$1.62 , N/A ,$2.03 ,$1.94 ,$6.74 ,$6.38 ,$6.38 ,$2.03 ,$6.38 ,$7.81 ,$7.81 ,$7.81 , N/A ,$8.08 ,$5.18 ,$7.63 ,$1.94 ,$8.98 ,$5.04 ,$1.94 ,$3.72 ,$136.11 ,$123.74 ,$2.03 ,$7.63 ,$3.85 ,$4.93 ,$2.51 ,$8.08 ,$8.98 ,$1.94 ,$7.81 ,$1.52 ,$8.98 ,$1.52 ,$2.07 ,$5.84 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2250,MIDAZOLAM 2 MG/2ML SOLN per1 mg,636,1 ,$18.00 ,$12.96 ,$0.26 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$5.25 ,$4.06 ,$5.50 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$0.28 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$0.26 ,$18.00 ,$0.26 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2250,MIDAZOLAM 50 MG/10ML SOLN 10 ML VIAL per1 mg,636,1 ,$0.66 ,$0.48 ,$0.15 ,$0.66 ,$0.38 ,$0.42 ,$0.40 ,$0.15 ,$0.18 ,$0.38 ,$0.15 ,$0.40 ,$0.17 ,$0.36 ,$0.36 ,$0.17 ,$0.36 ,$0.30 ,$0.28 , N/A ,$0.15 ,$0.15 ,$0.50 ,$0.47 ,$0.47 ,$0.15 ,$0.47 ,$0.57 ,$0.57 ,$0.57 , N/A ,$0.59 ,$0.38 ,$0.56 ,$0.15 ,$0.66 ,$0.37 ,$0.15 ,$0.27 , N/A , N/A ,$0.15 ,$0.56 ,$0.28 ,$0.36 ,$0.18 ,$0.59 ,$0.66 ,$0.15 ,$0.57 ,$0.26 ,$0.66 ,$0.26 ,$0.15 ,$0.43 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE (PF) 1 MG/ML SOLN 10 ML AMPULE per10 mg,636,1 ,$139.00 ,$100.08 ,$4.06 ,$139.00 ,$79.93 ,$87.57 ,$83.40 ,$29.97 ,$38.92 ,$15.23 ,$31.33 ,$15.95 ,$34.05 ,$76.31 ,$76.31 ,$35.42 ,$76.31 ,$61.77 ,$5.90 , N/A ,$31.33 ,$29.97 ,$104.25 ,$98.69 ,$98.69 ,$31.33 ,$98.69 ,$120.93 ,$120.93 ,$120.93 , N/A ,$125.10 ,$79.93 ,$118.15 ,$29.97 ,$139.00 ,$77.98 ,$29.97 ,$57.55 , N/A , N/A ,$31.33 ,$118.15 ,$59.53 ,$76.31 ,$38.92 ,$125.10 ,$139.00 ,$29.97 ,$120.93 ,$4.06 ,$139.00 ,$4.06 ,$31.97 ,$90.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE 1 MG/ML SOLN per10 mg,636,1 ,$30.33 ,$21.84 ,$4.06 ,$30.33 ,$17.45 ,$19.11 ,$18.20 ,$6.54 ,$8.49 ,$15.23 ,$6.84 ,$15.95 ,$7.43 ,$16.65 ,$16.65 ,$7.73 ,$16.65 ,$13.47 ,$5.90 , N/A ,$6.84 ,$6.54 ,$22.75 ,$21.53 ,$21.53 ,$6.84 ,$21.53 ,$26.39 ,$26.39 ,$26.39 , N/A ,$27.30 ,$17.45 ,$25.78 ,$6.54 ,$30.33 ,$17.02 ,$6.54 ,$12.56 , N/A , N/A ,$6.84 ,$25.78 ,$12.99 ,$16.65 ,$8.49 ,$27.30 ,$30.33 ,$6.54 ,$26.39 ,$4.06 ,$30.33 ,$4.06 ,$6.98 ,$19.71 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE 4 MG/ML SOLN per10 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.90 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.06 ,$18.00 ,$4.06 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE 10 MG/ML SOLN 1 ML SYRINGE per10 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.90 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.06 ,$18.00 ,$4.06 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE 10 MG/ML SOLN 1 ML VIAL per10 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.90 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.06 ,$18.00 ,$4.06 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE 2 MG/ML SOLN 1 ML VIAL per10 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.90 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.06 ,$18.00 ,$4.06 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2270,MORPHINE 2 MG/ML SOLN per10 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.90 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.06 ,$18.00 ,$4.06 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2300,NALBUPHINE SOLN per10 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.22 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.59 ,$18.00 ,$4.59 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2310,NALOXONE 0.4 MG/ML SOLN 1 ML VIAL per1 mg,636,1 ,$59.80 ,$43.06 ,$12.90 ,$59.80 ,$34.38 ,$37.67 ,$35.88 ,$12.90 ,$16.74 ,$34.68 ,$13.47 ,$36.48 ,$14.65 ,$32.83 ,$32.83 ,$15.24 ,$32.83 ,$26.58 ,$24.30 , N/A ,$13.47 ,$12.90 ,$44.85 ,$42.46 ,$42.46 ,$13.47 ,$42.46 ,$52.03 ,$52.03 ,$52.03 , N/A ,$53.82 ,$34.38 ,$50.83 ,$12.90 ,$59.80 ,$33.55 ,$12.90 ,$24.76 , N/A , N/A ,$13.47 ,$50.83 ,$25.61 ,$32.83 ,$16.74 ,$53.82 ,$59.80 ,$12.90 ,$52.03 ,$17.00 ,$59.80 ,$17.00 ,$13.75 ,$38.87 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2310,NALOXONE 0.4 MG/ML SOLN per1 mg,636,1 ,$189.98 ,$136.79 ,$17.00 ,$189.98 ,$109.25 ,$119.69 ,$113.99 ,$40.96 ,$53.19 ,$110.19 ,$42.83 ,$115.89 ,$46.55 ,$104.30 ,$104.30 ,$48.40 ,$104.30 ,$84.44 ,$24.30 , N/A ,$42.83 ,$40.96 ,$142.49 ,$134.89 ,$134.89 ,$42.83 ,$134.89 ,$165.28 ,$165.28 ,$165.28 , N/A ,$170.98 ,$109.25 ,$161.48 ,$40.96 ,$189.98 ,$106.58 ,$40.96 ,$78.65 , N/A , N/A ,$42.83 ,$161.48 ,$81.37 ,$104.30 ,$53.19 ,$170.98 ,$189.98 ,$40.96 ,$165.28 ,$17.00 ,$189.98 ,$17.00 ,$43.70 ,$123.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2310,NALOXONE 2 MG/2ML SOSY 2 ML SYRINGE per1 mg,636,1 ,$79.20 ,$57.02 ,$17.00 ,$79.20 ,$45.55 ,$49.90 ,$47.52 ,$17.07 ,$22.18 ,$45.94 ,$17.86 ,$48.31 ,$19.40 ,$43.48 ,$43.48 ,$20.18 ,$43.48 ,$35.19 ,$24.30 , N/A ,$17.86 ,$17.07 ,$59.40 ,$56.23 ,$56.23 ,$17.86 ,$56.23 ,$68.90 ,$68.90 ,$68.90 , N/A ,$71.28 ,$45.55 ,$67.32 ,$17.07 ,$79.20 ,$44.43 ,$17.07 ,$32.79 , N/A , N/A ,$17.86 ,$67.32 ,$33.93 ,$43.48 ,$22.18 ,$71.28 ,$79.20 ,$17.07 ,$68.90 ,$17.00 ,$79.20 ,$17.00 ,$18.22 ,$51.48 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2710,NEOSTIGMINE 10 MG/10ML SOLN per0.5 mg,636,1 ,$3.00 ,$2.16 ,$0.18 ,$3.00 ,$1.73 ,$1.89 ,$1.80 ,$0.65 ,$0.84 ,$1.74 ,$0.68 ,$1.83 ,$0.73 ,$1.65 ,$1.65 ,$0.76 ,$1.65 ,$1.33 ,$0.18 , N/A ,$0.68 ,$0.65 ,$2.25 ,$2.13 ,$2.13 ,$0.68 ,$2.13 ,$2.61 ,$2.61 ,$2.61 , N/A ,$2.70 ,$1.73 ,$2.55 ,$0.65 ,$3.00 ,$1.68 ,$0.65 ,$1.24 , N/A , N/A ,$0.68 ,$2.55 ,$1.28 ,$1.65 ,$0.84 ,$2.70 ,$3.00 ,$0.65 ,$2.61 ,$3.00 ,$3.00 ,$3.00 ,$0.69 ,$1.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2350,OCRELIZUMAB 300 MG/10ML SOLN 10 ML VIAL per1 mg,636,1 ,$284.75 ,$205.02 ,$61.40 ,"$32,059.71 ",$163.73 ,$179.39 ,$170.85 ,$61.40 ,$79.73 ,$165.16 ,$64.18 ,$173.70 ,$69.77 ,$156.33 ,$156.33 ,$72.56 ,$156.33 ,$126.55 ,$116.98 ,$147.42 ,$64.18 ,$61.40 ,$213.56 ,$202.17 ,$202.17 ,$64.18 ,$202.17 ,$247.73 ,$247.73 ,$247.73 , N/A ,$256.28 ,$163.73 ,$242.04 ,$61.40 ,$284.75 ,$159.74 ,$61.40 ,$117.89 ,"$32,059.71 ","$29,145.19 ",$64.18 ,$242.04 ,$121.94 ,$156.33 ,$79.73 ,$256.28 ,$284.75 ,$61.40 ,$247.73 ,$98.42 ,$284.75 ,$98.42 ,$65.49 ,$185.09 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2354,OCTREOTIDE 100 MCG/ML SOLN 1 ML VIAL per25 mcg,636,1 ,$11.93 ,$8.59 ,$1.70 ,$11.93 ,$6.85 ,$7.52 ,$7.16 ,$2.57 ,$3.34 ,$6.92 ,$2.69 ,$7.28 ,$2.92 ,$6.55 ,$6.55 ,$3.04 ,$6.55 ,$5.29 ,$1.70 , N/A ,$2.69 ,$2.57 ,$8.95 ,$8.47 ,$8.47 ,$2.69 ,$8.47 ,$10.38 ,$10.38 ,$10.38 , N/A ,$10.74 ,$6.85 ,$10.14 ,$2.57 ,$11.93 ,$6.69 ,$2.57 ,$4.94 , N/A , N/A ,$2.69 ,$10.14 ,$5.11 ,$6.55 ,$3.34 ,$10.74 ,$11.93 ,$2.57 ,$10.38 ,$2.34 ,$11.93 ,$2.34 ,$2.74 ,$7.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2405,ONDANSETRON 4 MG/2ML SOLN per1 mg,636,1 ,$4.50 ,$3.24 ,$0.15 ,$4.50 ,$2.60 ,$2.84 ,$2.70 ,$0.97 ,$1.26 ,$2.61 ,$1.02 ,$2.75 ,$1.11 ,$2.47 ,$2.47 ,$1.15 ,$2.47 ,$2.00 ,$1.52 , N/A ,$1.02 ,$0.97 ,$3.38 ,$3.20 ,$3.20 ,$1.02 ,$3.20 ,$3.92 ,$3.92 ,$3.92 , N/A ,$4.05 ,$2.60 ,$3.83 ,$0.97 ,$4.50 ,$2.52 ,$0.97 ,$1.86 , N/A , N/A ,$1.02 ,$3.83 ,$1.94 ,$2.47 ,$1.26 ,$4.05 ,$4.50 ,$0.97 ,$3.92 ,$0.15 ,$4.50 ,$0.15 ,$1.04 ,$2.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2360,ORPHENADRINE 30 MG/ML SOLN per60 mg,636,1 ,$74.90 ,$53.93 ,$7.08 ,$74.90 ,$43.08 ,$47.19 ,$44.94 ,$16.15 ,$20.97 ,$43.44 ,$16.89 ,$45.69 ,$18.36 ,$41.12 ,$41.12 ,$19.08 ,$41.12 ,$33.29 ,$9.22 , N/A ,$16.89 ,$16.15 ,$56.18 ,$53.18 ,$53.18 ,$16.89 ,$53.18 ,$65.16 ,$65.16 ,$65.16 , N/A ,$67.41 ,$43.08 ,$63.67 ,$16.15 ,$74.90 ,$42.02 ,$16.15 ,$31.01 , N/A , N/A ,$16.89 ,$63.67 ,$32.09 ,$41.12 ,$20.97 ,$67.41 ,$74.90 ,$16.15 ,$65.16 ,$7.08 ,$74.90 ,$7.08 ,$17.23 ,$48.69 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2700,OXACILLIN 2 G SOLR 1 EACH VIAL per250 mg,636,1 ,$14.50 ,$10.44 ,$2.11 ,$14.50 ,$8.35 ,$9.14 ,$8.70 ,$3.13 ,$4.06 ,$8.41 ,$3.27 ,$8.85 ,$3.56 ,$7.96 ,$7.96 ,$3.69 ,$7.96 ,$6.44 ,$2.12 , N/A ,$3.27 ,$3.13 ,$10.88 ,$10.30 ,$10.30 ,$3.27 ,$10.30 ,$12.62 ,$12.62 ,$12.62 , N/A ,$13.05 ,$8.35 ,$12.33 ,$3.13 ,$14.50 ,$8.13 ,$3.13 ,$6.00 , N/A , N/A ,$3.27 ,$12.33 ,$6.22 ,$7.96 ,$4.06 ,$13.05 ,$14.50 ,$3.13 ,$12.62 ,$2.11 ,$14.50 ,$2.11 ,$3.34 ,$9.43 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2590,OXYTOCIN 10 UNIT/ML SOLN per10 Units,636,1 ,$18.00 ,$12.96 ,$1.06 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$1.06 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$3.12 ,$18.00 ,$3.12 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,C9113,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL per1 vial,636,1 ,$34.00 ,$24.48 ,$7.33 ,$34.00 ,$19.55 ,$21.42 ,$20.40 ,$7.33 ,$9.52 ,$19.72 ,$7.66 ,$20.74 ,$8.33 ,$18.67 ,$18.67 ,$8.66 ,$18.67 ,$15.11 ,$10.36 , N/A ,$7.66 ,$7.33 ,$25.50 ,$24.14 ,$24.14 ,$7.66 ,$24.14 ,$29.58 ,$29.58 ,$29.58 , N/A ,$30.60 ,$19.55 ,$28.90 ,$7.33 ,$34.00 ,$19.07 ,$7.33 ,$14.08 , N/A , N/A ,$7.66 ,$28.90 ,$14.56 ,$18.67 ,$9.52 ,$30.60 ,$34.00 ,$7.33 ,$29.58 , N/A ,$34.00 , N/A ,$7.82 ,$22.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2506,PEGFILGRASTIM 6 MG/0.6ML SOSY per6 mg,636,1 ,"$2,567.20 ","$1,848.38 ",$223.03 ,"$3,681.11 ","$1,476.15 ","$1,617.34 ","$1,540.32 ",$553.48 ,$718.82 ,"$1,488.98 ",$578.65 ,"$1,565.99 ",$628.96 ,"$1,409.39 ","$1,409.39 ",$654.12 ,"$1,409.39 ","$1,140.86 ",$335.36 ,$274.21 ,$578.65 ,$553.48 ,"$1,925.40 ","$1,822.71 ","$1,822.71 ",$578.65 ,"$1,822.71 ","$2,233.46 ","$2,233.46 ","$2,233.46 ", N/A ,"$2,310.48 ","$1,476.15 ","$2,182.12 ",$553.48 ,"$2,567.20 ","$1,440.20 ",$553.48 ,"$1,062.82 ","$3,681.11 ","$3,346.46 ",$578.65 ,"$2,182.12 ","$1,099.43 ","$1,409.39 ",$718.82 ,"$2,310.48 ","$2,567.20 ",$553.48 ,"$2,233.46 ",$223.03 ,"$2,567.20 ",$223.03 ,$590.46 ,"$1,668.68 " ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY per100000 Units,636,1 ,$83.33 ,$60.00 ,$17.96 ,$83.33 ,$47.93 ,$52.50 ,$50.00 ,$17.96 ,$23.33 ,$48.33 ,$18.79 ,$50.83 ,$20.41 ,$45.75 ,$45.75 ,$21.24 ,$45.75 ,$37.03 ,$30.24 ,$46.48 ,$18.79 ,$17.96 ,$62.50 ,$59.16 ,$59.16 ,$18.79 ,$59.16 ,$72.50 ,$72.50 ,$72.50 , N/A ,$75.00 ,$47.93 ,$70.83 ,$17.96 ,$83.33 ,$46.75 ,$17.96 ,$34.50 , N/A , N/A ,$18.79 ,$70.83 ,$35.69 ,$45.75 ,$23.33 ,$75.00 ,$83.33 ,$17.96 ,$72.50 ,$29.88 ,$83.33 ,$29.88 ,$19.17 ,$54.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2560,PHENOBARBITAL 65 MG/ML SOLN per120 mg,636,1 ,$184.20 ,$132.62 ,$39.71 ,$184.20 ,$105.93 ,$116.05 ,$110.52 ,$39.71 ,$51.58 ,$106.84 ,$41.52 ,$112.36 ,$45.13 ,$101.13 ,$101.13 ,$46.93 ,$101.13 ,$81.85 ,$83.44 ,$97.58 ,$41.52 ,$39.71 ,$138.15 ,$130.78 ,$130.78 ,$41.52 ,$130.78 ,$160.25 ,$160.25 ,$160.25 , N/A ,$165.78 ,$105.93 ,$156.57 ,$39.71 ,$184.20 ,$103.34 ,$39.71 ,$76.26 , N/A , N/A ,$41.52 ,$156.57 ,$78.89 ,$101.13 ,$51.58 ,$165.78 ,$184.20 ,$39.71 ,$160.25 ,$75.67 ,$184.20 ,$75.67 ,$42.37 ,$119.73 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN 1 ML VIAL per1 mL,636,1 ,$15.36 ,$11.06 ,$3.31 ,$15.36 ,$8.83 ,$9.68 ,$9.22 ,$3.31 ,$4.30 ,$8.91 ,$3.46 ,$9.37 ,$3.76 ,$8.43 ,$8.43 ,$3.91 ,$8.43 ,$6.83 ,$6.68 , N/A ,$3.46 ,$3.31 ,$11.52 ,$10.91 ,$10.91 ,$3.46 ,$10.91 ,$13.36 ,$13.36 ,$13.36 , N/A ,$13.82 ,$8.83 ,$13.06 ,$3.31 ,$15.36 ,$8.62 ,$3.31 ,$6.36 , N/A , N/A ,$3.46 ,$13.06 ,$6.58 ,$8.43 ,$4.30 ,$13.82 ,$15.36 ,$3.31 ,$13.36 ,$6.80 ,$15.36 ,$6.80 ,$3.53 ,$9.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2370,PHENYLEPHRINE SOLN per1 mL,636,1 ,$9.00 ,$6.48 ,$1.94 ,$9.00 ,$5.18 ,$5.67 ,$5.40 ,$1.94 ,$2.52 ,$5.22 ,$2.03 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$2.29 ,$4.94 ,$4.00 ,$6.68 , N/A ,$2.03 ,$1.94 ,$6.75 ,$6.39 ,$6.39 ,$2.03 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$5.18 ,$7.65 ,$1.94 ,$9.00 ,$5.05 ,$1.94 ,$3.73 , N/A , N/A ,$2.03 ,$7.65 ,$3.85 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$1.94 ,$7.83 ,$6.80 ,$9.00 ,$6.80 ,$2.07 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1165,PHENYTOIN 50 MG/ML SOLN 5 ML VIAL per50 mg,636,1 ,$4.50 ,$3.24 ,$0.86 ,$4.50 ,$2.60 ,$2.84 ,$2.70 ,$0.97 ,$1.26 ,$2.61 ,$1.02 ,$2.75 ,$1.11 ,$2.47 ,$2.47 ,$1.15 ,$2.47 ,$2.00 ,$0.86 , N/A ,$1.02 ,$0.97 ,$3.38 ,$3.20 ,$3.20 ,$1.02 ,$3.20 ,$3.92 ,$3.92 ,$3.92 , N/A ,$4.05 ,$2.60 ,$3.83 ,$0.97 ,$4.50 ,$2.52 ,$0.97 ,$1.86 , N/A , N/A ,$1.02 ,$3.83 ,$1.94 ,$2.47 ,$1.26 ,$4.05 ,$4.50 ,$0.97 ,$3.92 ,$0.92 ,$4.50 ,$0.92 ,$1.04 ,$2.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3430,PHYTONADIONE (ADULT) 10 MG/ML SOLN per1 mg,636,1 ,$23.51 ,$16.93 ,$5.07 ,$23.51 ,$13.53 ,$14.81 ,$14.11 ,$5.07 ,$6.58 ,$13.64 ,$5.30 ,$14.34 ,$5.76 ,$12.91 ,$12.91 ,$5.99 ,$12.91 ,$10.44 ,$6.98 , N/A ,$5.30 ,$5.07 ,$17.63 ,$16.69 ,$16.69 ,$5.30 ,$16.69 ,$20.45 ,$20.45 ,$20.45 , N/A ,$21.16 ,$13.53 ,$19.98 ,$5.07 ,$23.51 ,$13.19 ,$5.07 ,$9.73 , N/A , N/A ,$5.30 ,$19.98 ,$10.07 ,$12.91 ,$6.58 ,$21.16 ,$23.51 ,$5.07 ,$20.45 ,$5.26 ,$23.51 ,$5.26 ,$5.41 ,$15.28 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3430,PHYTONADIONE (ADULT) 10 MG/ML SOLN 1 ML AMPULE per1 mg,636,1 ,$23.51 ,$16.93 ,$5.07 ,$23.51 ,$13.53 ,$14.81 ,$14.11 ,$5.07 ,$6.58 ,$13.64 ,$5.30 ,$14.34 ,$5.76 ,$12.91 ,$12.91 ,$5.99 ,$12.91 ,$10.44 ,$6.98 , N/A ,$5.30 ,$5.07 ,$17.63 ,$16.69 ,$16.69 ,$5.30 ,$16.69 ,$20.45 ,$20.45 ,$20.45 , N/A ,$21.16 ,$13.53 ,$19.98 ,$5.07 ,$23.51 ,$13.19 ,$5.07 ,$9.73 , N/A , N/A ,$5.30 ,$19.98 ,$10.07 ,$12.91 ,$6.58 ,$21.16 ,$23.51 ,$5.07 ,$20.45 ,$5.26 ,$23.51 ,$5.26 ,$5.41 ,$15.28 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2543,PIPERACILLIN-TAZOBACTAM 3.375 (3-0.375) G SOLR 1 EACH VIAL per1.125 g,636,1 ,$29.02 ,$20.89 ,$2.51 ,$29.02 ,$16.68 ,$18.28 ,$17.41 ,$6.25 ,$8.13 ,$16.83 ,$6.54 ,$17.70 ,$7.11 ,$15.93 ,$15.93 ,$7.40 ,$15.93 ,$12.89 ,$2.72 , N/A ,$6.54 ,$6.25 ,$21.77 ,$20.60 ,$20.60 ,$6.54 ,$20.60 ,$25.25 ,$25.25 ,$25.25 , N/A ,$26.12 ,$16.68 ,$24.67 ,$6.25 ,$29.02 ,$16.28 ,$6.25 ,$12.01 , N/A , N/A ,$6.54 ,$24.67 ,$12.42 ,$15.93 ,$8.13 ,$26.12 ,$29.02 ,$6.25 ,$25.25 ,$2.51 ,$29.02 ,$2.51 ,$6.67 ,$18.86 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2543,PIPERACILLIN-TAZOBACTAM 4.5 (4-0.5) G SOLR 1 EACH VIAL per1.125 g,636,1 ,$27.55 ,$19.84 ,$2.51 ,$27.55 ,$15.85 ,$17.36 ,$16.53 ,$5.94 ,$7.71 ,$15.98 ,$6.21 ,$16.81 ,$6.75 ,$15.13 ,$15.13 ,$7.02 ,$15.13 ,$12.24 ,$2.72 , N/A ,$6.21 ,$5.94 ,$20.66 ,$19.56 ,$19.56 ,$6.21 ,$19.56 ,$23.97 ,$23.97 ,$23.97 , N/A ,$24.80 ,$15.85 ,$23.42 ,$5.94 ,$27.55 ,$15.46 ,$5.94 ,$11.41 , N/A , N/A ,$6.21 ,$23.42 ,$11.81 ,$15.13 ,$7.71 ,$24.80 ,$27.55 ,$5.94 ,$23.97 ,$2.51 ,$27.55 ,$2.51 ,$6.34 ,$17.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN per2 mEq,636,1 ,$18.20 ,$13.10 ,$0.23 ,$18.20 ,$10.48 ,$11.47 ,$10.92 ,$3.92 ,$5.10 ,$5.25 ,$4.11 ,$5.50 ,$4.46 ,$9.99 ,$9.99 ,$4.64 ,$9.99 ,$8.08 ,$0.32 , N/A ,$4.11 ,$3.92 ,$13.65 ,$12.92 ,$12.92 ,$4.11 ,$12.92 ,$15.83 ,$15.83 ,$15.83 , N/A ,$16.38 ,$10.48 ,$15.47 ,$3.92 ,$18.20 ,$10.21 ,$3.92 ,$7.53 , N/A , N/A ,$4.11 ,$15.47 ,$7.80 ,$9.99 ,$5.10 ,$16.38 ,$18.20 ,$3.92 ,$15.83 ,$0.23 ,$18.20 ,$0.23 ,$4.19 ,$11.83 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3480,POTASSIUM CHLORIDE 2 MEQ/ML SOLN 20 ML VIAL per2 mEq,636,1 ,$0.90 ,$0.65 ,$0.20 ,$0.90 ,$0.53 ,$0.57 ,$0.54 ,$0.20 ,$0.25 ,$0.52 ,$0.21 ,$0.55 ,$0.23 ,$0.49 ,$0.49 ,$0.23 ,$0.49 ,$0.40 ,$0.32 , N/A ,$0.21 ,$0.20 ,$0.68 ,$0.64 ,$0.64 ,$0.21 ,$0.64 ,$0.78 ,$0.78 ,$0.78 , N/A ,$0.81 ,$0.53 ,$0.77 ,$0.20 ,$0.90 ,$0.50 ,$0.20 ,$0.37 , N/A , N/A ,$0.21 ,$0.77 ,$0.39 ,$0.49 ,$0.25 ,$0.81 ,$0.90 ,$0.20 ,$0.78 ,$0.23 ,$0.90 ,$0.23 ,$0.21 ,$0.59 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7510,PREDNISOLONE 15 MG/5ML SOLN per5 mg,636,1 ,$1.00 ,$0.72 ,$0.22 ,$1.00 ,$0.58 ,$0.63 ,$0.60 ,$0.22 ,$0.28 ,$0.58 ,$0.23 ,$0.61 ,$0.24 ,$0.55 ,$0.55 ,$0.25 ,$0.55 ,$0.44 ,$0.50 , N/A ,$0.23 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.23 ,$0.71 ,$0.87 ,$0.87 ,$0.87 , N/A ,$0.90 ,$0.58 ,$0.85 ,$0.22 ,$1.00 ,$0.56 ,$0.22 ,$0.41 , N/A , N/A ,$0.23 ,$0.85 ,$0.43 ,$0.55 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.87 ,$0.38 ,$1.00 ,$0.38 ,$0.23 ,$0.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7512,PREDNISONE 1 MG TABS per1 mg,636,1 ,$6.00 ,$4.32 ,$0.03 ,$6.00 ,$3.45 ,$3.78 ,$3.60 ,$1.29 ,$1.68 ,$3.48 ,$1.35 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$1.53 ,$3.29 ,$2.67 ,$0.04 , N/A ,$1.35 ,$1.29 ,$4.50 ,$4.26 ,$4.26 ,$1.35 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$3.45 ,$5.10 ,$1.29 ,$6.00 ,$3.37 ,$1.29 ,$2.48 , N/A , N/A ,$1.35 ,$5.10 ,$2.57 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$1.29 ,$5.22 ,$0.03 ,$6.00 ,$0.03 ,$1.38 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7512,PREDNISONE 10 MG TABS per1 mg,636,1 ,$0.60 ,$0.43 ,$0.03 ,$0.60 ,$0.35 ,$0.38 ,$0.36 ,$0.13 ,$0.17 ,$0.35 ,$0.14 ,$0.37 ,$0.15 ,$0.33 ,$0.33 ,$0.16 ,$0.33 ,$0.26 ,$0.04 , N/A ,$0.14 ,$0.13 ,$0.45 ,$0.43 ,$0.43 ,$0.14 ,$0.43 ,$0.52 ,$0.52 ,$0.52 , N/A ,$0.54 ,$0.35 ,$0.51 ,$0.13 ,$0.60 ,$0.34 ,$0.13 ,$0.25 , N/A , N/A ,$0.14 ,$0.51 ,$0.26 ,$0.33 ,$0.17 ,$0.54 ,$0.60 ,$0.13 ,$0.52 ,$0.03 ,$0.60 ,$0.03 ,$0.14 ,$0.39 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7512,PREDNISONE 2.5 MG TABS per1 mg,636,1 ,$1.00 ,$0.72 ,$0.03 ,$1.00 ,$0.58 ,$0.63 ,$0.60 ,$0.22 ,$0.28 ,$0.58 ,$0.23 ,$0.61 ,$0.24 ,$0.55 ,$0.55 ,$0.25 ,$0.55 ,$0.44 ,$0.04 , N/A ,$0.23 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.23 ,$0.71 ,$0.87 ,$0.87 ,$0.87 , N/A ,$0.90 ,$0.58 ,$0.85 ,$0.22 ,$1.00 ,$0.56 ,$0.22 ,$0.41 , N/A , N/A ,$0.23 ,$0.85 ,$0.43 ,$0.55 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.87 ,$0.03 ,$1.00 ,$0.03 ,$0.23 ,$0.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7512,PREDNISONE 20 MG TABS per1 mg,636,1 ,$0.15 ,$0.11 ,$0.03 ,$0.15 ,$0.08 ,$0.09 ,$0.09 ,$0.03 ,$0.04 ,$0.09 ,$0.03 ,$0.09 ,$0.04 ,$0.08 ,$0.08 ,$0.04 ,$0.08 ,$0.06 ,$0.04 , N/A ,$0.03 ,$0.03 ,$0.11 ,$0.11 ,$0.11 ,$0.03 ,$0.11 ,$0.13 ,$0.13 ,$0.13 , N/A ,$0.14 ,$0.08 ,$0.13 ,$0.03 ,$0.15 ,$0.08 ,$0.03 ,$0.06 , N/A , N/A ,$0.03 ,$0.13 ,$0.06 ,$0.08 ,$0.04 ,$0.14 ,$0.15 ,$0.03 ,$0.13 ,$0.03 ,$0.15 ,$0.03 ,$0.03 ,$0.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7512,PREDNISONE 5 MG TABS per1 mg,636,1 ,$1.20 ,$0.86 ,$0.03 ,$1.20 ,$0.70 ,$0.76 ,$0.72 ,$0.25 ,$0.34 ,$0.70 ,$0.27 ,$0.73 ,$0.29 ,$0.66 ,$0.66 ,$0.30 ,$0.66 ,$0.53 ,$0.04 , N/A ,$0.27 ,$0.25 ,$0.90 ,$0.85 ,$0.85 ,$0.27 ,$0.85 ,$1.04 ,$1.04 ,$1.04 , N/A ,$1.08 ,$0.70 ,$1.02 ,$0.25 ,$1.20 ,$0.67 ,$0.25 ,$0.50 , N/A , N/A ,$0.27 ,$1.02 ,$0.52 ,$0.66 ,$0.34 ,$1.08 ,$1.20 ,$0.25 ,$1.04 ,$0.03 ,$1.20 ,$0.03 ,$0.28 ,$0.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0780,PROCHLORPERAZINE 10 MG/2ML SOLN per10 mg,636,1 ,$88.80 ,$63.94 ,$4.87 ,$88.80 ,$51.05 ,$55.94 ,$53.28 ,$19.15 ,$24.86 ,$51.50 ,$20.01 ,$54.17 ,$21.76 ,$48.75 ,$48.75 ,$22.63 ,$48.75 ,$39.47 ,$7.50 , N/A ,$20.01 ,$19.15 ,$66.60 ,$63.05 ,$63.05 ,$20.01 ,$63.05 ,$77.26 ,$77.26 ,$77.26 , N/A ,$79.92 ,$51.05 ,$75.48 ,$19.15 ,$88.80 ,$49.82 ,$19.15 ,$36.76 , N/A , N/A ,$20.01 ,$75.48 ,$38.02 ,$48.75 ,$24.86 ,$79.92 ,$88.80 ,$19.15 ,$77.26 ,$4.87 ,$88.80 ,$4.87 ,$20.42 ,$57.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2550,PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL per50 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$5.14 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$5.31 ,$18.00 ,$5.31 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2704,PROPOFOL 200 MG/20ML EMUL per10 mg,636,1 ,$22.75 ,$16.38 ,$0.23 ,$22.75 ,$13.08 ,$14.33 ,$13.65 ,$4.91 ,$6.37 ,$5.25 ,$5.13 ,$5.50 ,$5.58 ,$12.49 ,$12.49 ,$5.80 ,$12.49 ,$10.12 ,$0.26 , N/A ,$5.13 ,$4.91 ,$17.06 ,$16.15 ,$16.15 ,$5.13 ,$16.15 ,$19.79 ,$19.79 ,$19.79 , N/A ,$20.48 ,$13.08 ,$19.34 ,$4.91 ,$22.75 ,$12.76 ,$4.91 ,$9.42 , N/A , N/A ,$5.13 ,$19.34 ,$9.74 ,$12.49 ,$6.37 ,$20.48 ,$22.75 ,$4.91 ,$19.79 ,$0.23 ,$22.75 ,$0.23 ,$5.23 ,$14.79 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2704,PROPOFOL 1000 MG/100ML EMUL per10 mg,636,1 ,$22.75 ,$16.38 ,$0.23 ,$22.75 ,$13.08 ,$14.33 ,$13.65 ,$4.91 ,$6.37 ,$5.25 ,$5.13 ,$5.50 ,$5.58 ,$12.49 ,$12.49 ,$5.80 ,$12.49 ,$10.12 ,$0.26 , N/A ,$5.13 ,$4.91 ,$17.06 ,$16.15 ,$16.15 ,$5.13 ,$16.15 ,$19.79 ,$19.79 ,$19.79 , N/A ,$20.48 ,$13.08 ,$19.34 ,$4.91 ,$22.75 ,$12.76 ,$4.91 ,$9.42 , N/A , N/A ,$5.13 ,$19.34 ,$9.74 ,$12.49 ,$6.37 ,$20.48 ,$22.75 ,$4.91 ,$19.79 ,$0.23 ,$22.75 ,$0.23 ,$5.23 ,$14.79 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2720,PROTAMINE 10 MG/ML SOLN per10 mg,636,1 ,$7.75 ,$5.58 ,$1.68 ,$7.75 ,$4.45 ,$4.88 ,$4.65 ,$1.68 ,$2.17 ,$4.50 ,$1.74 ,$4.73 ,$1.90 ,$4.25 ,$4.25 ,$1.98 ,$4.25 ,$3.45 ,$2.94 , N/A ,$1.74 ,$1.68 ,$5.81 ,$5.50 ,$5.50 ,$1.74 ,$5.50 ,$6.74 ,$6.74 ,$6.74 , N/A ,$6.98 ,$4.45 ,$6.59 ,$1.68 ,$7.75 ,$4.35 ,$1.68 ,$3.21 , N/A , N/A ,$1.74 ,$6.59 ,$3.31 ,$4.25 ,$2.17 ,$6.98 ,$7.75 ,$1.68 ,$6.74 ,$1.68 ,$7.75 ,$1.68 ,$1.78 ,$5.04 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7168,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN) 1000 UNITS KIT per1 Int'l Units,636,1 ,$13.64 ,$9.82 ,$2.94 ,"$3,681.11 ",$7.85 ,$8.59 ,$8.18 ,$2.94 ,$3.82 ,$7.91 ,$3.08 ,$8.32 ,$3.34 ,$7.49 ,$7.49 ,$3.48 ,$7.49 ,$6.06 ,$5.54 ,$5.46 ,$3.08 ,$2.94 ,$10.23 ,$9.68 ,$9.68 ,$3.08 ,$9.68 ,$11.87 ,$11.87 ,$11.87 , N/A ,$12.28 ,$7.85 ,$11.59 ,$2.94 ,$13.64 ,$7.65 ,$2.94 ,$5.65 ,"$3,681.11 ","$3,346.46 ",$3.08 ,$11.59 ,$5.85 ,$7.49 ,$3.82 ,$12.28 ,$13.64 ,$2.94 ,$11.87 ,$3.45 ,$13.64 ,$3.45 ,$3.14 ,$8.87 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,90376,RABIES IMMUNE GLOBULIN 300 UNIT/2ML SOLN per1 mL,636,1 ,"$2,068.88 ","$1,489.59 ",$354.60 ,"$2,068.88 ","$1,189.60 ","$1,303.39 ","$1,241.33 ",$446.05 ,$579.29 ,"$1,199.95 ",$466.32 ,"$1,262.02 ",$506.88 ,"$1,135.82 ","$1,135.82 ",$527.15 ,"$1,135.82 ",$919.40 ,$965.48 ,$741.86 ,$466.32 ,$446.05 ,"$1,551.66 ","$1,468.90 ","$1,468.90 ",$466.32 ,"$1,468.90 ","$1,799.93 ","$1,799.93 ","$1,799.93 ", N/A ,"$1,861.99 ","$1,189.60 ","$1,758.55 ",$446.05 ,"$2,068.88 ","$1,160.64 ",$446.05 ,$856.52 ,$390.06 ,$354.60 ,$466.32 ,"$1,758.55 ",$886.02 ,"$1,135.82 ",$579.29 ,"$1,861.99 ","$2,068.88 ",$446.05 ,"$1,799.93 ",$529.42 ,"$2,068.88 ",$529.42 ,$475.84 ,"$1,344.77 " ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,90675,RABIES VACCINE SUSR per1 mL,636,1 ,"$1,819.40 ","$1,309.97 ",$142.85 ,"$1,819.40 ","$1,046.15 ","$1,146.22 ","$1,091.64 ",$392.26 ,$509.43 ,"$1,055.25 ",$410.09 ,"$1,109.83 ",$445.75 ,$998.85 ,$998.85 ,$463.58 ,$998.85 ,$808.55 ,$849.04 ,$855.56 ,$410.09 ,$392.26 ,"$1,364.55 ","$1,291.77 ","$1,291.77 ",$410.09 ,"$1,291.77 ","$1,582.88 ","$1,582.88 ","$1,582.88 ", N/A ,"$1,637.46 ","$1,046.15 ","$1,546.49 ",$392.26 ,"$1,819.40 ","$1,020.68 ",$392.26 ,$753.23 ,$157.14 ,$142.85 ,$410.09 ,"$1,546.49 ",$779.17 ,$998.85 ,$509.43 ,"$1,637.46 ","$1,819.40 ",$392.26 ,"$1,582.88 ",$586.11 ,"$1,819.40 ",$586.11 ,$418.46 ,"$1,182.61 " ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2785,REGADENOSON 0.4 MG/5ML SOLN per0.1 mg,636,1 ,$300.30 ,$216.22 ,$64.75 ,$300.30 ,$172.68 ,$189.19 ,$180.18 ,$64.75 ,$84.08 ,$174.17 ,$67.69 ,$183.18 ,$73.58 ,$164.86 ,$164.86 ,$76.52 ,$164.86 ,$133.46 ,$123.00 , N/A ,$67.69 ,$64.75 ,$225.23 ,$213.21 ,$213.21 ,$67.69 ,$213.21 ,$261.26 ,$261.26 ,$261.26 , N/A ,$270.27 ,$172.68 ,$255.26 ,$64.75 ,$300.30 ,$168.47 ,$64.75 ,$124.32 , N/A , N/A ,$67.69 ,$255.26 ,$128.61 ,$164.86 ,$84.08 ,$270.27 ,$300.30 ,$64.75 ,$261.26 ,$100.90 ,$300.30 ,$100.90 ,$69.07 ,$195.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML SOSY per100 Units,636,1 ,$51.32 ,$36.95 ,$8.22 ,$136.11 ,$29.50 ,$32.33 ,$30.79 ,$11.06 ,$14.37 ,$29.77 ,$11.56 ,$31.31 ,$12.57 ,$28.17 ,$28.17 ,$13.07 ,$28.17 ,$22.81 ,$9.46 , N/A ,$11.56 ,$11.06 ,$38.49 ,$36.44 ,$36.44 ,$11.56 ,$36.44 ,$44.65 ,$44.65 ,$44.65 , N/A ,$46.19 ,$29.50 ,$43.62 ,$11.06 ,$51.32 ,$28.79 ,$11.06 ,$21.25 ,$136.11 ,$123.74 ,$11.56 ,$43.62 ,$21.97 ,$28.17 ,$14.37 ,$46.19 ,$51.32 ,$11.06 ,$44.65 ,$8.22 ,$51.32 ,$8.22 ,$11.80 ,$33.36 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2794,RISPERIDONE MICROSPHERES ER 37.5 MG SRER per0.5 mg,636,1 ,$53.67 ,$38.64 ,$11.57 ,$569.48 ,$30.85 ,$33.81 ,$32.20 ,$11.57 ,$15.03 ,$31.13 ,$12.09 ,$32.74 ,$13.15 ,$29.46 ,$29.46 ,$13.67 ,$29.46 ,$23.86 ,$22.10 ,$28.96 ,$12.09 ,$11.57 ,$40.25 ,$38.11 ,$38.11 ,$12.09 ,$38.11 ,$46.69 ,$46.69 ,$46.69 , N/A ,$48.30 ,$30.85 ,$45.62 ,$11.57 ,$53.67 ,$30.11 ,$11.57 ,$22.22 ,$569.48 ,$517.71 ,$12.09 ,$45.62 ,$22.98 ,$29.46 ,$15.03 ,$48.30 ,$53.67 ,$11.57 ,$46.69 ,$19.12 ,$53.67 ,$19.12 ,$12.34 ,$34.89 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2794,RISPERIDONE MICROSPHERES ER 25 MG SRER per0.5 mg,636,1 ,$53.67 ,$38.64 ,$11.57 ,$569.48 ,$30.85 ,$33.81 ,$32.20 ,$11.57 ,$15.03 ,$31.13 ,$12.09 ,$32.74 ,$13.15 ,$29.46 ,$29.46 ,$13.67 ,$29.46 ,$23.86 ,$22.10 ,$28.96 ,$12.09 ,$11.57 ,$40.25 ,$38.11 ,$38.11 ,$12.09 ,$38.11 ,$46.69 ,$46.69 ,$46.69 , N/A ,$48.30 ,$30.85 ,$45.62 ,$11.57 ,$53.67 ,$30.11 ,$11.57 ,$22.22 ,$569.48 ,$517.71 ,$12.09 ,$45.62 ,$22.98 ,$29.46 ,$15.03 ,$48.30 ,$53.67 ,$11.57 ,$46.69 ,$19.12 ,$53.67 ,$19.12 ,$12.34 ,$34.89 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J9312,RITUXIMAB 100 MG/10ML SOLN 50 ML VIAL per10 mg,636,1 ,$450.97 ,$324.70 ,$97.23 ,"$7,528.38 ",$259.30 ,$284.11 ,$270.58 ,$97.23 ,$126.27 ,$261.56 ,$101.65 ,$275.09 ,$110.49 ,$247.58 ,$247.58 ,$114.90 ,$247.58 ,$200.40 ,$170.88 ,$202.97 ,$101.65 ,$97.23 ,$338.23 ,$320.19 ,$320.19 ,$101.65 ,$320.19 ,$392.34 ,$392.34 ,$392.34 , N/A ,$405.87 ,$259.30 ,$383.32 ,$97.23 ,$450.97 ,$252.99 ,$97.23 ,$186.70 ,"$7,528.38 ","$6,843.98 ",$101.65 ,$383.32 ,$193.13 ,$247.58 ,$126.27 ,$405.87 ,$450.97 ,$97.23 ,$392.34 ,$134.89 ,$450.97 ,$134.89 ,$103.72 ,$293.13 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q5115,RITUXIMAB-ABBS 500 MG/50ML SOLN per10 mg,636,1 ,$405.86 ,$292.22 ,$80.57 ,"$7,528.38 ",$233.38 ,$255.69 ,$243.52 ,$87.50 ,$113.64 ,$235.40 ,$91.48 ,$247.57 ,$99.44 ,$222.82 ,$222.82 ,$103.41 ,$222.82 ,$180.37 ,$107.38 ,$119.50 ,$91.48 ,$87.50 ,$304.40 ,$288.16 ,$288.16 ,$91.48 ,$288.16 ,$353.10 ,$353.10 ,$353.10 , N/A ,$365.27 ,$233.38 ,$344.98 ,$87.50 ,$405.86 ,$227.69 ,$87.50 ,$168.03 ,"$7,528.38 ","$6,843.98 ",$91.48 ,$344.98 ,$173.82 ,$222.82 ,$113.64 ,$365.27 ,$405.86 ,$87.50 ,$353.10 ,$80.57 ,$405.86 ,$80.57 ,$93.35 ,$263.81 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,Q5119,RITUXIMAB-PVVR 500 MG/50ML SOLN per10 mg,636,1 ,$344.06 ,$247.72 ,$53.92 ,"$7,528.38 ",$197.83 ,$216.76 ,$206.44 ,$74.18 ,$96.34 ,$199.55 ,$77.55 ,$209.88 ,$84.30 ,$188.89 ,$188.89 ,$87.67 ,$188.89 ,$152.89 ,$99.64 ,$74.94 ,$77.55 ,$74.18 ,$258.05 ,$244.28 ,$244.28 ,$77.55 ,$244.28 ,$299.33 ,$299.33 ,$299.33 , N/A ,$309.65 ,$197.83 ,$292.45 ,$74.18 ,$344.06 ,$193.02 ,$74.18 ,$142.44 ,"$7,528.38 ","$6,843.98 ",$77.55 ,$292.45 ,$147.34 ,$188.89 ,$96.34 ,$309.65 ,$344.06 ,$74.18 ,$299.33 ,$53.92 ,$344.06 ,$53.92 ,$79.13 ,$223.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2795,ROPIVACAINE 1 % 10 MG/ML SOLN 10 ML VIAL per1 mg,636,1 ,$0.55 ,$0.40 ,$0.12 ,$0.55 ,$0.33 ,$0.35 ,$0.33 ,$0.12 ,$0.15 ,$0.32 ,$0.13 ,$0.34 ,$0.14 ,$0.30 ,$0.30 ,$0.14 ,$0.30 ,$0.24 ,$0.14 , N/A ,$0.13 ,$0.12 ,$0.41 ,$0.39 ,$0.39 ,$0.13 ,$0.39 ,$0.48 ,$0.48 ,$0.48 , N/A ,$0.50 ,$0.33 ,$0.47 ,$0.12 ,$0.55 ,$0.31 ,$0.12 ,$0.23 , N/A , N/A ,$0.13 ,$0.47 ,$0.24 ,$0.30 ,$0.15 ,$0.50 ,$0.55 ,$0.12 ,$0.48 ,$0.12 ,$0.55 ,$0.12 ,$0.13 ,$0.36 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2795,ROPIVACAINE 5 MG/ML SOLN per1 mg,636,1 ,$1.01 ,$0.73 ,$0.12 ,$1.01 ,$0.58 ,$0.64 ,$0.61 ,$0.22 ,$0.28 ,$0.59 ,$0.23 ,$0.62 ,$0.24 ,$0.55 ,$0.55 ,$0.25 ,$0.55 ,$0.44 ,$0.14 , N/A ,$0.23 ,$0.22 ,$0.76 ,$0.72 ,$0.72 ,$0.23 ,$0.72 ,$0.88 ,$0.88 ,$0.88 , N/A ,$0.91 ,$0.58 ,$0.86 ,$0.22 ,$1.01 ,$0.57 ,$0.22 ,$0.42 , N/A , N/A ,$0.23 ,$0.86 ,$0.43 ,$0.55 ,$0.28 ,$0.91 ,$1.01 ,$0.22 ,$0.88 ,$0.12 ,$1.01 ,$0.12 ,$0.23 ,$0.66 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7030,SODIUM CHLORIDE 0.9% SOLN per1000 mL,636,1 ,$45.00 ,$32.40 ,$4.36 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$24.57 ,$10.14 ,$25.74 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$24.71 ,$20.00 ,$5.10 , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$4.36 ,$45.00 ,$4.36 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J7131,SODIUM CHLORIDE 3 % SOLN per1 mL,636,1 ,$0.09 ,$0.06 ,$0.02 ,$0.09 ,$0.05 ,$0.06 ,$0.05 ,$0.02 ,$0.03 ,$0.05 ,$0.02 ,$0.05 ,$0.02 ,$0.05 ,$0.05 ,$0.02 ,$0.05 ,$0.04 ,$0.08 , N/A ,$0.02 ,$0.02 ,$0.07 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.08 ,$0.08 ,$0.08 , N/A ,$0.08 ,$0.05 ,$0.08 ,$0.02 ,$0.09 ,$0.05 ,$0.02 ,$0.04 , N/A , N/A ,$0.02 ,$0.08 ,$0.04 ,$0.05 ,$0.03 ,$0.08 ,$0.09 ,$0.02 ,$0.08 ,$0.09 ,$0.09 ,$0.09 ,$0.02 ,$0.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN per20 mg,636,1 ,$9.30 ,$6.70 ,$0.30 ,$9.30 ,$5.35 ,$5.86 ,$5.58 ,$2.01 ,$2.60 ,$5.39 ,$2.10 ,$5.67 ,$2.28 ,$5.11 ,$5.11 ,$2.37 ,$5.11 ,$4.14 ,$0.30 , N/A ,$2.10 ,$2.01 ,$6.98 ,$6.60 ,$6.60 ,$2.10 ,$6.60 ,$8.09 ,$8.09 ,$8.09 , N/A ,$8.37 ,$5.35 ,$7.91 ,$2.01 ,$9.30 ,$5.22 ,$2.01 ,$3.85 , N/A , N/A ,$2.10 ,$7.91 ,$3.99 ,$5.11 ,$2.60 ,$8.37 ,$9.30 ,$2.01 ,$8.09 ,$3.12 ,$9.30 ,$3.12 ,$2.14 ,$6.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN per6 mg,636,1 ,$340.00 ,$244.80 ,$73.30 ,$340.00 ,$195.50 ,$214.20 ,$204.00 ,$73.30 ,$95.20 ,$197.20 ,$76.64 ,$207.40 ,$83.30 ,$186.66 ,$186.66 ,$86.63 ,$186.66 ,$151.10 ,$103.78 , N/A ,$76.64 ,$73.30 ,$255.00 ,$241.40 ,$241.40 ,$76.64 ,$241.40 ,$295.80 ,$295.80 ,$295.80 , N/A ,$306.00 ,$195.50 ,$289.00 ,$73.30 ,$340.00 ,$190.74 ,$73.30 ,$140.76 , N/A , N/A ,$76.64 ,$289.00 ,$145.61 ,$186.66 ,$95.20 ,$306.00 ,$340.00 ,$73.30 ,$295.80 ,$272.88 ,$340.00 ,$272.88 ,$78.20 ,$221.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1447,TBO-FILGRASTIM 480 MCG/0.8ML SOSY per1 mcg,636,1 ,$4.77 ,$3.43 ,$0.68 ,$542.26 ,$2.75 ,$3.01 ,$2.86 ,$1.03 ,$1.34 ,$2.77 ,$1.08 ,$2.91 ,$1.17 ,$2.62 ,$2.62 ,$1.22 ,$2.62 ,$2.12 ,$0.86 ,$0.97 ,$1.08 ,$1.03 ,$3.58 ,$3.39 ,$3.39 ,$1.08 ,$3.39 ,$4.15 ,$4.15 ,$4.15 , N/A ,$4.29 ,$2.75 ,$4.05 ,$1.03 ,$4.77 ,$2.68 ,$1.03 ,$1.97 ,$542.26 ,$492.96 ,$1.08 ,$4.05 ,$2.05 ,$2.62 ,$1.34 ,$4.29 ,$4.77 ,$1.03 ,$4.15 ,$0.68 ,$4.77 ,$0.68 ,$1.10 ,$3.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,90715,TDAP 5-2-15.5 LF-MCG/0.5 SUSP per0.5 mL,636,1 ,$240.55 ,$173.20 ,$33.92 ,$240.55 ,$138.33 ,$151.55 ,$144.33 ,$51.86 ,$67.35 ,$139.52 ,$54.22 ,$146.74 ,$58.94 ,$132.06 ,$132.06 ,$61.29 ,$132.06 ,$106.90 ,$100.36 , N/A ,$54.22 ,$51.86 ,$180.41 ,$170.79 ,$170.79 ,$54.22 ,$170.79 ,$209.28 ,$209.28 ,$209.28 , N/A ,$216.50 ,$138.33 ,$204.47 ,$51.86 ,$240.55 ,$134.95 ,$51.86 ,$99.59 ,$37.31 ,$33.92 ,$54.22 ,$204.47 ,$103.03 ,$132.06 ,$67.35 ,$216.50 ,$240.55 ,$51.86 ,$209.28 ,$61.88 ,$240.55 ,$61.88 ,$55.33 ,$156.36 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,90715,TDAP 5-2.5-18.5 LF-MCG/0.5 SUSY per0.5 mL,636,1 ,$213.25 ,$153.54 ,$33.92 ,$213.25 ,$122.63 ,$134.35 ,$127.95 ,$45.98 ,$59.71 ,$123.69 ,$48.07 ,$130.08 ,$52.24 ,$117.07 ,$117.07 ,$54.34 ,$117.07 ,$94.78 ,$100.36 , N/A ,$48.07 ,$45.98 ,$159.94 ,$151.41 ,$151.41 ,$48.07 ,$151.41 ,$185.53 ,$185.53 ,$185.53 , N/A ,$191.93 ,$122.63 ,$181.26 ,$45.98 ,$213.25 ,$119.63 ,$45.98 ,$88.29 ,$37.31 ,$33.92 ,$48.07 ,$181.26 ,$91.34 ,$117.07 ,$59.71 ,$191.93 ,$213.25 ,$45.98 ,$185.53 ,$61.88 ,$213.25 ,$61.88 ,$49.05 ,$138.61 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3101,TENECTEPLASE 50 MG KIT per1 mg,636,1 ,$650.63 ,$468.45 ,$140.28 ,"$7,528.38 ",$374.10 ,$409.90 ,$390.38 ,$140.28 ,$182.18 ,$377.37 ,$146.65 ,$396.88 ,$159.41 ,$357.20 ,$357.20 ,$165.78 ,$357.20 ,$289.14 ,$269.52 ,$359.23 ,$146.65 ,$140.28 ,$487.97 ,$461.95 ,$461.95 ,$146.65 ,$461.95 ,$566.05 ,$566.05 ,$566.05 , N/A ,$585.57 ,$374.10 ,$553.04 ,$140.28 ,$650.63 ,$365.00 ,$140.28 ,$269.36 ,"$7,528.38 ","$6,843.98 ",$146.65 ,$553.04 ,$278.63 ,$357.20 ,$182.18 ,$585.57 ,$650.63 ,$140.28 ,$566.05 ,$237.02 ,$650.63 ,$237.02 ,$149.64 ,$422.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J1071,TESTOSTERONE CYPIONATE 200 MG/ML SOLN per1 mg,636,1 ,$0.50 ,$0.36 ,$0.05 ,$0.50 ,$0.30 ,$0.32 ,$0.30 ,$0.11 ,$0.14 ,$0.29 ,$0.12 ,$0.31 ,$0.13 ,$0.27 ,$0.27 ,$0.13 ,$0.27 ,$0.22 ,$0.06 , N/A ,$0.12 ,$0.11 ,$0.38 ,$0.36 ,$0.36 ,$0.12 ,$0.36 ,$0.44 ,$0.44 ,$0.44 , N/A ,$0.45 ,$0.30 ,$0.43 ,$0.11 ,$0.50 ,$0.28 ,$0.11 ,$0.21 , N/A , N/A ,$0.12 ,$0.43 ,$0.23 ,$0.27 ,$0.14 ,$0.45 ,$0.50 ,$0.11 ,$0.44 ,$0.05 ,$0.50 ,$0.05 ,$0.12 ,$0.33 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J2356,TEZEPELUMAB-EKKO 210 MG/1.91ML SOSY per1 mg,636,1 ,$83.04 ,$59.79 ,$17.90 ,"$3,681.11 ",$47.75 ,$52.32 ,$49.82 ,$17.90 ,$23.25 ,$48.16 ,$18.72 ,$50.65 ,$20.34 ,$45.59 ,$45.59 ,$21.16 ,$45.59 ,$36.91 ,$41.52 ,$44.51 ,$18.72 ,$17.90 ,$62.28 ,$58.96 ,$58.96 ,$18.72 ,$58.96 ,$72.24 ,$72.24 ,$72.24 , N/A ,$74.74 ,$47.75 ,$70.58 ,$17.90 ,$83.04 ,$46.59 ,$17.90 ,$34.38 ,"$3,681.11 ","$3,346.46 ",$18.72 ,$70.58 ,$35.56 ,$45.59 ,$23.25 ,$74.74 ,$83.04 ,$17.90 ,$72.24 ,$29.50 ,$83.04 ,$29.50 ,$19.10 ,$53.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3411,THIAMINE 100 MG/ML SOLN 2 ML VIAL per100 mg,636,1 ,$23.90 ,$17.21 ,$4.62 ,$23.90 ,$13.75 ,$15.06 ,$14.34 ,$5.15 ,$6.69 ,$13.86 ,$5.39 ,$14.58 ,$5.86 ,$13.12 ,$13.12 ,$6.09 ,$13.12 ,$10.63 ,$5.08 , N/A ,$5.39 ,$5.15 ,$17.93 ,$16.97 ,$16.97 ,$5.39 ,$16.97 ,$20.79 ,$20.79 ,$20.79 , N/A ,$21.51 ,$13.75 ,$20.32 ,$5.15 ,$23.90 ,$13.41 ,$5.15 ,$9.89 , N/A , N/A ,$5.39 ,$20.32 ,$10.24 ,$13.12 ,$6.69 ,$21.51 ,$23.90 ,$5.15 ,$20.79 ,$4.62 ,$23.90 ,$4.62 ,$5.50 ,$15.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3260,TOBRAMYCIN 80 MG/2ML SOLN 2 ML VIAL per80 mg,636,1 ,$18.00 ,$12.96 ,$3.88 ,$18.00 ,$10.35 ,$11.34 ,$10.80 ,$3.88 ,$5.04 ,$10.44 ,$4.06 ,$10.98 ,$4.41 ,$9.88 ,$9.88 ,$4.59 ,$9.88 ,$8.00 ,$4.38 , N/A ,$4.06 ,$3.88 ,$13.50 ,$12.78 ,$12.78 ,$4.06 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$10.35 ,$15.30 ,$3.88 ,$18.00 ,$10.10 ,$3.88 ,$7.45 , N/A , N/A ,$4.06 ,$15.30 ,$7.71 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$3.88 ,$15.66 ,$4.49 ,$18.00 ,$4.49 ,$4.14 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3260,TOBRAMYCIN 80 MG/2ML SOLN per80 mg,636,1 ,$9.51 ,$6.85 ,$2.05 ,$9.51 ,$5.48 ,$5.99 ,$5.71 ,$2.05 ,$2.66 ,$5.52 ,$2.15 ,$5.80 ,$2.33 ,$5.22 ,$5.22 ,$2.42 ,$5.22 ,$4.22 ,$4.38 , N/A ,$2.15 ,$2.05 ,$7.13 ,$6.75 ,$6.75 ,$2.15 ,$6.75 ,$8.27 ,$8.27 ,$8.27 , N/A ,$8.56 ,$5.48 ,$8.08 ,$2.05 ,$9.51 ,$5.34 ,$2.05 ,$3.94 , N/A , N/A ,$2.15 ,$8.08 ,$4.08 ,$5.22 ,$2.66 ,$8.56 ,$9.51 ,$2.05 ,$8.27 ,$4.49 ,$9.51 ,$4.49 ,$2.19 ,$6.18 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP per10 mg,636,1 ,$10.20 ,$7.34 ,$1.75 ,$10.20 ,$5.88 ,$6.43 ,$6.12 ,$2.20 ,$2.86 ,$5.92 ,$2.30 ,$6.22 ,$2.50 ,$5.60 ,$5.60 ,$2.60 ,$5.60 ,$4.52 ,$2.24 , N/A ,$2.30 ,$2.20 ,$7.65 ,$7.24 ,$7.24 ,$2.30 ,$7.24 ,$8.87 ,$8.87 ,$8.87 , N/A ,$9.18 ,$5.88 ,$8.67 ,$2.20 ,$10.20 ,$5.72 ,$2.20 ,$4.22 , N/A , N/A ,$2.30 ,$8.67 ,$4.38 ,$5.60 ,$2.86 ,$9.18 ,$10.20 ,$2.20 ,$8.87 ,$1.75 ,$10.20 ,$1.75 ,$2.35 ,$6.63 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3358,USTEKINUMAB 130 MG/26ML SOLN 26 ML VIAL per1 mg,636,1 ,$68.45 ,$49.28 ,$14.76 ,"$7,528.38 ",$39.35 ,$43.12 ,$41.07 ,$14.76 ,$19.17 ,$39.70 ,$15.43 ,$41.75 ,$16.77 ,$37.58 ,$37.58 ,$17.44 ,$37.58 ,$30.42 ,$23.30 ,$30.62 ,$15.43 ,$14.76 ,$51.34 ,$48.60 ,$48.60 ,$15.43 ,$48.60 ,$59.55 ,$59.55 ,$59.55 , N/A ,$61.61 ,$39.35 ,$58.18 ,$14.76 ,$68.45 ,$38.40 ,$14.76 ,$28.34 ,"$7,528.38 ","$6,843.98 ",$15.43 ,$58.18 ,$29.31 ,$37.58 ,$19.17 ,$61.61 ,$68.45 ,$14.76 ,$59.55 ,$20.21 ,$68.45 ,$20.21 ,$15.74 ,$44.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3370,VANCOMYCIN 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$38.50 ,$27.72 ,$4.72 ,$38.50 ,$22.15 ,$24.26 ,$23.10 ,$8.30 ,$10.78 ,$22.33 ,$8.68 ,$23.49 ,$9.44 ,$21.14 ,$21.14 ,$9.81 ,$21.14 ,$17.11 ,$5.46 , N/A ,$8.68 ,$8.30 ,$28.88 ,$27.34 ,$27.34 ,$8.68 ,$27.34 ,$33.50 ,$33.50 ,$33.50 , N/A ,$34.65 ,$22.15 ,$32.73 ,$8.30 ,$38.50 ,$21.60 ,$8.30 ,$15.94 , N/A , N/A ,$8.68 ,$32.73 ,$16.49 ,$21.14 ,$10.78 ,$34.65 ,$38.50 ,$8.30 ,$33.50 ,$4.72 ,$38.50 ,$4.72 ,$8.86 ,$25.03 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3370,VANCOMYCIN 10 G SOLR 1 EACH VIAL per500 mg,636,1 ,$51.37 ,$36.99 ,$4.72 ,$51.37 ,$29.55 ,$32.36 ,$30.82 ,$11.07 ,$14.38 ,$29.79 ,$11.58 ,$31.34 ,$12.58 ,$28.20 ,$28.20 ,$13.09 ,$28.20 ,$22.83 ,$5.46 , N/A ,$11.58 ,$11.07 ,$38.53 ,$36.47 ,$36.47 ,$11.58 ,$36.47 ,$44.69 ,$44.69 ,$44.69 , N/A ,$46.23 ,$29.55 ,$43.66 ,$11.07 ,$51.37 ,$28.82 ,$11.07 ,$21.27 , N/A , N/A ,$11.58 ,$43.66 ,$22.01 ,$28.20 ,$14.38 ,$46.23 ,$51.37 ,$11.07 ,$44.69 ,$4.72 ,$51.37 ,$4.72 ,$11.82 ,$33.39 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3370,VANCOMYCIN 5 G SOLR 1 EACH VIAL per500 mg,636,1 ,$42.70 ,$30.74 ,$4.72 ,$42.70 ,$24.55 ,$26.90 ,$25.62 ,$9.20 ,$11.96 ,$24.77 ,$9.62 ,$26.05 ,$10.47 ,$23.44 ,$23.44 ,$10.88 ,$23.44 ,$18.97 ,$5.46 , N/A ,$9.62 ,$9.20 ,$32.03 ,$30.32 ,$30.32 ,$9.62 ,$30.32 ,$37.15 ,$37.15 ,$37.15 , N/A ,$38.43 ,$24.55 ,$36.30 ,$9.20 ,$42.70 ,$23.95 ,$9.20 ,$17.68 , N/A , N/A ,$9.62 ,$36.30 ,$18.29 ,$23.44 ,$11.96 ,$38.43 ,$42.70 ,$9.20 ,$37.15 ,$4.72 ,$42.70 ,$4.72 ,$9.82 ,$27.76 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3370,VANCOMYCIN 500 MG SOLR 1 EACH VIAL per500 mg,636,1 ,$38.60 ,$27.79 ,$4.72 ,$38.60 ,$22.20 ,$24.32 ,$23.16 ,$8.32 ,$10.81 ,$22.39 ,$8.70 ,$23.55 ,$9.46 ,$21.19 ,$21.19 ,$9.84 ,$21.19 ,$17.15 ,$5.46 , N/A ,$8.70 ,$8.32 ,$28.95 ,$27.41 ,$27.41 ,$8.70 ,$27.41 ,$33.58 ,$33.58 ,$33.58 , N/A ,$34.74 ,$22.20 ,$32.81 ,$8.32 ,$38.60 ,$21.65 ,$8.32 ,$15.98 , N/A , N/A ,$8.70 ,$32.81 ,$16.53 ,$21.19 ,$10.81 ,$34.74 ,$38.60 ,$8.32 ,$33.58 ,$4.72 ,$38.60 ,$4.72 ,$8.88 ,$25.09 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,C9399,VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL per1 mL,636,1 ,"$1,019.45 ",$734.00 ,$85.00 ,"$1,019.45 ",$586.18 ,$642.25 ,$611.67 ,$219.79 ,$285.45 ,$591.28 ,$229.78 ,$621.86 ,$611.67 ,$559.68 ,$559.68 , N/A ,$559.68 , N/A ,$509.73 ,$713.62 ,$229.78 , N/A ,$764.59 ,$723.81 ,$723.81 , N/A ,$723.81 ,$886.92 ,$886.92 ,$886.92 , N/A ,$917.51 ,$586.18 ,$866.53 ,$219.79 ,"$1,019.45 ",$571.91 ,$219.79 ,$422.05 , N/A , N/A ,$229.78 ,$866.53 ,$436.58 ,$559.68 ,$285.45 ,$917.51 ,"$1,019.45 ",$219.79 ,$886.92 , N/A ,"$1,019.45 ", N/A ,$85.00 ,$662.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3380,VEDOLIZUMAB 300 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$123.41 ,$88.86 ,$26.61 ,"$5,466.79 ",$70.95 ,$77.75 ,$74.05 ,$26.61 ,$34.55 ,$71.58 ,$27.81 ,$75.28 ,$30.23 ,$67.75 ,$67.75 ,$31.45 ,$67.75 ,$54.84 ,$43.44 ,$54.60 ,$27.81 ,$26.61 ,$92.56 ,$87.62 ,$87.62 ,$27.81 ,$87.62 ,$107.37 ,$107.37 ,$107.37 , N/A ,$111.07 ,$70.95 ,$104.90 ,$26.61 ,$123.41 ,$69.23 ,$26.61 ,$51.09 ,"$5,466.79 ","$4,969.81 ",$27.81 ,$104.90 ,$52.84 ,$67.75 ,$34.55 ,$111.07 ,$123.41 ,$26.61 ,$107.37 ,$35.81 ,$123.41 ,$35.81 ,$28.38 ,$80.22 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600002,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN per1 mg,636,1 ,$336.00 ,$241.92 ,$13.30 ,$336.00 ,$193.20 ,$211.68 ,$201.60 ,$72.44 ,$94.08 ,$163.17 ,$75.73 ,$170.94 ,$82.32 ,$184.46 ,$184.46 ,$85.61 ,$184.46 ,$149.32 ,$13.30 , N/A ,$75.73 ,$72.44 ,$252.00 ,$238.56 ,$238.56 ,$75.73 ,$238.56 ,$292.32 ,$292.32 ,$292.32 , N/A ,$302.40 ,$193.20 ,$285.60 ,$72.44 ,$336.00 ,$188.50 ,$72.44 ,$139.10 ,$296.09 ,$269.17 ,$75.73 ,$285.60 ,$143.89 ,$184.46 ,$94.08 ,$302.40 ,$336.00 ,$72.44 ,$292.32 ,$18.38 ,$336.00 ,$18.38 ,$77.28 ,$218.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$858.00 ,$617.76 ,$184.98 ,$858.00 ,$493.35 ,$540.54 ,$514.80 ,$184.98 ,$240.24 ,$497.64 ,$193.39 ,$523.38 ,$210.21 ,$471.04 ,$471.04 ,$218.62 ,$471.04 ,$381.30 ,$310.48 , N/A ,$193.39 ,$184.98 ,$643.50 ,$609.18 ,$609.18 ,$193.39 ,$609.18 ,$746.46 ,$746.46 ,$746.46 , N/A ,$772.20 ,$493.35 ,$729.30 ,$184.98 ,$858.00 ,$481.34 ,$184.98 ,$355.21 ,$784.53 ,$713.21 ,$193.39 ,$729.30 ,$367.45 ,$471.04 ,$240.24 ,$772.20 ,$858.00 ,$184.98 ,$746.46 ,$253.21 ,$858.00 ,$253.21 ,$197.34 ,$557.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600012,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML SOLN per1 mL,636,1 ,$21.71 ,$15.63 ,$3.04 ,$21.71 ,$12.48 ,$13.68 ,$13.03 ,$4.68 ,$6.08 ,$12.59 ,$4.89 ,$13.24 ,$5.32 ,$11.92 ,$11.92 ,$5.53 ,$11.92 ,$9.66 , N/A , N/A ,$4.89 ,$4.68 ,$16.28 ,$15.41 ,$15.41 ,$4.89 ,$15.41 ,$18.89 ,$18.89 ,$18.89 , N/A ,$19.54 ,$12.48 ,$18.45 ,$4.68 ,$21.71 ,$12.18 ,$4.68 ,$8.99 , N/A , N/A ,$4.89 ,$18.45 ,$9.29 ,$11.92 ,$6.08 ,$19.54 ,$21.71 ,$4.68 ,$18.89 ,$3.04 ,$21.71 ,$3.04 ,$4.99 ,$14.11 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600012,Q9965,IOHEXOL 180 MG/ML SOLN per1 mL,636,1 ,$9.74 ,$7.01 ,$2.10 ,$9.74 ,$5.60 ,$6.14 ,$5.84 ,$2.10 ,$2.73 ,$5.65 ,$2.20 ,$5.94 ,$2.39 ,$5.35 ,$5.35 ,$2.48 ,$5.35 ,$4.32 , N/A , N/A ,$2.20 ,$2.10 ,$7.31 ,$6.92 ,$6.92 ,$2.20 ,$6.92 ,$8.47 ,$8.47 ,$8.47 , N/A ,$8.77 ,$5.60 ,$8.28 ,$2.10 ,$9.74 ,$5.46 ,$2.10 ,$4.03 , N/A , N/A ,$2.20 ,$8.28 ,$4.17 ,$5.35 ,$2.73 ,$8.77 ,$9.74 ,$2.10 ,$8.47 ,$2.46 ,$9.74 ,$2.46 ,$2.24 ,$6.33 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600012,Q9967,IOPAMIDOL 61 % SOLN per1 mL,636,1 ,$45.00 ,$32.40 ,$0.28 ,$45.00 ,$25.88 ,$28.35 ,$27.00 ,$9.70 ,$12.60 ,$5.25 ,$10.14 ,$5.50 ,$11.02 ,$24.71 ,$24.71 ,$11.47 ,$24.71 ,$20.00 , N/A , N/A ,$10.14 ,$9.70 ,$33.75 ,$31.95 ,$31.95 ,$10.14 ,$31.95 ,$39.15 ,$39.15 ,$39.15 , N/A ,$40.50 ,$25.88 ,$38.25 ,$9.70 ,$45.00 ,$25.25 ,$9.70 ,$18.63 , N/A , N/A ,$10.14 ,$38.25 ,$19.28 ,$24.71 ,$12.60 ,$40.50 ,$45.00 ,$9.70 ,$39.15 ,$0.28 ,$45.00 ,$0.28 ,$10.35 ,$29.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600012,Q9967,IOPAMIDOL 76 % SOLN per1 mL,636,1 ,$3.73 ,$2.69 ,$0.28 ,$3.73 ,$2.15 ,$2.35 ,$2.24 ,$0.80 ,$1.04 ,$2.16 ,$0.84 ,$2.28 ,$0.91 ,$2.05 ,$2.05 ,$0.95 ,$2.05 ,$1.66 , N/A , N/A ,$0.84 ,$0.80 ,$2.80 ,$2.65 ,$2.65 ,$0.84 ,$2.65 ,$3.25 ,$3.25 ,$3.25 , N/A ,$3.36 ,$2.15 ,$3.17 ,$0.80 ,$3.73 ,$2.09 ,$0.80 ,$1.54 , N/A , N/A ,$0.84 ,$3.17 ,$1.60 ,$2.05 ,$1.04 ,$3.36 ,$3.73 ,$0.80 ,$3.25 ,$0.28 ,$3.73 ,$0.28 ,$0.86 ,$2.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600012,Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML SUSP per1 mL,636,1 ,$438.75 ,$315.90 ,$75.54 ,$438.75 ,$252.28 ,$276.41 ,$263.25 ,$94.60 ,$122.85 ,$254.48 ,$98.89 ,$267.64 ,$107.50 ,$240.87 ,$240.87 ,$111.80 ,$240.87 ,$194.99 , N/A , N/A ,$98.89 ,$94.60 ,$329.06 ,$311.51 ,$311.51 ,$98.89 ,$311.51 ,$381.71 ,$381.71 ,$381.71 , N/A ,$394.88 ,$252.28 ,$372.94 ,$94.60 ,$438.75 ,$246.14 ,$94.60 ,$181.64 , N/A , N/A ,$98.89 ,$372.94 ,$187.90 ,$240.87 ,$122.85 ,$394.88 ,$438.75 ,$94.60 ,$381.71 ,$75.54 ,$438.75 ,$75.54 ,$100.91 ,$285.19 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600022,Q4151,"HC AMNIOBAND, GUARDIAN 1 SQ CM",636,1 ,$826.00 ,$594.72 ,$178.09 ,$826.00 ,$474.95 ,$520.38 ,$495.60 ,$178.09 ,$231.28 ,$479.08 ,$186.18 ,$503.86 ,$202.37 ,$453.47 ,$453.47 ,$210.46 ,$453.47 ,$367.07 ,$263.68 , N/A ,$186.18 ,$178.09 ,$619.50 ,$586.46 ,$586.46 ,$186.18 ,$586.46 ,$718.62 ,$718.62 ,$718.62 , N/A ,$743.40 ,$474.95 ,$702.10 ,$178.09 ,$826.00 ,$463.39 ,$178.09 ,$341.96 ,$784.53 ,$713.21 ,$186.18 ,$702.10 ,$353.74 ,$453.47 ,$231.28 ,$743.40 ,$826.00 ,$178.09 ,$718.62 ,$199.39 ,$826.00 ,$199.39 ,$189.98 ,$536.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600183,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER USED - JC,636,1 ,$425.00 ,$306.00 ,$91.63 ,$784.53 ,$244.38 ,$267.75 ,$255.00 ,$91.63 ,$119.00 ,$246.50 ,$95.79 ,$259.25 ,$104.12 ,$233.33 ,$233.33 ,$108.29 ,$233.33 ,$188.87 ,$216.66 , N/A ,$95.79 ,$91.63 ,$318.75 ,$301.75 ,$301.75 ,$95.79 ,$301.75 ,$369.75 ,$369.75 ,$369.75 , N/A ,$382.50 ,$244.38 ,$361.25 ,$91.63 ,$425.00 ,$238.43 ,$91.63 ,$175.95 ,$784.53 ,$713.21 ,$95.79 ,$361.25 ,$182.02 ,$233.33 ,$119.00 ,$382.50 ,$425.00 ,$91.63 ,$369.75 ,$181.10 ,$425.00 ,$181.10 ,$97.75 ,$276.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600185,Q4101,HC APLIGRAF PER SQ CM USED -JC,636,1 ,$100.00 ,$72.00 ,$21.56 ,$784.53 ,$57.50 ,$63.00 ,$60.00 ,$21.56 ,$28.00 ,$58.00 ,$22.54 ,$61.00 ,$24.50 ,$54.90 ,$54.90 ,$25.48 ,$54.90 ,$44.44 ,$60.84 , N/A ,$22.54 ,$21.56 ,$75.00 ,$71.00 ,$71.00 ,$22.54 ,$71.00 ,$87.00 ,$87.00 ,$87.00 , N/A ,$90.00 ,$57.50 ,$85.00 ,$21.56 ,$100.00 ,$56.10 ,$21.56 ,$41.40 ,$784.53 ,$713.21 ,$22.54 ,$85.00 ,$42.83 ,$54.90 ,$28.00 ,$90.00 ,$100.00 ,$21.56 ,$87.00 ,$50.09 ,$100.00 ,$50.09 ,$23.00 ,$65.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600187,Q4106,HC DERMAGRAFT PER SQ CM USED -JC,636,1 ,$105.00 ,$75.60 ,$22.64 ,$784.53 ,$60.38 ,$66.15 ,$63.00 ,$22.64 ,$29.40 ,$60.90 ,$23.67 ,$64.05 ,$25.72 ,$57.65 ,$57.65 ,$26.75 ,$57.65 ,$46.66 ,$58.42 , N/A ,$23.67 ,$22.64 ,$78.75 ,$74.55 ,$74.55 ,$23.67 ,$74.55 ,$91.35 ,$91.35 ,$91.35 , N/A ,$94.50 ,$60.38 ,$89.25 ,$22.64 ,$105.00 ,$58.91 ,$22.64 ,$43.47 ,$784.53 ,$713.21 ,$23.67 ,$89.25 ,$44.97 ,$57.65 ,$29.40 ,$94.50 ,$105.00 ,$22.64 ,$91.35 ,$26.81 ,$105.00 ,$26.81 ,$24.15 ,$68.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600190,Q4160,HC NUSHIELD PER SQ CM USED - JC,636,1 ,$671.00 ,$483.12 ,$144.67 ,$784.53 ,$385.83 ,$422.73 ,$402.60 ,$144.67 ,$187.88 ,$389.18 ,$151.24 ,$409.31 ,$164.39 ,$368.38 ,$368.38 ,$170.97 ,$368.38 ,$298.19 ,$182.38 , N/A ,$151.24 ,$144.67 ,$503.25 ,$476.41 ,$476.41 ,$151.24 ,$476.41 ,$583.77 ,$583.77 ,$583.77 , N/A ,$603.90 ,$385.83 ,$570.35 ,$144.67 ,$671.00 ,$376.43 ,$144.67 ,$277.79 ,$784.53 ,$713.21 ,$151.24 ,$570.35 ,$287.37 ,$368.38 ,$187.88 ,$603.90 ,$671.00 ,$144.67 ,$583.77 ,$155.20 ,$671.00 ,$155.20 ,$154.33 ,$436.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600191,Q4186,HC EPIFIX PER SQ CM USED- JC,636,1 ,$557.00 ,$401.04 ,$120.09 ,$784.53 ,$320.28 ,$350.91 ,$334.20 ,$120.09 ,$155.96 ,$323.06 ,$125.55 ,$339.77 ,$136.46 ,$305.79 ,$305.79 ,$141.92 ,$305.79 ,$247.53 ,$310.48 , N/A ,$125.55 ,$120.09 ,$417.75 ,$395.47 ,$395.47 ,$125.55 ,$395.47 ,$484.59 ,$484.59 ,$484.59 , N/A ,$501.30 ,$320.28 ,$473.45 ,$120.09 ,$557.00 ,$312.48 ,$120.09 ,$230.60 ,$784.53 ,$713.21 ,$125.55 ,$473.45 ,$238.54 ,$305.79 ,$155.96 ,$501.30 ,$557.00 ,$120.09 ,$484.59 ,$253.21 ,$557.00 ,$253.21 ,$128.11 ,$362.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600195,Q4110,"HC PRIMATRIX, PER SQ CM USED - JC",636,1 ,$135.00 ,$97.20 ,$29.11 ,$784.53 ,$77.63 ,$85.05 ,$81.00 ,$29.11 ,$37.80 ,$78.30 ,$30.43 ,$82.35 ,$33.07 ,$74.12 ,$74.12 ,$34.40 ,$74.12 ,$59.99 ,$80.66 , N/A ,$30.43 ,$29.11 ,$101.25 ,$95.85 ,$95.85 ,$30.43 ,$95.85 ,$117.45 ,$117.45 ,$117.45 , N/A ,$121.50 ,$77.63 ,$114.75 ,$29.11 ,$135.00 ,$75.74 ,$29.11 ,$55.89 ,$784.53 ,$713.21 ,$30.43 ,$114.75 ,$57.82 ,$74.12 ,$37.80 ,$121.50 ,$135.00 ,$29.11 ,$117.45 ,$70.75 ,$135.00 ,$70.75 ,$31.05 ,$87.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600197,Q4102,HC OASIS PER SQ CENTIMETER USED -JC,636,1 ,$17.00 ,$12.24 ,$3.67 ,$784.53 ,$9.78 ,$10.71 ,$10.20 ,$3.67 ,$4.76 ,$9.86 ,$3.83 ,$10.37 ,$4.16 ,$9.33 ,$9.33 ,$4.33 ,$9.33 ,$7.55 ,$17.00 , N/A ,$3.83 ,$3.67 ,$12.75 ,$12.07 ,$12.07 ,$3.83 ,$12.07 ,$14.79 ,$14.79 ,$14.79 , N/A ,$15.30 ,$9.78 ,$14.45 ,$3.67 ,$17.00 ,$9.54 ,$3.67 ,$7.04 ,$784.53 ,$713.21 ,$3.83 ,$14.45 ,$7.28 ,$9.33 ,$4.76 ,$15.30 ,$17.00 ,$3.67 ,$14.79 ,$17.00 ,$17.00 ,$17.00 ,$3.91 ,$11.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600199,Q4105,HC DEMAL REGENERATN TEMPLT SQ CM USED -JC,636,1 ,$246.00 ,$177.12 ,$35.24 ,$784.53 ,$141.45 ,$154.98 ,$147.60 ,$53.04 ,$68.88 ,$142.68 ,$55.45 ,$150.06 ,$60.27 ,$135.05 ,$135.05 ,$62.68 ,$135.05 ,$109.32 ,$60.72 , N/A ,$55.45 ,$53.04 ,$184.50 ,$174.66 ,$174.66 ,$55.45 ,$174.66 ,$214.02 ,$214.02 ,$214.02 , N/A ,$221.40 ,$141.45 ,$209.10 ,$53.04 ,$246.00 ,$138.01 ,$53.04 ,$101.84 ,$784.53 ,$713.21 ,$55.45 ,$209.10 ,$105.35 ,$135.05 ,$68.88 ,$221.40 ,$246.00 ,$53.04 ,$214.02 ,$35.24 ,$246.00 ,$35.24 ,$56.58 ,$159.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600201,Q4158,HC KERECIS OMEGA3 PER SQ CM USED - JC,636,1 ,$37.00 ,$26.64 ,$7.98 ,$784.53 ,$21.28 ,$23.31 ,$22.20 ,$7.98 ,$10.36 ,$21.46 ,$8.34 ,$22.57 ,$9.06 ,$20.31 ,$20.31 ,$9.43 ,$20.31 ,$16.44 ,$37.00 , N/A ,$8.34 ,$7.98 ,$27.75 ,$26.27 ,$26.27 ,$8.34 ,$26.27 ,$32.19 ,$32.19 ,$32.19 , N/A ,$33.30 ,$21.28 ,$31.45 ,$7.98 ,$37.00 ,$20.76 ,$7.98 ,$15.32 ,$784.53 ,$713.21 ,$8.34 ,$31.45 ,$15.85 ,$20.31 ,$10.36 ,$33.30 ,$37.00 ,$7.98 ,$32.19 , N/A ,$37.00 , N/A ,$8.51 ,$24.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600203,Q4195,HC PURAPLY PER SQ CM USED-JC,636,1 ,$425.00 ,$306.00 ,$91.63 ,$784.53 ,$244.38 ,$267.75 ,$255.00 ,$91.63 ,$119.00 ,$246.50 ,$95.79 ,$259.25 ,$104.12 ,$233.33 ,$233.33 ,$108.29 ,$233.33 ,$188.87 ,$146.50 , N/A ,$95.79 ,$91.63 ,$318.75 ,$301.75 ,$301.75 ,$95.79 ,$301.75 ,$369.75 ,$369.75 ,$369.75 , N/A ,$382.50 ,$244.38 ,$361.25 ,$91.63 ,$425.00 ,$238.43 ,$91.63 ,$175.95 ,$784.53 ,$713.21 ,$95.79 ,$361.25 ,$182.02 ,$233.33 ,$119.00 ,$382.50 ,$425.00 ,$91.63 ,$369.75 ,$117.53 ,$425.00 ,$117.53 ,$97.75 ,$276.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600207,Q4159,HC AFFINITY PER SQ CM USED - JC,636,1 ,$407.00 ,$293.04 ,$87.75 ,$784.53 ,$234.03 ,$256.41 ,$244.20 ,$87.75 ,$113.96 ,$236.06 ,$91.74 ,$248.27 ,$99.71 ,$223.44 ,$223.44 ,$103.70 ,$223.44 ,$180.87 ,$407.00 , N/A ,$91.74 ,$87.75 ,$305.25 ,$288.97 ,$288.97 ,$91.74 ,$288.97 ,$354.09 ,$354.09 ,$354.09 , N/A ,$366.30 ,$234.03 ,$345.95 ,$87.75 ,$407.00 ,$228.33 ,$87.75 ,$168.50 ,$784.53 ,$713.21 ,$91.74 ,$345.95 ,$174.30 ,$223.44 ,$113.96 ,$366.30 ,$407.00 ,$87.75 ,$354.09 ,$407.00 ,$407.00 ,$407.00 ,$93.61 ,$264.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600209,Q4187,HC EPICORD PER SQ CM USED - JC,636,1 ,$557.00 ,$401.04 ,$120.09 ,$784.53 ,$320.28 ,$350.91 ,$334.20 ,$120.09 ,$155.96 ,$323.06 ,$125.55 ,$339.77 ,$136.46 ,$305.79 ,$305.79 ,$141.92 ,$305.79 ,$247.53 ,$465.22 , N/A ,$125.55 ,$120.09 ,$417.75 ,$395.47 ,$395.47 ,$125.55 ,$395.47 ,$484.59 ,$484.59 ,$484.59 , N/A ,$501.30 ,$320.28 ,$473.45 ,$120.09 ,$557.00 ,$312.48 ,$120.09 ,$230.60 ,$784.53 ,$713.21 ,$125.55 ,$473.45 ,$238.54 ,$305.79 ,$155.96 ,$501.30 ,$557.00 ,$120.09 ,$484.59 ,$398.89 ,$557.00 ,$398.89 ,$128.11 ,$362.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600211,Q4124,HC OASIS TRI LAYER ULTRA PER SQ CM USED - JC,636,1 ,$30.00 ,$21.60 ,$6.47 ,$784.53 ,$17.25 ,$18.90 ,$18.00 ,$6.47 ,$8.40 ,$17.40 ,$6.76 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$7.64 ,$16.47 ,$13.33 ,$25.50 , N/A ,$6.76 ,$6.47 ,$22.50 ,$21.30 ,$21.30 ,$6.76 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$17.25 ,$25.50 ,$6.47 ,$30.00 ,$16.83 ,$6.47 ,$12.42 ,$784.53 ,$713.21 ,$6.76 ,$25.50 ,$12.85 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$6.47 ,$26.10 ,$15.03 ,$30.00 ,$15.03 ,$6.90 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600213,Q4137,HC AMNIOEXCEL/AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM USED - JC,636,1 ,$321.38 ,$231.39 ,$69.29 ,$784.53 ,$184.80 ,$202.47 ,$192.83 ,$69.29 ,$89.99 ,$186.40 ,$72.44 ,$196.04 ,$78.74 ,$176.44 ,$176.44 ,$81.89 ,$176.44 ,$142.81 ,$160.69 , N/A ,$72.44 ,$69.29 ,$241.04 ,$228.18 ,$228.18 ,$72.44 ,$228.18 ,$279.60 ,$279.60 ,$279.60 , N/A ,$289.24 ,$184.80 ,$273.17 ,$69.29 ,$321.38 ,$180.29 ,$69.29 ,$133.05 ,$784.53 ,$713.21 ,$72.44 ,$273.17 ,$137.64 ,$176.44 ,$89.99 ,$289.24 ,$321.38 ,$69.29 ,$279.60 ,$164.85 ,$321.38 ,$164.85 ,$73.92 ,$208.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600217,Q4121,HC THERASKIN PER SQ CM USED -JC,636,1 ,$137.00 ,$98.64 ,$29.54 ,$784.53 ,$78.78 ,$86.31 ,$82.20 ,$29.54 ,$38.36 ,$79.46 ,$30.88 ,$83.57 ,$33.56 ,$75.21 ,$75.21 ,$34.91 ,$75.21 ,$60.88 ,$92.12 , N/A ,$30.88 ,$29.54 ,$102.75 ,$97.27 ,$97.27 ,$30.88 ,$97.27 ,$119.19 ,$119.19 ,$119.19 , N/A ,$123.30 ,$78.78 ,$116.45 ,$29.54 ,$137.00 ,$76.86 ,$29.54 ,$56.72 ,$784.53 ,$713.21 ,$30.88 ,$116.45 ,$58.67 ,$75.21 ,$38.36 ,$123.30 ,$137.00 ,$29.54 ,$119.19 ,$73.11 ,$137.00 ,$73.11 ,$31.51 ,$89.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600222,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM USED T1 - JC,636,1 ,$123.00 ,$88.56 ,$26.52 ,$123.00 ,$70.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$67.53 ,$54.66 ,$61.50 , N/A ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$70.73 ,$104.55 ,$26.52 ,$123.00 ,$69.00 ,$26.52 ,$50.92 , N/A , N/A ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$26.52 ,$107.01 , N/A ,$123.00 , N/A ,$28.29 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600223,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM WASTED T1 - JW,636,1 ,$123.00 ,$88.56 ,$26.52 ,$123.00 ,$70.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$67.53 ,$54.66 ,$61.50 , N/A ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$70.73 ,$104.55 ,$26.52 ,$123.00 ,$69.00 ,$26.52 ,$50.92 , N/A , N/A ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$26.52 ,$107.01 , N/A ,$123.00 , N/A ,$28.29 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600224,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM USED T2 - JC,636,1 ,$237.00 ,$170.64 ,$51.10 ,$237.00 ,$136.28 ,$149.31 ,$142.20 ,$51.10 ,$66.36 ,$137.46 ,$53.42 ,$144.57 ,$58.06 ,$130.11 ,$130.11 ,$60.39 ,$130.11 ,$105.32 ,$118.50 , N/A ,$53.42 ,$51.10 ,$177.75 ,$168.27 ,$168.27 ,$53.42 ,$168.27 ,$206.19 ,$206.19 ,$206.19 , N/A ,$213.30 ,$136.28 ,$201.45 ,$51.10 ,$237.00 ,$132.96 ,$51.10 ,$98.12 , N/A , N/A ,$53.42 ,$201.45 ,$101.50 ,$130.11 ,$66.36 ,$213.30 ,$237.00 ,$51.10 ,$206.19 , N/A ,$237.00 , N/A ,$54.51 ,$154.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600225,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM WASTED T2 - JW,636,1 ,$237.00 ,$170.64 ,$51.10 ,$237.00 ,$136.28 ,$149.31 ,$142.20 ,$51.10 ,$66.36 ,$137.46 ,$53.42 ,$144.57 ,$58.06 ,$130.11 ,$130.11 ,$60.39 ,$130.11 ,$105.32 ,$118.50 , N/A ,$53.42 ,$51.10 ,$177.75 ,$168.27 ,$168.27 ,$53.42 ,$168.27 ,$206.19 ,$206.19 ,$206.19 , N/A ,$213.30 ,$136.28 ,$201.45 ,$51.10 ,$237.00 ,$132.96 ,$51.10 ,$98.12 , N/A , N/A ,$53.42 ,$201.45 ,$101.50 ,$130.11 ,$66.36 ,$213.30 ,$237.00 ,$51.10 ,$206.19 , N/A ,$237.00 , N/A ,$54.51 ,$154.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600226,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM USED T3 - JC,636,1 ,$360.00 ,$259.20 ,$77.62 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$197.64 ,$159.98 ,$180.00 , N/A ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 , N/A , N/A ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 , N/A ,$360.00 , N/A ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600227,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM WASTED T3 - JW,636,1 ,$360.00 ,$259.20 ,$77.62 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$197.64 ,$159.98 ,$180.00 , N/A ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 , N/A , N/A ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 , N/A ,$360.00 , N/A ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600228,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM USED T4 - JC,272,1 ,$470.00 ,$338.40 ,$101.33 ,$470.00 ,$270.25 ,$296.10 ,$282.00 ,$101.33 ,$131.60 ,$272.60 ,$105.94 ,$286.70 ,$115.15 ,$258.03 ,$258.03 ,$119.76 ,$305.50 ,$208.87 ,$329.00 , N/A ,$105.94 ,$101.33 ,$352.50 ,$333.70 ,$333.70 ,$105.94 ,$333.70 ,$408.90 ,$408.90 ,$408.90 , N/A ,$423.00 ,$270.25 ,$399.50 ,$101.33 ,$470.00 ,$263.67 ,$101.33 ,$194.58 , N/A , N/A ,$105.94 ,$399.50 ,$201.28 ,$258.03 ,$131.60 ,$423.00 ,$470.00 ,$101.33 ,$408.90 ,$352.50 ,$470.00 ,$352.50 ,$108.10 ,$305.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,63600229,A2007,HC SKIN SUBST SYNTHETIC RESTRATA PER SQ CM WASTED T4 - JW,272,1 ,$470.00 ,$338.40 ,$101.33 ,$470.00 ,$270.25 ,$296.10 ,$282.00 ,$101.33 ,$131.60 ,$272.60 ,$105.94 ,$286.70 ,$115.15 ,$258.03 ,$258.03 ,$119.76 ,$305.50 ,$208.87 ,$329.00 , N/A ,$105.94 ,$101.33 ,$352.50 ,$333.70 ,$333.70 ,$105.94 ,$333.70 ,$408.90 ,$408.90 ,$408.90 , N/A ,$423.00 ,$270.25 ,$399.50 ,$101.33 ,$470.00 ,$263.67 ,$101.33 ,$194.58 , N/A , N/A ,$105.94 ,$399.50 ,$201.28 ,$258.03 ,$131.60 ,$423.00 ,$470.00 ,$101.33 ,$408.90 ,$352.50 ,$470.00 ,$352.50 ,$108.10 ,$305.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALOGLIPTIN 25 MG TABS,637,1 ,$15.60 ,$11.23 ,$3.82 ,$39.00 ,$39.00 ,$9.83 ,$9.36 ,$15.29 ,$4.37 ,$9.05 ,$15.29 ,$9.52 ,$3.82 ,$8.56 ,$8.56 ,$15.29 ,$10.14 ,$31.51 ,$10.92 , N/A ,$15.29 ,$15.29 ,$11.70 ,$11.08 ,$11.08 ,$15.29 ,$11.08 ,$13.57 ,$13.57 ,$13.57 , N/A ,$14.04 ,$39.00 ,$13.26 ,$15.29 ,$15.60 ,$8.75 ,$15.29 ,$6.46 , N/A , N/A ,$15.29 ,$13.26 ,$29.05 ,$8.56 ,$4.37 ,$14.04 ,$15.60 ,$15.29 ,$13.57 ,$11.70 ,$15.60 ,$11.70 ,$15.60 ,$10.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALOGLIPTIN 12.5 MG TABS,637,1 ,$15.60 ,$11.23 ,$3.82 ,$39.00 ,$39.00 ,$9.83 ,$9.36 ,$15.29 ,$4.37 ,$9.05 ,$15.29 ,$9.52 ,$3.82 ,$8.56 ,$8.56 ,$15.29 ,$10.14 ,$31.51 ,$10.92 , N/A ,$15.29 ,$15.29 ,$11.70 ,$11.08 ,$11.08 ,$15.29 ,$11.08 ,$13.57 ,$13.57 ,$13.57 , N/A ,$14.04 ,$39.00 ,$13.26 ,$15.29 ,$15.60 ,$8.75 ,$15.29 ,$6.46 , N/A , N/A ,$15.29 ,$13.26 ,$29.05 ,$8.56 ,$4.37 ,$14.04 ,$15.60 ,$15.29 ,$13.57 ,$11.70 ,$15.60 ,$11.70 ,$15.60 ,$10.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMLODIPINE 5 MG TABS,637,1 ,$6.98 ,$5.03 ,$1.71 ,$17.45 ,$17.45 ,$4.40 ,$4.19 ,$6.84 ,$1.95 ,$4.05 ,$6.84 ,$4.26 ,$1.71 ,$3.83 ,$3.83 ,$6.84 ,$4.54 ,$14.10 ,$4.89 , N/A ,$6.84 ,$6.84 ,$5.24 ,$4.96 ,$4.96 ,$6.84 ,$4.96 ,$6.07 ,$6.07 ,$6.07 , N/A ,$6.28 ,$17.45 ,$5.93 ,$6.84 ,$6.98 ,$3.92 ,$6.84 ,$2.89 , N/A , N/A ,$6.84 ,$5.93 ,$12.99 ,$3.83 ,$1.95 ,$6.28 ,$6.98 ,$6.84 ,$6.07 ,$5.24 ,$6.98 ,$5.24 ,$6.98 ,$4.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN-CLAVULANATE 200-28.5 MG/5ML SUSR,637,1 ,$7.40 ,$5.33 ,$1.81 ,$18.50 ,$18.50 ,$4.66 ,$4.44 ,$7.25 ,$2.07 ,$4.29 ,$7.25 ,$4.51 ,$1.81 ,$4.06 ,$4.06 ,$7.25 ,$4.81 ,$14.95 ,$5.18 , N/A ,$7.25 ,$7.25 ,$5.55 ,$5.25 ,$5.25 ,$7.25 ,$5.25 ,$6.44 ,$6.44 ,$6.44 , N/A ,$6.66 ,$18.50 ,$6.29 ,$7.25 ,$7.40 ,$4.15 ,$7.25 ,$3.06 , N/A , N/A ,$7.25 ,$6.29 ,$13.78 ,$4.06 ,$2.07 ,$6.66 ,$7.40 ,$7.25 ,$6.44 ,$5.55 ,$7.40 ,$5.55 ,$7.40 ,$4.81 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN-CLAVULANATE 500-125 MG TABS,637,1 ,$7.35 ,$5.29 ,$1.80 ,$18.38 ,$18.38 ,$4.63 ,$4.41 ,$7.20 ,$2.06 ,$4.26 ,$7.20 ,$4.48 ,$1.80 ,$4.04 ,$4.04 ,$7.20 ,$4.78 ,$14.85 ,$5.15 , N/A ,$7.20 ,$7.20 ,$5.51 ,$5.22 ,$5.22 ,$7.20 ,$5.22 ,$6.39 ,$6.39 ,$6.39 , N/A ,$6.62 ,$18.38 ,$6.25 ,$7.20 ,$7.35 ,$4.12 ,$7.20 ,$3.04 , N/A , N/A ,$7.20 ,$6.25 ,$13.69 ,$4.04 ,$2.06 ,$6.62 ,$7.35 ,$7.20 ,$6.39 ,$5.51 ,$7.35 ,$5.51 ,$7.35 ,$4.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN-CLAVULANATE 600-42.9 MG/5ML SUSR,637,1 ,$9.40 ,$6.77 ,$2.30 ,$23.50 ,$23.50 ,$5.92 ,$5.64 ,$9.21 ,$2.63 ,$5.45 ,$9.21 ,$5.73 ,$2.30 ,$5.16 ,$5.16 ,$9.21 ,$6.11 ,$18.99 ,$6.58 , N/A ,$9.21 ,$9.21 ,$7.05 ,$6.67 ,$6.67 ,$9.21 ,$6.67 ,$8.18 ,$8.18 ,$8.18 , N/A ,$8.46 ,$23.50 ,$7.99 ,$9.21 ,$9.40 ,$5.27 ,$9.21 ,$3.89 , N/A , N/A ,$9.21 ,$7.99 ,$17.50 ,$5.16 ,$2.63 ,$8.46 ,$9.40 ,$9.21 ,$8.18 ,$7.05 ,$9.40 ,$7.05 ,$9.40 ,$6.11 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,APIXABAN 5 MG TABS,637,1 ,$21.20 ,$15.26 ,$5.19 ,$53.00 ,$53.00 ,$13.36 ,$12.72 ,$20.78 ,$5.94 ,$12.30 ,$20.78 ,$12.93 ,$5.19 ,$11.64 ,$11.64 ,$20.78 ,$13.78 ,$42.82 ,$14.84 , N/A ,$20.78 ,$20.78 ,$15.90 ,$15.05 ,$15.05 ,$20.78 ,$15.05 ,$18.44 ,$18.44 ,$18.44 , N/A ,$19.08 ,$53.00 ,$18.02 ,$20.78 ,$21.20 ,$11.89 ,$20.78 ,$8.78 , N/A , N/A ,$20.78 ,$18.02 ,$39.47 ,$11.64 ,$5.94 ,$19.08 ,$21.20 ,$20.78 ,$18.44 ,$15.90 ,$21.20 ,$15.90 ,$21.20 ,$13.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,APIXABAN 2.5 MG TABS,637,1 ,$21.20 ,$15.26 ,$5.19 ,$53.00 ,$53.00 ,$13.36 ,$12.72 ,$20.78 ,$5.94 ,$12.30 ,$20.78 ,$12.93 ,$5.19 ,$11.64 ,$11.64 ,$20.78 ,$13.78 ,$42.82 ,$14.84 , N/A ,$20.78 ,$20.78 ,$15.90 ,$15.05 ,$15.05 ,$20.78 ,$15.05 ,$18.44 ,$18.44 ,$18.44 , N/A ,$19.08 ,$53.00 ,$18.02 ,$20.78 ,$21.20 ,$11.89 ,$20.78 ,$8.78 , N/A , N/A ,$20.78 ,$18.02 ,$39.47 ,$11.64 ,$5.94 ,$19.08 ,$21.20 ,$20.78 ,$18.44 ,$15.90 ,$21.20 ,$15.90 ,$21.20 ,$13.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ARIPIPRAZOLE 5 MG TABS,637,1 ,$64.00 ,$46.08 ,$15.68 ,$160.00 ,$160.00 ,$40.32 ,$38.40 ,$62.72 ,$17.92 ,$37.12 ,$62.72 ,$39.04 ,$15.68 ,$35.14 ,$35.14 ,$62.72 ,$41.60 ,$129.28 ,$44.80 , N/A ,$62.72 ,$62.72 ,$48.00 ,$45.44 ,$45.44 ,$62.72 ,$45.44 ,$55.68 ,$55.68 ,$55.68 , N/A ,$57.60 ,$160.00 ,$54.40 ,$62.72 ,$64.00 ,$35.90 ,$62.72 ,$26.50 , N/A , N/A ,$62.72 ,$54.40 ,$119.17 ,$35.14 ,$17.92 ,$57.60 ,$64.00 ,$62.72 ,$55.68 ,$48.00 ,$64.00 ,$48.00 ,$64.00 ,$41.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ARTIFICIAL TEARS 83-15 % OINT 3.5 G TUBE,637,1 ,$15.65 ,$11.27 ,$3.83 ,$39.13 ,$39.13 ,$9.86 ,$9.39 ,$15.34 ,$4.38 ,$9.08 ,$15.34 ,$9.55 ,$3.83 ,$8.59 ,$8.59 ,$15.34 ,$10.17 ,$31.61 ,$10.96 , N/A ,$15.34 ,$15.34 ,$11.74 ,$11.11 ,$11.11 ,$15.34 ,$11.11 ,$13.62 ,$13.62 ,$13.62 , N/A ,$14.09 ,$39.13 ,$13.30 ,$15.34 ,$15.65 ,$8.78 ,$15.34 ,$6.48 , N/A , N/A ,$15.34 ,$13.30 ,$29.15 ,$8.59 ,$4.38 ,$14.09 ,$15.65 ,$15.34 ,$13.62 ,$11.74 ,$15.65 ,$11.74 ,$15.65 ,$10.17 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AZELASTINE 0.1 % SOLN 30 ML BOTTLE,637,1 ,$210.50 ,$151.56 ,$51.58 ,$526.25 ,$526.25 ,$132.62 ,$126.30 ,$206.29 ,$58.94 ,$122.09 ,$206.29 ,$128.41 ,$51.58 ,$115.56 ,$115.56 ,$206.29 ,$136.83 ,$425.21 ,$147.35 , N/A ,$206.29 ,$206.29 ,$157.88 ,$149.46 ,$149.46 ,$206.29 ,$149.46 ,$183.14 ,$183.14 ,$183.14 , N/A ,$189.45 ,$526.25 ,$178.93 ,$206.29 ,$210.50 ,$118.09 ,$206.29 ,$87.15 , N/A , N/A ,$206.29 ,$178.93 ,$391.95 ,$115.56 ,$58.94 ,$189.45 ,$210.50 ,$206.29 ,$183.14 ,$157.88 ,$210.50 ,$157.88 ,$210.50 ,$136.83 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AZITHROMYCIN 200 MG/5ML SUSR,637,1 ,$58.15 ,$41.87 ,$14.25 ,$145.38 ,$145.38 ,$36.63 ,$34.89 ,$56.99 ,$16.28 ,$33.73 ,$56.99 ,$35.47 ,$14.25 ,$31.92 ,$31.92 ,$56.99 ,$37.80 ,$117.46 ,$40.71 , N/A ,$56.99 ,$56.99 ,$43.61 ,$41.29 ,$41.29 ,$56.99 ,$41.29 ,$50.59 ,$50.59 ,$50.59 , N/A ,$52.34 ,$145.38 ,$49.43 ,$56.99 ,$58.15 ,$32.62 ,$56.99 ,$24.07 , N/A , N/A ,$56.99 ,$49.43 ,$108.28 ,$31.92 ,$16.28 ,$52.34 ,$58.15 ,$56.99 ,$50.59 ,$43.61 ,$58.15 ,$43.61 ,$58.15 ,$37.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AZITHROMYCIN 250 MG TABS,637,1 ,$15.58 ,$11.22 ,$3.82 ,$38.95 ,$38.95 ,$9.82 ,$9.35 ,$15.27 ,$4.36 ,$9.04 ,$15.27 ,$9.50 ,$3.82 ,$8.55 ,$8.55 ,$15.27 ,$10.13 ,$31.47 ,$10.91 , N/A ,$15.27 ,$15.27 ,$11.69 ,$11.06 ,$11.06 ,$15.27 ,$11.06 ,$13.55 ,$13.55 ,$13.55 , N/A ,$14.02 ,$38.95 ,$13.24 ,$15.27 ,$15.58 ,$8.74 ,$15.27 ,$6.45 , N/A , N/A ,$15.27 ,$13.24 ,$29.01 ,$8.55 ,$4.36 ,$14.02 ,$15.58 ,$15.27 ,$13.55 ,$11.69 ,$15.58 ,$11.69 ,$15.58 ,$10.13 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BICTEGRAVIR-EMTRICITABINE-TENOFOVIR 50-200-25 MG TABS,637,1 ,$286.75 ,$206.46 ,$70.26 ,$716.88 ,$716.88 ,$180.65 ,$172.05 ,$281.01 ,$80.29 ,$166.32 ,$281.01 ,$174.92 ,$70.26 ,$157.43 ,$157.43 ,$281.01 ,$186.39 ,$579.24 ,$200.73 , N/A ,$281.01 ,$281.01 ,$215.06 ,$203.59 ,$203.59 ,$281.01 ,$203.59 ,$249.47 ,$249.47 ,$249.47 , N/A ,$258.08 ,$716.88 ,$243.74 ,$281.01 ,$286.75 ,$160.87 ,$281.01 ,$118.71 , N/A , N/A ,$281.01 ,$243.74 ,$533.93 ,$157.43 ,$80.29 ,$258.08 ,$286.75 ,$281.01 ,$249.47 ,$215.06 ,$286.75 ,$215.06 ,$286.75 ,$186.39 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CEFDINIR 300 MG CAPS,637,1 ,$10.25 ,$7.38 ,$2.51 ,$25.63 ,$25.63 ,$6.46 ,$6.15 ,$10.04 ,$2.87 ,$5.95 ,$10.04 ,$6.25 ,$2.51 ,$5.63 ,$5.63 ,$10.04 ,$6.66 ,$20.71 ,$7.18 , N/A ,$10.04 ,$10.04 ,$7.69 ,$7.28 ,$7.28 ,$10.04 ,$7.28 ,$8.92 ,$8.92 ,$8.92 , N/A ,$9.23 ,$25.63 ,$8.71 ,$10.04 ,$10.25 ,$5.75 ,$10.04 ,$4.24 , N/A , N/A ,$10.04 ,$8.71 ,$19.09 ,$5.63 ,$2.87 ,$9.23 ,$10.25 ,$10.04 ,$8.92 ,$7.69 ,$10.25 ,$7.69 ,$10.25 ,$6.66 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CEFPROZIL 250 MG TABS,637,1 ,$8.78 ,$6.32 ,$2.16 ,$21.95 ,$21.95 ,$5.53 ,$5.27 ,$8.60 ,$2.46 ,$5.09 ,$8.60 ,$5.36 ,$2.16 ,$4.82 ,$4.82 ,$8.60 ,$5.71 ,$17.74 ,$6.15 , N/A ,$8.60 ,$8.60 ,$6.59 ,$6.23 ,$6.23 ,$8.60 ,$6.23 ,$7.64 ,$7.64 ,$7.64 , N/A ,$7.90 ,$21.95 ,$7.46 ,$8.60 ,$8.78 ,$4.93 ,$8.60 ,$3.63 , N/A , N/A ,$8.60 ,$7.46 ,$16.35 ,$4.82 ,$2.46 ,$7.90 ,$8.78 ,$8.60 ,$7.64 ,$6.59 ,$8.78 ,$6.59 ,$8.78 ,$5.71 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CELECOXIB 100 MG CAPS,637,1 ,$9.25 ,$6.66 ,$2.26 ,$23.13 ,$23.13 ,$5.83 ,$5.55 ,$9.06 ,$2.59 ,$5.37 ,$9.06 ,$5.64 ,$2.26 ,$5.08 ,$5.08 ,$9.06 ,$6.01 ,$18.69 ,$6.48 , N/A ,$9.06 ,$9.06 ,$6.94 ,$6.57 ,$6.57 ,$9.06 ,$6.57 ,$8.05 ,$8.05 ,$8.05 , N/A ,$8.33 ,$23.13 ,$7.86 ,$9.06 ,$9.25 ,$5.19 ,$9.06 ,$3.83 , N/A , N/A ,$9.06 ,$7.86 ,$17.23 ,$5.08 ,$2.59 ,$8.33 ,$9.25 ,$9.06 ,$8.05 ,$6.94 ,$9.25 ,$6.94 ,$9.25 ,$6.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CIPROFLOXACIN-HYDROCORTISONE 0.2-1 % SUSP 10 ML BOTTLE,637,1 ,$758.10 ,$545.83 ,$185.74 ,"$1,895.25 ","$1,895.25 ",$477.60 ,$454.86 ,$742.94 ,$212.27 ,$439.70 ,$742.94 ,$462.44 ,$185.74 ,$416.20 ,$416.20 ,$742.94 ,$492.77 ,"$1,531.36 ",$530.67 , N/A ,$742.94 ,$742.94 ,$568.58 ,$538.25 ,$538.25 ,$742.94 ,$538.25 ,$659.55 ,$659.55 ,$659.55 , N/A ,$682.29 ,"$1,895.25 ",$644.39 ,$742.94 ,$758.10 ,$425.29 ,$742.94 ,$313.85 , N/A , N/A ,$742.94 ,$644.39 ,"$1,411.58 ",$416.20 ,$212.27 ,$682.29 ,$758.10 ,$742.94 ,$659.55 ,$568.58 ,$758.10 ,$568.58 ,$758.10 ,$492.77 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLARITHROMYCIN 500 MG TABS,637,1 ,$14.00 ,$10.08 ,$3.43 ,$35.00 ,$35.00 ,$8.82 ,$8.40 ,$13.72 ,$3.92 ,$8.12 ,$13.72 ,$8.54 ,$3.43 ,$7.69 ,$7.69 ,$13.72 ,$9.10 ,$28.28 ,$9.80 , N/A ,$13.72 ,$13.72 ,$10.50 ,$9.94 ,$9.94 ,$13.72 ,$9.94 ,$12.18 ,$12.18 ,$12.18 , N/A ,$12.60 ,$35.00 ,$11.90 ,$13.72 ,$14.00 ,$7.85 ,$13.72 ,$5.80 , N/A , N/A ,$13.72 ,$11.90 ,$26.07 ,$7.69 ,$3.92 ,$12.60 ,$14.00 ,$13.72 ,$12.18 ,$10.50 ,$14.00 ,$10.50 ,$14.00 ,$9.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLOBETASOL 0.05 % CREA 30 G TUBE,637,1 ,$272.55 ,$196.24 ,$66.78 ,$681.38 ,$681.38 ,$171.71 ,$163.53 ,$267.10 ,$76.31 ,$158.08 ,$267.10 ,$166.26 ,$66.78 ,$149.63 ,$149.63 ,$267.10 ,$177.16 ,$550.55 ,$190.79 , N/A ,$267.10 ,$267.10 ,$204.41 ,$193.51 ,$193.51 ,$267.10 ,$193.51 ,$237.12 ,$237.12 ,$237.12 , N/A ,$245.30 ,$681.38 ,$231.67 ,$267.10 ,$272.55 ,$152.90 ,$267.10 ,$112.84 , N/A , N/A ,$267.10 ,$231.67 ,$507.49 ,$149.63 ,$76.31 ,$245.30 ,$272.55 ,$267.10 ,$237.12 ,$204.41 ,$272.55 ,$204.41 ,$272.55 ,$177.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLOPIDOGREL 75 MG TABS,637,1 ,$13.65 ,$9.83 ,$3.34 ,$34.13 ,$34.13 ,$8.60 ,$8.19 ,$13.38 ,$3.82 ,$7.92 ,$13.38 ,$8.33 ,$3.34 ,$7.49 ,$7.49 ,$13.38 ,$8.87 ,$27.57 ,$9.56 , N/A ,$13.38 ,$13.38 ,$10.24 ,$9.69 ,$9.69 ,$13.38 ,$9.69 ,$11.88 ,$11.88 ,$11.88 , N/A ,$12.29 ,$34.13 ,$11.60 ,$13.38 ,$13.65 ,$7.66 ,$13.38 ,$5.65 , N/A , N/A ,$13.38 ,$11.60 ,$25.42 ,$7.49 ,$3.82 ,$12.29 ,$13.65 ,$13.38 ,$11.88 ,$10.24 ,$13.65 ,$10.24 ,$13.65 ,$8.87 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLOTRIMAZOLE 1 % CREA 30 G TUBE,637,1 ,$17.20 ,$12.38 ,$4.21 ,$43.00 ,$43.00 ,$10.84 ,$10.32 ,$16.86 ,$4.82 ,$9.98 ,$16.86 ,$10.49 ,$4.21 ,$9.44 ,$9.44 ,$16.86 ,$11.18 ,$34.74 ,$12.04 , N/A ,$16.86 ,$16.86 ,$12.90 ,$12.21 ,$12.21 ,$16.86 ,$12.21 ,$14.96 ,$14.96 ,$14.96 , N/A ,$15.48 ,$43.00 ,$14.62 ,$16.86 ,$17.20 ,$9.65 ,$16.86 ,$7.12 , N/A , N/A ,$16.86 ,$14.62 ,$32.03 ,$9.44 ,$4.82 ,$15.48 ,$17.20 ,$16.86 ,$14.96 ,$12.90 ,$17.20 ,$12.90 ,$17.20 ,$11.18 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLOTRIMAZOLE 1 % CREA 28.4 G TUBE,637,1 ,$17.20 ,$12.38 ,$4.21 ,$43.00 ,$43.00 ,$10.84 ,$10.32 ,$16.86 ,$4.82 ,$9.98 ,$16.86 ,$10.49 ,$4.21 ,$9.44 ,$9.44 ,$16.86 ,$11.18 ,$34.74 ,$12.04 , N/A ,$16.86 ,$16.86 ,$12.90 ,$12.21 ,$12.21 ,$16.86 ,$12.21 ,$14.96 ,$14.96 ,$14.96 , N/A ,$15.48 ,$43.00 ,$14.62 ,$16.86 ,$17.20 ,$9.65 ,$16.86 ,$7.12 , N/A , N/A ,$16.86 ,$14.62 ,$32.03 ,$9.44 ,$4.82 ,$15.48 ,$17.20 ,$16.86 ,$14.96 ,$12.90 ,$17.20 ,$12.90 ,$17.20 ,$11.18 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % CREA 15 G TUBE,637,1 ,$112.45 ,$80.96 ,$27.55 ,$281.13 ,$281.13 ,$70.84 ,$67.47 ,$110.20 ,$31.49 ,$65.22 ,$110.20 ,$68.59 ,$27.55 ,$61.74 ,$61.74 ,$110.20 ,$73.09 ,$227.15 ,$78.72 , N/A ,$110.20 ,$110.20 ,$84.34 ,$79.84 ,$79.84 ,$110.20 ,$79.84 ,$97.83 ,$97.83 ,$97.83 , N/A ,$101.21 ,$281.13 ,$95.58 ,$110.20 ,$112.45 ,$63.08 ,$110.20 ,$46.55 , N/A , N/A ,$110.20 ,$95.58 ,$209.39 ,$61.74 ,$31.49 ,$101.21 ,$112.45 ,$110.20 ,$97.83 ,$84.34 ,$112.45 ,$84.34 ,$112.45 ,$73.09 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,COLCHICINE 0.6 MG TABS,637,1 ,$22.30 ,$16.06 ,$5.47 ,$55.75 ,$55.75 ,$14.05 ,$13.38 ,$21.85 ,$6.24 ,$12.93 ,$21.85 ,$13.60 ,$5.47 ,$12.24 ,$12.24 ,$21.85 ,$14.50 ,$45.05 ,$15.61 , N/A ,$21.85 ,$21.85 ,$16.73 ,$15.83 ,$15.83 ,$21.85 ,$15.83 ,$19.40 ,$19.40 ,$19.40 , N/A ,$20.07 ,$55.75 ,$18.96 ,$21.85 ,$22.30 ,$12.51 ,$21.85 ,$9.23 , N/A , N/A ,$21.85 ,$18.96 ,$41.52 ,$12.24 ,$6.24 ,$20.07 ,$22.30 ,$21.85 ,$19.40 ,$16.73 ,$22.30 ,$16.73 ,$22.30 ,$14.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DABIGATRAN 75 MG CAPS,637,1 ,$19.85 ,$14.29 ,$4.86 ,$49.63 ,$49.63 ,$12.51 ,$11.91 ,$19.45 ,$5.56 ,$11.51 ,$19.45 ,$12.11 ,$4.86 ,$10.90 ,$10.90 ,$19.45 ,$12.90 ,$40.10 ,$13.90 , N/A ,$19.45 ,$19.45 ,$14.89 ,$14.09 ,$14.09 ,$19.45 ,$14.09 ,$17.27 ,$17.27 ,$17.27 , N/A ,$17.87 ,$49.63 ,$16.87 ,$19.45 ,$19.85 ,$11.14 ,$19.45 ,$8.22 , N/A , N/A ,$19.45 ,$16.87 ,$36.97 ,$10.90 ,$5.56 ,$17.87 ,$19.85 ,$19.45 ,$17.27 ,$14.89 ,$19.85 ,$14.89 ,$19.85 ,$12.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DEXTROSE 40 % GEL 37.5 G TUBE,637,1 ,$7.90 ,$5.69 ,$1.94 ,$19.75 ,$19.75 ,$4.98 ,$4.74 ,$7.74 ,$2.21 ,$4.58 ,$7.74 ,$4.82 ,$1.94 ,$4.34 ,$4.34 ,$7.74 ,$5.14 ,$15.96 ,$5.53 , N/A ,$7.74 ,$7.74 ,$5.93 ,$5.61 ,$5.61 ,$7.74 ,$5.61 ,$6.87 ,$6.87 ,$6.87 , N/A ,$7.11 ,$19.75 ,$6.72 ,$7.74 ,$7.90 ,$4.43 ,$7.74 ,$3.27 , N/A , N/A ,$7.74 ,$6.72 ,$14.71 ,$4.34 ,$2.21 ,$7.11 ,$7.90 ,$7.74 ,$6.87 ,$5.93 ,$7.90 ,$5.93 ,$7.90 ,$5.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DILTIAZEM SR 120 MG CP12,637,1 ,$9.45 ,$6.80 ,$2.31 ,$23.63 ,$23.63 ,$5.95 ,$5.67 ,$9.26 ,$2.65 ,$5.48 ,$9.26 ,$5.76 ,$2.31 ,$5.19 ,$5.19 ,$9.26 ,$6.14 ,$19.09 ,$6.62 , N/A ,$9.26 ,$9.26 ,$7.09 ,$6.71 ,$6.71 ,$9.26 ,$6.71 ,$8.22 ,$8.22 ,$8.22 , N/A ,$8.51 ,$23.63 ,$8.03 ,$9.26 ,$9.45 ,$5.30 ,$9.26 ,$3.91 , N/A , N/A ,$9.26 ,$8.03 ,$17.60 ,$5.19 ,$2.65 ,$8.51 ,$9.45 ,$9.26 ,$8.22 ,$7.09 ,$9.45 ,$7.09 ,$9.45 ,$6.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIPHENHYDRAMINE-ZINC 2-0.1 % CREA 28 G TUBE,637,1 ,$8.70 ,$6.26 ,$2.14 ,$21.75 ,$21.75 ,$5.48 ,$5.22 ,$8.53 ,$2.44 ,$5.05 ,$8.53 ,$5.31 ,$2.14 ,$4.78 ,$4.78 ,$8.53 ,$5.66 ,$17.57 ,$6.09 , N/A ,$8.53 ,$8.53 ,$6.53 ,$6.18 ,$6.18 ,$8.53 ,$6.18 ,$7.57 ,$7.57 ,$7.57 , N/A ,$7.83 ,$21.75 ,$7.40 ,$8.53 ,$8.70 ,$4.88 ,$8.53 ,$3.60 , N/A , N/A ,$8.53 ,$7.40 ,$16.20 ,$4.78 ,$2.44 ,$7.83 ,$8.70 ,$8.53 ,$7.57 ,$6.53 ,$8.70 ,$6.53 ,$8.70 ,$5.66 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DOFETILIDE 125 MCG CAPS,637,1 ,$17.15 ,$12.35 ,$4.20 ,$42.88 ,$42.88 ,$10.80 ,$10.29 ,$16.81 ,$4.80 ,$9.95 ,$16.81 ,$10.46 ,$4.20 ,$9.42 ,$9.42 ,$16.81 ,$11.15 ,$34.64 ,$12.01 , N/A ,$16.81 ,$16.81 ,$12.86 ,$12.18 ,$12.18 ,$16.81 ,$12.18 ,$14.92 ,$14.92 ,$14.92 , N/A ,$15.44 ,$42.88 ,$14.58 ,$16.81 ,$17.15 ,$9.62 ,$16.81 ,$7.10 , N/A , N/A ,$16.81 ,$14.58 ,$31.94 ,$9.42 ,$4.80 ,$15.44 ,$17.15 ,$16.81 ,$14.92 ,$12.86 ,$17.15 ,$12.86 ,$17.15 ,$11.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DORZOLAMIDE-TIMOLOL 22.3-6.8 MG/ML SOLN 10 ML BOTTLE,637,1 ,$244.00 ,$175.68 ,$59.78 ,$610.00 ,$610.00 ,$153.72 ,$146.40 ,$239.12 ,$68.32 ,$141.52 ,$239.12 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$239.12 ,$158.60 ,$492.88 ,$170.80 , N/A ,$239.12 ,$239.12 ,$183.00 ,$173.24 ,$173.24 ,$239.12 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$610.00 ,$207.40 ,$239.12 ,$244.00 ,$136.88 ,$239.12 ,$101.02 , N/A , N/A ,$239.12 ,$207.40 ,$454.33 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$239.12 ,$212.28 ,$183.00 ,$244.00 ,$183.00 ,$244.00 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DRONABINOL 2.5 MG CAPS,637,1 ,$10.63 ,$7.65 ,$2.61 ,$26.58 ,$26.58 ,$6.70 ,$6.38 ,$10.42 ,$2.98 ,$6.17 ,$10.42 ,$6.48 ,$2.61 ,$5.84 ,$5.84 ,$10.42 ,$6.91 ,$21.47 ,$7.44 , N/A ,$10.42 ,$10.42 ,$7.97 ,$7.55 ,$7.55 ,$10.42 ,$7.55 ,$9.25 ,$9.25 ,$9.25 , N/A ,$9.57 ,$26.58 ,$9.04 ,$10.42 ,$10.63 ,$5.96 ,$10.42 ,$4.40 , N/A , N/A ,$10.42 ,$9.04 ,$19.80 ,$5.84 ,$2.98 ,$9.57 ,$10.63 ,$10.42 ,$9.25 ,$7.97 ,$10.63 ,$7.97 ,$10.63 ,$6.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DRONEDARONE 400 MG TABS,637,1 ,$27.70 ,$19.94 ,$6.79 ,$69.25 ,$69.25 ,$17.45 ,$16.62 ,$27.15 ,$7.76 ,$16.07 ,$27.15 ,$16.90 ,$6.79 ,$15.21 ,$15.21 ,$27.15 ,$18.01 ,$55.95 ,$19.39 , N/A ,$27.15 ,$27.15 ,$20.78 ,$19.67 ,$19.67 ,$27.15 ,$19.67 ,$24.10 ,$24.10 ,$24.10 , N/A ,$24.93 ,$69.25 ,$23.55 ,$27.15 ,$27.70 ,$15.54 ,$27.15 ,$11.47 , N/A , N/A ,$27.15 ,$23.55 ,$51.58 ,$15.21 ,$7.76 ,$24.93 ,$27.70 ,$27.15 ,$24.10 ,$20.78 ,$27.70 ,$20.78 ,$27.70 ,$18.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DULOXETINE 20 MG CPEP,637,1 ,$16.35 ,$11.77 ,$4.01 ,$40.88 ,$40.88 ,$10.30 ,$9.81 ,$16.02 ,$4.58 ,$9.48 ,$16.02 ,$9.97 ,$4.01 ,$8.98 ,$8.98 ,$16.02 ,$10.63 ,$33.03 ,$11.45 , N/A ,$16.02 ,$16.02 ,$12.26 ,$11.61 ,$11.61 ,$16.02 ,$11.61 ,$14.22 ,$14.22 ,$14.22 , N/A ,$14.72 ,$40.88 ,$13.90 ,$16.02 ,$16.35 ,$9.17 ,$16.02 ,$6.77 , N/A , N/A ,$16.02 ,$13.90 ,$30.45 ,$8.98 ,$4.58 ,$14.72 ,$16.35 ,$16.02 ,$14.22 ,$12.26 ,$16.35 ,$12.26 ,$16.35 ,$10.63 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DULOXETINE 30 MG CPEP,637,1 ,$15.40 ,$11.09 ,$3.77 ,$38.50 ,$38.50 ,$9.70 ,$9.24 ,$15.09 ,$4.31 ,$8.93 ,$15.09 ,$9.39 ,$3.77 ,$8.45 ,$8.45 ,$15.09 ,$10.01 ,$31.11 ,$10.78 , N/A ,$15.09 ,$15.09 ,$11.55 ,$10.93 ,$10.93 ,$15.09 ,$10.93 ,$13.40 ,$13.40 ,$13.40 , N/A ,$13.86 ,$38.50 ,$13.09 ,$15.09 ,$15.40 ,$8.64 ,$15.09 ,$6.38 , N/A , N/A ,$15.09 ,$13.09 ,$28.67 ,$8.45 ,$4.31 ,$13.86 ,$15.40 ,$15.09 ,$13.40 ,$11.55 ,$15.40 ,$11.55 ,$15.40 ,$10.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,EMPAGLIFLOZIN 10 MG TABS,637,1 ,$45.65 ,$32.87 ,$11.18 ,$114.13 ,$114.13 ,$28.76 ,$27.39 ,$44.74 ,$12.78 ,$26.48 ,$44.74 ,$27.85 ,$11.18 ,$25.06 ,$25.06 ,$44.74 ,$29.67 ,$92.21 ,$31.96 , N/A ,$44.74 ,$44.74 ,$34.24 ,$32.41 ,$32.41 ,$44.74 ,$32.41 ,$39.72 ,$39.72 ,$39.72 , N/A ,$41.09 ,$114.13 ,$38.80 ,$44.74 ,$45.65 ,$25.61 ,$44.74 ,$18.90 , N/A , N/A ,$44.74 ,$38.80 ,$85.01 ,$25.06 ,$12.78 ,$41.09 ,$45.65 ,$44.74 ,$39.72 ,$34.24 ,$45.65 ,$34.24 ,$45.65 ,$29.67 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,637,1 ,$37.35 ,$26.89 ,$9.15 ,$93.38 ,$93.38 ,$23.53 ,$22.41 ,$36.60 ,$10.46 ,$21.66 ,$36.60 ,$22.78 ,$9.15 ,$20.51 ,$20.51 ,$36.60 ,$24.28 ,$75.45 ,$26.15 , N/A ,$36.60 ,$36.60 ,$28.01 ,$26.52 ,$26.52 ,$36.60 ,$26.52 ,$32.49 ,$32.49 ,$32.49 , N/A ,$33.62 ,$93.38 ,$31.75 ,$36.60 ,$37.35 ,$20.95 ,$36.60 ,$15.46 , N/A , N/A ,$36.60 ,$31.75 ,$69.55 ,$20.51 ,$10.46 ,$33.62 ,$37.35 ,$36.60 ,$32.49 ,$28.01 ,$37.35 ,$28.01 ,$37.35 ,$24.28 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ERYTHROMYCIN EC 250 MG TBEC,637,1 ,$17.70 ,$12.74 ,$4.34 ,$44.25 ,$44.25 ,$11.15 ,$10.62 ,$17.35 ,$4.96 ,$10.27 ,$17.35 ,$10.80 ,$4.34 ,$9.72 ,$9.72 ,$17.35 ,$11.51 ,$35.75 ,$12.39 , N/A ,$17.35 ,$17.35 ,$13.28 ,$12.57 ,$12.57 ,$17.35 ,$12.57 ,$15.40 ,$15.40 ,$15.40 , N/A ,$15.93 ,$44.25 ,$15.05 ,$17.35 ,$17.70 ,$9.93 ,$17.35 ,$7.33 , N/A , N/A ,$17.35 ,$15.05 ,$32.96 ,$9.72 ,$4.96 ,$15.93 ,$17.70 ,$17.35 ,$15.40 ,$13.28 ,$17.70 ,$13.28 ,$17.70 ,$11.51 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ESCITALOPRAM 10 MG TABS,637,1 ,$8.65 ,$6.23 ,$2.12 ,$21.63 ,$21.63 ,$5.45 ,$5.19 ,$8.48 ,$2.42 ,$5.02 ,$8.48 ,$5.28 ,$2.12 ,$4.75 ,$4.75 ,$8.48 ,$5.62 ,$17.47 ,$6.06 , N/A ,$8.48 ,$8.48 ,$6.49 ,$6.14 ,$6.14 ,$8.48 ,$6.14 ,$7.53 ,$7.53 ,$7.53 , N/A ,$7.79 ,$21.63 ,$7.35 ,$8.48 ,$8.65 ,$4.85 ,$8.48 ,$3.58 , N/A , N/A ,$8.48 ,$7.35 ,$16.11 ,$4.75 ,$2.42 ,$7.79 ,$8.65 ,$8.48 ,$7.53 ,$6.49 ,$8.65 ,$6.49 ,$8.65 ,$5.62 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,EZETIMIBE 10 MG TABS,637,1 ,$20.60 ,$14.83 ,$5.05 ,$51.50 ,$51.50 ,$12.98 ,$12.36 ,$20.19 ,$5.77 ,$11.95 ,$20.19 ,$12.57 ,$5.05 ,$11.31 ,$11.31 ,$20.19 ,$13.39 ,$41.61 ,$14.42 , N/A ,$20.19 ,$20.19 ,$15.45 ,$14.63 ,$14.63 ,$20.19 ,$14.63 ,$17.92 ,$17.92 ,$17.92 , N/A ,$18.54 ,$51.50 ,$17.51 ,$20.19 ,$20.60 ,$11.56 ,$20.19 ,$8.53 , N/A , N/A ,$20.19 ,$17.51 ,$38.36 ,$11.31 ,$5.77 ,$18.54 ,$20.60 ,$20.19 ,$17.92 ,$15.45 ,$20.60 ,$15.45 ,$20.60 ,$13.39 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FENTANYL 12 MCG/HR PT72,637,1 ,$40.65 ,$29.27 ,$9.96 ,$101.63 ,$101.63 ,$25.61 ,$24.39 ,$39.84 ,$11.38 ,$23.58 ,$39.84 ,$24.80 ,$9.96 ,$22.32 ,$22.32 ,$39.84 ,$26.42 ,$82.11 ,$28.46 , N/A ,$39.84 ,$39.84 ,$30.49 ,$28.86 ,$28.86 ,$39.84 ,$28.86 ,$35.37 ,$35.37 ,$35.37 , N/A ,$36.59 ,$101.63 ,$34.55 ,$39.84 ,$40.65 ,$22.80 ,$39.84 ,$16.83 , N/A , N/A ,$39.84 ,$34.55 ,$75.70 ,$22.32 ,$11.38 ,$36.59 ,$40.65 ,$39.84 ,$35.37 ,$30.49 ,$40.65 ,$30.49 ,$40.65 ,$26.42 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FENTANYL 25 MCG/HR PT72,637,1 ,$28.85 ,$20.77 ,$7.07 ,$72.13 ,$72.13 ,$18.18 ,$17.31 ,$28.27 ,$8.08 ,$16.73 ,$28.27 ,$17.60 ,$7.07 ,$15.84 ,$15.84 ,$28.27 ,$18.75 ,$58.28 ,$20.20 , N/A ,$28.27 ,$28.27 ,$21.64 ,$20.48 ,$20.48 ,$28.27 ,$20.48 ,$25.10 ,$25.10 ,$25.10 , N/A ,$25.97 ,$72.13 ,$24.52 ,$28.27 ,$28.85 ,$16.18 ,$28.27 ,$11.94 , N/A , N/A ,$28.27 ,$24.52 ,$53.72 ,$15.84 ,$8.08 ,$25.97 ,$28.85 ,$28.27 ,$25.10 ,$21.64 ,$28.85 ,$21.64 ,$28.85 ,$18.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CEFDINIR 125 MG/5ML SUSR,637,1 ,$28.85 ,$20.77 ,$7.07 ,$72.13 ,$72.13 ,$18.18 ,$17.31 ,$28.27 ,$8.08 ,$16.73 ,$28.27 ,$17.60 ,$7.07 ,$15.84 ,$15.84 ,$28.27 ,$18.75 ,$58.28 ,$20.20 , N/A ,$28.27 ,$28.27 ,$21.64 ,$20.48 ,$20.48 ,$28.27 ,$20.48 ,$25.10 ,$25.10 ,$25.10 , N/A ,$25.97 ,$72.13 ,$24.52 ,$28.27 ,$28.85 ,$16.18 ,$28.27 ,$11.94 , N/A , N/A ,$28.27 ,$24.52 ,$53.72 ,$15.84 ,$8.08 ,$25.97 ,$28.85 ,$28.27 ,$25.10 ,$21.64 ,$28.85 ,$21.64 ,$28.85 ,$18.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FENTANYL 50 MCG/HR PT72,637,1 ,$52.75 ,$37.98 ,$12.93 ,$131.88 ,$131.88 ,$33.23 ,$31.65 ,$51.69 ,$14.77 ,$30.60 ,$51.69 ,$32.18 ,$12.93 ,$28.96 ,$28.96 ,$51.69 ,$34.29 ,$106.56 ,$36.93 , N/A ,$51.69 ,$51.69 ,$39.56 ,$37.45 ,$37.45 ,$51.69 ,$37.45 ,$45.89 ,$45.89 ,$45.89 , N/A ,$47.48 ,$131.88 ,$44.84 ,$51.69 ,$52.75 ,$29.59 ,$51.69 ,$21.84 , N/A , N/A ,$51.69 ,$44.84 ,$98.23 ,$28.96 ,$14.77 ,$47.48 ,$52.75 ,$51.69 ,$45.89 ,$39.56 ,$52.75 ,$39.56 ,$52.75 ,$34.29 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FENTANYL 75 MCG/HR PT72,637,1 ,$80.45 ,$57.92 ,$19.71 ,$201.13 ,$201.13 ,$50.68 ,$48.27 ,$78.84 ,$22.53 ,$46.66 ,$78.84 ,$49.07 ,$19.71 ,$44.17 ,$44.17 ,$78.84 ,$52.29 ,$162.51 ,$56.32 , N/A ,$78.84 ,$78.84 ,$60.34 ,$57.12 ,$57.12 ,$78.84 ,$57.12 ,$69.99 ,$69.99 ,$69.99 , N/A ,$72.41 ,$201.13 ,$68.38 ,$78.84 ,$80.45 ,$45.13 ,$78.84 ,$33.31 , N/A , N/A ,$78.84 ,$68.38 ,$149.80 ,$44.17 ,$22.53 ,$72.41 ,$80.45 ,$78.84 ,$69.99 ,$60.34 ,$80.45 ,$60.34 ,$80.45 ,$52.29 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FERROUS SULFATE 300 (60 FE) MG/5ML SYRP,637,1 ,$8.15 ,$5.87 ,$2.00 ,$20.38 ,$20.38 ,$5.13 ,$4.89 ,$7.99 ,$2.28 ,$4.73 ,$7.99 ,$4.97 ,$2.00 ,$4.47 ,$4.47 ,$7.99 ,$5.30 ,$16.46 ,$5.71 , N/A ,$7.99 ,$7.99 ,$6.11 ,$5.79 ,$5.79 ,$7.99 ,$5.79 ,$7.09 ,$7.09 ,$7.09 , N/A ,$7.34 ,$20.38 ,$6.93 ,$7.99 ,$8.15 ,$4.57 ,$7.99 ,$3.37 , N/A , N/A ,$7.99 ,$6.93 ,$15.18 ,$4.47 ,$2.28 ,$7.34 ,$8.15 ,$7.99 ,$7.09 ,$6.11 ,$8.15 ,$6.11 ,$8.15 ,$5.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FIDAXOMICIN 200 MG TABS,637,1 ,$537.05 ,$386.68 ,$131.57 ,"$1,342.63 ","$1,342.63 ",$338.34 ,$322.23 ,$526.31 ,$150.37 ,$311.49 ,$526.31 ,$327.60 ,$131.57 ,$294.84 ,$294.84 ,$526.31 ,$349.08 ,"$1,084.84 ",$375.94 , N/A ,$526.31 ,$526.31 ,$402.79 ,$381.31 ,$381.31 ,$526.31 ,$381.31 ,$467.23 ,$467.23 ,$467.23 , N/A ,$483.35 ,"$1,342.63 ",$456.49 ,$526.31 ,$537.05 ,$301.29 ,$526.31 ,$222.34 , N/A , N/A ,$526.31 ,$456.49 ,$999.99 ,$294.84 ,$150.37 ,$483.35 ,$537.05 ,$526.31 ,$467.23 ,$402.79 ,$537.05 ,$402.79 ,$537.05 ,$349.08 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FINASTERIDE 5 MG TABS,637,1 ,$6.30 ,$4.54 ,$1.55 ,$15.75 ,$15.75 ,$3.97 ,$3.78 ,$6.17 ,$1.76 ,$3.65 ,$6.17 ,$3.84 ,$1.55 ,$3.46 ,$3.46 ,$6.17 ,$4.10 ,$12.73 ,$4.41 , N/A ,$6.17 ,$6.17 ,$4.73 ,$4.47 ,$4.47 ,$6.17 ,$4.47 ,$5.48 ,$5.48 ,$5.48 , N/A ,$5.67 ,$15.75 ,$5.36 ,$6.17 ,$6.30 ,$3.53 ,$6.17 ,$2.61 , N/A , N/A ,$6.17 ,$5.36 ,$11.73 ,$3.46 ,$1.76 ,$5.67 ,$6.30 ,$6.17 ,$5.48 ,$4.73 ,$6.30 ,$4.73 ,$6.30 ,$4.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLECAINIDE 100 MG TABS,637,1 ,$11.95 ,$8.60 ,$2.93 ,$29.88 ,$29.88 ,$7.53 ,$7.17 ,$11.71 ,$3.35 ,$6.93 ,$11.71 ,$7.29 ,$2.93 ,$6.56 ,$6.56 ,$11.71 ,$7.77 ,$24.14 ,$8.37 , N/A ,$11.71 ,$11.71 ,$8.96 ,$8.48 ,$8.48 ,$11.71 ,$8.48 ,$10.40 ,$10.40 ,$10.40 , N/A ,$10.76 ,$29.88 ,$10.16 ,$11.71 ,$11.95 ,$6.70 ,$11.71 ,$4.95 , N/A , N/A ,$11.71 ,$10.16 ,$22.26 ,$6.56 ,$3.35 ,$10.76 ,$11.95 ,$11.71 ,$10.40 ,$8.96 ,$11.95 ,$8.96 ,$11.95 ,$7.77 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUCONAZOLE 100 MG TABS,637,1 ,$48.00 ,$34.56 ,$11.76 ,$120.00 ,$120.00 ,$30.24 ,$28.80 ,$47.04 ,$13.44 ,$27.84 ,$47.04 ,$29.28 ,$11.76 ,$26.35 ,$26.35 ,$47.04 ,$31.20 ,$96.96 ,$33.60 , N/A ,$47.04 ,$47.04 ,$36.00 ,$34.08 ,$34.08 ,$47.04 ,$34.08 ,$41.76 ,$41.76 ,$41.76 , N/A ,$43.20 ,$120.00 ,$40.80 ,$47.04 ,$48.00 ,$26.93 ,$47.04 ,$19.87 , N/A , N/A ,$47.04 ,$40.80 ,$89.38 ,$26.35 ,$13.44 ,$43.20 ,$48.00 ,$47.04 ,$41.76 ,$36.00 ,$48.00 ,$36.00 ,$48.00 ,$31.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUCONAZOLE 150 MG TABS,637,1 ,$28.05 ,$20.20 ,$6.87 ,$70.13 ,$70.13 ,$17.67 ,$16.83 ,$27.49 ,$7.85 ,$16.27 ,$27.49 ,$17.11 ,$6.87 ,$15.40 ,$15.40 ,$27.49 ,$18.23 ,$56.66 ,$19.64 , N/A ,$27.49 ,$27.49 ,$21.04 ,$19.92 ,$19.92 ,$27.49 ,$19.92 ,$24.40 ,$24.40 ,$24.40 , N/A ,$25.25 ,$70.13 ,$23.84 ,$27.49 ,$28.05 ,$15.74 ,$27.49 ,$11.61 , N/A , N/A ,$27.49 ,$23.84 ,$52.23 ,$15.40 ,$7.85 ,$25.25 ,$28.05 ,$27.49 ,$24.40 ,$21.04 ,$28.05 ,$21.04 ,$28.05 ,$18.23 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE PROPIONATE 220 MCG/ACT AERO,637,1 ,$8.55 ,$6.16 ,$2.10 ,$21.38 ,$21.38 ,$5.39 ,$5.13 ,$8.38 ,$2.39 ,$4.96 ,$8.38 ,$5.22 ,$2.10 ,$4.69 ,$4.69 ,$8.38 ,$5.56 ,$17.27 ,$5.99 , N/A ,$8.38 ,$8.38 ,$6.41 ,$6.07 ,$6.07 ,$8.38 ,$6.07 ,$7.44 ,$7.44 ,$7.44 , N/A ,$7.70 ,$21.38 ,$7.27 ,$8.38 ,$8.55 ,$4.80 ,$8.38 ,$3.54 , N/A , N/A ,$8.38 ,$7.27 ,$15.92 ,$4.69 ,$2.39 ,$7.70 ,$8.55 ,$8.38 ,$7.44 ,$6.41 ,$8.55 ,$6.41 ,$8.55 ,$5.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE PROPIONATE 44 MCG/ACT AERO,637,1 ,$8.20 ,$5.90 ,$2.01 ,$20.50 ,$20.50 ,$5.17 ,$4.92 ,$8.04 ,$2.30 ,$4.76 ,$8.04 ,$5.00 ,$2.01 ,$4.50 ,$4.50 ,$8.04 ,$5.33 ,$16.56 ,$5.74 , N/A ,$8.04 ,$8.04 ,$6.15 ,$5.82 ,$5.82 ,$8.04 ,$5.82 ,$7.13 ,$7.13 ,$7.13 , N/A ,$7.38 ,$20.50 ,$6.97 ,$8.04 ,$8.20 ,$4.60 ,$8.04 ,$3.39 , N/A , N/A ,$8.04 ,$6.97 ,$15.27 ,$4.50 ,$2.30 ,$7.38 ,$8.20 ,$8.04 ,$7.13 ,$6.15 ,$8.20 ,$6.15 ,$8.20 ,$5.33 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE-SALMETEROL 115-21 MCG/ACT AERO,637,1 ,$17.55 ,$12.64 ,$4.30 ,$43.88 ,$43.88 ,$11.06 ,$10.53 ,$17.20 ,$4.91 ,$10.18 ,$17.20 ,$10.71 ,$4.30 ,$9.64 ,$9.64 ,$17.20 ,$11.41 ,$35.45 ,$12.29 , N/A ,$17.20 ,$17.20 ,$13.16 ,$12.46 ,$12.46 ,$17.20 ,$12.46 ,$15.27 ,$15.27 ,$15.27 , N/A ,$15.80 ,$43.88 ,$14.92 ,$17.20 ,$17.55 ,$9.85 ,$17.20 ,$7.27 , N/A , N/A ,$17.20 ,$14.92 ,$32.68 ,$9.64 ,$4.91 ,$15.80 ,$17.55 ,$17.20 ,$15.27 ,$13.16 ,$17.55 ,$13.16 ,$17.55 ,$11.41 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE-SALMETEROL 230-21 MCG/ACT AERO,637,1 ,$26.00 ,$18.72 ,$6.37 ,$65.00 ,$65.00 ,$16.38 ,$15.60 ,$25.48 ,$7.28 ,$15.08 ,$25.48 ,$15.86 ,$6.37 ,$14.27 ,$14.27 ,$25.48 ,$16.90 ,$52.52 ,$18.20 , N/A ,$25.48 ,$25.48 ,$19.50 ,$18.46 ,$18.46 ,$25.48 ,$18.46 ,$22.62 ,$22.62 ,$22.62 , N/A ,$23.40 ,$65.00 ,$22.10 ,$25.48 ,$26.00 ,$14.59 ,$25.48 ,$10.76 , N/A , N/A ,$25.48 ,$22.10 ,$48.41 ,$14.27 ,$7.28 ,$23.40 ,$26.00 ,$25.48 ,$22.62 ,$19.50 ,$26.00 ,$19.50 ,$26.00 ,$16.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GENTAMICIN 0.1 % OINT 15 G TUBE,637,1 ,$98.80 ,$71.14 ,$24.21 ,$247.00 ,$247.00 ,$62.24 ,$59.28 ,$96.82 ,$27.66 ,$57.30 ,$96.82 ,$60.27 ,$24.21 ,$54.24 ,$54.24 ,$96.82 ,$64.22 ,$199.58 ,$69.16 , N/A ,$96.82 ,$96.82 ,$74.10 ,$70.15 ,$70.15 ,$96.82 ,$70.15 ,$85.96 ,$85.96 ,$85.96 , N/A ,$88.92 ,$247.00 ,$83.98 ,$96.82 ,$98.80 ,$55.43 ,$96.82 ,$40.90 , N/A , N/A ,$96.82 ,$83.98 ,$183.97 ,$54.24 ,$27.66 ,$88.92 ,$98.80 ,$96.82 ,$85.96 ,$74.10 ,$98.80 ,$74.10 ,$98.80 ,$64.22 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GENTAMICIN 0.1 % CREA 15 G TUBE,637,1 ,$98.80 ,$71.14 ,$24.21 ,$247.00 ,$247.00 ,$62.24 ,$59.28 ,$96.82 ,$27.66 ,$57.30 ,$96.82 ,$60.27 ,$24.21 ,$54.24 ,$54.24 ,$96.82 ,$64.22 ,$199.58 ,$69.16 , N/A ,$96.82 ,$96.82 ,$74.10 ,$70.15 ,$70.15 ,$96.82 ,$70.15 ,$85.96 ,$85.96 ,$85.96 , N/A ,$88.92 ,$247.00 ,$83.98 ,$96.82 ,$98.80 ,$55.43 ,$96.82 ,$40.90 , N/A , N/A ,$96.82 ,$83.98 ,$183.97 ,$54.24 ,$27.66 ,$88.92 ,$98.80 ,$96.82 ,$85.96 ,$74.10 ,$98.80 ,$74.10 ,$98.80 ,$64.22 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$85.70 ,$61.70 ,$21.00 ,$214.25 ,$214.25 ,$53.99 ,$51.42 ,$83.99 ,$24.00 ,$49.71 ,$83.99 ,$52.28 ,$21.00 ,$47.05 ,$47.05 ,$83.99 ,$55.71 ,$173.11 ,$59.99 , N/A ,$83.99 ,$83.99 ,$64.28 ,$60.85 ,$60.85 ,$83.99 ,$60.85 ,$74.56 ,$74.56 ,$74.56 , N/A ,$77.13 ,$214.25 ,$72.85 ,$83.99 ,$85.70 ,$48.08 ,$83.99 ,$35.48 , N/A , N/A ,$83.99 ,$72.85 ,$159.57 ,$47.05 ,$24.00 ,$77.13 ,$85.70 ,$83.99 ,$74.56 ,$64.28 ,$85.70 ,$64.28 ,$85.70 ,$55.71 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GLUCOSE 15 GM/32ML GEL,637,1 ,$8.00 ,$5.76 ,$1.96 ,$20.00 ,$20.00 ,$5.04 ,$4.80 ,$7.84 ,$2.24 ,$4.64 ,$7.84 ,$4.88 ,$1.96 ,$4.39 ,$4.39 ,$7.84 ,$5.20 ,$16.16 ,$5.60 , N/A ,$7.84 ,$7.84 ,$6.00 ,$5.68 ,$5.68 ,$7.84 ,$5.68 ,$6.96 ,$6.96 ,$6.96 , N/A ,$7.20 ,$20.00 ,$6.80 ,$7.84 ,$8.00 ,$4.49 ,$7.84 ,$3.31 , N/A , N/A ,$7.84 ,$6.80 ,$14.90 ,$4.39 ,$2.24 ,$7.20 ,$8.00 ,$7.84 ,$6.96 ,$6.00 ,$8.00 ,$6.00 ,$8.00 ,$5.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE,637,1 ,$8.00 ,$5.76 ,$1.96 ,$20.00 ,$20.00 ,$5.04 ,$4.80 ,$7.84 ,$2.24 ,$4.64 ,$7.84 ,$4.88 ,$1.96 ,$4.39 ,$4.39 ,$7.84 ,$5.20 ,$16.16 ,$5.60 , N/A ,$7.84 ,$7.84 ,$6.00 ,$5.68 ,$5.68 ,$7.84 ,$5.68 ,$6.96 ,$6.96 ,$6.96 , N/A ,$7.20 ,$20.00 ,$6.80 ,$7.84 ,$8.00 ,$4.49 ,$7.84 ,$3.31 , N/A , N/A ,$7.84 ,$6.80 ,$14.90 ,$4.39 ,$2.24 ,$7.20 ,$8.00 ,$7.84 ,$6.96 ,$6.00 ,$8.00 ,$6.00 ,$8.00 ,$5.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCERIN CREAM CREA 113 G TUBE,637,1 ,$6.60 ,$4.75 ,$1.62 ,$16.50 ,$16.50 ,$4.16 ,$3.96 ,$6.47 ,$1.85 ,$3.83 ,$6.47 ,$4.03 ,$1.62 ,$3.62 ,$3.62 ,$6.47 ,$4.29 ,$13.33 ,$4.62 , N/A ,$6.47 ,$6.47 ,$4.95 ,$4.69 ,$4.69 ,$6.47 ,$4.69 ,$5.74 ,$5.74 ,$5.74 , N/A ,$5.94 ,$16.50 ,$5.61 ,$6.47 ,$6.60 ,$3.70 ,$6.47 ,$2.73 , N/A , N/A ,$6.47 ,$5.61 ,$12.29 ,$3.62 ,$1.85 ,$5.94 ,$6.60 ,$6.47 ,$5.74 ,$4.95 ,$6.60 ,$4.95 ,$6.60 ,$4.29 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCORTISONE 1 % OINT 28 G TUBE,637,1 ,$8.05 ,$5.80 ,$1.97 ,$20.13 ,$20.13 ,$5.07 ,$4.83 ,$7.89 ,$2.25 ,$4.67 ,$7.89 ,$4.91 ,$1.97 ,$4.42 ,$4.42 ,$7.89 ,$5.23 ,$16.26 ,$5.64 , N/A ,$7.89 ,$7.89 ,$6.04 ,$5.72 ,$5.72 ,$7.89 ,$5.72 ,$7.00 ,$7.00 ,$7.00 , N/A ,$7.25 ,$20.13 ,$6.84 ,$7.89 ,$8.05 ,$4.52 ,$7.89 ,$3.33 , N/A , N/A ,$7.89 ,$6.84 ,$14.99 ,$4.42 ,$2.25 ,$7.25 ,$8.05 ,$7.89 ,$7.00 ,$6.04 ,$8.05 ,$6.04 ,$8.05 ,$5.23 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCORTISONE 1 % CREA 28 G TUBE,637,1 ,$8.05 ,$5.80 ,$1.97 ,$20.13 ,$20.13 ,$5.07 ,$4.83 ,$7.89 ,$2.25 ,$4.67 ,$7.89 ,$4.91 ,$1.97 ,$4.42 ,$4.42 ,$7.89 ,$5.23 ,$16.26 ,$5.64 , N/A ,$7.89 ,$7.89 ,$6.04 ,$5.72 ,$5.72 ,$7.89 ,$5.72 ,$7.00 ,$7.00 ,$7.00 , N/A ,$7.25 ,$20.13 ,$6.84 ,$7.89 ,$8.05 ,$4.52 ,$7.89 ,$3.33 , N/A , N/A ,$7.89 ,$6.84 ,$14.99 ,$4.42 ,$2.25 ,$7.25 ,$8.05 ,$7.89 ,$7.00 ,$6.04 ,$8.05 ,$6.04 ,$8.05 ,$5.23 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCORTISONE 2.5 % CREA 28 G TUBE,637,1 ,$21.65 ,$15.59 ,$5.30 ,$54.13 ,$54.13 ,$13.64 ,$12.99 ,$21.22 ,$6.06 ,$12.56 ,$21.22 ,$13.21 ,$5.30 ,$11.89 ,$11.89 ,$21.22 ,$14.07 ,$43.73 ,$15.16 , N/A ,$21.22 ,$21.22 ,$16.24 ,$15.37 ,$15.37 ,$21.22 ,$15.37 ,$18.84 ,$18.84 ,$18.84 , N/A ,$19.49 ,$54.13 ,$18.40 ,$21.22 ,$21.65 ,$12.15 ,$21.22 ,$8.96 , N/A , N/A ,$21.22 ,$18.40 ,$40.32 ,$11.89 ,$6.06 ,$19.49 ,$21.65 ,$21.22 ,$18.84 ,$16.24 ,$21.65 ,$16.24 ,$21.65 ,$14.07 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCORTISONE 25 MG SUPP,637,1 ,$45.30 ,$32.62 ,$11.10 ,$113.25 ,$113.25 ,$28.54 ,$27.18 ,$44.39 ,$12.68 ,$26.27 ,$44.39 ,$27.63 ,$11.10 ,$24.87 ,$24.87 ,$44.39 ,$29.45 ,$91.51 ,$31.71 , N/A ,$44.39 ,$44.39 ,$33.98 ,$32.16 ,$32.16 ,$44.39 ,$32.16 ,$39.41 ,$39.41 ,$39.41 , N/A ,$40.77 ,$113.25 ,$38.51 ,$44.39 ,$45.30 ,$25.41 ,$44.39 ,$18.75 , N/A , N/A ,$44.39 ,$38.51 ,$84.35 ,$24.87 ,$12.68 ,$40.77 ,$45.30 ,$44.39 ,$39.41 ,$33.98 ,$45.30 ,$33.98 ,$45.30 ,$29.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROXYCHLOROQUINE 200 MG TABS,637,1 ,$8.80 ,$6.34 ,$2.16 ,$22.00 ,$22.00 ,$5.54 ,$5.28 ,$8.62 ,$2.46 ,$5.10 ,$8.62 ,$5.37 ,$2.16 ,$4.83 ,$4.83 ,$8.62 ,$5.72 ,$17.78 ,$6.16 , N/A ,$8.62 ,$8.62 ,$6.60 ,$6.25 ,$6.25 ,$8.62 ,$6.25 ,$7.66 ,$7.66 ,$7.66 , N/A ,$7.92 ,$22.00 ,$7.48 ,$8.62 ,$8.80 ,$4.94 ,$8.62 ,$3.64 , N/A , N/A ,$8.62 ,$7.48 ,$16.39 ,$4.83 ,$2.46 ,$7.92 ,$8.80 ,$8.62 ,$7.66 ,$6.60 ,$8.80 ,$6.60 ,$8.80 ,$5.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,INDOMETHACIN 50 MG SUPP,637,1 ,$828.00 ,$596.16 ,$202.86 ,"$2,070.00 ","$2,070.00 ",$521.64 ,$496.80 ,$811.44 ,$231.84 ,$480.24 ,$811.44 ,$505.08 ,$202.86 ,$454.57 ,$454.57 ,$811.44 ,$538.20 ,"$1,672.56 ",$579.60 , N/A ,$811.44 ,$811.44 ,$621.00 ,$587.88 ,$587.88 ,$811.44 ,$587.88 ,$720.36 ,$720.36 ,$720.36 , N/A ,$745.20 ,"$2,070.00 ",$703.80 ,$811.44 ,$828.00 ,$464.51 ,$811.44 ,$342.79 , N/A , N/A ,$811.44 ,$703.80 ,"$1,541.74 ",$454.57 ,$231.84 ,$745.20 ,$828.00 ,$811.44 ,$720.36 ,$621.00 ,$828.00 ,$621.00 ,$828.00 ,$538.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,J1815,INSULIN GLARGINE 100 UNIT/ML SOLN per5 Units,637,1 ,$6.37 ,$4.59 ,$1.56 ,$15.93 ,$15.93 ,$4.01 ,$3.82 ,$6.24 ,$1.78 ,$3.69 ,$6.24 ,$3.89 ,$1.56 ,$3.50 ,$3.50 ,$6.24 ,$4.14 ,$12.87 ,$4.46 , N/A ,$6.24 ,$6.24 ,$4.78 ,$4.52 ,$4.52 ,$6.24 ,$4.52 ,$5.54 ,$5.54 ,$5.54 , N/A ,$5.73 ,$15.93 ,$5.41 ,$6.24 ,$6.37 ,$3.57 ,$6.24 ,$2.64 , N/A , N/A ,$6.24 ,$5.41 ,$11.86 ,$3.50 ,$1.78 ,$5.73 ,$6.37 ,$6.24 ,$5.54 ,$4.78 ,$6.37 ,$4.78 ,$6.37 ,$4.14 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,J1815,INSULIN LISPRO PROTAMINE-INSULIN LISPRO (75-25) 100 UNIT/ML SUSP per5 Units,637,1 ,$6.62 ,$4.77 ,$1.63 ,$16.55 ,$16.55 ,$4.17 ,$3.97 ,$6.49 ,$1.85 ,$3.84 ,$6.49 ,$4.04 ,$1.63 ,$3.63 ,$3.63 ,$6.49 ,$4.30 ,$13.37 ,$4.63 , N/A ,$6.49 ,$6.49 ,$4.97 ,$4.70 ,$4.70 ,$6.49 ,$4.70 ,$5.76 ,$5.76 ,$5.76 , N/A ,$5.96 ,$16.55 ,$5.63 ,$6.49 ,$6.62 ,$3.71 ,$6.49 ,$2.74 , N/A , N/A ,$6.49 ,$5.63 ,$12.33 ,$3.63 ,$1.85 ,$5.96 ,$6.62 ,$6.49 ,$5.76 ,$4.97 ,$6.62 ,$4.97 ,$6.62 ,$4.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,J1815,INSULIN NPH 100 UNIT/ML SUSP per5 Units,637,1 ,$18.00 ,$12.96 ,$4.41 ,$45.00 ,$45.00 ,$11.34 ,$10.80 ,$17.64 ,$5.04 ,$9.66 ,$17.64 ,$10.12 ,$4.41 ,$9.88 ,$9.88 ,$17.64 ,$11.70 ,$36.36 ,$12.60 , N/A ,$17.64 ,$17.64 ,$13.50 ,$12.78 ,$12.78 ,$17.64 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$45.00 ,$15.30 ,$17.64 ,$18.00 ,$10.10 ,$17.64 ,$7.45 , N/A , N/A ,$17.64 ,$15.30 ,$33.52 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$17.64 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$18.00 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,J1815,INSULIN LISPRO 100 UNIT/ML SOLN per5 Units,637,1 ,$18.00 ,$12.96 ,$4.41 ,$45.00 ,$45.00 ,$11.34 ,$10.80 ,$17.64 ,$5.04 ,$9.66 ,$17.64 ,$10.12 ,$4.41 ,$9.88 ,$9.88 ,$17.64 ,$11.70 ,$36.36 ,$12.60 , N/A ,$17.64 ,$17.64 ,$13.50 ,$12.78 ,$12.78 ,$17.64 ,$12.78 ,$15.66 ,$15.66 ,$15.66 , N/A ,$16.20 ,$45.00 ,$15.30 ,$17.64 ,$18.00 ,$10.10 ,$17.64 ,$7.45 , N/A , N/A ,$17.64 ,$15.30 ,$33.52 ,$9.88 ,$5.04 ,$16.20 ,$18.00 ,$17.64 ,$15.66 ,$13.50 ,$18.00 ,$13.50 ,$18.00 ,$11.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,J1815,INSULIN NPH-INSULIN REGULAR (70-30) 100 UNIT/ML SUSP per5 Units,637,1 ,$3.57 ,$2.57 ,$0.87 ,$8.93 ,$8.93 ,$2.25 ,$2.14 ,$3.50 ,$1.00 ,$2.07 ,$3.50 ,$2.18 ,$0.87 ,$1.96 ,$1.96 ,$3.50 ,$2.32 ,$7.21 ,$2.50 , N/A ,$3.50 ,$3.50 ,$2.68 ,$2.53 ,$2.53 ,$3.50 ,$2.53 ,$3.11 ,$3.11 ,$3.11 , N/A ,$3.21 ,$8.93 ,$3.03 ,$3.50 ,$3.57 ,$2.00 ,$3.50 ,$1.48 , N/A , N/A ,$3.50 ,$3.03 ,$6.64 ,$1.96 ,$1.00 ,$3.21 ,$3.57 ,$3.50 ,$3.11 ,$2.68 ,$3.57 ,$2.68 ,$3.57 ,$2.32 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,J1815,INSULIN REGULAR 100 UNIT/ML SOLN per5 Units,637,1 ,$9.00 ,$6.48 ,$2.20 ,$22.50 ,$22.50 ,$5.67 ,$5.40 ,$8.82 ,$2.52 ,$5.22 ,$8.82 ,$5.49 ,$2.20 ,$4.94 ,$4.94 ,$8.82 ,$5.85 ,$18.18 ,$6.30 , N/A ,$8.82 ,$8.82 ,$6.75 ,$6.39 ,$6.39 ,$8.82 ,$6.39 ,$7.83 ,$7.83 ,$7.83 , N/A ,$8.10 ,$22.50 ,$7.65 ,$8.82 ,$9.00 ,$5.05 ,$8.82 ,$3.73 , N/A , N/A ,$8.82 ,$7.65 ,$16.76 ,$4.94 ,$2.52 ,$8.10 ,$9.00 ,$8.82 ,$7.83 ,$6.75 ,$9.00 ,$6.75 ,$9.00 ,$5.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,IPRATROPIUM 17 MCG/ACT AERS,637,1 ,$10.30 ,$7.42 ,$2.53 ,$25.75 ,$25.75 ,$6.49 ,$6.18 ,$10.09 ,$2.88 ,$5.97 ,$10.09 ,$6.28 ,$2.53 ,$5.65 ,$5.65 ,$10.09 ,$6.70 ,$20.81 ,$7.21 , N/A ,$10.09 ,$10.09 ,$7.73 ,$7.31 ,$7.31 ,$10.09 ,$7.31 ,$8.96 ,$8.96 ,$8.96 , N/A ,$9.27 ,$25.75 ,$8.76 ,$10.09 ,$10.30 ,$5.78 ,$10.09 ,$4.26 , N/A , N/A ,$10.09 ,$8.76 ,$19.18 ,$5.65 ,$2.88 ,$9.27 ,$10.30 ,$10.09 ,$8.96 ,$7.73 ,$10.30 ,$7.73 ,$10.30 ,$6.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ITRACONAZOLE 100 MG CAPS,637,1 ,$48.30 ,$34.78 ,$11.84 ,$120.75 ,$120.75 ,$30.43 ,$28.98 ,$47.33 ,$13.52 ,$28.01 ,$47.33 ,$29.46 ,$11.84 ,$26.52 ,$26.52 ,$47.33 ,$31.40 ,$97.57 ,$33.81 , N/A ,$47.33 ,$47.33 ,$36.23 ,$34.29 ,$34.29 ,$47.33 ,$34.29 ,$42.02 ,$42.02 ,$42.02 , N/A ,$43.47 ,$120.75 ,$41.06 ,$47.33 ,$48.30 ,$27.10 ,$47.33 ,$20.00 , N/A , N/A ,$47.33 ,$41.06 ,$89.93 ,$26.52 ,$13.52 ,$43.47 ,$48.30 ,$47.33 ,$42.02 ,$36.23 ,$48.30 ,$36.23 ,$48.30 ,$31.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,KETOCONAZOLE 2 % CREA 15 G TUBE,637,1 ,$61.80 ,$44.50 ,$15.14 ,$154.50 ,$154.50 ,$38.93 ,$37.08 ,$60.56 ,$17.30 ,$35.84 ,$60.56 ,$37.70 ,$15.14 ,$33.93 ,$33.93 ,$60.56 ,$40.17 ,$124.84 ,$43.26 , N/A ,$60.56 ,$60.56 ,$46.35 ,$43.88 ,$43.88 ,$60.56 ,$43.88 ,$53.77 ,$53.77 ,$53.77 , N/A ,$55.62 ,$154.50 ,$52.53 ,$60.56 ,$61.80 ,$34.67 ,$60.56 ,$25.59 , N/A , N/A ,$60.56 ,$52.53 ,$115.07 ,$33.93 ,$17.30 ,$55.62 ,$61.80 ,$60.56 ,$53.77 ,$46.35 ,$61.80 ,$46.35 ,$61.80 ,$40.17 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,637,1 ,$213.75 ,$153.90 ,$52.37 ,$534.38 ,$534.38 ,$134.66 ,$128.25 ,$209.47 ,$59.85 ,$123.98 ,$209.47 ,$130.39 ,$52.37 ,$117.35 ,$117.35 ,$209.47 ,$138.94 ,$431.78 ,$149.63 , N/A ,$209.47 ,$209.47 ,$160.31 ,$151.76 ,$151.76 ,$209.47 ,$151.76 ,$185.96 ,$185.96 ,$185.96 , N/A ,$192.38 ,$534.38 ,$181.69 ,$209.47 ,$213.75 ,$119.91 ,$209.47 ,$88.49 , N/A , N/A ,$209.47 ,$181.69 ,$398.01 ,$117.35 ,$59.85 ,$192.38 ,$213.75 ,$209.47 ,$185.96 ,$160.31 ,$213.75 ,$160.31 ,$213.75 ,$138.94 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,KETOTIFEN 0.025 % SOLN 5 ML BOTTLE,637,1 ,$24.40 ,$17.57 ,$5.98 ,$61.00 ,$61.00 ,$15.37 ,$14.64 ,$23.91 ,$6.83 ,$14.15 ,$23.91 ,$14.88 ,$5.98 ,$13.40 ,$13.40 ,$23.91 ,$15.86 ,$49.29 ,$17.08 , N/A ,$23.91 ,$23.91 ,$18.30 ,$17.32 ,$17.32 ,$23.91 ,$17.32 ,$21.23 ,$21.23 ,$21.23 , N/A ,$21.96 ,$61.00 ,$20.74 ,$23.91 ,$24.40 ,$13.69 ,$23.91 ,$10.10 , N/A , N/A ,$23.91 ,$20.74 ,$45.43 ,$13.40 ,$6.83 ,$21.96 ,$24.40 ,$23.91 ,$21.23 ,$18.30 ,$24.40 ,$18.30 ,$24.40 ,$15.86 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LAMOTRIGINE 100 MG TABS,637,1 ,$9.51 ,$6.85 ,$2.33 ,$23.78 ,$23.78 ,$5.99 ,$5.71 ,$9.32 ,$2.66 ,$5.52 ,$9.32 ,$5.80 ,$2.33 ,$5.22 ,$5.22 ,$9.32 ,$6.18 ,$19.21 ,$6.66 , N/A ,$9.32 ,$9.32 ,$7.13 ,$6.75 ,$6.75 ,$9.32 ,$6.75 ,$8.27 ,$8.27 ,$8.27 , N/A ,$8.56 ,$23.78 ,$8.08 ,$9.32 ,$9.51 ,$5.34 ,$9.32 ,$3.94 , N/A , N/A ,$9.32 ,$8.08 ,$17.71 ,$5.22 ,$2.66 ,$8.56 ,$9.51 ,$9.32 ,$8.27 ,$7.13 ,$9.51 ,$7.13 ,$9.51 ,$6.18 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,637,1 ,$190.55 ,$137.20 ,$46.69 ,$476.38 ,$476.38 ,$120.05 ,$114.33 ,$186.74 ,$53.35 ,$110.52 ,$186.74 ,$116.24 ,$46.69 ,$104.61 ,$104.61 ,$186.74 ,$123.86 ,$384.91 ,$133.39 , N/A ,$186.74 ,$186.74 ,$142.91 ,$135.29 ,$135.29 ,$186.74 ,$135.29 ,$165.78 ,$165.78 ,$165.78 , N/A ,$171.50 ,$476.38 ,$161.97 ,$186.74 ,$190.55 ,$106.90 ,$186.74 ,$78.89 , N/A , N/A ,$186.74 ,$161.97 ,$354.81 ,$104.61 ,$53.35 ,$171.50 ,$190.55 ,$186.74 ,$165.78 ,$142.91 ,$190.55 ,$142.91 ,$190.55 ,$123.86 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LETROZOLE 2.5 MG TABS,637,1 ,$36.15 ,$26.03 ,$8.86 ,$90.38 ,$90.38 ,$22.77 ,$21.69 ,$35.43 ,$10.12 ,$20.97 ,$35.43 ,$22.05 ,$8.86 ,$19.85 ,$19.85 ,$35.43 ,$23.50 ,$73.02 ,$25.31 , N/A ,$35.43 ,$35.43 ,$27.11 ,$25.67 ,$25.67 ,$35.43 ,$25.67 ,$31.45 ,$31.45 ,$31.45 , N/A ,$32.54 ,$90.38 ,$30.73 ,$35.43 ,$36.15 ,$20.28 ,$35.43 ,$14.97 , N/A , N/A ,$35.43 ,$30.73 ,$67.32 ,$19.85 ,$10.12 ,$32.54 ,$36.15 ,$35.43 ,$31.45 ,$27.11 ,$36.15 ,$27.11 ,$36.15 ,$23.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVETIRACETAM 500 MG TABS,637,1 ,$7.05 ,$5.08 ,$1.72 ,$17.63 ,$17.63 ,$4.44 ,$4.23 ,$6.91 ,$1.97 ,$4.09 ,$6.91 ,$4.30 ,$1.72 ,$3.87 ,$3.87 ,$6.91 ,$4.58 ,$14.24 ,$4.94 , N/A ,$6.91 ,$6.91 ,$5.29 ,$5.01 ,$5.01 ,$6.91 ,$5.01 ,$6.13 ,$6.13 ,$6.13 , N/A ,$6.35 ,$17.63 ,$5.99 ,$6.91 ,$7.05 ,$3.96 ,$6.91 ,$2.92 , N/A , N/A ,$6.91 ,$5.99 ,$13.13 ,$3.87 ,$1.97 ,$6.35 ,$7.05 ,$6.91 ,$6.13 ,$5.29 ,$7.05 ,$5.29 ,$7.05 ,$4.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TIMOLOL 0.5 % SOLN 2.5 ML BOTTLE,637,1 ,$7.05 ,$5.08 ,$1.72 ,$17.63 ,$17.63 ,$4.44 ,$4.23 ,$6.91 ,$1.97 ,$4.09 ,$6.91 ,$4.30 ,$1.72 ,$3.87 ,$3.87 ,$6.91 ,$4.58 ,$14.24 ,$4.94 , N/A ,$6.91 ,$6.91 ,$5.29 ,$5.01 ,$5.01 ,$6.91 ,$5.01 ,$6.13 ,$6.13 ,$6.13 , N/A ,$6.35 ,$17.63 ,$5.99 ,$6.91 ,$7.05 ,$3.96 ,$6.91 ,$2.92 , N/A , N/A ,$6.91 ,$5.99 ,$13.13 ,$3.87 ,$1.97 ,$6.35 ,$7.05 ,$6.91 ,$6.13 ,$5.29 ,$7.05 ,$5.29 ,$7.05 ,$4.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOFLOXACIN 250 MG TABS,637,1 ,$29.50 ,$21.24 ,$7.23 ,$73.75 ,$73.75 ,$18.59 ,$17.70 ,$28.91 ,$8.26 ,$17.11 ,$28.91 ,$18.00 ,$7.23 ,$16.20 ,$16.20 ,$28.91 ,$19.18 ,$59.59 ,$20.65 , N/A ,$28.91 ,$28.91 ,$22.13 ,$20.95 ,$20.95 ,$28.91 ,$20.95 ,$25.67 ,$25.67 ,$25.67 , N/A ,$26.55 ,$73.75 ,$25.08 ,$28.91 ,$29.50 ,$16.55 ,$28.91 ,$12.21 , N/A , N/A ,$28.91 ,$25.08 ,$54.93 ,$16.20 ,$8.26 ,$26.55 ,$29.50 ,$28.91 ,$25.67 ,$22.13 ,$29.50 ,$22.13 ,$29.50 ,$19.18 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOFLOXACIN 500 MG TABS,637,1 ,$33.65 ,$24.23 ,$8.24 ,$84.13 ,$84.13 ,$21.20 ,$20.19 ,$32.98 ,$9.42 ,$19.52 ,$32.98 ,$20.53 ,$8.24 ,$18.47 ,$18.47 ,$32.98 ,$21.87 ,$67.97 ,$23.56 , N/A ,$32.98 ,$32.98 ,$25.24 ,$23.89 ,$23.89 ,$32.98 ,$23.89 ,$29.28 ,$29.28 ,$29.28 , N/A ,$30.29 ,$84.13 ,$28.60 ,$32.98 ,$33.65 ,$18.88 ,$32.98 ,$13.93 , N/A , N/A ,$32.98 ,$28.60 ,$62.66 ,$18.47 ,$9.42 ,$30.29 ,$33.65 ,$32.98 ,$29.28 ,$25.24 ,$33.65 ,$25.24 ,$33.65 ,$21.87 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOFLOXACIN 750 MG TABS,637,1 ,$49.25 ,$35.46 ,$12.06 ,$123.13 ,$123.13 ,$31.03 ,$29.55 ,$48.26 ,$13.79 ,$28.57 ,$48.26 ,$30.04 ,$12.06 ,$27.04 ,$27.04 ,$48.26 ,$32.01 ,$99.49 ,$34.48 , N/A ,$48.26 ,$48.26 ,$36.94 ,$34.97 ,$34.97 ,$48.26 ,$34.97 ,$42.85 ,$42.85 ,$42.85 , N/A ,$44.33 ,$123.13 ,$41.86 ,$48.26 ,$49.25 ,$27.63 ,$48.26 ,$20.39 , N/A , N/A ,$48.26 ,$41.86 ,$91.71 ,$27.04 ,$13.79 ,$44.33 ,$49.25 ,$48.26 ,$42.85 ,$36.94 ,$49.25 ,$36.94 ,$49.25 ,$32.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LINEZOLID 600 MG TABS,637,1 ,$367.35 ,$264.49 ,$90.00 ,$918.38 ,$918.38 ,$231.43 ,$220.41 ,$360.00 ,$102.86 ,$213.06 ,$360.00 ,$224.08 ,$90.00 ,$201.68 ,$201.68 ,$360.00 ,$238.78 ,$742.05 ,$257.15 , N/A ,$360.00 ,$360.00 ,$275.51 ,$260.82 ,$260.82 ,$360.00 ,$260.82 ,$319.59 ,$319.59 ,$319.59 , N/A ,$330.62 ,$918.38 ,$312.25 ,$360.00 ,$367.35 ,$206.08 ,$360.00 ,$152.08 , N/A , N/A ,$360.00 ,$312.25 ,$684.01 ,$201.68 ,$102.86 ,$330.62 ,$367.35 ,$360.00 ,$319.59 ,$275.51 ,$367.35 ,$275.51 ,$367.35 ,$238.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML SUSP 30 ML CUP,637,1 ,$7.60 ,$5.47 ,$1.86 ,$19.00 ,$19.00 ,$4.79 ,$4.56 ,$7.45 ,$2.13 ,$4.41 ,$7.45 ,$4.64 ,$1.86 ,$4.17 ,$4.17 ,$7.45 ,$4.94 ,$15.35 ,$5.32 , N/A ,$7.45 ,$7.45 ,$5.70 ,$5.40 ,$5.40 ,$7.45 ,$5.40 ,$6.61 ,$6.61 ,$6.61 , N/A ,$6.84 ,$19.00 ,$6.46 ,$7.45 ,$7.60 ,$4.26 ,$7.45 ,$3.15 , N/A , N/A ,$7.45 ,$6.46 ,$14.15 ,$4.17 ,$2.13 ,$6.84 ,$7.60 ,$7.45 ,$6.61 ,$5.70 ,$7.60 ,$5.70 ,$7.60 ,$4.94 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,QUETIAPINE 25 MG TABS,637,1 ,$7.60 ,$5.47 ,$1.86 ,$19.00 ,$19.00 ,$4.79 ,$4.56 ,$7.45 ,$2.13 ,$4.41 ,$7.45 ,$4.64 ,$1.86 ,$4.17 ,$4.17 ,$7.45 ,$4.94 ,$15.35 ,$5.32 , N/A ,$7.45 ,$7.45 ,$5.70 ,$5.40 ,$5.40 ,$7.45 ,$5.40 ,$6.61 ,$6.61 ,$6.61 , N/A ,$6.84 ,$19.00 ,$6.46 ,$7.45 ,$7.60 ,$4.26 ,$7.45 ,$3.15 , N/A , N/A ,$7.45 ,$6.46 ,$14.15 ,$4.17 ,$2.13 ,$6.84 ,$7.60 ,$7.45 ,$6.61 ,$5.70 ,$7.60 ,$5.70 ,$7.60 ,$4.94 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PANTOPRAZOLE EC 20 MG TBEC,637,1 ,$7.60 ,$5.47 ,$1.86 ,$19.00 ,$19.00 ,$4.79 ,$4.56 ,$7.45 ,$2.13 ,$4.41 ,$7.45 ,$4.64 ,$1.86 ,$4.17 ,$4.17 ,$7.45 ,$4.94 ,$15.35 ,$5.32 , N/A ,$7.45 ,$7.45 ,$5.70 ,$5.40 ,$5.40 ,$7.45 ,$5.40 ,$6.61 ,$6.61 ,$6.61 , N/A ,$6.84 ,$19.00 ,$6.46 ,$7.45 ,$7.60 ,$4.26 ,$7.45 ,$3.15 , N/A , N/A ,$7.45 ,$6.46 ,$14.15 ,$4.17 ,$2.13 ,$6.84 ,$7.60 ,$7.45 ,$6.61 ,$5.70 ,$7.60 ,$5.70 ,$7.60 ,$4.94 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MELOXICAM 7.5 MG TABS,637,1 ,$6.20 ,$4.46 ,$1.52 ,$15.50 ,$15.50 ,$3.91 ,$3.72 ,$6.08 ,$1.74 ,$3.60 ,$6.08 ,$3.78 ,$1.52 ,$3.40 ,$3.40 ,$6.08 ,$4.03 ,$12.52 ,$4.34 , N/A ,$6.08 ,$6.08 ,$4.65 ,$4.40 ,$4.40 ,$6.08 ,$4.40 ,$5.39 ,$5.39 ,$5.39 , N/A ,$5.58 ,$15.50 ,$5.27 ,$6.08 ,$6.20 ,$3.48 ,$6.08 ,$2.57 , N/A , N/A ,$6.08 ,$5.27 ,$11.54 ,$3.40 ,$1.74 ,$5.58 ,$6.20 ,$6.08 ,$5.39 ,$4.65 ,$6.20 ,$4.65 ,$6.20 ,$4.03 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MENTHOL-METHYL SALICYLATE 10-15 % CREA 85 G TUBE,637,1 ,$15.15 ,$10.91 ,$3.71 ,$37.88 ,$37.88 ,$9.54 ,$9.09 ,$14.85 ,$4.24 ,$8.79 ,$14.85 ,$9.24 ,$3.71 ,$8.32 ,$8.32 ,$14.85 ,$9.85 ,$30.60 ,$10.61 , N/A ,$14.85 ,$14.85 ,$11.36 ,$10.76 ,$10.76 ,$14.85 ,$10.76 ,$13.18 ,$13.18 ,$13.18 , N/A ,$13.64 ,$37.88 ,$12.88 ,$14.85 ,$15.15 ,$8.50 ,$14.85 ,$6.27 , N/A , N/A ,$14.85 ,$12.88 ,$28.21 ,$8.32 ,$4.24 ,$13.64 ,$15.15 ,$14.85 ,$13.18 ,$11.36 ,$15.15 ,$11.36 ,$15.15 ,$9.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MESALAMINE ER 0.375 G CP24,637,1 ,$9.20 ,$6.62 ,$2.25 ,$23.00 ,$23.00 ,$5.80 ,$5.52 ,$9.02 ,$2.58 ,$5.34 ,$9.02 ,$5.61 ,$2.25 ,$5.05 ,$5.05 ,$9.02 ,$5.98 ,$18.58 ,$6.44 , N/A ,$9.02 ,$9.02 ,$6.90 ,$6.53 ,$6.53 ,$9.02 ,$6.53 ,$8.00 ,$8.00 ,$8.00 , N/A ,$8.28 ,$23.00 ,$7.82 ,$9.02 ,$9.20 ,$5.16 ,$9.02 ,$3.81 , N/A , N/A ,$9.02 ,$7.82 ,$17.13 ,$5.05 ,$2.58 ,$8.28 ,$9.20 ,$9.02 ,$8.00 ,$6.90 ,$9.20 ,$6.90 ,$9.20 ,$5.98 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METAXALONE 800 MG TABS,637,1 ,$19.60 ,$14.11 ,$4.80 ,$49.00 ,$49.00 ,$12.35 ,$11.76 ,$19.21 ,$5.49 ,$11.37 ,$19.21 ,$11.96 ,$4.80 ,$10.76 ,$10.76 ,$19.21 ,$12.74 ,$39.59 ,$13.72 , N/A ,$19.21 ,$19.21 ,$14.70 ,$13.92 ,$13.92 ,$19.21 ,$13.92 ,$17.05 ,$17.05 ,$17.05 , N/A ,$17.64 ,$49.00 ,$16.66 ,$19.21 ,$19.60 ,$11.00 ,$19.21 ,$8.11 , N/A , N/A ,$19.21 ,$16.66 ,$36.50 ,$10.76 ,$5.49 ,$17.64 ,$19.60 ,$19.21 ,$17.05 ,$14.70 ,$19.60 ,$14.70 ,$19.60 ,$12.74 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METHAZOLAMIDE 50 MG TABS,637,1 ,$20.45 ,$14.72 ,$5.01 ,$51.13 ,$51.13 ,$12.88 ,$12.27 ,$20.04 ,$5.73 ,$11.86 ,$20.04 ,$12.47 ,$5.01 ,$11.23 ,$11.23 ,$20.04 ,$13.29 ,$41.31 ,$14.32 , N/A ,$20.04 ,$20.04 ,$15.34 ,$14.52 ,$14.52 ,$20.04 ,$14.52 ,$17.79 ,$17.79 ,$17.79 , N/A ,$18.41 ,$51.13 ,$17.38 ,$20.04 ,$20.45 ,$11.47 ,$20.04 ,$8.47 , N/A , N/A ,$20.04 ,$17.38 ,$38.08 ,$11.23 ,$5.73 ,$18.41 ,$20.45 ,$20.04 ,$17.79 ,$15.34 ,$20.45 ,$15.34 ,$20.45 ,$13.29 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOCLOPRAMIDE 1 MG/ML 5 MG/5ML SOLN,637,1 ,$8.50 ,$6.12 ,$2.09 ,$21.25 ,$21.25 ,$5.36 ,$5.10 ,$8.33 ,$2.38 ,$4.93 ,$8.33 ,$5.19 ,$2.09 ,$4.67 ,$4.67 ,$8.33 ,$5.53 ,$17.17 ,$5.95 , N/A ,$8.33 ,$8.33 ,$6.38 ,$6.04 ,$6.04 ,$8.33 ,$6.04 ,$7.40 ,$7.40 ,$7.40 , N/A ,$7.65 ,$21.25 ,$7.23 ,$8.33 ,$8.50 ,$4.77 ,$8.33 ,$3.52 , N/A , N/A ,$8.33 ,$7.23 ,$15.83 ,$4.67 ,$2.38 ,$7.65 ,$8.50 ,$8.33 ,$7.40 ,$6.38 ,$8.50 ,$6.38 ,$8.50 ,$5.53 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MEGESTROL 400 MG/10ML SUSP,637,1 ,$8.50 ,$6.12 ,$2.09 ,$21.25 ,$21.25 ,$5.36 ,$5.10 ,$8.33 ,$2.38 ,$4.93 ,$8.33 ,$5.19 ,$2.09 ,$4.67 ,$4.67 ,$8.33 ,$5.53 ,$17.17 ,$5.95 , N/A ,$8.33 ,$8.33 ,$6.38 ,$6.04 ,$6.04 ,$8.33 ,$6.04 ,$7.40 ,$7.40 ,$7.40 , N/A ,$7.65 ,$21.25 ,$7.23 ,$8.33 ,$8.50 ,$4.77 ,$8.33 ,$3.52 , N/A , N/A ,$8.33 ,$7.23 ,$15.83 ,$4.67 ,$2.38 ,$7.65 ,$8.50 ,$8.33 ,$7.40 ,$6.38 ,$8.50 ,$6.38 ,$8.50 ,$5.53 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MICONAZOLE 2 % CREA,637,1 ,$22.90 ,$16.49 ,$5.62 ,$57.25 ,$57.25 ,$14.43 ,$13.74 ,$22.44 ,$6.41 ,$13.28 ,$22.44 ,$13.97 ,$5.62 ,$12.57 ,$12.57 ,$22.44 ,$14.89 ,$46.26 ,$16.03 , N/A ,$22.44 ,$22.44 ,$17.18 ,$16.26 ,$16.26 ,$22.44 ,$16.26 ,$19.92 ,$19.92 ,$19.92 , N/A ,$20.61 ,$57.25 ,$19.47 ,$22.44 ,$22.90 ,$12.85 ,$22.44 ,$9.48 , N/A , N/A ,$22.44 ,$19.47 ,$42.64 ,$12.57 ,$6.41 ,$20.61 ,$22.90 ,$22.44 ,$19.92 ,$17.18 ,$22.90 ,$17.18 ,$22.90 ,$14.89 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MODAFINIL 100 MG TABS,637,1 ,$52.76 ,$37.99 ,$12.93 ,$131.90 ,$131.90 ,$33.24 ,$31.66 ,$51.70 ,$14.77 ,$30.60 ,$51.70 ,$32.18 ,$12.93 ,$28.97 ,$28.97 ,$51.70 ,$34.29 ,$106.58 ,$36.93 , N/A ,$51.70 ,$51.70 ,$39.57 ,$37.46 ,$37.46 ,$51.70 ,$37.46 ,$45.90 ,$45.90 ,$45.90 , N/A ,$47.48 ,$131.90 ,$44.85 ,$51.70 ,$52.76 ,$29.60 ,$51.70 ,$21.84 , N/A , N/A ,$51.70 ,$44.85 ,$98.24 ,$28.97 ,$14.77 ,$47.48 ,$52.76 ,$51.70 ,$45.90 ,$39.57 ,$52.76 ,$39.57 ,$52.76 ,$34.29 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MOISTURIZING SOLN 44.3 ML BOTTLE,637,1 ,$10.75 ,$7.74 ,$2.64 ,$26.88 ,$26.88 ,$6.77 ,$6.45 ,$10.53 ,$3.01 ,$6.24 ,$10.53 ,$6.56 ,$2.64 ,$5.90 ,$5.90 ,$10.53 ,$6.99 ,$21.72 ,$7.53 , N/A ,$10.53 ,$10.53 ,$8.06 ,$7.63 ,$7.63 ,$10.53 ,$7.63 ,$9.35 ,$9.35 ,$9.35 , N/A ,$9.68 ,$26.88 ,$9.14 ,$10.53 ,$10.75 ,$6.03 ,$10.53 ,$4.45 , N/A , N/A ,$10.53 ,$9.14 ,$20.02 ,$5.90 ,$3.01 ,$9.68 ,$10.75 ,$10.53 ,$9.35 ,$8.06 ,$10.75 ,$8.06 ,$10.75 ,$6.99 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MONTELUKAST 10 MG TABS,637,1 ,$11.35 ,$8.17 ,$2.78 ,$28.38 ,$28.38 ,$7.15 ,$6.81 ,$11.12 ,$3.18 ,$6.58 ,$11.12 ,$6.92 ,$2.78 ,$6.23 ,$6.23 ,$11.12 ,$7.38 ,$22.93 ,$7.95 , N/A ,$11.12 ,$11.12 ,$8.51 ,$8.06 ,$8.06 ,$11.12 ,$8.06 ,$9.87 ,$9.87 ,$9.87 , N/A ,$10.22 ,$28.38 ,$9.65 ,$11.12 ,$11.35 ,$6.37 ,$11.12 ,$4.70 , N/A , N/A ,$11.12 ,$9.65 ,$21.14 ,$6.23 ,$3.18 ,$10.22 ,$11.35 ,$11.12 ,$9.87 ,$8.51 ,$11.35 ,$8.51 ,$11.35 ,$7.38 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MUPIROCIN 2 % OINT 22 G TUBE,637,1 ,$85.50 ,$61.56 ,$20.95 ,$213.75 ,$213.75 ,$53.87 ,$51.30 ,$83.79 ,$23.94 ,$49.59 ,$83.79 ,$52.16 ,$20.95 ,$46.94 ,$46.94 ,$83.79 ,$55.58 ,$172.71 ,$59.85 , N/A ,$83.79 ,$83.79 ,$64.13 ,$60.71 ,$60.71 ,$83.79 ,$60.71 ,$74.39 ,$74.39 ,$74.39 , N/A ,$76.95 ,$213.75 ,$72.68 ,$83.79 ,$85.50 ,$47.97 ,$83.79 ,$35.40 , N/A , N/A ,$83.79 ,$72.68 ,$159.20 ,$46.94 ,$23.94 ,$76.95 ,$85.50 ,$83.79 ,$74.39 ,$64.13 ,$85.50 ,$64.13 ,$85.50 ,$55.58 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NALOXEGOL OXALATE 25 MG TABS,637,1 ,$29.30 ,$21.10 ,$7.18 ,$73.25 ,$73.25 ,$18.46 ,$17.58 ,$28.71 ,$8.20 ,$16.99 ,$28.71 ,$17.87 ,$7.18 ,$16.09 ,$16.09 ,$28.71 ,$19.05 ,$59.19 ,$20.51 , N/A ,$28.71 ,$28.71 ,$21.98 ,$20.80 ,$20.80 ,$28.71 ,$20.80 ,$25.49 ,$25.49 ,$25.49 , N/A ,$26.37 ,$73.25 ,$24.91 ,$28.71 ,$29.30 ,$16.44 ,$28.71 ,$12.13 , N/A , N/A ,$28.71 ,$24.91 ,$54.56 ,$16.09 ,$8.20 ,$26.37 ,$29.30 ,$28.71 ,$25.49 ,$21.98 ,$29.30 ,$21.98 ,$29.30 ,$19.05 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NEBIVOLOL 5 MG TABS,637,1 ,$13.55 ,$9.76 ,$3.32 ,$33.88 ,$33.88 ,$8.54 ,$8.13 ,$13.28 ,$3.79 ,$7.86 ,$13.28 ,$8.27 ,$3.32 ,$7.44 ,$7.44 ,$13.28 ,$8.81 ,$27.37 ,$9.49 , N/A ,$13.28 ,$13.28 ,$10.16 ,$9.62 ,$9.62 ,$13.28 ,$9.62 ,$11.79 ,$11.79 ,$11.79 , N/A ,$12.20 ,$33.88 ,$11.52 ,$13.28 ,$13.55 ,$7.60 ,$13.28 ,$5.61 , N/A , N/A ,$13.28 ,$11.52 ,$25.23 ,$7.44 ,$3.79 ,$12.20 ,$13.55 ,$13.28 ,$11.79 ,$10.16 ,$13.55 ,$10.16 ,$13.55 ,$8.81 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SUSP 10 ML BOTTLE,637,1 ,$209.80 ,$151.06 ,$51.40 ,$524.50 ,$524.50 ,$132.17 ,$125.88 ,$205.60 ,$58.74 ,$121.68 ,$205.60 ,$127.98 ,$51.40 ,$115.18 ,$115.18 ,$205.60 ,$136.37 ,$423.80 ,$146.86 , N/A ,$205.60 ,$205.60 ,$157.35 ,$148.96 ,$148.96 ,$205.60 ,$148.96 ,$182.53 ,$182.53 ,$182.53 , N/A ,$188.82 ,$524.50 ,$178.33 ,$205.60 ,$209.80 ,$117.70 ,$205.60 ,$86.86 , N/A , N/A ,$205.60 ,$178.33 ,$390.65 ,$115.18 ,$58.74 ,$188.82 ,$209.80 ,$205.60 ,$182.53 ,$157.35 ,$209.80 ,$157.35 ,$209.80 ,$136.37 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NITROFURANTOIN (MACROCRYSTAL-MONOHYDRATE) 100 MG CAPS,637,1 ,$7.10 ,$5.11 ,$1.74 ,$17.75 ,$17.75 ,$4.47 ,$4.26 ,$6.96 ,$1.99 ,$4.12 ,$6.96 ,$4.33 ,$1.74 ,$3.90 ,$3.90 ,$6.96 ,$4.62 ,$14.34 ,$4.97 , N/A ,$6.96 ,$6.96 ,$5.33 ,$5.04 ,$5.04 ,$6.96 ,$5.04 ,$6.18 ,$6.18 ,$6.18 , N/A ,$6.39 ,$17.75 ,$6.04 ,$6.96 ,$7.10 ,$3.98 ,$6.96 ,$2.94 , N/A , N/A ,$6.96 ,$6.04 ,$13.22 ,$3.90 ,$1.99 ,$6.39 ,$7.10 ,$6.96 ,$6.18 ,$5.33 ,$7.10 ,$5.33 ,$7.10 ,$4.62 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NITROFURANTOIN 100 MG CAPS,637,1 ,$6.90 ,$4.97 ,$1.70 ,$17.25 ,$17.25 ,$4.35 ,$4.14 ,$6.76 ,$1.93 ,$4.00 ,$6.76 ,$4.21 ,$1.70 ,$3.79 ,$3.79 ,$6.76 ,$4.49 ,$13.94 ,$4.83 , N/A ,$6.76 ,$6.76 ,$5.18 ,$4.90 ,$4.90 ,$6.76 ,$4.90 ,$6.00 ,$6.00 ,$6.00 , N/A ,$6.21 ,$17.25 ,$5.87 ,$6.76 ,$6.90 ,$3.87 ,$6.76 ,$2.86 , N/A , N/A ,$6.76 ,$5.87 ,$12.85 ,$3.79 ,$1.93 ,$6.21 ,$6.90 ,$6.76 ,$6.00 ,$5.18 ,$6.90 ,$5.18 ,$6.90 ,$4.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NYSTATIN 100000 UNIT/GM OINT 15 G TUBE,637,1 ,$35.05 ,$25.24 ,$8.58 ,$87.63 ,$87.63 ,$22.08 ,$21.03 ,$34.35 ,$9.81 ,$20.33 ,$34.35 ,$21.38 ,$8.58 ,$19.24 ,$19.24 ,$34.35 ,$22.78 ,$70.80 ,$24.54 , N/A ,$34.35 ,$34.35 ,$26.29 ,$24.89 ,$24.89 ,$34.35 ,$24.89 ,$30.49 ,$30.49 ,$30.49 , N/A ,$31.55 ,$87.63 ,$29.79 ,$34.35 ,$35.05 ,$19.66 ,$34.35 ,$14.51 , N/A , N/A ,$34.35 ,$29.79 ,$65.27 ,$19.24 ,$9.81 ,$31.55 ,$35.05 ,$34.35 ,$30.49 ,$26.29 ,$35.05 ,$26.29 ,$35.05 ,$22.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,637,1 ,$35.05 ,$25.24 ,$8.58 ,$87.63 ,$87.63 ,$22.08 ,$21.03 ,$34.35 ,$9.81 ,$20.33 ,$34.35 ,$21.38 ,$8.58 ,$19.24 ,$19.24 ,$34.35 ,$22.78 ,$70.80 ,$24.54 , N/A ,$34.35 ,$34.35 ,$26.29 ,$24.89 ,$24.89 ,$34.35 ,$24.89 ,$30.49 ,$30.49 ,$30.49 , N/A ,$31.55 ,$87.63 ,$29.79 ,$34.35 ,$35.05 ,$19.66 ,$34.35 ,$14.51 , N/A , N/A ,$34.35 ,$29.79 ,$65.27 ,$19.24 ,$9.81 ,$31.55 ,$35.05 ,$34.35 ,$30.49 ,$26.29 ,$35.05 ,$26.29 ,$35.05 ,$22.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,637,1 ,$54.95 ,$39.56 ,$13.47 ,$137.38 ,$137.38 ,$34.62 ,$32.97 ,$53.85 ,$15.39 ,$31.87 ,$53.85 ,$33.52 ,$13.47 ,$30.17 ,$30.17 ,$53.85 ,$35.72 ,$111.00 ,$38.47 , N/A ,$53.85 ,$53.85 ,$41.21 ,$39.01 ,$39.01 ,$53.85 ,$39.01 ,$47.81 ,$47.81 ,$47.81 , N/A ,$49.46 ,$137.38 ,$46.71 ,$53.85 ,$54.95 ,$30.83 ,$53.85 ,$22.75 , N/A , N/A ,$53.85 ,$46.71 ,$102.32 ,$30.17 ,$15.39 ,$49.46 ,$54.95 ,$53.85 ,$47.81 ,$41.21 ,$54.95 ,$41.21 ,$54.95 ,$35.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OLANZAPINE 5 MG TABS,637,1 ,$21.80 ,$15.70 ,$5.34 ,$54.50 ,$54.50 ,$13.73 ,$13.08 ,$21.36 ,$6.10 ,$12.64 ,$21.36 ,$13.30 ,$5.34 ,$11.97 ,$11.97 ,$21.36 ,$14.17 ,$44.04 ,$15.26 , N/A ,$21.36 ,$21.36 ,$16.35 ,$15.48 ,$15.48 ,$21.36 ,$15.48 ,$18.97 ,$18.97 ,$18.97 , N/A ,$19.62 ,$54.50 ,$18.53 ,$21.36 ,$21.80 ,$12.23 ,$21.36 ,$9.03 , N/A , N/A ,$21.36 ,$18.53 ,$40.59 ,$11.97 ,$6.10 ,$19.62 ,$21.80 ,$21.36 ,$18.97 ,$16.35 ,$21.80 ,$16.35 ,$21.80 ,$14.17 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OLANZAPINE 5 MG TBDP,637,1 ,$28.55 ,$20.56 ,$7.00 ,$71.38 ,$71.38 ,$17.99 ,$17.13 ,$27.98 ,$7.99 ,$16.56 ,$27.98 ,$17.42 ,$7.00 ,$15.67 ,$15.67 ,$27.98 ,$18.56 ,$57.67 ,$19.99 , N/A ,$27.98 ,$27.98 ,$21.41 ,$20.27 ,$20.27 ,$27.98 ,$20.27 ,$24.84 ,$24.84 ,$24.84 , N/A ,$25.70 ,$71.38 ,$24.27 ,$27.98 ,$28.55 ,$16.02 ,$27.98 ,$11.82 , N/A , N/A ,$27.98 ,$24.27 ,$53.16 ,$15.67 ,$7.99 ,$25.70 ,$28.55 ,$27.98 ,$24.84 ,$21.41 ,$28.55 ,$21.41 ,$28.55 ,$18.56 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ONDANSETRON 4 MG TBDP,637,1 ,$46.25 ,$33.30 ,$11.33 ,$115.63 ,$115.63 ,$29.14 ,$27.75 ,$45.32 ,$12.95 ,$26.83 ,$45.32 ,$28.21 ,$11.33 ,$25.39 ,$25.39 ,$45.32 ,$30.06 ,$93.43 ,$32.38 , N/A ,$45.32 ,$45.32 ,$34.69 ,$32.84 ,$32.84 ,$45.32 ,$32.84 ,$40.24 ,$40.24 ,$40.24 , N/A ,$41.63 ,$115.63 ,$39.31 ,$45.32 ,$46.25 ,$25.95 ,$45.32 ,$19.15 , N/A , N/A ,$45.32 ,$39.31 ,$86.12 ,$25.39 ,$12.95 ,$41.63 ,$46.25 ,$45.32 ,$40.24 ,$34.69 ,$46.25 ,$34.69 ,$46.25 ,$30.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OSELTAMIVIR 30 MG CAPS,637,1 ,$28.40 ,$20.45 ,$6.96 ,$71.00 ,$71.00 ,$17.89 ,$17.04 ,$27.83 ,$7.95 ,$16.47 ,$27.83 ,$17.32 ,$6.96 ,$15.59 ,$15.59 ,$27.83 ,$18.46 ,$57.37 ,$19.88 , N/A ,$27.83 ,$27.83 ,$21.30 ,$20.16 ,$20.16 ,$27.83 ,$20.16 ,$24.71 ,$24.71 ,$24.71 , N/A ,$25.56 ,$71.00 ,$24.14 ,$27.83 ,$28.40 ,$15.93 ,$27.83 ,$11.76 , N/A , N/A ,$27.83 ,$24.14 ,$52.88 ,$15.59 ,$7.95 ,$25.56 ,$28.40 ,$27.83 ,$24.71 ,$21.30 ,$28.40 ,$21.30 ,$28.40 ,$18.46 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OSELTAMIVIR 75 MG CAPS,637,1 ,$30.95 ,$22.28 ,$7.59 ,$77.38 ,$77.38 ,$19.50 ,$18.57 ,$30.33 ,$8.67 ,$17.95 ,$30.33 ,$18.88 ,$7.59 ,$16.99 ,$16.99 ,$30.33 ,$20.12 ,$62.52 ,$21.67 , N/A ,$30.33 ,$30.33 ,$23.21 ,$21.97 ,$21.97 ,$30.33 ,$21.97 ,$26.93 ,$26.93 ,$26.93 , N/A ,$27.86 ,$77.38 ,$26.31 ,$30.33 ,$30.95 ,$17.36 ,$30.33 ,$12.81 , N/A , N/A ,$30.33 ,$26.31 ,$57.63 ,$16.99 ,$8.67 ,$27.86 ,$30.95 ,$30.33 ,$26.93 ,$23.21 ,$30.95 ,$23.21 ,$30.95 ,$20.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXCARBAZEPINE 150 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PREGABALIN 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PREGABALIN 50 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PRIMIDONE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PROCHLORPERAZINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PROMETHAZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PROMETHAZINE-CODEINE 6.25-10 MG/5ML SYRP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PROPRANOLOL 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PSEUDOEPHEDRINE 30 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PSEUDOEPHEDRINE ER 120 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PSYLLIUM 28 % PACK,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PYRIDOXINE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RIFAMPIN 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYCODONE IMMEDIATE RELEASE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYCODONE IMMEDIATE RELEASE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYMETAZOLINE 0.05 % SOLN 30 ML SPRAY BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OYSTER SHELL CALCIUM 500 MG (ELEMENTAL) 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PAROXETINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PAROXETINE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PENICILLIN VK 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PENTOXIFYLLINE CR 400 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHENAZOPYRIDINE 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHENYLEPHRINE-MINERAL OIL-PETROLATUM 0.25-14-74.9 % OINT 57 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHENYTOIN 50 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHENYTOIN ER 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHOSPHORUS 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PILOCARPINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POLYCARBOPHIL 625 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POLYETHYLENE GLYCOL PACK,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POTASSIUM AND SODIUM PHOSPHATES 280-160-250 MG PACK,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ TBEF,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ TBEF,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POTASSIUM CHLORIDE CR 10 MEQ TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POTASSIUM PHOSPHATE MONOBASIC 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PRAMIPEXOLE 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ROPINIROLE 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ROPINIROLE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ROPINIROLE 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SALINE ENEMA ADULT 7-19 GM/118ML ENEM,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SENNA 8.6 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SENNA-DOCUSATE 8.6-50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SERTRALINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SERTRALINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SIMETHICONE 80 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SODIUM BICARBONATE 650 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SODIUM CHLORIDE 0.65 % SOLN 44 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SODIUM CHLORIDE 1 GM TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SOTALOL 80 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SPIRONOLACTONE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SUCRALFATE 1 G TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SULFASALAZINE 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TAMOXIFEN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TEMAZEPAM 15 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TERAZOSIN 1 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TERAZOSIN 5 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,THYROID 60 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TOPIRAMATE 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TOPIRAMATE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TORSEMIDE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TORSEMIDE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRAMADOL 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRAZODONE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VENLAFAXINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VERAPAMIL 180 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VERAPAMIL 80 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VERAPAMIL ER 120 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VERAPAMIL ER 180 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN B-1 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN B-12 1000 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN B-12 500 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN C 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN D2 (ERGOCALCIFEROL) 50000 UNITS CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 1000 UNIT TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN E 180 MG (400 UNIT) CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 2.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 3 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 4 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 6 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,WARFARIN 7.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ZINC OXIDE 20 % OINT 30 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ZINC SULFATE 220 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ZOLPIDEM 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN 120 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN 325 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN 325 MG/10.15ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN 650 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN CR 650 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACETAMINOPHEN-CODEINE 300-30 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACIDOPHILUS CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ACYCLOVIR 400 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT AERS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALLOPURINOL 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALLOPURINOL 300 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALPRAZOLAM 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ALPRAZOLAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMIODARONE 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMITRIPTYLINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMITRIPTYLINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMLODIPINE 2.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMLODIPINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN 250 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN 250 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN 500 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,AMOXICILLIN-CLAVULANATE 400-57 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ANALGESIC 10-15 % CREA 85 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ANASTROZOLE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ASPIRIN 300 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ASPIRIN 325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ASPIRIN 81 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ASPIRIN EC 325 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ASPIRIN EC 81 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250-250-65 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ATENOLOL 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ATENOLOL 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ATORVASTATIN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ATORVASTATIN 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ATORVASTATIN 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,B COMPLEX CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,B COMPLEX-C-FOLIC ACID 0.8 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BACITRACIN 500 UNIT/GM OINT,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BACLOFEN 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BENZOCAINE-MENTHOL 15-3.6 MG LOZG,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BENZONATATE 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BENZTROPINE 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BETHANECHOL 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BISACODYL 10 MG SUPP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BISACODYL EC 5 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BISMUTH SUBSALICYLATE 262 MG/15ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BRINZOLAMIDE 1 % SUSP 10 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BUMETANIDE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BUPROPION 75 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BUPROPION SR 100 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BUPROPION SR 150 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,BUSPIRONE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CALCITRIOL 0.25 MCG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CALCIUM CARBONATE 500 MG CHEW,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CALCIUM CARBONATE-VITAMIN D 500-5 MG-MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBAMAZEPINE 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBAMIDE PEROXIDE 6.5 % SOLN 15 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBIDOPA-LEVODOPA 10-100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBIDOPA-LEVODOPA 25-100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBIDOPA-LEVODOPA 25-250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBIDOPA-LEVODOPA CR 25-100 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARBIDOPA-LEVODOPA CR 50-200 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARVEDILOL 12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CARVEDILOL 3.125 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CELECOXIB 200 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CEPHALEXIN 250 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CEPHALEXIN 250 MG/5ML SUSR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CETIRIZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CHLORDIAZEPOXIDE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CHLORTHALIDONE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CHOLESTYRAMINE 4 G PACK,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CILOSTAZOL 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CITALOPRAM 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLINDAMYCIN 150 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLONAZEPAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLONAZEPAM 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CLONIDINE 0.1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CYCLOBENZAPRINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,CYCLOBENZAPRINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DEXTROMETHORPHAN-GUAIFENESIN ER 30-600 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIAZEPAM 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIAZEPAM 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DICLOFENAC EC 75 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DICLOXACILLIN 250 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DICYCLOMINE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIGOXIN 0.125 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DILTIAZEM 30 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DILTIAZEM CD 120 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DILTIAZEM CD 180 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DILTIAZEM CD 240 MG CP24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIPHENHYDRAMINE 12.5 MG/5ML LIQD,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIPHENHYDRAMINE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIVALPROEX DR SPRINKLE 125 MG CSDR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIVALPROEX EC 250 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DIVALPROEX ER 250 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DOCUSATE SODIUM 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DONEPEZIL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DORZOLAMIDE 2 % SOLN 10 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DOXAZOSIN 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,DOXEPIN 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ESTRADIOL 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FAMOTIDINE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FENOFIBRATE 48 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FERROUS SULFATE (65 MG ELEMENTAL) 325 (65 FE) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FISH OIL 1000 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUDROCORTISONE 0.1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUOXETINE 20 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE 110 MCG/ACT AERO,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE PROPIONATE 50 MCG/ACT SUSP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FLUTICASONE PROPIONATE 50 MCG/ACT SUSP 16 G BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FOLIC ACID 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FUROSEMIDE 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FUROSEMIDE 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GABAPENTIN 100 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GABAPENTIN 300 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GEMFIBROZIL 600 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GLIMEPIRIDE 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GLIMEPIRIDE 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GLIPIZIDE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GLIPIZIDE XL 2.5 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GUAIFENESIN 100 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GUAIFENESIN ER 600 MG TB12,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GUAIFENESIN-CODEINE 100-10 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,GUAIFENESIN-DEXTROMETHORPHAN 100-10 MG/5ML SYRP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HALOPERIDOL 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HALOPERIDOL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDRALAZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDRALAZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDRALAZINE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCHLOROTHIAZIDE 12.5 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCHLOROTHIAZIDE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROMORPHONE 2 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROXYUREA 500 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROXYZINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROXYZINE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYDROXYZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,HYOSCYAMINE 0.125 MG SUBL,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,IBUPROFEN 100 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,IBUPROFEN 200 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,IBUPROFEN 600 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,IBUPROFEN 800 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,INDAPAMIDE 1.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,INDOMETHACIN 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ISOSORBIDE DINITRATE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ISOSORBIDE MONONITRATE ER 30 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,KETOROLAC 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LABETALOL 100 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LACTULOSE 20 GM/30ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVETIRACETAM 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 100 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 112 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 125 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 150 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 25 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 50 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 75 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LEVOTHYROXINE 88 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LIOTHYRONINE 5 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LISINOPRIL 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LISINOPRIL 2.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LISINOPRIL 20 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LISINOPRIL 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LITHIUM 300 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LOPERAMIDE 2 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LORAZEPAM 0.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LORAZEPAM 1 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LOSARTAN 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,LOSARTAN 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MAGNESIUM CITRATE 1.745 GM/30ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MAGNESIUM OXIDE 400 (240 MG) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MAGNESIUM OXIDE 400 (241.3 MG) MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MECLIZINE 12.5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MECLIZINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MEDROXYPROGESTERONE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MEGESTROL 40 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MELATONIN 3 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MEMANTINE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MEMANTINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METFORMIN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METFORMIN 850 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METHADONE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METHIMAZOLE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METHOCARBAMOL 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METHYLPHENIDATE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOCLOPRAMIDE 10 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOCLOPRAMIDE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOLAZONE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOPROLOL SUCCINATE ER 25 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOPROLOL SUCCINATE ER 50 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOPROLOL TARTRATE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METOPROLOL TARTRATE 50 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,METRONIDAZOLE 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MICONAZOLE 2 % CREA 28 G TUBE,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MIDODRINE 5 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MINERAL OIL OIL,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MIRTAZAPINE 15 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MISOPROSTOL 100 MCG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MORPHINE CR 15 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MORPHINE SULFATE 100 MG/5ML SOLN,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,MULTI VITAMIN/MINERALS TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NAPROXEN 250 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NEOMYCIN 500 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NIACIN CR 500 MG TBCR,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NICOTINE 14 MG/24HR PT24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NICOTINE 21 MG/24HR PT24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NICOTINE 7 MG/24HR PT24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NIFEDIPINE XL 30 MG TB24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NITROGLYCERIN 0.1 MG/HR PT24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NITROGLYCERIN 0.2 MG/HR PT24,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NITROGLYCERIN 0.4 MG SUBL,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NITROGLYCERIN 2 % OINT,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NORTRIPTYLINE 10 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NORTRIPTYLINE 25 MG CAPS,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,NYSTATIN 100000 UNIT/ML SUSP,637,1 ,$6.00 ,$4.32 ,$1.47 ,$15.00 ,$15.00 ,$3.78 ,$3.60 ,$5.88 ,$1.68 ,$3.48 ,$5.88 ,$3.66 ,$1.47 ,$3.29 ,$3.29 ,$5.88 ,$3.90 ,$12.12 ,$4.20 , N/A ,$5.88 ,$5.88 ,$4.50 ,$4.26 ,$4.26 ,$5.88 ,$4.26 ,$5.22 ,$5.22 ,$5.22 , N/A ,$5.40 ,$15.00 ,$5.10 ,$5.88 ,$6.00 ,$3.37 ,$5.88 ,$2.48 , N/A , N/A ,$5.88 ,$5.10 ,$11.17 ,$3.29 ,$1.68 ,$5.40 ,$6.00 ,$5.88 ,$5.22 ,$4.50 ,$6.00 ,$4.50 ,$6.00 ,$3.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYCODONE ER 10 MG T12A,637,1 ,$11.50 ,$8.28 ,$2.82 ,$28.75 ,$28.75 ,$7.25 ,$6.90 ,$11.27 ,$3.22 ,$6.67 ,$11.27 ,$7.02 ,$2.82 ,$6.31 ,$6.31 ,$11.27 ,$7.48 ,$23.23 ,$8.05 , N/A ,$11.27 ,$11.27 ,$8.63 ,$8.17 ,$8.17 ,$11.27 ,$8.17 ,$10.01 ,$10.01 ,$10.01 , N/A ,$10.35 ,$28.75 ,$9.78 ,$11.27 ,$11.50 ,$6.45 ,$11.27 ,$4.76 , N/A , N/A ,$11.27 ,$9.78 ,$21.41 ,$6.31 ,$3.22 ,$10.35 ,$11.50 ,$11.27 ,$10.01 ,$8.63 ,$11.50 ,$8.63 ,$11.50 ,$7.48 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,FENOFIBRATE 145 MG TABS,637,1 ,$11.50 ,$8.28 ,$2.82 ,$28.75 ,$28.75 ,$7.25 ,$6.90 ,$11.27 ,$3.22 ,$6.67 ,$11.27 ,$7.02 ,$2.82 ,$6.31 ,$6.31 ,$11.27 ,$7.48 ,$23.23 ,$8.05 , N/A ,$11.27 ,$11.27 ,$8.63 ,$8.17 ,$8.17 ,$11.27 ,$8.17 ,$10.01 ,$10.01 ,$10.01 , N/A ,$10.35 ,$28.75 ,$9.78 ,$11.27 ,$11.50 ,$6.45 ,$11.27 ,$4.76 , N/A , N/A ,$11.27 ,$9.78 ,$21.41 ,$6.31 ,$3.22 ,$10.35 ,$11.50 ,$11.27 ,$10.01 ,$8.63 ,$11.50 ,$8.63 ,$11.50 ,$7.48 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,OXYCODONE ER 20 MG T12A,637,1 ,$21.40 ,$15.41 ,$5.24 ,$53.50 ,$53.50 ,$13.48 ,$12.84 ,$20.97 ,$5.99 ,$12.41 ,$20.97 ,$13.05 ,$5.24 ,$11.75 ,$11.75 ,$20.97 ,$13.91 ,$43.23 ,$14.98 , N/A ,$20.97 ,$20.97 ,$16.05 ,$15.19 ,$15.19 ,$20.97 ,$15.19 ,$18.62 ,$18.62 ,$18.62 , N/A ,$19.26 ,$53.50 ,$18.19 ,$20.97 ,$21.40 ,$12.01 ,$20.97 ,$8.86 , N/A , N/A ,$20.97 ,$18.19 ,$39.85 ,$11.75 ,$5.99 ,$19.26 ,$21.40 ,$20.97 ,$18.62 ,$16.05 ,$21.40 ,$16.05 ,$21.40 ,$13.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PANCRELIPASE (LIP-PROT-AMYL) 10000-32000 UNITS CPEP,637,1 ,$9.05 ,$6.52 ,$2.21 ,$22.63 ,$22.63 ,$5.70 ,$5.43 ,$8.87 ,$2.53 ,$5.25 ,$8.87 ,$5.52 ,$2.21 ,$4.97 ,$4.97 ,$8.87 ,$5.88 ,$18.28 ,$6.34 , N/A ,$8.87 ,$8.87 ,$6.79 ,$6.43 ,$6.43 ,$8.87 ,$6.43 ,$7.87 ,$7.87 ,$7.87 , N/A ,$8.15 ,$22.63 ,$7.69 ,$8.87 ,$9.05 ,$5.08 ,$8.87 ,$3.75 , N/A , N/A ,$8.87 ,$7.69 ,$16.86 ,$4.97 ,$2.53 ,$8.15 ,$9.05 ,$8.87 ,$7.87 ,$6.79 ,$9.05 ,$6.79 ,$9.05 ,$5.88 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PANTOPRAZOLE EC 40 MG TBEC,637,1 ,$10.55 ,$7.60 ,$2.59 ,$26.38 ,$26.38 ,$6.65 ,$6.33 ,$10.34 ,$2.95 ,$6.12 ,$10.34 ,$6.44 ,$2.59 ,$5.79 ,$5.79 ,$10.34 ,$6.86 ,$21.31 ,$7.39 , N/A ,$10.34 ,$10.34 ,$7.91 ,$7.49 ,$7.49 ,$10.34 ,$7.49 ,$9.18 ,$9.18 ,$9.18 , N/A ,$9.50 ,$26.38 ,$8.97 ,$10.34 ,$10.55 ,$5.92 ,$10.34 ,$4.37 , N/A , N/A ,$10.34 ,$8.97 ,$19.65 ,$5.79 ,$2.95 ,$9.50 ,$10.55 ,$10.34 ,$9.18 ,$7.91 ,$10.55 ,$7.91 ,$10.55 ,$6.86 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHENOL 1.4 % LIQD 177 ML BOTTLE,637,1 ,$9.60 ,$6.91 ,$2.35 ,$24.00 ,$24.00 ,$6.05 ,$5.76 ,$9.41 ,$2.69 ,$5.57 ,$9.41 ,$5.86 ,$2.35 ,$5.27 ,$5.27 ,$9.41 ,$6.24 ,$19.39 ,$6.72 , N/A ,$9.41 ,$9.41 ,$7.20 ,$6.82 ,$6.82 ,$9.41 ,$6.82 ,$8.35 ,$8.35 ,$8.35 , N/A ,$8.64 ,$24.00 ,$8.16 ,$9.41 ,$9.60 ,$5.39 ,$9.41 ,$3.97 , N/A , N/A ,$9.41 ,$8.16 ,$17.88 ,$5.27 ,$2.69 ,$8.64 ,$9.60 ,$9.41 ,$8.35 ,$7.20 ,$9.60 ,$7.20 ,$9.60 ,$6.24 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PHENOL 1.4 % LIQD 177 ML SPRAY BOTTLE,637,1 ,$6.05 ,$4.36 ,$1.48 ,$15.13 ,$15.13 ,$3.81 ,$3.63 ,$5.93 ,$1.69 ,$3.51 ,$5.93 ,$3.69 ,$1.48 ,$3.32 ,$3.32 ,$5.93 ,$3.93 ,$12.22 ,$4.24 , N/A ,$5.93 ,$5.93 ,$4.54 ,$4.30 ,$4.30 ,$5.93 ,$4.30 ,$5.26 ,$5.26 ,$5.26 , N/A ,$5.45 ,$15.13 ,$5.14 ,$5.93 ,$6.05 ,$3.39 ,$5.93 ,$2.50 , N/A , N/A ,$5.93 ,$5.14 ,$11.27 ,$3.32 ,$1.69 ,$5.45 ,$6.05 ,$5.93 ,$5.26 ,$4.54 ,$6.05 ,$4.54 ,$6.05 ,$3.93 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PIOGLITAZONE 15 MG TABS,637,1 ,$14.03 ,$10.10 ,$3.44 ,$35.08 ,$35.08 ,$8.84 ,$8.42 ,$13.75 ,$3.93 ,$8.14 ,$13.75 ,$8.56 ,$3.44 ,$7.70 ,$7.70 ,$13.75 ,$9.12 ,$28.34 ,$9.82 , N/A ,$13.75 ,$13.75 ,$10.52 ,$9.96 ,$9.96 ,$13.75 ,$9.96 ,$12.21 ,$12.21 ,$12.21 , N/A ,$12.63 ,$35.08 ,$11.93 ,$13.75 ,$14.03 ,$7.87 ,$13.75 ,$5.81 , N/A , N/A ,$13.75 ,$11.93 ,$26.13 ,$7.70 ,$3.93 ,$12.63 ,$14.03 ,$13.75 ,$12.21 ,$10.52 ,$14.03 ,$10.52 ,$14.03 ,$9.12 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,POLYVINYL ALCOHOL 1.4 % SOLN 15 ML BOTTLE,637,1 ,$14.85 ,$10.69 ,$3.64 ,$37.13 ,$37.13 ,$9.36 ,$8.91 ,$14.55 ,$4.16 ,$8.61 ,$14.55 ,$9.06 ,$3.64 ,$8.15 ,$8.15 ,$14.55 ,$9.65 ,$30.00 ,$10.40 , N/A ,$14.55 ,$14.55 ,$11.14 ,$10.54 ,$10.54 ,$14.55 ,$10.54 ,$12.92 ,$12.92 ,$12.92 , N/A ,$13.37 ,$37.13 ,$12.62 ,$14.55 ,$14.85 ,$8.33 ,$14.55 ,$6.15 , N/A , N/A ,$14.55 ,$12.62 ,$27.66 ,$8.15 ,$4.16 ,$13.37 ,$14.85 ,$14.55 ,$12.92 ,$11.14 ,$14.85 ,$11.14 ,$14.85 ,$9.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PRAVASTATIN 10 MG TABS,637,1 ,$6.40 ,$4.61 ,$1.57 ,$16.00 ,$16.00 ,$4.03 ,$3.84 ,$6.27 ,$1.79 ,$3.71 ,$6.27 ,$3.90 ,$1.57 ,$3.51 ,$3.51 ,$6.27 ,$4.16 ,$12.93 ,$4.48 , N/A ,$6.27 ,$6.27 ,$4.80 ,$4.54 ,$4.54 ,$6.27 ,$4.54 ,$5.57 ,$5.57 ,$5.57 , N/A ,$5.76 ,$16.00 ,$5.44 ,$6.27 ,$6.40 ,$3.59 ,$6.27 ,$2.65 , N/A , N/A ,$6.27 ,$5.44 ,$11.92 ,$3.51 ,$1.79 ,$5.76 ,$6.40 ,$6.27 ,$5.57 ,$4.80 ,$6.40 ,$4.80 ,$6.40 ,$4.16 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PRAVASTATIN 20 MG TABS,637,1 ,$6.55 ,$4.72 ,$1.61 ,$16.38 ,$16.38 ,$4.13 ,$3.93 ,$6.42 ,$1.83 ,$3.80 ,$6.42 ,$4.00 ,$1.61 ,$3.60 ,$3.60 ,$6.42 ,$4.26 ,$13.23 ,$4.59 , N/A ,$6.42 ,$6.42 ,$4.91 ,$4.65 ,$4.65 ,$6.42 ,$4.65 ,$5.70 ,$5.70 ,$5.70 , N/A ,$5.90 ,$16.38 ,$5.57 ,$6.42 ,$6.55 ,$3.67 ,$6.42 ,$2.71 , N/A , N/A ,$6.42 ,$5.57 ,$12.20 ,$3.60 ,$1.83 ,$5.90 ,$6.55 ,$6.42 ,$5.70 ,$4.91 ,$6.55 ,$4.91 ,$6.55 ,$4.26 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PRAVASTATIN 40 MG TABS,637,1 ,$9.55 ,$6.88 ,$2.34 ,$23.88 ,$23.88 ,$6.02 ,$5.73 ,$9.36 ,$2.67 ,$5.54 ,$9.36 ,$5.83 ,$2.34 ,$5.24 ,$5.24 ,$9.36 ,$6.21 ,$19.29 ,$6.69 , N/A ,$9.36 ,$9.36 ,$7.16 ,$6.78 ,$6.78 ,$9.36 ,$6.78 ,$8.31 ,$8.31 ,$8.31 , N/A ,$8.60 ,$23.88 ,$8.12 ,$9.36 ,$9.55 ,$5.36 ,$9.36 ,$3.95 , N/A , N/A ,$9.36 ,$8.12 ,$17.79 ,$5.24 ,$2.67 ,$8.60 ,$9.55 ,$9.36 ,$8.31 ,$7.16 ,$9.55 ,$7.16 ,$9.55 ,$6.21 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,PREGABALIN 75 MG CAPS,637,1 ,$22.68 ,$16.33 ,$5.56 ,$56.70 ,$56.70 ,$14.29 ,$13.61 ,$22.23 ,$6.35 ,$13.15 ,$22.23 ,$13.83 ,$5.56 ,$12.45 ,$12.45 ,$22.23 ,$14.74 ,$45.81 ,$15.88 , N/A ,$22.23 ,$22.23 ,$17.01 ,$16.10 ,$16.10 ,$22.23 ,$16.10 ,$19.73 ,$19.73 ,$19.73 , N/A ,$20.41 ,$56.70 ,$19.28 ,$22.23 ,$22.68 ,$12.72 ,$22.23 ,$9.39 , N/A , N/A ,$22.23 ,$19.28 ,$42.23 ,$12.45 ,$6.35 ,$20.41 ,$22.68 ,$22.23 ,$19.73 ,$17.01 ,$22.68 ,$17.01 ,$22.68 ,$14.74 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,QUETIAPINE 100 MG TABS,637,1 ,$13.00 ,$9.36 ,$3.18 ,$32.50 ,$32.50 ,$8.19 ,$7.80 ,$12.74 ,$3.64 ,$7.54 ,$12.74 ,$7.93 ,$3.18 ,$7.14 ,$7.14 ,$12.74 ,$8.45 ,$26.26 ,$9.10 , N/A ,$12.74 ,$12.74 ,$9.75 ,$9.23 ,$9.23 ,$12.74 ,$9.23 ,$11.31 ,$11.31 ,$11.31 , N/A ,$11.70 ,$32.50 ,$11.05 ,$12.74 ,$13.00 ,$7.29 ,$12.74 ,$5.38 , N/A , N/A ,$12.74 ,$11.05 ,$24.21 ,$7.14 ,$3.64 ,$11.70 ,$13.00 ,$12.74 ,$11.31 ,$9.75 ,$13.00 ,$9.75 ,$13.00 ,$8.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RANOLAZINE ER 500 MG TB12,637,1 ,$13.50 ,$9.72 ,$3.31 ,$33.75 ,$33.75 ,$8.51 ,$8.10 ,$13.23 ,$3.78 ,$7.83 ,$13.23 ,$8.24 ,$3.31 ,$7.41 ,$7.41 ,$13.23 ,$8.78 ,$27.27 ,$9.45 , N/A ,$13.23 ,$13.23 ,$10.13 ,$9.59 ,$9.59 ,$13.23 ,$9.59 ,$11.75 ,$11.75 ,$11.75 , N/A ,$12.15 ,$33.75 ,$11.48 ,$13.23 ,$13.50 ,$7.57 ,$13.23 ,$5.59 , N/A , N/A ,$13.23 ,$11.48 ,$25.14 ,$7.41 ,$3.78 ,$12.15 ,$13.50 ,$13.23 ,$11.75 ,$10.13 ,$13.50 ,$10.13 ,$13.50 ,$8.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RIFAXIMIN 550 MG TABS,637,1 ,$119.05 ,$85.72 ,$29.16 ,$297.63 ,$297.63 ,$75.00 ,$71.43 ,$116.67 ,$33.33 ,$69.05 ,$116.67 ,$72.62 ,$29.16 ,$65.36 ,$65.36 ,$116.67 ,$77.38 ,$240.48 ,$83.34 , N/A ,$116.67 ,$116.67 ,$89.29 ,$84.53 ,$84.53 ,$116.67 ,$84.53 ,$103.57 ,$103.57 ,$103.57 , N/A ,$107.15 ,$297.63 ,$101.19 ,$116.67 ,$119.05 ,$66.79 ,$116.67 ,$49.29 , N/A , N/A ,$116.67 ,$101.19 ,$221.68 ,$65.36 ,$33.33 ,$107.15 ,$119.05 ,$116.67 ,$103.57 ,$89.29 ,$119.05 ,$89.29 ,$119.05 ,$77.38 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RISPERIDONE 0.25 MG TABS,637,1 ,$7.18 ,$5.17 ,$1.76 ,$17.95 ,$17.95 ,$4.52 ,$4.31 ,$7.04 ,$2.01 ,$4.16 ,$7.04 ,$4.38 ,$1.76 ,$3.94 ,$3.94 ,$7.04 ,$4.67 ,$14.50 ,$5.03 , N/A ,$7.04 ,$7.04 ,$5.39 ,$5.10 ,$5.10 ,$7.04 ,$5.10 ,$6.25 ,$6.25 ,$6.25 , N/A ,$6.46 ,$17.95 ,$6.10 ,$7.04 ,$7.18 ,$4.03 ,$7.04 ,$2.97 , N/A , N/A ,$7.04 ,$6.10 ,$13.37 ,$3.94 ,$2.01 ,$6.46 ,$7.18 ,$7.04 ,$6.25 ,$5.39 ,$7.18 ,$5.39 ,$7.18 ,$4.67 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RISPERIDONE 1 MG TABS,637,1 ,$9.10 ,$6.55 ,$2.23 ,$22.75 ,$22.75 ,$5.73 ,$5.46 ,$8.92 ,$2.55 ,$5.28 ,$8.92 ,$5.55 ,$2.23 ,$5.00 ,$5.00 ,$8.92 ,$5.92 ,$18.38 ,$6.37 , N/A ,$8.92 ,$8.92 ,$6.83 ,$6.46 ,$6.46 ,$8.92 ,$6.46 ,$7.92 ,$7.92 ,$7.92 , N/A ,$8.19 ,$22.75 ,$7.74 ,$8.92 ,$9.10 ,$5.11 ,$8.92 ,$3.77 , N/A , N/A ,$8.92 ,$7.74 ,$16.94 ,$5.00 ,$2.55 ,$8.19 ,$9.10 ,$8.92 ,$7.92 ,$6.83 ,$9.10 ,$6.83 ,$9.10 ,$5.92 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RIVAROXABAN 15 MG TABS,637,1 ,$41.35 ,$29.77 ,$10.13 ,$103.38 ,$103.38 ,$26.05 ,$24.81 ,$40.52 ,$11.58 ,$23.98 ,$40.52 ,$25.22 ,$10.13 ,$22.70 ,$22.70 ,$40.52 ,$26.88 ,$83.53 ,$28.95 , N/A ,$40.52 ,$40.52 ,$31.01 ,$29.36 ,$29.36 ,$40.52 ,$29.36 ,$35.97 ,$35.97 ,$35.97 , N/A ,$37.22 ,$103.38 ,$35.15 ,$40.52 ,$41.35 ,$23.20 ,$40.52 ,$17.12 , N/A , N/A ,$40.52 ,$35.15 ,$77.00 ,$22.70 ,$11.58 ,$37.22 ,$41.35 ,$40.52 ,$35.97 ,$31.01 ,$41.35 ,$31.01 ,$41.35 ,$26.88 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RIVAROXABAN 10 MG TABS,637,1 ,$41.35 ,$29.77 ,$10.13 ,$103.38 ,$103.38 ,$26.05 ,$24.81 ,$40.52 ,$11.58 ,$23.98 ,$40.52 ,$25.22 ,$10.13 ,$22.70 ,$22.70 ,$40.52 ,$26.88 ,$83.53 ,$28.95 , N/A ,$40.52 ,$40.52 ,$31.01 ,$29.36 ,$29.36 ,$40.52 ,$29.36 ,$35.97 ,$35.97 ,$35.97 , N/A ,$37.22 ,$103.38 ,$35.15 ,$40.52 ,$41.35 ,$23.20 ,$40.52 ,$17.12 , N/A , N/A ,$40.52 ,$35.15 ,$77.00 ,$22.70 ,$11.58 ,$37.22 ,$41.35 ,$40.52 ,$35.97 ,$31.01 ,$41.35 ,$31.01 ,$41.35 ,$26.88 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,RIVASTIGMINE 4.6 MG/24HR PT24,637,1 ,$33.80 ,$24.34 ,$8.28 ,$84.50 ,$84.50 ,$21.29 ,$20.28 ,$33.12 ,$9.46 ,$19.60 ,$33.12 ,$20.62 ,$8.28 ,$18.56 ,$18.56 ,$33.12 ,$21.97 ,$68.28 ,$23.66 , N/A ,$33.12 ,$33.12 ,$25.35 ,$24.00 ,$24.00 ,$33.12 ,$24.00 ,$29.41 ,$29.41 ,$29.41 , N/A ,$30.42 ,$84.50 ,$28.73 ,$33.12 ,$33.80 ,$18.96 ,$33.12 ,$13.99 , N/A , N/A ,$33.12 ,$28.73 ,$62.94 ,$18.56 ,$9.46 ,$30.42 ,$33.80 ,$33.12 ,$29.41 ,$25.35 ,$33.80 ,$25.35 ,$33.80 ,$21.97 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ROFLUMILAST 500 MCG TABS,637,1 ,$33.50 ,$24.12 ,$8.21 ,$83.75 ,$83.75 ,$21.11 ,$20.10 ,$32.83 ,$9.38 ,$19.43 ,$32.83 ,$20.44 ,$8.21 ,$18.39 ,$18.39 ,$32.83 ,$21.78 ,$67.67 ,$23.45 , N/A ,$32.83 ,$32.83 ,$25.13 ,$23.79 ,$23.79 ,$32.83 ,$23.79 ,$29.15 ,$29.15 ,$29.15 , N/A ,$30.15 ,$83.75 ,$28.48 ,$32.83 ,$33.50 ,$18.79 ,$32.83 ,$13.87 , N/A , N/A ,$32.83 ,$28.48 ,$62.38 ,$18.39 ,$9.38 ,$30.15 ,$33.50 ,$32.83 ,$29.15 ,$25.13 ,$33.50 ,$25.13 ,$33.50 ,$21.78 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SILVER SULFADIAZINE 1 % CREA 25 G TUBE,637,1 ,$18.15 ,$13.07 ,$4.45 ,$45.38 ,$45.38 ,$11.43 ,$10.89 ,$17.79 ,$5.08 ,$10.53 ,$17.79 ,$11.07 ,$4.45 ,$9.96 ,$9.96 ,$17.79 ,$11.80 ,$36.66 ,$12.71 , N/A ,$17.79 ,$17.79 ,$13.61 ,$12.89 ,$12.89 ,$17.79 ,$12.89 ,$15.79 ,$15.79 ,$15.79 , N/A ,$16.34 ,$45.38 ,$15.43 ,$17.79 ,$18.15 ,$10.18 ,$17.79 ,$7.51 , N/A , N/A ,$17.79 ,$15.43 ,$33.80 ,$9.96 ,$5.08 ,$16.34 ,$18.15 ,$17.79 ,$15.79 ,$13.61 ,$18.15 ,$13.61 ,$18.15 ,$11.80 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SODIUM CHLORIDE 5 % OINT 3.5 G TUBE,637,1 ,$26.20 ,$18.86 ,$6.42 ,$65.50 ,$65.50 ,$16.51 ,$15.72 ,$25.68 ,$7.34 ,$15.20 ,$25.68 ,$15.98 ,$6.42 ,$14.38 ,$14.38 ,$25.68 ,$17.03 ,$52.92 ,$18.34 , N/A ,$25.68 ,$25.68 ,$19.65 ,$18.60 ,$18.60 ,$25.68 ,$18.60 ,$22.79 ,$22.79 ,$22.79 , N/A ,$23.58 ,$65.50 ,$22.27 ,$25.68 ,$26.20 ,$14.70 ,$25.68 ,$10.85 , N/A , N/A ,$25.68 ,$22.27 ,$48.78 ,$14.38 ,$7.34 ,$23.58 ,$26.20 ,$25.68 ,$22.79 ,$19.65 ,$26.20 ,$19.65 ,$26.20 ,$17.03 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SODIUM POLYSTYRENE 15 GM/60ML SUSP,637,1 ,$47.78 ,$34.40 ,$11.71 ,$119.45 ,$119.45 ,$30.10 ,$28.67 ,$46.82 ,$13.38 ,$27.71 ,$46.82 ,$29.15 ,$11.71 ,$26.23 ,$26.23 ,$46.82 ,$31.06 ,$96.52 ,$33.45 , N/A ,$46.82 ,$46.82 ,$35.84 ,$33.92 ,$33.92 ,$46.82 ,$33.92 ,$41.57 ,$41.57 ,$41.57 , N/A ,$43.00 ,$119.45 ,$40.61 ,$46.82 ,$47.78 ,$26.80 ,$46.82 ,$19.78 , N/A , N/A ,$46.82 ,$40.61 ,$88.96 ,$26.23 ,$13.38 ,$43.00 ,$47.78 ,$46.82 ,$41.57 ,$35.84 ,$47.78 ,$35.84 ,$47.78 ,$31.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PACK,637,1 ,$58.40 ,$42.05 ,$14.31 ,$146.00 ,$146.00 ,$36.79 ,$35.04 ,$57.23 ,$16.35 ,$33.87 ,$57.23 ,$35.62 ,$14.31 ,$32.06 ,$32.06 ,$57.23 ,$37.96 ,$117.97 ,$40.88 , N/A ,$57.23 ,$57.23 ,$43.80 ,$41.46 ,$41.46 ,$57.23 ,$41.46 ,$50.81 ,$50.81 ,$50.81 , N/A ,$52.56 ,$146.00 ,$49.64 ,$57.23 ,$58.40 ,$32.76 ,$57.23 ,$24.18 , N/A , N/A ,$57.23 ,$49.64 ,$108.74 ,$32.06 ,$16.35 ,$52.56 ,$58.40 ,$57.23 ,$50.81 ,$43.80 ,$58.40 ,$43.80 ,$58.40 ,$37.96 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SOLIFENACIN 5 MG TABS,637,1 ,$26.25 ,$18.90 ,$6.43 ,$65.63 ,$65.63 ,$16.54 ,$15.75 ,$25.72 ,$7.35 ,$15.23 ,$25.72 ,$16.01 ,$6.43 ,$14.41 ,$14.41 ,$25.72 ,$17.06 ,$53.03 ,$18.38 , N/A ,$25.72 ,$25.72 ,$19.69 ,$18.64 ,$18.64 ,$25.72 ,$18.64 ,$22.84 ,$22.84 ,$22.84 , N/A ,$23.63 ,$65.63 ,$22.31 ,$25.72 ,$26.25 ,$14.73 ,$25.72 ,$10.87 , N/A , N/A ,$25.72 ,$22.31 ,$48.88 ,$14.41 ,$7.35 ,$23.63 ,$26.25 ,$25.72 ,$22.84 ,$19.69 ,$26.25 ,$19.69 ,$26.25 ,$17.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SULFACETAMIDE 10 % SOLN 15 ML BOTTLE,637,1 ,$122.05 ,$87.88 ,$29.90 ,$305.13 ,$305.13 ,$76.89 ,$73.23 ,$119.61 ,$34.17 ,$70.79 ,$119.61 ,$74.45 ,$29.90 ,$67.01 ,$67.01 ,$119.61 ,$79.33 ,$246.54 ,$85.44 , N/A ,$119.61 ,$119.61 ,$91.54 ,$86.66 ,$86.66 ,$119.61 ,$86.66 ,$106.18 ,$106.18 ,$106.18 , N/A ,$109.85 ,$305.13 ,$103.74 ,$119.61 ,$122.05 ,$68.47 ,$119.61 ,$50.53 , N/A , N/A ,$119.61 ,$103.74 ,$227.26 ,$67.01 ,$34.17 ,$109.85 ,$122.05 ,$119.61 ,$106.18 ,$91.54 ,$122.05 ,$91.54 ,$122.05 ,$79.33 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SUMATRIPTAN 50 MG TABS,637,1 ,$50.30 ,$36.22 ,$12.33 ,$125.75 ,$125.75 ,$31.69 ,$30.18 ,$49.29 ,$14.08 ,$29.17 ,$49.29 ,$30.68 ,$12.33 ,$27.61 ,$27.61 ,$49.29 ,$32.70 ,$101.61 ,$35.21 , N/A ,$49.29 ,$49.29 ,$37.73 ,$35.71 ,$35.71 ,$49.29 ,$35.71 ,$43.76 ,$43.76 ,$43.76 , N/A ,$45.27 ,$125.75 ,$42.76 ,$49.29 ,$50.30 ,$28.22 ,$49.29 ,$20.82 , N/A , N/A ,$49.29 ,$42.76 ,$93.66 ,$27.61 ,$14.08 ,$45.27 ,$50.30 ,$49.29 ,$43.76 ,$37.73 ,$50.30 ,$37.73 ,$50.30 ,$32.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TAMSULOSIN 0.4 MG CAPS,637,1 ,$8.45 ,$6.08 ,$2.07 ,$21.13 ,$21.13 ,$5.32 ,$5.07 ,$8.28 ,$2.37 ,$4.90 ,$8.28 ,$5.15 ,$2.07 ,$4.64 ,$4.64 ,$8.28 ,$5.49 ,$17.07 ,$5.92 , N/A ,$8.28 ,$8.28 ,$6.34 ,$6.00 ,$6.00 ,$8.28 ,$6.00 ,$7.35 ,$7.35 ,$7.35 , N/A ,$7.61 ,$21.13 ,$7.18 ,$8.28 ,$8.45 ,$4.74 ,$8.28 ,$3.50 , N/A , N/A ,$8.28 ,$7.18 ,$15.74 ,$4.64 ,$2.37 ,$7.61 ,$8.45 ,$8.28 ,$7.35 ,$6.34 ,$8.45 ,$6.34 ,$8.45 ,$5.49 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TERBINAFINE 250 MG TABS,637,1 ,$25.60 ,$18.43 ,$6.27 ,$64.00 ,$64.00 ,$16.13 ,$15.36 ,$25.09 ,$7.17 ,$14.85 ,$25.09 ,$15.62 ,$6.27 ,$14.05 ,$14.05 ,$25.09 ,$16.64 ,$51.71 ,$17.92 , N/A ,$25.09 ,$25.09 ,$19.20 ,$18.18 ,$18.18 ,$25.09 ,$18.18 ,$22.27 ,$22.27 ,$22.27 , N/A ,$23.04 ,$64.00 ,$21.76 ,$25.09 ,$25.60 ,$14.36 ,$25.09 ,$10.60 , N/A , N/A ,$25.09 ,$21.76 ,$47.67 ,$14.05 ,$7.17 ,$23.04 ,$25.60 ,$25.09 ,$22.27 ,$19.20 ,$25.60 ,$19.20 ,$25.60 ,$16.64 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TICAGRELOR 90 MG TABS,637,1 ,$17.03 ,$12.26 ,$4.17 ,$42.58 ,$42.58 ,$10.73 ,$10.22 ,$16.69 ,$4.77 ,$9.88 ,$16.69 ,$10.39 ,$4.17 ,$9.35 ,$9.35 ,$16.69 ,$11.07 ,$34.40 ,$11.92 , N/A ,$16.69 ,$16.69 ,$12.77 ,$12.09 ,$12.09 ,$16.69 ,$12.09 ,$14.82 ,$14.82 ,$14.82 , N/A ,$15.33 ,$42.58 ,$14.48 ,$16.69 ,$17.03 ,$9.55 ,$16.69 ,$7.05 , N/A , N/A ,$16.69 ,$14.48 ,$31.71 ,$9.35 ,$4.77 ,$15.33 ,$17.03 ,$16.69 ,$14.82 ,$12.77 ,$17.03 ,$12.77 ,$17.03 ,$11.07 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,637,1 ,$30.00 ,$21.60 ,$7.35 ,$75.00 ,$75.00 ,$18.90 ,$18.00 ,$29.40 ,$8.40 ,$17.40 ,$29.40 ,$18.30 ,$7.35 ,$16.47 ,$16.47 ,$29.40 ,$19.50 ,$60.60 ,$21.00 , N/A ,$29.40 ,$29.40 ,$22.50 ,$21.30 ,$21.30 ,$29.40 ,$21.30 ,$26.10 ,$26.10 ,$26.10 , N/A ,$27.00 ,$75.00 ,$25.50 ,$29.40 ,$30.00 ,$16.83 ,$29.40 ,$12.42 , N/A , N/A ,$29.40 ,$25.50 ,$55.86 ,$16.47 ,$8.40 ,$27.00 ,$30.00 ,$29.40 ,$26.10 ,$22.50 ,$30.00 ,$22.50 ,$30.00 ,$19.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TIMOLOL 0.5 % SOLN 10 ML BOTTLE,637,1 ,$19.25 ,$13.86 ,$4.71 ,$48.13 ,$48.13 ,$12.13 ,$11.55 ,$18.86 ,$5.39 ,$11.17 ,$18.86 ,$11.74 ,$4.71 ,$10.57 ,$10.57 ,$18.86 ,$12.51 ,$38.89 ,$13.48 , N/A ,$18.86 ,$18.86 ,$14.44 ,$13.67 ,$13.67 ,$18.86 ,$13.67 ,$16.75 ,$16.75 ,$16.75 , N/A ,$17.33 ,$48.13 ,$16.36 ,$18.86 ,$19.25 ,$10.80 ,$18.86 ,$7.97 , N/A , N/A ,$18.86 ,$16.36 ,$35.85 ,$10.57 ,$5.39 ,$17.33 ,$19.25 ,$18.86 ,$16.75 ,$14.44 ,$19.25 ,$14.44 ,$19.25 ,$12.51 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TIMOLOL 0.5 % SOLN 5 ML BOTTLE,637,1 ,$34.00 ,$24.48 ,$8.33 ,$85.00 ,$85.00 ,$21.42 ,$20.40 ,$33.32 ,$9.52 ,$19.72 ,$33.32 ,$20.74 ,$8.33 ,$18.67 ,$18.67 ,$33.32 ,$22.10 ,$68.68 ,$23.80 , N/A ,$33.32 ,$33.32 ,$25.50 ,$24.14 ,$24.14 ,$33.32 ,$24.14 ,$29.58 ,$29.58 ,$29.58 , N/A ,$30.60 ,$85.00 ,$28.90 ,$33.32 ,$34.00 ,$19.07 ,$33.32 ,$14.08 , N/A , N/A ,$33.32 ,$28.90 ,$63.31 ,$18.67 ,$9.52 ,$30.60 ,$34.00 ,$33.32 ,$29.58 ,$25.50 ,$34.00 ,$25.50 ,$34.00 ,$22.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TIOTROPIUM 2.5 MCG/ACT AERS 4 G INHALER,637,1 ,$36.00 ,$25.92 ,$8.82 ,$90.00 ,$90.00 ,$22.68 ,$21.60 ,$35.28 ,$10.08 ,$20.88 ,$35.28 ,$21.96 ,$8.82 ,$19.76 ,$19.76 ,$35.28 ,$23.40 ,$72.72 ,$25.20 , N/A ,$35.28 ,$35.28 ,$27.00 ,$25.56 ,$25.56 ,$35.28 ,$25.56 ,$31.32 ,$31.32 ,$31.32 , N/A ,$32.40 ,$90.00 ,$30.60 ,$35.28 ,$36.00 ,$20.20 ,$35.28 ,$14.90 , N/A , N/A ,$35.28 ,$30.60 ,$67.03 ,$19.76 ,$10.08 ,$32.40 ,$36.00 ,$35.28 ,$31.32 ,$27.00 ,$36.00 ,$27.00 ,$36.00 ,$23.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % SUSP 2.5 ML BOTTLE,637,1 ,$121.40 ,$87.41 ,$29.74 ,$303.50 ,$303.50 ,$76.48 ,$72.84 ,$118.97 ,$33.99 ,$70.41 ,$118.97 ,$74.05 ,$29.74 ,$66.65 ,$66.65 ,$118.97 ,$78.91 ,$245.23 ,$84.98 , N/A ,$118.97 ,$118.97 ,$91.05 ,$86.19 ,$86.19 ,$118.97 ,$86.19 ,$105.62 ,$105.62 ,$105.62 , N/A ,$109.26 ,$303.50 ,$103.19 ,$118.97 ,$121.40 ,$68.11 ,$118.97 ,$50.26 , N/A , N/A ,$118.97 ,$103.19 ,$226.05 ,$66.65 ,$33.99 ,$109.26 ,$121.40 ,$118.97 ,$105.62 ,$91.05 ,$121.40 ,$91.05 ,$121.40 ,$78.91 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TOLVAPTAN 15 MG TABS,637,1 ,"$1,248.50 ",$898.92 ,$305.89 ,"$3,121.25 ","$3,121.25 ",$786.56 ,$749.10 ,"$1,223.53 ",$349.58 ,$724.13 ,"$1,223.53 ",$761.59 ,$305.89 ,$685.43 ,$685.43 ,"$1,223.53 ",$811.53 ,"$2,521.97 ",$873.95 , N/A ,"$1,223.53 ","$1,223.53 ",$936.38 ,$886.44 ,$886.44 ,"$1,223.53 ",$886.44 ,"$1,086.20 ","$1,086.20 ","$1,086.20 ", N/A ,"$1,123.65 ","$3,121.25 ","$1,061.23 ","$1,223.53 ","$1,248.50 ",$700.41 ,"$1,223.53 ",$516.88 , N/A , N/A ,"$1,223.53 ","$1,061.23 ","$2,324.71 ",$685.43 ,$349.58 ,"$1,123.65 ","$1,248.50 ","$1,223.53 ","$1,086.20 ",$936.38 ,"$1,248.50 ",$936.38 ,"$1,248.50 ",$811.53 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TOPIRAMATE 100 MG TABS,637,1 ,$12.40 ,$8.93 ,$3.04 ,$31.00 ,$31.00 ,$7.81 ,$7.44 ,$12.15 ,$3.47 ,$7.19 ,$12.15 ,$7.56 ,$3.04 ,$6.81 ,$6.81 ,$12.15 ,$8.06 ,$25.05 ,$8.68 , N/A ,$12.15 ,$12.15 ,$9.30 ,$8.80 ,$8.80 ,$12.15 ,$8.80 ,$10.79 ,$10.79 ,$10.79 , N/A ,$11.16 ,$31.00 ,$10.54 ,$12.15 ,$12.40 ,$6.96 ,$12.15 ,$5.13 , N/A , N/A ,$12.15 ,$10.54 ,$23.09 ,$6.81 ,$3.47 ,$11.16 ,$12.40 ,$12.15 ,$10.79 ,$9.30 ,$12.40 ,$9.30 ,$12.40 ,$8.06 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRANEXAMIC ACID 100 MG/ML SOLN,637,1 ,$120.00 ,$86.40 ,$29.40 ,$300.00 ,$300.00 ,$75.60 ,$72.00 ,$117.60 ,$33.60 ,$69.60 ,$117.60 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$117.60 ,$78.00 ,$242.40 ,$84.00 , N/A ,$117.60 ,$117.60 ,$90.00 ,$85.20 ,$85.20 ,$117.60 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$300.00 ,$102.00 ,$117.60 ,$120.00 ,$67.32 ,$117.60 ,$49.68 , N/A , N/A ,$117.60 ,$102.00 ,$223.44 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$117.60 ,$104.40 ,$90.00 ,$120.00 ,$90.00 ,$120.00 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRIAMCINOLONE 0.1 % CREA 15 G TUBE,637,1 ,$7.80 ,$5.62 ,$1.91 ,$19.50 ,$19.50 ,$4.91 ,$4.68 ,$7.64 ,$2.18 ,$4.52 ,$7.64 ,$4.76 ,$1.91 ,$4.28 ,$4.28 ,$7.64 ,$5.07 ,$15.76 ,$5.46 , N/A ,$7.64 ,$7.64 ,$5.85 ,$5.54 ,$5.54 ,$7.64 ,$5.54 ,$6.79 ,$6.79 ,$6.79 , N/A ,$7.02 ,$19.50 ,$6.63 ,$7.64 ,$7.80 ,$4.38 ,$7.64 ,$3.23 , N/A , N/A ,$7.64 ,$6.63 ,$14.52 ,$4.28 ,$2.18 ,$7.02 ,$7.80 ,$7.64 ,$6.79 ,$5.85 ,$7.80 ,$5.85 ,$7.80 ,$5.07 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRIAMCINOLONE 0.1 % CREA 80 G TUBE,637,1 ,$19.05 ,$13.72 ,$4.66 ,$47.63 ,$47.63 ,$12.00 ,$11.43 ,$18.67 ,$5.33 ,$11.05 ,$18.67 ,$11.62 ,$4.66 ,$10.46 ,$10.46 ,$18.67 ,$12.38 ,$38.48 ,$13.34 , N/A ,$18.67 ,$18.67 ,$14.29 ,$13.53 ,$13.53 ,$18.67 ,$13.53 ,$16.57 ,$16.57 ,$16.57 , N/A ,$17.15 ,$47.63 ,$16.19 ,$18.67 ,$19.05 ,$10.69 ,$18.67 ,$7.89 , N/A , N/A ,$18.67 ,$16.19 ,$35.48 ,$10.46 ,$5.33 ,$17.15 ,$19.05 ,$18.67 ,$16.57 ,$14.29 ,$19.05 ,$14.29 ,$19.05 ,$12.38 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,TRIAMCINOLONE 0.1 % OINT 80 G TUBE,637,1 ,$25.45 ,$18.32 ,$6.23 ,$63.63 ,$63.63 ,$16.03 ,$15.27 ,$24.94 ,$7.13 ,$14.76 ,$24.94 ,$15.52 ,$6.23 ,$13.97 ,$13.97 ,$24.94 ,$16.54 ,$51.41 ,$17.82 , N/A ,$24.94 ,$24.94 ,$19.09 ,$18.07 ,$18.07 ,$24.94 ,$18.07 ,$22.14 ,$22.14 ,$22.14 , N/A ,$22.91 ,$63.63 ,$21.63 ,$24.94 ,$25.45 ,$14.28 ,$24.94 ,$10.54 , N/A , N/A ,$24.94 ,$21.63 ,$47.39 ,$13.97 ,$7.13 ,$22.91 ,$25.45 ,$24.94 ,$22.14 ,$19.09 ,$25.45 ,$19.09 ,$25.45 ,$16.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,SACUBITRIL-VALSARTAN 24-26 MG TABS,637,1 ,$25.45 ,$18.32 ,$6.23 ,$63.63 ,$63.63 ,$16.03 ,$15.27 ,$24.94 ,$7.13 ,$14.76 ,$24.94 ,$15.52 ,$6.23 ,$13.97 ,$13.97 ,$24.94 ,$16.54 ,$51.41 ,$17.82 , N/A ,$24.94 ,$24.94 ,$19.09 ,$18.07 ,$18.07 ,$24.94 ,$18.07 ,$22.14 ,$22.14 ,$22.14 , N/A ,$22.91 ,$63.63 ,$21.63 ,$24.94 ,$25.45 ,$14.28 ,$24.94 ,$10.54 , N/A , N/A ,$24.94 ,$21.63 ,$47.39 ,$13.97 ,$7.13 ,$22.91 ,$25.45 ,$24.94 ,$22.14 ,$19.09 ,$25.45 ,$19.09 ,$25.45 ,$16.54 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VALACYCLOVIR 1 G TABS,637,1 ,$25.30 ,$18.22 ,$6.20 ,$63.25 ,$63.25 ,$15.94 ,$15.18 ,$24.79 ,$7.08 ,$14.67 ,$24.79 ,$15.43 ,$6.20 ,$13.89 ,$13.89 ,$24.79 ,$16.45 ,$51.11 ,$17.71 , N/A ,$24.79 ,$24.79 ,$18.98 ,$17.96 ,$17.96 ,$24.79 ,$17.96 ,$22.01 ,$22.01 ,$22.01 , N/A ,$22.77 ,$63.25 ,$21.51 ,$24.79 ,$25.30 ,$14.19 ,$24.79 ,$10.47 , N/A , N/A ,$24.79 ,$21.51 ,$47.11 ,$13.89 ,$7.08 ,$22.77 ,$25.30 ,$24.79 ,$22.01 ,$18.98 ,$25.30 ,$18.98 ,$25.30 ,$16.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VANCOMYCIN 125 MG CAPS,637,1 ,$62.65 ,$45.11 ,$15.35 ,$156.63 ,$156.63 ,$39.47 ,$37.59 ,$61.40 ,$17.54 ,$36.34 ,$61.40 ,$38.22 ,$15.35 ,$34.39 ,$34.39 ,$61.40 ,$40.72 ,$126.55 ,$43.86 , N/A ,$61.40 ,$61.40 ,$46.99 ,$44.48 ,$44.48 ,$61.40 ,$44.48 ,$54.51 ,$54.51 ,$54.51 , N/A ,$56.39 ,$156.63 ,$53.25 ,$61.40 ,$62.65 ,$35.15 ,$61.40 ,$25.94 , N/A , N/A ,$61.40 ,$53.25 ,$116.66 ,$34.39 ,$17.54 ,$56.39 ,$62.65 ,$61.40 ,$54.51 ,$46.99 ,$62.65 ,$46.99 ,$62.65 ,$40.72 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VENLAFAXINE XR 37.5 MG CP24,637,1 ,$7.50 ,$5.40 ,$1.84 ,$18.75 ,$18.75 ,$4.73 ,$4.50 ,$7.35 ,$2.10 ,$4.35 ,$7.35 ,$4.58 ,$1.84 ,$4.12 ,$4.12 ,$7.35 ,$4.88 ,$15.15 ,$5.25 , N/A ,$7.35 ,$7.35 ,$5.63 ,$5.33 ,$5.33 ,$7.35 ,$5.33 ,$6.53 ,$6.53 ,$6.53 , N/A ,$6.75 ,$18.75 ,$6.38 ,$7.35 ,$7.50 ,$4.21 ,$7.35 ,$3.11 , N/A , N/A ,$7.35 ,$6.38 ,$13.95 ,$4.12 ,$2.10 ,$6.75 ,$7.50 ,$7.35 ,$6.53 ,$5.63 ,$7.50 ,$5.63 ,$7.50 ,$4.88 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VENLAFAXINE XR 75 MG CP24,637,1 ,$8.40 ,$6.05 ,$2.06 ,$21.00 ,$21.00 ,$5.29 ,$5.04 ,$8.23 ,$2.35 ,$4.87 ,$8.23 ,$5.12 ,$2.06 ,$4.61 ,$4.61 ,$8.23 ,$5.46 ,$16.97 ,$5.88 , N/A ,$8.23 ,$8.23 ,$6.30 ,$5.96 ,$5.96 ,$8.23 ,$5.96 ,$7.31 ,$7.31 ,$7.31 , N/A ,$7.56 ,$21.00 ,$7.14 ,$8.23 ,$8.40 ,$4.71 ,$8.23 ,$3.48 , N/A , N/A ,$8.23 ,$7.14 ,$15.64 ,$4.61 ,$2.35 ,$7.56 ,$8.40 ,$8.23 ,$7.31 ,$6.30 ,$8.40 ,$6.30 ,$8.40 ,$5.46 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,VITAMIN A AND D OINT 113 G TUBE,637,1 ,$7.95 ,$5.72 ,$1.95 ,$19.88 ,$19.88 ,$5.01 ,$4.77 ,$7.79 ,$2.23 ,$4.61 ,$7.79 ,$4.85 ,$1.95 ,$4.36 ,$4.36 ,$7.79 ,$5.17 ,$16.06 ,$5.57 , N/A ,$7.79 ,$7.79 ,$5.96 ,$5.64 ,$5.64 ,$7.79 ,$5.64 ,$6.92 ,$6.92 ,$6.92 , N/A ,$7.16 ,$19.88 ,$6.76 ,$7.79 ,$7.95 ,$4.46 ,$7.79 ,$3.29 , N/A , N/A ,$7.79 ,$6.76 ,$14.81 ,$4.36 ,$2.23 ,$7.16 ,$7.95 ,$7.79 ,$6.92 ,$5.96 ,$7.95 ,$5.96 ,$7.95 ,$5.17 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ZINC OXIDE 20 % OINT 28.4 G TUBE,637,1 ,$13.15 ,$9.47 ,$3.22 ,$32.88 ,$32.88 ,$8.28 ,$7.89 ,$12.89 ,$3.68 ,$7.63 ,$12.89 ,$8.02 ,$3.22 ,$7.22 ,$7.22 ,$12.89 ,$8.55 ,$26.56 ,$9.21 , N/A ,$12.89 ,$12.89 ,$9.86 ,$9.34 ,$9.34 ,$12.89 ,$9.34 ,$11.44 ,$11.44 ,$11.44 , N/A ,$11.84 ,$32.88 ,$11.18 ,$12.89 ,$13.15 ,$7.38 ,$12.89 ,$5.44 , N/A , N/A ,$12.89 ,$11.18 ,$24.49 ,$7.22 ,$3.68 ,$11.84 ,$13.15 ,$12.89 ,$11.44 ,$9.86 ,$13.15 ,$9.86 ,$13.15 ,$8.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,63700001,N/A,ZIPRASIDONE 20 MG CAPS,637,1 ,$17.93 ,$12.91 ,$4.39 ,$44.83 ,$44.83 ,$11.30 ,$10.76 ,$17.57 ,$5.02 ,$10.40 ,$17.57 ,$10.94 ,$4.39 ,$9.84 ,$9.84 ,$17.57 ,$11.65 ,$36.22 ,$12.55 , N/A ,$17.57 ,$17.57 ,$13.45 ,$12.73 ,$12.73 ,$17.57 ,$12.73 ,$15.60 ,$15.60 ,$15.60 , N/A ,$16.14 ,$44.83 ,$15.24 ,$17.57 ,$17.93 ,$10.06 ,$17.57 ,$7.42 , N/A , N/A ,$17.57 ,$15.24 ,$33.39 ,$9.84 ,$5.02 ,$16.14 ,$17.93 ,$17.57 ,$15.60 ,$13.45 ,$17.93 ,$13.45 ,$17.93 ,$11.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,71000230,N/A,HC PHASE II RECOVERY 15 MIN,710,1 ,$165.00 ,$118.80 ,$35.57 ,$165.00 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$90.59 ,$73.33 ,$115.50 , N/A ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 , N/A , N/A ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$123.75 ,$165.00 ,$123.75 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,71000233,N/A,HC PHASE I RECOVERY 30 MIN,710,1 ,"$1,285.00 ",$925.20 ,$277.05 ,"$1,285.00 ",$738.88 ,$809.55 ,$771.00 ,$277.05 ,$359.80 ,$745.30 ,$289.64 ,$783.85 ,$314.82 ,$705.47 ,$705.47 ,$327.42 ,$705.47 ,$571.05 ,$899.50 , N/A ,$289.64 ,$277.05 ,$963.75 ,$912.35 ,$912.35 ,$289.64 ,$912.35 ,"$1,117.95 ","$1,117.95 ","$1,117.95 ", N/A ,"$1,156.50 ",$738.88 ,"$1,092.25 ",$277.05 ,"$1,285.00 ",$720.89 ,$277.05 ,$531.99 , N/A , N/A ,$289.64 ,"$1,092.25 ",$550.32 ,$705.47 ,$359.80 ,"$1,156.50 ","$1,285.00 ",$277.05 ,"$1,117.95 ",$963.75 ,"$1,285.00 ",$963.75 ,$295.55 ,$835.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,71000234,N/A,HC PHASE I RECOVERY 15 MIN,710,1 ,$244.00 ,$175.68 ,$52.61 ,$244.00 ,$140.30 ,$153.72 ,$146.40 ,$52.61 ,$68.32 ,$141.52 ,$55.00 ,$148.84 ,$59.78 ,$133.96 ,$133.96 ,$62.17 ,$133.96 ,$108.43 ,$170.80 , N/A ,$55.00 ,$52.61 ,$183.00 ,$173.24 ,$173.24 ,$55.00 ,$173.24 ,$212.28 ,$212.28 ,$212.28 , N/A ,$219.60 ,$140.30 ,$207.40 ,$52.61 ,$244.00 ,$136.88 ,$52.61 ,$101.02 , N/A , N/A ,$55.00 ,$207.40 ,$104.50 ,$133.96 ,$68.32 ,$219.60 ,$244.00 ,$52.61 ,$212.28 ,$183.00 ,$244.00 ,$183.00 ,$56.12 ,$158.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,71000252,N/A,HC RECOVERY EXTENDED INIT HR,710,1 ,$71.00 ,$51.12 ,$15.31 ,$71.00 ,$40.83 ,$44.73 ,$42.60 ,$15.31 ,$19.88 ,$41.18 ,$16.00 ,$43.31 ,$17.39 ,$38.98 ,$38.98 ,$18.09 ,$38.98 ,$31.55 ,$49.70 , N/A ,$16.00 ,$15.31 ,$53.25 ,$50.41 ,$50.41 ,$16.00 ,$50.41 ,$61.77 ,$61.77 ,$61.77 , N/A ,$63.90 ,$40.83 ,$60.35 ,$15.31 ,$71.00 ,$39.83 ,$15.31 ,$29.39 , N/A , N/A ,$16.00 ,$60.35 ,$30.41 ,$38.98 ,$19.88 ,$63.90 ,$71.00 ,$15.31 ,$61.77 ,$53.25 ,$71.00 ,$53.25 ,$16.33 ,$46.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,71000253,N/A,HC RECOVERY EXTENDED ADDL HR,710,1 ,$71.00 ,$51.12 ,$15.31 ,$71.00 ,$40.83 ,$44.73 ,$42.60 ,$15.31 ,$19.88 ,$41.18 ,$16.00 ,$43.31 ,$17.39 ,$38.98 ,$38.98 ,$18.09 ,$38.98 ,$31.55 ,$49.70 , N/A ,$16.00 ,$15.31 ,$53.25 ,$50.41 ,$50.41 ,$16.00 ,$50.41 ,$61.77 ,$61.77 ,$61.77 , N/A ,$63.90 ,$40.83 ,$60.35 ,$15.31 ,$71.00 ,$39.83 ,$15.31 ,$29.39 , N/A , N/A ,$16.00 ,$60.35 ,$30.41 ,$38.98 ,$19.88 ,$63.90 ,$71.00 ,$15.31 ,$61.77 ,$53.25 ,$71.00 ,$53.25 ,$16.33 ,$46.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,73000002,93005,HC EKG,730,1 ,$403.00 ,$290.16 ,$6.26 ,$403.00 ,$231.73 ,$253.89 ,$241.80 ,$86.89 ,$112.84 ,$168.49 ,$90.84 ,$177.36 ,$98.73 ,$221.25 ,$221.25 ,$102.68 ,$6.26 ,$179.09 ,$282.10 ,$143.70 ,$90.84 ,$86.89 ,$302.25 ,$286.13 ,$286.13 ,$90.84 ,$286.13 ,$350.61 ,$350.61 ,$350.61 , N/A ,$362.70 ,$231.73 ,$342.55 ,$86.89 ,$403.00 ,$226.08 ,$86.89 ,$166.84 ,$43.73 ,$39.75 ,$90.84 ,$342.55 ,$172.59 ,$221.25 ,$112.84 ,$362.70 ,$403.00 ,$86.89 ,$350.61 ,$403.00 ,$403.00 ,$403.00 ,$92.69 ,$261.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$215.00 ,$154.80 ,$5.94 ,$215.00 ,$123.63 ,$135.45 ,$129.00 ,$46.35 ,$60.20 ,$124.70 ,$48.46 ,$131.15 ,$52.67 ,$118.04 ,$118.04 ,$54.78 ,$5.94 ,$95.55 ,$150.50 ,$143.70 ,$48.46 ,$46.35 ,$161.25 ,$152.65 ,$152.65 ,$48.46 ,$152.65 ,$187.05 ,$187.05 ,$187.05 , N/A ,$193.50 ,$123.63 ,$182.75 ,$46.35 ,$215.00 ,$120.62 ,$46.35 ,$89.01 ,$43.73 ,$39.75 ,$48.46 ,$182.75 ,$92.08 ,$118.04 ,$60.20 ,$193.50 ,$215.00 ,$46.35 ,$187.05 ,$215.00 ,$215.00 ,$215.00 ,$49.45 ,$139.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,$370.00 ,$266.40 ,$17.60 ,$370.00 ,$212.75 ,$233.10 ,$222.00 ,$79.77 ,$103.60 ,$214.60 ,$83.40 ,$225.70 ,$90.65 ,$203.13 ,$203.13 ,$94.28 ,$17.60 ,$164.43 ,$259.00 ,$290.28 ,$83.40 ,$79.77 ,$277.50 ,$262.70 ,$262.70 ,$83.40 ,$262.70 ,$321.90 ,$321.90 ,$321.90 , N/A ,$333.00 ,$212.75 ,$314.50 ,$79.77 ,$370.00 ,$207.57 ,$79.77 ,$153.18 ,$117.30 ,$106.64 ,$83.40 ,$314.50 ,$158.46 ,$203.13 ,$103.60 ,$333.00 ,$370.00 ,$79.77 ,$321.90 ,$370.00 ,$370.00 ,$370.00 ,$85.10 ,$240.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,73100002,93226,HC HOLTER SCAN AND REPORT 48 HR,731,1 ,$527.00 ,$379.44 ,$34.31 ,$527.00 ,$303.03 ,$332.01 ,$316.20 ,$113.62 ,$147.56 ,$305.66 ,$118.79 ,$321.47 ,$129.11 ,$289.32 ,$289.32 ,$134.28 ,$34.31 ,$234.20 ,$368.90 ,$290.28 ,$118.79 ,$113.62 ,$395.25 ,$374.17 ,$374.17 ,$118.79 ,$374.17 ,$458.49 ,$458.49 ,$458.49 , N/A ,$474.30 ,$303.03 ,$447.95 ,$113.62 ,$527.00 ,$295.65 ,$113.62 ,$218.18 ,$117.30 ,$106.64 ,$118.79 ,$447.95 ,$225.69 ,$289.32 ,$147.56 ,$474.30 ,$527.00 ,$113.62 ,$458.49 ,$527.00 ,$527.00 ,$527.00 ,$121.21 ,$342.55 ST. JOSEPH'S HOSPITAL - HIGHLAND,74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$5,798.00 ","$4,174.56 ",$343.95 ,"$5,798.00 ","$3,333.85 ","$3,652.74 ","$3,478.80 ","$1,250.05 ","$1,623.44 ","$3,362.84 ","$1,306.87 ","$3,536.78 ","$1,420.51 ","$3,183.10 ","$3,183.10 ","$1,477.33 ",$343.95 ,"$2,576.63 ","$4,058.60 ","$1,208.58 ","$1,306.87 ","$1,250.05 ","$4,348.50 ","$4,116.58 ","$4,116.58 ","$1,306.87 ","$4,116.58 ","$5,044.26 ","$5,044.26 ","$5,044.26 ", N/A ,"$5,218.20 ","$3,333.85 ","$4,928.30 ","$1,250.05 ","$5,798.00 ","$3,252.68 ","$1,250.05 ","$2,400.37 ","$1,302.82 ","$1,184.38 ","$1,306.87 ","$4,928.30 ","$2,483.06 ","$3,183.10 ","$1,623.44 ","$5,218.20 ","$5,798.00 ","$1,250.05 ","$5,044.26 ","$3,460.00 ","$5,798.00 ","$3,460.00 ","$1,333.54 ","$3,768.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,74000006,95810,HC SLEEP STUDY,740,1 ,"$4,080.00 ","$2,937.60 ",$466.40 ,"$4,080.00 ","$2,346.00 ","$2,570.40 ","$2,448.00 ",$879.65 ,"$1,142.40 ","$2,366.40 ",$919.63 ,"$2,488.80 ",$999.60 ,"$2,239.92 ","$2,239.92 ","$1,039.58 ",$466.40 ,"$1,813.15 ","$2,856.00 ","$2,335.95 ",$919.63 ,$879.65 ,"$3,060.00 ","$2,896.80 ","$2,896.80 ",$919.63 ,"$2,896.80 ","$3,549.60 ","$3,549.60 ","$3,549.60 ", N/A ,"$3,672.00 ","$2,346.00 ","$3,468.00 ",$879.65 ,"$4,080.00 ","$2,288.88 ",$879.65 ,"$1,689.12 ","$1,302.82 ","$1,184.38 ",$919.63 ,"$3,468.00 ","$1,747.30 ","$2,239.92 ","$1,142.40 ","$3,672.00 ","$4,080.00 ",$879.65 ,"$3,549.60 ","$3,460.00 ","$4,080.00 ","$3,460.00 ",$938.40 ,"$2,652.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$6,848.00 ","$4,930.56 ",$489.59 ,"$6,848.00 ","$3,937.60 ","$4,314.24 ","$4,108.80 ","$1,476.43 ","$1,917.44 ","$3,971.84 ","$1,543.54 ","$4,177.28 ","$1,677.76 ","$3,759.55 ","$3,759.55 ","$1,744.87 ",$489.59 ,"$3,043.25 ","$4,793.60 ","$2,335.95 ","$1,543.54 ","$1,476.43 ","$5,136.00 ","$4,862.08 ","$4,862.08 ","$1,543.54 ","$4,862.08 ","$5,957.76 ","$5,957.76 ","$5,957.76 ", N/A ,"$6,163.20 ","$3,937.60 ","$5,820.80 ","$1,476.43 ","$6,848.00 ","$3,841.73 ","$1,476.43 ","$2,835.07 ","$1,302.82 ","$1,184.38 ","$1,543.54 ","$5,820.80 ","$2,932.73 ","$3,759.55 ","$1,917.44 ","$6,163.20 ","$6,848.00 ","$1,476.43 ","$5,957.76 ","$3,460.00 ","$6,848.00 ","$3,460.00 ","$1,575.04 ","$4,451.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,74000035,G0399,HC SLEEP STUDY HOME ADULT,740,1 ,$999.00 ,$719.28 ,$184.32 ,$999.00 ,$574.43 ,$629.37 ,$599.40 ,$215.38 ,$279.72 ,$579.42 ,$225.17 ,$609.39 ,$244.75 ,$548.45 ,$548.45 ,$254.55 ,$649.35 ,$443.96 ,$699.30 ,$363.58 ,$225.17 ,$215.38 ,$749.25 ,$709.29 ,$709.29 ,$225.17 ,$709.29 ,$869.13 ,$869.13 ,$869.13 , N/A ,$899.10 ,$574.43 ,$849.15 ,$215.38 ,$999.00 ,$560.44 ,$215.38 ,$413.59 ,$202.75 ,$184.32 ,$225.17 ,$849.15 ,$427.83 ,$548.45 ,$279.72 ,$899.10 ,$999.00 ,$215.38 ,$869.13 ,$905.00 ,$999.00 ,$905.00 ,$229.77 ,$649.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$4,080.00 ","$2,937.60 ",$466.40 ,"$4,080.00 ","$2,346.00 ","$2,570.40 ","$2,448.00 ",$879.65 ,"$1,142.40 ","$2,366.40 ",$919.63 ,"$2,488.80 ",$999.60 ,"$2,239.92 ","$2,239.92 ","$1,039.58 ",$466.40 ,"$1,813.15 ","$2,856.00 ","$1,167.98 ",$919.63 ,$879.65 ,"$3,060.00 ","$2,896.80 ","$2,896.80 ",$919.63 ,"$2,896.80 ","$3,549.60 ","$3,549.60 ","$3,549.60 ", N/A ,"$3,672.00 ","$2,346.00 ","$3,468.00 ",$879.65 ,"$4,080.00 ","$2,288.88 ",$879.65 ,"$1,689.12 ",$651.41 ,$592.19 ,$919.63 ,"$3,468.00 ","$1,747.30 ","$2,239.92 ","$1,142.40 ","$3,672.00 ","$4,080.00 ",$879.65 ,"$3,549.60 ","$3,460.00 ","$4,080.00 ","$3,460.00 ",$938.40 ,"$2,652.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$6,848.00 ","$4,930.56 ",$489.59 ,"$6,848.00 ","$3,937.60 ","$4,314.24 ","$4,108.80 ","$1,476.43 ","$1,917.44 ","$3,971.84 ","$1,543.54 ","$4,177.28 ","$1,677.76 ","$3,759.55 ","$3,759.55 ","$1,744.87 ",$489.59 ,"$3,043.25 ","$4,793.60 ","$1,167.98 ","$1,543.54 ","$1,476.43 ","$5,136.00 ","$4,862.08 ","$4,862.08 ","$1,543.54 ","$4,862.08 ","$5,957.76 ","$5,957.76 ","$5,957.76 ", N/A ,"$6,163.20 ","$3,937.60 ","$5,820.80 ","$1,476.43 ","$6,848.00 ","$3,841.73 ","$1,476.43 ","$2,835.07 ",$651.41 ,$592.19 ,"$1,543.54 ","$5,820.80 ","$2,932.73 ","$3,759.55 ","$1,917.44 ","$6,163.20 ","$6,848.00 ","$1,476.43 ","$5,957.76 ","$3,460.00 ","$6,848.00 ","$3,460.00 ","$1,575.04 ","$4,451.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,74000096,G0400,HC SLEEP STUDY UNATTENDED WATCHPAT,740,1 ,$999.00 ,$719.28 ,$184.32 ,$999.00 ,$574.43 ,$629.37 ,$599.40 ,$215.38 ,$279.72 ,$579.42 ,$225.17 ,$609.39 ,$244.75 ,$548.45 ,$548.45 ,$254.55 ,$649.35 ,$443.96 ,$699.30 ,$700.15 ,$225.17 ,$215.38 ,$749.25 ,$709.29 ,$709.29 ,$225.17 ,$709.29 ,$869.13 ,$869.13 ,$869.13 , N/A ,$899.10 ,$574.43 ,$849.15 ,$215.38 ,$999.00 ,$560.44 ,$215.38 ,$413.59 ,$202.75 ,$184.32 ,$225.17 ,$849.15 ,$427.83 ,$548.45 ,$279.72 ,$899.10 ,$999.00 ,$215.38 ,$869.13 ,$905.00 ,$999.00 ,$905.00 ,$229.77 ,$649.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$1,882.00 ","$1,355.04 ",$405.76 ,"$2,063.78 ","$1,082.15 ","$1,185.66 ","$1,129.20 ",$405.76 ,$526.96 ,"$1,091.56 ",$424.20 ,"$1,148.02 ",$461.09 ,"$1,033.22 ","$1,033.22 ",$479.53 ,"$1,033.22 ",$836.36 ,"$1,317.40 ","$2,063.78 ",$424.20 ,$405.76 ,"$1,411.50 ","$1,336.22 ","$1,336.22 ",$424.20 ,"$1,336.22 ","$1,637.34 ","$1,637.34 ","$1,637.34 ", N/A ,"$1,693.80 ","$1,082.15 ","$1,599.70 ",$405.76 ,"$1,882.00 ","$1,055.80 ",$405.76 ,$779.15 ,"$1,174.58 ","$1,067.80 ",$424.20 ,"$1,599.70 ",$805.98 ,"$1,033.22 ",$526.96 ,"$1,693.80 ","$1,882.00 ",$405.76 ,"$1,637.34 ","$1,882.00 ","$1,882.00 ","$1,882.00 ",$432.86 ,"$1,223.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75000510,49082,HC PARACENTESIS W/O IMAGING,750,1 ,"$4,551.00 ","$3,276.72 ",$981.20 ,"$4,551.00 ","$2,616.83 ","$2,867.13 ","$2,730.60 ",$981.20 ,"$1,274.28 ","$2,639.58 ","$1,025.80 ","$2,776.11 ","$1,114.99 ","$2,498.50 ","$2,498.50 ","$1,159.59 ","$2,031.00 ","$2,022.46 ","$3,185.70 ","$2,063.78 ","$1,025.80 ",$981.20 ,"$3,413.25 ","$3,231.21 ","$3,231.21 ","$1,025.80 ","$3,231.21 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,095.90 ","$2,616.83 ","$3,868.35 ",$981.20 ,"$4,551.00 ","$2,553.11 ",$981.20 ,"$1,884.11 ","$1,174.58 ","$1,067.80 ","$1,025.80 ","$3,868.35 ","$1,949.01 ","$2,498.50 ","$1,274.28 ","$4,095.90 ","$4,551.00 ",$981.20 ,"$3,129.00 ","$2,561.00 ","$4,551.00 ","$2,561.00 ","$1,046.73 ","$2,958.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001066,N/A,HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH -43200,750,1 ,"$2,988.00 ","$2,151.36 ",$644.21 ,"$2,988.00 ","$1,718.10 ","$1,882.44 ","$1,792.80 ",$644.21 ,$836.64 ,"$1,733.04 ",$673.50 ,"$1,822.68 ",$732.06 ,"$1,640.41 ","$1,640.41 ",$761.34 ,"$1,640.41 ","$1,327.87 ","$2,091.60 ", N/A ,$673.50 ,$644.21 ,"$2,241.00 ","$2,121.48 ","$2,121.48 ",$673.50 ,"$2,121.48 ","$2,599.56 ","$2,599.56 ","$2,599.56 ", N/A ,"$2,689.20 ","$1,718.10 ","$2,539.80 ",$644.21 ,"$2,988.00 ","$1,676.27 ",$644.21 ,"$1,237.03 ", N/A , N/A ,$673.50 ,"$2,539.80 ","$1,279.64 ","$1,640.41 ",$836.64 ,"$2,689.20 ","$2,988.00 ",$644.21 ,"$2,599.56 ", N/A ,"$2,988.00 ", N/A ,$687.24 ,"$1,942.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001068,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/FB REMOVAL - 43215,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001069,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/BALLOON DILATION - 43220,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$4,863.00 ","$3,501.36 ","$1,048.46 ","$4,863.00 ","$2,796.23 ","$3,063.69 ","$2,917.80 ","$1,048.46 ","$1,361.64 ","$2,820.54 ","$1,096.12 ","$2,966.43 ","$1,191.43 ","$2,669.79 ","$2,669.79 ","$1,239.09 ","$2,031.00 ","$2,161.12 ","$3,404.10 ", N/A ,"$1,096.12 ","$1,048.46 ","$3,647.25 ","$3,452.73 ","$3,452.73 ","$1,096.12 ","$3,452.73 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,376.70 ","$2,796.23 ","$4,133.55 ","$1,048.46 ","$4,863.00 ","$2,728.14 ","$1,048.46 ","$2,013.28 ", N/A , N/A ,"$1,096.12 ","$4,133.55 ","$2,082.63 ","$2,669.79 ","$1,361.64 ","$4,376.70 ","$4,863.00 ","$1,048.46 ","$3,129.00 ", N/A ,"$4,863.00 ", N/A ,"$1,118.49 ","$3,160.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001073,N/A,HC EGD W/SUBMUCOSAL INJ - 43236,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001080,N/A,HC EGD W/BAND LIGATION - 43244,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001081,N/A,HC EGD W/DILAT STRICTURE - 43245,750,1 ,"$4,863.00 ","$3,501.36 ","$1,048.46 ","$4,863.00 ","$2,796.23 ","$3,063.69 ","$2,917.80 ","$1,048.46 ","$1,361.64 ","$2,820.54 ","$1,096.12 ","$2,966.43 ","$1,191.43 ","$2,669.79 ","$2,669.79 ","$1,239.09 ","$2,031.00 ","$2,161.12 ","$3,404.10 ", N/A ,"$1,096.12 ","$1,048.46 ","$3,647.25 ","$3,452.73 ","$3,452.73 ","$1,096.12 ","$3,452.73 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,376.70 ","$2,796.23 ","$4,133.55 ","$1,048.46 ","$4,863.00 ","$2,728.14 ","$1,048.46 ","$2,013.28 ", N/A , N/A ,"$1,096.12 ","$4,133.55 ","$2,082.63 ","$2,669.79 ","$1,361.64 ","$4,376.70 ","$4,863.00 ","$1,048.46 ","$3,129.00 ", N/A ,"$4,863.00 ", N/A ,"$1,118.49 ","$3,160.95 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$5,375.00 ","$3,870.00 ","$1,158.85 ","$5,375.00 ","$3,090.63 ","$3,386.25 ","$3,225.00 ","$1,158.85 ","$1,505.00 ","$3,117.50 ","$1,211.52 ","$3,278.75 ","$1,316.87 ","$2,950.88 ","$2,950.88 ","$1,369.55 ","$2,031.00 ","$2,388.65 ","$3,762.50 ", N/A ,"$1,211.52 ","$1,158.85 ","$4,031.25 ","$3,816.25 ","$3,816.25 ","$1,211.52 ","$3,816.25 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,837.50 ","$3,090.63 ","$4,568.75 ","$1,158.85 ","$5,375.00 ","$3,015.38 ","$1,158.85 ","$2,225.25 ", N/A , N/A ,"$1,211.52 ","$4,568.75 ","$2,301.90 ","$2,950.88 ","$1,505.00 ","$4,837.50 ","$5,375.00 ","$1,158.85 ","$3,129.00 ", N/A ,"$5,375.00 ", N/A ,"$1,236.25 ","$3,493.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001084,N/A,HC EGD W/INSERT GUIDEWIRE - 43248,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$3,097.00 ","$2,229.84 ",$667.71 ,"$3,097.00 ","$1,780.78 ","$1,951.11 ","$1,858.20 ",$667.71 ,$867.16 ,"$1,796.26 ",$698.06 ,"$1,889.17 ",$758.76 ,"$1,700.25 ","$1,700.25 ",$789.12 ,"$1,700.25 ","$1,376.31 ","$2,167.90 ", N/A ,$698.06 ,$667.71 ,"$2,322.75 ","$2,198.87 ","$2,198.87 ",$698.06 ,"$2,198.87 ","$2,694.39 ","$2,694.39 ","$2,694.39 ", N/A ,"$2,787.30 ","$1,780.78 ","$2,632.45 ",$667.71 ,"$3,097.00 ","$1,737.42 ",$667.71 ,"$1,282.16 ", N/A , N/A ,$698.06 ,"$2,632.45 ","$1,326.32 ","$1,700.25 ",$867.16 ,"$2,787.30 ","$3,097.00 ",$667.71 ,"$2,694.39 ", N/A ,"$3,097.00 ", N/A ,$712.31 ,"$2,013.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001090,N/A,HC EGD W/CONTROL BLEEDING - 43255,750,1 ,"$5,249.00 ","$3,779.28 ","$1,131.68 ","$5,249.00 ","$3,018.18 ","$3,306.87 ","$3,149.40 ","$1,131.68 ","$1,469.72 ","$3,044.42 ","$1,183.12 ","$3,201.89 ","$1,286.00 ","$2,881.70 ","$2,881.70 ","$1,337.45 ","$2,031.00 ","$2,332.66 ","$3,674.30 ", N/A ,"$1,183.12 ","$1,131.68 ","$3,936.75 ","$3,726.79 ","$3,726.79 ","$1,183.12 ","$3,726.79 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,724.10 ","$3,018.18 ","$4,461.65 ","$1,131.68 ","$5,249.00 ","$2,944.69 ","$1,131.68 ","$2,173.09 ", N/A , N/A ,"$1,183.12 ","$4,461.65 ","$2,247.93 ","$2,881.70 ","$1,469.72 ","$4,724.10 ","$5,249.00 ","$1,131.68 ","$3,129.00 ", N/A ,"$5,249.00 ", N/A ,"$1,207.27 ","$3,411.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001094,N/A,HC ERCP W/BRUSH/WASH - 43260,750,1 ,"$3,314.00 ","$2,386.08 ",$714.50 ,"$3,314.00 ","$1,905.55 ","$2,087.82 ","$1,988.40 ",$714.50 ,$927.92 ,"$1,922.12 ",$746.98 ,"$2,021.54 ",$811.93 ,"$1,819.39 ","$1,819.39 ",$844.41 ,"$1,819.39 ","$1,472.74 ","$2,319.80 ", N/A ,$746.98 ,$714.50 ,"$2,485.50 ","$2,352.94 ","$2,352.94 ",$746.98 ,"$2,352.94 ","$2,883.18 ","$2,883.18 ","$2,883.18 ", N/A ,"$2,982.60 ","$1,905.55 ","$2,816.90 ",$714.50 ,"$3,314.00 ","$1,859.15 ",$714.50 ,"$1,372.00 ", N/A , N/A ,$746.98 ,"$2,816.90 ","$1,419.26 ","$1,819.39 ",$927.92 ,"$2,982.60 ","$3,314.00 ",$714.50 ,"$2,883.18 ", N/A ,"$3,314.00 ", N/A ,$762.22 ,"$2,154.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001095,N/A,HC ERCP W/BIOPSY SGL/MULT - 43261,750,1 ,"$8,020.00 ","$5,774.40 ","$1,729.11 ","$8,020.00 ","$4,611.50 ","$5,052.60 ","$4,812.00 ","$1,729.11 ","$2,245.60 ","$4,651.60 ","$1,807.71 ","$4,892.20 ","$1,964.90 ","$4,402.98 ","$4,402.98 ","$2,043.50 ","$2,031.00 ","$3,564.09 ","$5,614.00 ", N/A ,"$1,807.71 ","$1,729.11 ","$6,015.00 ","$5,694.20 ","$5,694.20 ","$1,807.71 ","$5,694.20 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$7,218.00 ","$4,611.50 ","$6,817.00 ","$1,729.11 ","$8,020.00 ","$4,499.22 ","$1,729.11 ","$3,320.28 ", N/A , N/A ,"$1,807.71 ","$6,817.00 ","$3,434.65 ","$4,402.98 ","$2,245.60 ","$7,218.00 ","$8,020.00 ","$1,729.11 ","$3,129.00 ", N/A ,"$8,020.00 ", N/A ,"$1,844.60 ","$5,213.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001096,N/A,HC ERCP W/SPHINCTEROTOMY - 43262,750,1 ,"$9,797.00 ","$7,053.84 ","$2,031.00 ","$9,797.00 ","$5,633.28 ","$6,172.11 ","$5,878.20 ","$2,112.23 ","$2,743.16 ","$5,682.26 ","$2,208.24 ","$5,976.17 ","$2,400.26 ","$5,378.55 ","$5,378.55 ","$2,496.28 ","$2,031.00 ","$4,353.79 ","$6,857.90 ", N/A ,"$2,208.24 ","$2,112.23 ","$7,347.75 ","$6,955.87 ","$6,955.87 ","$2,208.24 ","$6,955.87 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$8,817.30 ","$5,633.28 ","$8,327.45 ","$2,112.23 ","$9,797.00 ","$5,496.12 ","$2,112.23 ","$4,055.96 ", N/A , N/A ,"$2,208.24 ","$8,327.45 ","$4,195.66 ","$5,378.55 ","$2,743.16 ","$8,817.30 ","$9,797.00 ","$2,112.23 ","$3,129.00 ", N/A ,"$9,797.00 ", N/A ,"$2,253.31 ","$6,368.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001098,N/A,HC ERCP W/STONE REMOVAL DUCT - 43264,750,1 ,"$8,020.00 ","$5,774.40 ","$1,729.11 ","$8,020.00 ","$4,611.50 ","$5,052.60 ","$4,812.00 ","$1,729.11 ","$2,245.60 ","$4,651.60 ","$1,807.71 ","$4,892.20 ","$1,964.90 ","$4,402.98 ","$4,402.98 ","$2,043.50 ","$2,031.00 ","$3,564.09 ","$5,614.00 ", N/A ,"$1,807.71 ","$1,729.11 ","$6,015.00 ","$5,694.20 ","$5,694.20 ","$1,807.71 ","$5,694.20 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$7,218.00 ","$4,611.50 ","$6,817.00 ","$1,729.11 ","$8,020.00 ","$4,499.22 ","$1,729.11 ","$3,320.28 ", N/A , N/A ,"$1,807.71 ","$6,817.00 ","$3,434.65 ","$4,402.98 ","$2,245.60 ","$7,218.00 ","$8,020.00 ","$1,729.11 ","$3,129.00 ", N/A ,"$8,020.00 ", N/A ,"$1,844.60 ","$5,213.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001099,N/A,HC ERCP W/LITHOTRIPSY - 43265,750,1 ,"$14,632.00 ","$10,535.04 ","$2,031.00 ","$14,632.00 ","$8,413.40 ","$9,218.16 ","$8,779.20 ","$3,154.66 ","$4,096.96 ","$8,486.56 ","$3,298.05 ","$8,925.52 ","$3,584.84 ","$8,032.97 ","$8,032.97 ","$3,728.23 ","$2,031.00 ","$6,502.46 ","$10,242.40 ", N/A ,"$3,298.05 ","$3,154.66 ","$10,974.00 ","$10,388.72 ","$10,388.72 ","$3,298.05 ","$10,388.72 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$13,168.80 ","$8,413.40 ","$12,437.20 ","$3,154.66 ","$14,632.00 ","$8,208.55 ","$3,154.66 ","$6,057.65 ", N/A , N/A ,"$3,298.05 ","$12,437.20 ","$6,266.30 ","$8,032.97 ","$4,096.96 ","$13,168.80 ","$14,632.00 ","$3,154.66 ","$3,129.00 ", N/A ,"$14,632.00 ", N/A ,"$3,365.36 ","$9,510.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001100,N/A,HC ERCP W/STENT PLACEMENT DUCT - 43274,750,1 ,"$5,186.00 ","$3,733.92 ","$1,118.10 ","$5,186.00 ","$2,981.95 ","$3,267.18 ","$3,111.60 ","$1,118.10 ","$1,452.08 ","$3,007.88 ","$1,168.92 ","$3,163.46 ","$1,270.57 ","$2,847.11 ","$2,847.11 ","$1,321.39 ","$2,031.00 ","$2,304.66 ","$3,630.20 ", N/A ,"$1,168.92 ","$1,118.10 ","$3,889.50 ","$3,682.06 ","$3,682.06 ","$1,168.92 ","$3,682.06 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,667.40 ","$2,981.95 ","$4,408.10 ","$1,118.10 ","$5,186.00 ","$2,909.35 ","$1,118.10 ","$2,147.00 ", N/A , N/A ,"$1,168.92 ","$4,408.10 ","$2,220.95 ","$2,847.11 ","$1,452.08 ","$4,667.40 ","$5,186.00 ","$1,118.10 ","$3,129.00 ", N/A ,"$5,186.00 ", N/A ,"$1,192.78 ","$3,370.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001101,N/A,HC ERCP W/FB OR STENT REMOVAL DUCT - 43275,750,1 ,"$9,348.00 ","$6,730.56 ","$2,015.43 ","$9,348.00 ","$5,375.10 ","$5,889.24 ","$5,608.80 ","$2,015.43 ","$2,617.44 ","$5,421.84 ","$2,107.04 ","$5,702.28 ","$2,290.26 ","$5,132.05 ","$5,132.05 ","$2,381.87 ","$2,031.00 ","$4,154.25 ","$6,543.60 ", N/A ,"$2,107.04 ","$2,015.43 ","$7,011.00 ","$6,637.08 ","$6,637.08 ","$2,107.04 ","$6,637.08 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$8,413.20 ","$5,375.10 ","$7,945.80 ","$2,015.43 ","$9,348.00 ","$5,244.23 ","$2,015.43 ","$3,870.07 ", N/A , N/A ,"$2,107.04 ","$7,945.80 ","$4,003.38 ","$5,132.05 ","$2,617.44 ","$8,413.20 ","$9,348.00 ","$2,015.43 ","$3,129.00 ", N/A ,"$9,348.00 ", N/A ,"$2,150.04 ","$6,076.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001102,N/A,HC ERCP W/REM/EXCHG STENT W/DILAT AND WIRE EA - 43276,750,1 ,"$14,632.00 ","$10,535.04 ","$2,031.00 ","$14,632.00 ","$8,413.40 ","$9,218.16 ","$8,779.20 ","$3,154.66 ","$4,096.96 ","$8,486.56 ","$3,298.05 ","$8,925.52 ","$3,584.84 ","$8,032.97 ","$8,032.97 ","$3,728.23 ","$2,031.00 ","$6,502.46 ","$10,242.40 ", N/A ,"$3,298.05 ","$3,154.66 ","$10,974.00 ","$10,388.72 ","$10,388.72 ","$3,298.05 ","$10,388.72 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$13,168.80 ","$8,413.40 ","$12,437.20 ","$3,154.66 ","$14,632.00 ","$8,208.55 ","$3,154.66 ","$6,057.65 ", N/A , N/A ,"$3,298.05 ","$12,437.20 ","$6,266.30 ","$8,032.97 ","$4,096.96 ","$13,168.80 ","$14,632.00 ","$3,154.66 ","$3,129.00 ", N/A ,"$14,632.00 ", N/A ,"$3,365.36 ","$9,510.80 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001103,N/A,HC ERCP W/BALL DILAT DUCT/AMPULLA EA -43277,750,1 ,"$9,348.00 ","$6,730.56 ","$2,015.43 ","$9,348.00 ","$5,375.10 ","$5,889.24 ","$5,608.80 ","$2,015.43 ","$2,617.44 ","$5,421.84 ","$2,107.04 ","$5,702.28 ","$2,290.26 ","$5,132.05 ","$5,132.05 ","$2,381.87 ","$2,031.00 ","$4,154.25 ","$6,543.60 ", N/A ,"$2,107.04 ","$2,015.43 ","$7,011.00 ","$6,637.08 ","$6,637.08 ","$2,107.04 ","$6,637.08 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$8,413.20 ","$5,375.10 ","$7,945.80 ","$2,015.43 ","$9,348.00 ","$5,244.23 ","$2,015.43 ","$3,870.07 ", N/A , N/A ,"$2,107.04 ","$7,945.80 ","$4,003.38 ","$5,132.05 ","$2,617.44 ","$8,413.20 ","$9,348.00 ","$2,015.43 ","$3,129.00 ", N/A ,"$9,348.00 ", N/A ,"$2,150.04 ","$6,076.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001106,N/A,HC ESOPHAGUS DILATION UNGUIDED SGL/MULT PASS - 43450,750,1 ,"$2,649.00 ","$1,907.28 ",$571.12 ,"$2,649.00 ","$1,523.18 ","$1,668.87 ","$1,589.40 ",$571.12 ,$741.72 ,"$1,536.42 ",$597.08 ,"$1,615.89 ",$649.00 ,"$1,454.30 ","$1,454.30 ",$674.97 ,"$1,454.30 ","$1,177.22 ","$1,854.30 ", N/A ,$597.08 ,$571.12 ,"$1,986.75 ","$1,880.79 ","$1,880.79 ",$597.08 ,"$1,880.79 ","$2,304.63 ","$2,304.63 ","$2,304.63 ", N/A ,"$2,384.10 ","$1,523.18 ","$2,251.65 ",$571.12 ,"$2,649.00 ","$1,486.09 ",$571.12 ,"$1,096.69 ", N/A , N/A ,$597.08 ,"$2,251.65 ","$1,134.46 ","$1,454.30 ",$741.72 ,"$2,384.10 ","$2,649.00 ",$571.12 ,"$2,304.63 ", N/A ,"$2,649.00 ", N/A ,$609.27 ,"$1,721.85 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001125,N/A,HC COLONOSCOPY STOMA DX W/BRUSH/WASH - 44388,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001126,N/A,HC COLONOSCOPY STOMA W/BX SGL/MULT - 44389,750,1 ,"$3,188.00 ","$2,295.36 ",$687.33 ,"$3,188.00 ","$1,833.10 ","$2,008.44 ","$1,912.80 ",$687.33 ,$892.64 ,"$1,849.04 ",$718.58 ,"$1,944.68 ",$781.06 ,"$1,750.21 ","$1,750.21 ",$812.30 ,"$1,750.21 ","$1,416.75 ","$2,231.60 ", N/A ,$718.58 ,$687.33 ,"$2,391.00 ","$2,263.48 ","$2,263.48 ",$718.58 ,"$2,263.48 ","$2,773.56 ","$2,773.56 ","$2,773.56 ", N/A ,"$2,869.20 ","$1,833.10 ","$2,709.80 ",$687.33 ,"$3,188.00 ","$1,788.47 ",$687.33 ,"$1,319.83 ", N/A , N/A ,$718.58 ,"$2,709.80 ","$1,365.30 ","$1,750.21 ",$892.64 ,"$2,869.20 ","$3,188.00 ",$687.33 ,"$2,773.56 ", N/A ,"$3,188.00 ", N/A ,$733.24 ,"$2,072.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001130,N/A,HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH - 44394,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001139,N/A,HC PROCTOSIGMOIDOSCOPY RIGID DX W/W/O SPECIMEN - 45300,750,1 ,"$2,420.00 ","$1,742.40 ",$521.75 ,"$2,420.00 ","$1,391.50 ","$1,524.60 ","$1,452.00 ",$521.75 ,$677.60 ,"$1,403.60 ",$545.47 ,"$1,476.20 ",$592.90 ,"$1,328.58 ","$1,328.58 ",$616.62 ,"$1,328.58 ","$1,075.45 ","$1,694.00 ", N/A ,$545.47 ,$521.75 ,"$1,815.00 ","$1,718.20 ","$1,718.20 ",$545.47 ,"$1,718.20 ","$2,105.40 ","$2,105.40 ","$2,105.40 ", N/A ,"$2,178.00 ","$1,391.50 ","$2,057.00 ",$521.75 ,"$2,420.00 ","$1,357.62 ",$521.75 ,"$1,001.88 ", N/A , N/A ,$545.47 ,"$2,057.00 ","$1,036.39 ","$1,328.58 ",$677.60 ,"$2,178.00 ","$2,420.00 ",$521.75 ,"$2,105.40 ", N/A ,"$2,420.00 ", N/A ,$556.60 ,"$1,573.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001142,N/A,HC SIGMOIDOSCOPY DX W/BRUSH/WASH - 45330,750,1 ,"$2,347.00 ","$1,689.84 ",$506.01 ,"$2,347.00 ","$1,349.53 ","$1,478.61 ","$1,408.20 ",$506.01 ,$657.16 ,"$1,361.26 ",$529.01 ,"$1,431.67 ",$575.01 ,"$1,288.50 ","$1,288.50 ",$598.02 ,"$1,288.50 ","$1,043.01 ","$1,642.90 ", N/A ,$529.01 ,$506.01 ,"$1,760.25 ","$1,666.37 ","$1,666.37 ",$529.01 ,"$1,666.37 ","$2,041.89 ","$2,041.89 ","$2,041.89 ", N/A ,"$2,112.30 ","$1,349.53 ","$1,994.95 ",$506.01 ,"$2,347.00 ","$1,316.67 ",$506.01 ,$971.66 , N/A , N/A ,$529.01 ,"$1,994.95 ","$1,005.13 ","$1,288.50 ",$657.16 ,"$2,112.30 ","$2,347.00 ",$506.01 ,"$2,041.89 ", N/A ,"$2,347.00 ", N/A ,$539.81 ,"$1,525.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001143,N/A,HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT -45331,750,1 ,"$2,347.00 ","$1,689.84 ",$506.01 ,"$2,347.00 ","$1,349.53 ","$1,478.61 ","$1,408.20 ",$506.01 ,$657.16 ,"$1,361.26 ",$529.01 ,"$1,431.67 ",$575.01 ,"$1,288.50 ","$1,288.50 ",$598.02 ,"$1,288.50 ","$1,043.01 ","$1,642.90 ", N/A ,$529.01 ,$506.01 ,"$1,760.25 ","$1,666.37 ","$1,666.37 ",$529.01 ,"$1,666.37 ","$2,041.89 ","$2,041.89 ","$2,041.89 ", N/A ,"$2,112.30 ","$1,349.53 ","$1,994.95 ",$506.01 ,"$2,347.00 ","$1,316.67 ",$506.01 ,$971.66 , N/A , N/A ,$529.01 ,"$1,994.95 ","$1,005.13 ","$1,288.50 ",$657.16 ,"$2,112.30 ","$2,347.00 ",$506.01 ,"$2,041.89 ", N/A ,"$2,347.00 ", N/A ,$539.81 ,"$1,525.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001144,N/A,HC SIGMOIDOSCOPY W/FB REMOVAL -45332,750,1 ,"$3,111.00 ","$2,239.92 ",$670.73 ,"$3,111.00 ","$1,788.83 ","$1,959.93 ","$1,866.60 ",$670.73 ,$871.08 ,"$1,804.38 ",$701.22 ,"$1,897.71 ",$762.19 ,"$1,707.94 ","$1,707.94 ",$792.68 ,"$1,707.94 ","$1,382.53 ","$2,177.70 ", N/A ,$701.22 ,$670.73 ,"$2,333.25 ","$2,208.81 ","$2,208.81 ",$701.22 ,"$2,208.81 ","$2,706.57 ","$2,706.57 ","$2,706.57 ", N/A ,"$2,799.90 ","$1,788.83 ","$2,644.35 ",$670.73 ,"$3,111.00 ","$1,745.27 ",$670.73 ,"$1,287.95 ", N/A , N/A ,$701.22 ,"$2,644.35 ","$1,332.32 ","$1,707.94 ",$871.08 ,"$2,799.90 ","$3,111.00 ",$670.73 ,"$2,706.57 ", N/A ,"$3,111.00 ", N/A ,$715.53 ,"$2,022.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001149,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45338,750,1 ,"$3,298.00 ","$2,374.56 ",$711.05 ,"$3,298.00 ","$1,896.35 ","$2,077.74 ","$1,978.80 ",$711.05 ,$923.44 ,"$1,912.84 ",$743.37 ,"$2,011.78 ",$808.01 ,"$1,810.60 ","$1,810.60 ",$840.33 ,"$1,810.60 ","$1,465.63 ","$2,308.60 ", N/A ,$743.37 ,$711.05 ,"$2,473.50 ","$2,341.58 ","$2,341.58 ",$743.37 ,"$2,341.58 ","$2,869.26 ","$2,869.26 ","$2,869.26 ", N/A ,"$2,968.20 ","$1,896.35 ","$2,803.30 ",$711.05 ,"$3,298.00 ","$1,850.18 ",$711.05 ,"$1,365.37 ", N/A , N/A ,$743.37 ,"$2,803.30 ","$1,412.41 ","$1,810.60 ",$923.44 ,"$2,968.20 ","$3,298.00 ",$711.05 ,"$2,869.26 ", N/A ,"$3,298.00 ", N/A ,$758.54 ,"$2,143.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001161,N/A,HC COLONOSCOPY W/CONTROL BLEEDING - 45382,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001165,N/A,HC COLONOSCOPY W/ABLATION TUMOR - 45388,750,1 ,"$3,386.00 ","$2,437.92 ",$730.02 ,"$3,386.00 ","$1,946.95 ","$2,133.18 ","$2,031.60 ",$730.02 ,$948.08 ,"$1,963.88 ",$763.20 ,"$2,065.46 ",$829.57 ,"$1,858.91 ","$1,858.91 ",$862.75 ,"$1,858.91 ","$1,504.74 ","$2,370.20 ", N/A ,$763.20 ,$730.02 ,"$2,539.50 ","$2,404.06 ","$2,404.06 ",$763.20 ,"$2,404.06 ","$2,945.82 ","$2,945.82 ","$2,945.82 ", N/A ,"$3,047.40 ","$1,946.95 ","$2,878.10 ",$730.02 ,"$3,386.00 ","$1,899.55 ",$730.02 ,"$1,401.80 ", N/A , N/A ,$763.20 ,"$2,878.10 ","$1,450.09 ","$1,858.91 ",$948.08 ,"$3,047.40 ","$3,386.00 ",$730.02 ,"$2,945.82 ", N/A ,"$3,386.00 ", N/A ,$778.78 ,"$2,200.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$2,611.00 ","$1,879.92 ",$562.93 ,"$2,611.00 ","$1,501.33 ","$1,644.93 ","$1,566.60 ",$562.93 ,$731.08 ,"$1,514.38 ",$588.52 ,"$1,592.71 ",$639.69 ,"$1,433.44 ","$1,433.44 ",$665.28 ,"$1,433.44 ","$1,160.33 ","$1,827.70 ", N/A ,$588.52 ,$562.93 ,"$1,958.25 ","$1,853.81 ","$1,853.81 ",$588.52 ,"$1,853.81 ","$2,271.57 ","$2,271.57 ","$2,271.57 ", N/A ,"$2,349.90 ","$1,501.33 ","$2,219.35 ",$562.93 ,"$2,611.00 ","$1,464.77 ",$562.93 ,"$1,080.95 ", N/A , N/A ,$588.52 ,"$2,219.35 ","$1,118.19 ","$1,433.44 ",$731.08 ,"$2,349.90 ","$2,611.00 ",$562.93 ,"$2,271.57 ", N/A ,"$2,611.00 ", N/A ,$600.53 ,"$1,697.15 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001170,N/A,HC COLONOSCOPY W/DECOMPRESSION - 45393,750,1 ,"$4,668.00 ","$3,360.96 ","$1,006.42 ","$4,668.00 ","$2,684.10 ","$2,940.84 ","$2,800.80 ","$1,006.42 ","$1,307.04 ","$2,707.44 ","$1,052.17 ","$2,847.48 ","$1,143.66 ","$2,562.73 ","$2,562.73 ","$1,189.41 ","$2,031.00 ","$2,074.46 ","$3,267.60 ", N/A ,"$1,052.17 ","$1,006.42 ","$3,501.00 ","$3,314.28 ","$3,314.28 ","$1,052.17 ","$3,314.28 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,201.20 ","$2,684.10 ","$3,967.80 ","$1,006.42 ","$4,668.00 ","$2,618.75 ","$1,006.42 ","$1,932.55 ", N/A , N/A ,"$1,052.17 ","$3,967.80 ","$1,999.12 ","$2,562.73 ","$1,307.04 ","$4,201.20 ","$4,668.00 ","$1,006.42 ","$3,129.00 ", N/A ,"$4,668.00 ", N/A ,"$1,073.64 ","$3,034.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$2,328.00 ","$1,676.16 ",$501.92 ,"$2,328.00 ","$1,338.60 ","$1,466.64 ","$1,396.80 ",$501.92 ,$651.84 ,"$1,350.24 ",$524.73 ,"$1,420.08 ",$570.36 ,"$1,278.07 ","$1,278.07 ",$593.17 ,"$1,278.07 ","$1,034.56 ","$1,629.60 ", N/A ,$524.73 ,$501.92 ,"$1,746.00 ","$1,652.88 ","$1,652.88 ",$524.73 ,"$1,652.88 ","$2,025.36 ","$2,025.36 ","$2,025.36 ", N/A ,"$2,095.20 ","$1,338.60 ","$1,978.80 ",$501.92 ,"$2,328.00 ","$1,306.01 ",$501.92 ,$963.79 , N/A , N/A ,$524.73 ,"$1,978.80 ",$996.99 ,"$1,278.07 ",$651.84 ,"$2,095.20 ","$2,328.00 ",$501.92 ,"$2,025.36 ", N/A ,"$2,328.00 ", N/A ,$535.44 ,"$1,513.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001176,N/A,HC ANOSCOPY W/BIOPSY SGL/MULT - 46606,750,1 ,"$3,130.00 ","$2,253.60 ",$674.83 ,"$3,130.00 ","$1,799.75 ","$1,971.90 ","$1,878.00 ",$674.83 ,$876.40 ,"$1,815.40 ",$705.50 ,"$1,909.30 ",$766.85 ,"$1,718.37 ","$1,718.37 ",$797.52 ,"$1,718.37 ","$1,390.97 ","$2,191.00 ", N/A ,$705.50 ,$674.83 ,"$2,347.50 ","$2,222.30 ","$2,222.30 ",$705.50 ,"$2,222.30 ","$2,723.10 ","$2,723.10 ","$2,723.10 ", N/A ,"$2,817.00 ","$1,799.75 ","$2,660.50 ",$674.83 ,"$3,130.00 ","$1,755.93 ",$674.83 ,"$1,295.82 ", N/A , N/A ,$705.50 ,"$2,660.50 ","$1,340.45 ","$1,718.37 ",$876.40 ,"$2,817.00 ","$3,130.00 ",$674.83 ,"$2,723.10 ", N/A ,"$3,130.00 ", N/A ,$719.90 ,"$2,034.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001180,N/A,HC PLACE GASTROSTOMY TUBE PERC W/GUID - 49440,750,1 ,"$4,976.00 ","$3,582.72 ","$1,072.83 ","$4,976.00 ","$2,861.20 ","$3,134.88 ","$2,985.60 ","$1,072.83 ","$1,393.28 ","$2,886.08 ","$1,121.59 ","$3,035.36 ","$1,219.12 ","$2,731.82 ","$2,731.82 ","$1,267.88 ","$2,031.00 ","$2,211.33 ","$3,483.20 ", N/A ,"$1,121.59 ","$1,072.83 ","$3,732.00 ","$3,532.96 ","$3,532.96 ","$1,121.59 ","$3,532.96 ","$3,129.00 ","$3,129.00 ","$3,129.00 ", N/A ,"$4,478.40 ","$2,861.20 ","$4,229.60 ","$1,072.83 ","$4,976.00 ","$2,791.54 ","$1,072.83 ","$2,060.06 ", N/A , N/A ,"$1,121.59 ","$4,229.60 ","$2,131.02 ","$2,731.82 ","$1,393.28 ","$4,478.40 ","$4,976.00 ","$1,072.83 ","$3,129.00 ", N/A ,"$4,976.00 ", N/A ,"$1,144.48 ","$3,234.40 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001193,91035,HC ACID REFLUX TEST MUCOSAL ELECTRODE- 91035,750,1 ,"$1,538.00 ","$1,107.36 ",$331.59 ,"$1,538.00 ",$884.35 ,$968.94 ,$922.80 ,$331.59 ,$430.64 ,$892.04 ,$346.67 ,$938.18 ,$376.81 ,$844.36 ,$844.36 ,$391.88 ,$844.36 ,$683.49 ,"$1,076.60 ","$1,208.58 ",$346.67 ,$331.59 ,"$1,153.50 ","$1,091.98 ","$1,091.98 ",$346.67 ,"$1,091.98 ","$1,338.06 ","$1,338.06 ","$1,338.06 ", N/A ,"$1,384.20 ",$884.35 ,"$1,307.30 ",$331.59 ,"$1,538.00 ",$862.82 ,$331.59 ,$636.73 ,"$1,022.38 ",$929.44 ,$346.67 ,"$1,307.30 ",$658.67 ,$844.36 ,$430.64 ,"$1,384.20 ","$1,538.00 ",$331.59 ,"$1,338.06 ",$479.00 ,"$1,538.00 ",$479.00 ,$353.74 ,$999.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,75001200,G0104,HC COLONOSCOPY SCREEN W/FLEX SIGMOID - G0104,750,1 ,"$2,457.00 ","$1,769.04 ",$529.73 ,"$2,457.00 ","$1,412.78 ","$1,547.91 ","$1,474.20 ",$529.73 ,$687.96 ,"$1,080.61 ",$553.81 ,"$1,137.48 ",$601.96 ,"$1,348.89 ","$1,348.89 ",$626.04 ,"$1,348.89 ","$1,091.89 ","$1,719.90 ","$2,077.60 ",$553.81 ,$529.73 ,"$1,842.75 ","$1,744.47 ","$1,744.47 ",$553.81 ,"$1,744.47 ","$2,137.59 ","$2,137.59 ","$2,137.59 ", N/A ,"$2,211.30 ","$1,412.78 ","$2,088.45 ",$529.73 ,"$2,457.00 ","$1,378.38 ",$529.73 ,"$1,017.20 ","$1,113.73 ","$1,012.48 ",$553.81 ,"$2,088.45 ","$1,052.24 ","$1,348.89 ",$687.96 ,"$2,211.30 ","$2,457.00 ",$529.73 ,"$2,137.59 ","$2,158.00 ","$2,457.00 ","$2,158.00 ",$565.11 ,"$1,597.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$2,194.00 ","$1,579.68 ",$473.03 ,"$2,194.00 ","$1,261.55 ","$1,382.22 ","$1,316.40 ",$473.03 ,$614.32 ,"$1,272.52 ",$494.53 ,"$1,338.34 ",$537.53 ,"$1,204.51 ","$1,204.51 ",$559.03 ,"$1,204.51 ",$975.01 ,"$1,535.80 ", N/A ,$494.53 ,$473.03 ,"$1,645.50 ","$1,557.74 ","$1,557.74 ",$494.53 ,"$1,557.74 ","$1,908.78 ","$1,908.78 ","$1,908.78 ", N/A ,"$1,974.60 ","$1,261.55 ","$1,864.90 ",$473.03 ,"$2,194.00 ","$1,230.83 ",$473.03 ,$908.32 , N/A , N/A ,$494.53 ,"$1,864.90 ",$939.60 ,"$1,204.51 ",$614.32 ,"$1,974.60 ","$2,194.00 ",$473.03 ,"$1,908.78 ", N/A ,"$2,194.00 ", N/A ,$504.62 ,"$1,426.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76000004,31579,HC LARYNG VIDEOSTROB INITIAL,760,1 ,$123.00 ,$88.56 ,$26.52 ,$942.85 ,$70.73 ,$77.49 ,$73.80 ,$26.52 ,$34.44 ,$71.34 ,$27.72 ,$75.03 ,$30.13 ,$67.53 ,$67.53 ,$31.34 ,$67.53 ,$54.66 ,$86.10 ,$942.85 ,$27.72 ,$26.52 ,$92.25 ,$87.33 ,$87.33 ,$27.72 ,$87.33 ,$107.01 ,$107.01 ,$107.01 , N/A ,$110.70 ,$70.73 ,$104.55 ,$26.52 ,$123.00 ,$69.00 ,$26.52 ,$50.92 ,$685.73 ,$623.39 ,$27.72 ,$104.55 ,$52.67 ,$67.53 ,$34.44 ,$110.70 ,$123.00 ,$26.52 ,$107.01 ,$92.25 ,$123.00 ,$92.25 ,$28.29 ,$79.95 ST. JOSEPH'S HOSPITAL - HIGHLAND,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$1,026.00 ",$738.72 ,$221.21 ,"$1,610.85 ",$589.95 ,$646.38 ,$615.60 ,$221.21 ,$287.28 ,$595.08 ,$231.26 ,$625.86 ,$251.37 ,$563.27 ,$563.27 ,$261.42 ,$563.27 ,$455.95 ,$718.20 ,"$1,610.85 ",$231.26 ,$221.21 ,$769.50 ,$728.46 ,$728.46 ,$231.26 ,$728.46 ,$892.62 ,$892.62 ,$892.62 , N/A ,$923.40 ,$589.95 ,$872.10 ,$221.21 ,"$1,026.00 ",$575.59 ,$221.21 ,$424.76 ,"$1,354.21 ","$1,231.10 ",$231.26 ,$872.10 ,$439.39 ,$563.27 ,$287.28 ,$923.40 ,"$1,026.00 ",$221.21 ,$892.62 ,$769.50 ,"$1,026.00 ",$769.50 ,$235.98 ,$666.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100011,64450,HC INJ ANES NERVE PERIPHERAL-BI,761,1 ,"$2,553.00 ","$1,838.16 ",$43.01 ,"$2,553.00 ","$1,467.98 ","$1,608.39 ","$1,531.80 ",$550.43 ,$714.84 ,"$1,480.74 ",$575.45 ,"$1,557.33 ",$625.48 ,"$1,401.60 ","$1,401.60 ",$650.50 ,$43.01 ,"$1,134.55 ","$1,787.10 ","$2,416.28 ",$575.45 ,$550.43 ,"$1,914.75 ","$1,812.63 ","$1,812.63 ",$575.45 ,"$1,812.63 ","$2,221.11 ","$2,221.11 ","$2,221.11 ", N/A ,"$2,297.70 ","$1,467.98 ","$2,170.05 ",$550.43 ,"$2,553.00 ","$1,432.23 ",$550.43 ,"$1,056.94 ","$1,120.03 ","$1,018.21 ",$575.45 ,"$2,170.05 ","$1,093.35 ","$1,401.60 ",$714.84 ,"$2,297.70 ","$2,553.00 ",$550.43 ,"$2,221.11 ",$133.00 ,"$2,553.00 ",$133.00 ,$587.19 ,"$1,659.45 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100018,G0260,HC INJ ARTHROGRAM SACROILIAC-BI,761,1 ,"$2,554.00 ","$1,838.88 ",$133.00 ,"$2,554.00 ","$1,468.55 ","$1,609.02 ","$1,532.40 ",$550.64 ,$715.12 ,"$1,481.32 ",$575.67 ,"$1,557.94 ",$625.73 ,"$1,402.15 ","$1,402.15 ",$650.76 ,"$1,660.10 ","$1,135.00 ","$1,787.80 ","$1,610.85 ",$575.67 ,$550.64 ,"$1,915.50 ","$1,813.34 ","$1,813.34 ",$575.67 ,"$1,813.34 ","$2,221.98 ","$2,221.98 ","$2,221.98 ", N/A ,"$2,298.60 ","$1,468.55 ","$2,170.90 ",$550.64 ,"$2,554.00 ","$1,432.79 ",$550.64 ,"$1,057.36 ",$549.62 ,$499.65 ,$575.67 ,"$2,170.90 ","$1,093.78 ","$1,402.15 ",$715.12 ,"$2,298.60 ","$2,554.00 ",$550.64 ,"$2,221.98 ",$133.00 ,"$2,554.00 ",$133.00 ,$587.42 ,"$1,660.10 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100019,G0260,HC INJ ARTHROGRAM SACROILIAC-LT,761,1 ,"$1,702.00 ","$1,225.44 ",$133.00 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,"$1,106.30 ",$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 ,$549.62 ,$499.65 ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ",$133.00 ,"$1,702.00 ",$133.00 ,$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100020,G0260,HC INJ ARTHROGRAM SACROILIAC-RT,761,1 ,"$1,702.00 ","$1,225.44 ",$133.00 ,"$1,702.00 ",$978.65 ,"$1,072.26 ","$1,021.20 ",$366.95 ,$476.56 ,$987.16 ,$383.63 ,"$1,038.22 ",$416.99 ,$934.40 ,$934.40 ,$433.67 ,"$1,106.30 ",$756.37 ,"$1,191.40 ","$1,610.85 ",$383.63 ,$366.95 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$383.63 ,"$1,208.42 ","$1,480.74 ","$1,480.74 ","$1,480.74 ", N/A ,"$1,531.80 ",$978.65 ,"$1,446.70 ",$366.95 ,"$1,702.00 ",$954.82 ,$366.95 ,$704.63 ,$549.62 ,$499.65 ,$383.63 ,"$1,446.70 ",$728.89 ,$934.40 ,$476.56 ,"$1,531.80 ","$1,702.00 ",$366.95 ,"$1,480.74 ",$133.00 ,"$1,702.00 ",$133.00 ,$391.46 ,"$1,106.30 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100021,64484,HC INJ EPID LUMBAR/SACRAL ADDL,761,1 ,"$2,095.00 ","$1,508.40 ",$52.96 ,"$2,095.00 ","$1,204.63 ","$1,319.85 ","$1,257.00 ",$451.68 ,$586.60 ,"$1,215.10 ",$472.21 ,"$1,277.95 ",$513.27 ,"$1,150.16 ","$1,150.16 ",$533.81 ,$52.96 ,$931.02 ,"$1,466.50 ", N/A ,$472.21 ,$451.68 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$472.21 ,"$1,487.45 ","$1,822.65 ","$1,822.65 ","$1,822.65 ", N/A ,"$1,885.50 ","$1,204.63 ","$1,780.75 ",$451.68 ,"$2,095.00 ","$1,175.30 ",$451.68 ,$867.33 ,"$1,354.21 ","$1,231.10 ",$472.21 ,"$1,780.75 ",$897.21 ,"$1,150.16 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$451.68 ,"$1,822.65 ",$133.00 ,"$2,095.00 ",$133.00 ,$481.85 ,"$1,361.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100022,64484,HC INJ EPID LUMBAR/SACRAL ADDL-LT,761,1 ,"$2,095.00 ","$1,508.40 ",$52.96 ,"$2,095.00 ","$1,204.63 ","$1,319.85 ","$1,257.00 ",$451.68 ,$586.60 ,"$1,215.10 ",$472.21 ,"$1,277.95 ",$513.27 ,"$1,150.16 ","$1,150.16 ",$533.81 ,$52.96 ,$931.02 ,"$1,466.50 ", N/A ,$472.21 ,$451.68 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$472.21 ,"$1,487.45 ","$1,822.65 ","$1,822.65 ","$1,822.65 ", N/A ,"$1,885.50 ","$1,204.63 ","$1,780.75 ",$451.68 ,"$2,095.00 ","$1,175.30 ",$451.68 ,$867.33 ,"$1,354.21 ","$1,231.10 ",$472.21 ,"$1,780.75 ",$897.21 ,"$1,150.16 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$451.68 ,"$1,822.65 ",$133.00 ,"$2,095.00 ",$133.00 ,$481.85 ,"$1,361.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100023,64484,HC INJ EPID LUMBAR/SACRAL ADDL-RT,761,1 ,"$2,095.00 ","$1,508.40 ",$52.96 ,"$2,095.00 ","$1,204.63 ","$1,319.85 ","$1,257.00 ",$451.68 ,$586.60 ,"$1,215.10 ",$472.21 ,"$1,277.95 ",$513.27 ,"$1,150.16 ","$1,150.16 ",$533.81 ,$52.96 ,$931.02 ,"$1,466.50 ", N/A ,$472.21 ,$451.68 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$472.21 ,"$1,487.45 ","$1,822.65 ","$1,822.65 ","$1,822.65 ", N/A ,"$1,885.50 ","$1,204.63 ","$1,780.75 ",$451.68 ,"$2,095.00 ","$1,175.30 ",$451.68 ,$867.33 ,"$1,354.21 ","$1,231.10 ",$472.21 ,"$1,780.75 ",$897.21 ,"$1,150.16 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$451.68 ,"$1,822.65 ",$133.00 ,"$2,095.00 ",$133.00 ,$481.85 ,"$1,361.75 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100024,64483,HC INJ EPID LUMBAR/SACRAL SGL-BI,761,1 ,"$2,827.00 ","$2,035.44 ",$112.40 ,"$3,195.68 ","$1,625.53 ","$1,781.01 ","$1,696.20 ",$609.50 ,$791.56 ,"$1,639.66 ",$637.21 ,"$1,724.47 ",$692.61 ,"$1,552.02 ","$1,552.02 ",$720.32 ,$112.40 ,"$1,256.32 ","$1,978.90 ","$3,195.68 ",$637.21 ,$609.50 ,"$2,120.25 ","$2,007.17 ","$2,007.17 ",$637.21 ,"$2,007.17 ","$2,459.49 ","$2,459.49 ","$2,459.49 ", N/A ,"$2,544.30 ","$1,625.53 ","$2,402.95 ",$609.50 ,"$2,827.00 ","$1,585.95 ",$609.50 ,"$1,170.38 ","$2,031.33 ","$1,846.66 ",$637.21 ,"$2,402.95 ","$1,210.69 ","$1,552.02 ",$791.56 ,"$2,544.30 ","$2,827.00 ",$609.50 ,"$2,459.49 ",$133.00 ,"$2,827.00 ",$133.00 ,$650.21 ,"$1,837.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100025,64483,HC INJ EPID LUMBAR/SACRAL SGL-LT,761,1 ,"$1,885.00 ","$1,357.20 ",$112.40 ,"$2,130.45 ","$1,083.88 ","$1,187.55 ","$1,131.00 ",$406.41 ,$527.80 ,"$1,093.30 ",$424.88 ,"$1,149.85 ",$461.82 ,"$1,034.87 ","$1,034.87 ",$480.30 ,$112.40 ,$837.69 ,"$1,319.50 ","$2,130.45 ",$424.88 ,$406.41 ,"$1,413.75 ","$1,338.35 ","$1,338.35 ",$424.88 ,"$1,338.35 ","$1,639.95 ","$1,639.95 ","$1,639.95 ", N/A ,"$1,696.50 ","$1,083.88 ","$1,602.25 ",$406.41 ,"$1,885.00 ","$1,057.49 ",$406.41 ,$780.39 ,"$1,354.21 ","$1,231.10 ",$424.88 ,"$1,602.25 ",$807.27 ,"$1,034.87 ",$527.80 ,"$1,696.50 ","$1,885.00 ",$406.41 ,"$1,639.95 ",$133.00 ,"$1,885.00 ",$133.00 ,$433.55 ,"$1,225.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100026,64483,HC INJ EPID LUMBAR/SACRAL SGL-RT,761,1 ,"$1,885.00 ","$1,357.20 ",$112.40 ,"$2,130.45 ","$1,083.88 ","$1,187.55 ","$1,131.00 ",$406.41 ,$527.80 ,"$1,093.30 ",$424.88 ,"$1,149.85 ",$461.82 ,"$1,034.87 ","$1,034.87 ",$480.30 ,$112.40 ,$837.69 ,"$1,319.50 ","$2,130.45 ",$424.88 ,$406.41 ,"$1,413.75 ","$1,338.35 ","$1,338.35 ",$424.88 ,"$1,338.35 ","$1,639.95 ","$1,639.95 ","$1,639.95 ", N/A ,"$1,696.50 ","$1,083.88 ","$1,602.25 ",$406.41 ,"$1,885.00 ","$1,057.49 ",$406.41 ,$780.39 ,"$1,354.21 ","$1,231.10 ",$424.88 ,"$1,602.25 ",$807.27 ,"$1,034.87 ",$527.80 ,"$1,696.50 ","$1,885.00 ",$406.41 ,"$1,639.95 ",$133.00 ,"$1,885.00 ",$133.00 ,$433.55 ,"$1,225.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100030,64490,HC INJ PARAVERT F JNT C/T 1 LV-BI,761,1 ,"$2,766.00 ","$1,991.52 ",$106.85 ,"$3,195.68 ","$1,590.45 ","$1,742.58 ","$1,659.60 ",$596.35 ,$774.48 ,"$1,604.28 ",$623.46 ,"$1,687.26 ",$677.67 ,"$1,518.53 ","$1,518.53 ",$704.78 ,$106.85 ,"$1,229.21 ","$1,936.20 ","$3,195.68 ",$623.46 ,$596.35 ,"$2,074.50 ","$1,963.86 ","$1,963.86 ",$623.46 ,"$1,963.86 ","$2,406.42 ","$2,406.42 ","$2,406.42 ", N/A ,"$2,489.40 ","$1,590.45 ","$2,351.10 ",$596.35 ,"$2,766.00 ","$1,551.73 ",$596.35 ,"$1,145.12 ","$2,031.33 ","$1,846.66 ",$623.46 ,"$2,351.10 ","$1,184.57 ","$1,518.53 ",$774.48 ,"$2,489.40 ","$2,766.00 ",$596.35 ,"$2,406.42 ",$133.00 ,"$2,766.00 ",$133.00 ,$636.18 ,"$1,797.90 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100031,64490,HC INJ PARAVERT F JNT C/T 1 LV-LT,761,1 ,"$1,844.00 ","$1,327.68 ",$106.85 ,"$2,130.45 ","$1,060.30 ","$1,161.72 ","$1,106.40 ",$397.57 ,$516.32 ,"$1,069.52 ",$415.64 ,"$1,124.84 ",$451.78 ,"$1,012.36 ","$1,012.36 ",$469.85 ,$106.85 ,$819.47 ,"$1,290.80 ","$2,130.45 ",$415.64 ,$397.57 ,"$1,383.00 ","$1,309.24 ","$1,309.24 ",$415.64 ,"$1,309.24 ","$1,604.28 ","$1,604.28 ","$1,604.28 ", N/A ,"$1,659.60 ","$1,060.30 ","$1,567.40 ",$397.57 ,"$1,844.00 ","$1,034.48 ",$397.57 ,$763.42 ,"$1,354.21 ","$1,231.10 ",$415.64 ,"$1,567.40 ",$789.71 ,"$1,012.36 ",$516.32 ,"$1,659.60 ","$1,844.00 ",$397.57 ,"$1,604.28 ",$133.00 ,"$1,844.00 ",$133.00 ,$424.12 ,"$1,198.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100032,64490,HC INJ PARAVERT F JNT C/T 1 LV-RT,761,1 ,"$1,844.00 ","$1,327.68 ",$106.85 ,"$2,130.45 ","$1,060.30 ","$1,161.72 ","$1,106.40 ",$397.57 ,$516.32 ,"$1,069.52 ",$415.64 ,"$1,124.84 ",$451.78 ,"$1,012.36 ","$1,012.36 ",$469.85 ,$106.85 ,$819.47 ,"$1,290.80 ","$2,130.45 ",$415.64 ,$397.57 ,"$1,383.00 ","$1,309.24 ","$1,309.24 ",$415.64 ,"$1,309.24 ","$1,604.28 ","$1,604.28 ","$1,604.28 ", N/A ,"$1,659.60 ","$1,060.30 ","$1,567.40 ",$397.57 ,"$1,844.00 ","$1,034.48 ",$397.57 ,$763.42 ,"$1,354.21 ","$1,231.10 ",$415.64 ,"$1,567.40 ",$789.71 ,"$1,012.36 ",$516.32 ,"$1,659.60 ","$1,844.00 ",$397.57 ,"$1,604.28 ",$133.00 ,"$1,844.00 ",$133.00 ,$424.12 ,"$1,198.60 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100033,64491,HC INJ PARAVERT F JNT C/T 2 LV,761,1 ,"$1,179.00 ",$848.88 ,$61.13 ,"$1,354.21 ",$677.93 ,$742.77 ,$707.40 ,$254.19 ,$330.12 ,$683.82 ,$265.75 ,$719.19 ,$288.85 ,$647.27 ,$647.27 ,$300.41 ,$61.13 ,$523.95 ,$825.30 , N/A ,$265.75 ,$254.19 ,$884.25 ,$837.09 ,$837.09 ,$265.75 ,$837.09 ,"$1,025.73 ","$1,025.73 ","$1,025.73 ", N/A ,"$1,061.10 ",$677.93 ,"$1,002.15 ",$254.19 ,"$1,179.00 ",$661.42 ,$254.19 ,$488.11 ,"$1,354.21 ","$1,231.10 ",$265.75 ,"$1,002.15 ",$504.92 ,$647.27 ,$330.12 ,"$1,061.10 ","$1,179.00 ",$254.19 ,"$1,025.73 ",$133.00 ,"$1,179.00 ",$133.00 ,$271.17 ,$766.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100034,64491,HC INJ PARAVERT F JNT C/T 2 LV-LT,761,1 ,"$1,179.00 ",$848.88 ,$61.13 ,"$1,354.21 ",$677.93 ,$742.77 ,$707.40 ,$254.19 ,$330.12 ,$683.82 ,$265.75 ,$719.19 ,$288.85 ,$647.27 ,$647.27 ,$300.41 ,$61.13 ,$523.95 ,$825.30 , N/A ,$265.75 ,$254.19 ,$884.25 ,$837.09 ,$837.09 ,$265.75 ,$837.09 ,"$1,025.73 ","$1,025.73 ","$1,025.73 ", N/A ,"$1,061.10 ",$677.93 ,"$1,002.15 ",$254.19 ,"$1,179.00 ",$661.42 ,$254.19 ,$488.11 ,"$1,354.21 ","$1,231.10 ",$265.75 ,"$1,002.15 ",$504.92 ,$647.27 ,$330.12 ,"$1,061.10 ","$1,179.00 ",$254.19 ,"$1,025.73 ",$133.00 ,"$1,179.00 ",$133.00 ,$271.17 ,$766.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100035,64491,HC INJ PARAVERT F JNT C/T 2 LV-RT,761,1 ,"$1,179.00 ",$848.88 ,$61.13 ,"$1,354.21 ",$677.93 ,$742.77 ,$707.40 ,$254.19 ,$330.12 ,$683.82 ,$265.75 ,$719.19 ,$288.85 ,$647.27 ,$647.27 ,$300.41 ,$61.13 ,$523.95 ,$825.30 , N/A ,$265.75 ,$254.19 ,$884.25 ,$837.09 ,$837.09 ,$265.75 ,$837.09 ,"$1,025.73 ","$1,025.73 ","$1,025.73 ", N/A ,"$1,061.10 ",$677.93 ,"$1,002.15 ",$254.19 ,"$1,179.00 ",$661.42 ,$254.19 ,$488.11 ,"$1,354.21 ","$1,231.10 ",$265.75 ,"$1,002.15 ",$504.92 ,$647.27 ,$330.12 ,"$1,061.10 ","$1,179.00 ",$254.19 ,"$1,025.73 ",$133.00 ,"$1,179.00 ",$133.00 ,$271.17 ,$766.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100036,64492,HC INJ PARAVERT F JNT C/T 3 LV,761,1 ,"$1,220.00 ",$878.40 ,$62.07 ,"$1,354.21 ",$701.50 ,$768.60 ,$732.00 ,$263.03 ,$341.60 ,$707.60 ,$274.99 ,$744.20 ,$298.90 ,$669.78 ,$669.78 ,$310.86 ,$62.07 ,$542.17 ,$854.00 , N/A ,$274.99 ,$263.03 ,$915.00 ,$866.20 ,$866.20 ,$274.99 ,$866.20 ,"$1,061.40 ","$1,061.40 ","$1,061.40 ", N/A ,"$1,098.00 ",$701.50 ,"$1,037.00 ",$263.03 ,"$1,220.00 ",$684.42 ,$263.03 ,$505.08 ,"$1,354.21 ","$1,231.10 ",$274.99 ,"$1,037.00 ",$522.48 ,$669.78 ,$341.60 ,"$1,098.00 ","$1,220.00 ",$263.03 ,"$1,061.40 ",$133.00 ,"$1,220.00 ",$133.00 ,$280.60 ,$793.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100037,64492,HC INJ PARAVERT F JNT C/T 3 LV-LT,761,1 ,"$1,220.00 ",$878.40 ,$62.07 ,"$1,354.21 ",$701.50 ,$768.60 ,$732.00 ,$263.03 ,$341.60 ,$707.60 ,$274.99 ,$744.20 ,$298.90 ,$669.78 ,$669.78 ,$310.86 ,$62.07 ,$542.17 ,$854.00 , N/A ,$274.99 ,$263.03 ,$915.00 ,$866.20 ,$866.20 ,$274.99 ,$866.20 ,"$1,061.40 ","$1,061.40 ","$1,061.40 ", N/A ,"$1,098.00 ",$701.50 ,"$1,037.00 ",$263.03 ,"$1,220.00 ",$684.42 ,$263.03 ,$505.08 ,"$1,354.21 ","$1,231.10 ",$274.99 ,"$1,037.00 ",$522.48 ,$669.78 ,$341.60 ,"$1,098.00 ","$1,220.00 ",$263.03 ,"$1,061.40 ",$133.00 ,"$1,220.00 ",$133.00 ,$280.60 ,$793.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100038,64492,HC INJ PARAVERT F JNT C/T 3 LV-RT,761,1 ,"$1,220.00 ",$878.40 ,$62.07 ,"$1,354.21 ",$701.50 ,$768.60 ,$732.00 ,$263.03 ,$341.60 ,$707.60 ,$274.99 ,$744.20 ,$298.90 ,$669.78 ,$669.78 ,$310.86 ,$62.07 ,$542.17 ,$854.00 , N/A ,$274.99 ,$263.03 ,$915.00 ,$866.20 ,$866.20 ,$274.99 ,$866.20 ,"$1,061.40 ","$1,061.40 ","$1,061.40 ", N/A ,"$1,098.00 ",$701.50 ,"$1,037.00 ",$263.03 ,"$1,220.00 ",$684.42 ,$263.03 ,$505.08 ,"$1,354.21 ","$1,231.10 ",$274.99 ,"$1,037.00 ",$522.48 ,$669.78 ,$341.60 ,"$1,098.00 ","$1,220.00 ",$263.03 ,"$1,061.40 ",$133.00 ,"$1,220.00 ",$133.00 ,$280.60 ,$793.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100039,64493,HC INJ PARAVERT F JNT L/S 1 LV-BI,761,1 ,"$2,608.00 ","$1,877.76 ",$92.32 ,"$3,195.68 ","$1,499.60 ","$1,643.04 ","$1,564.80 ",$562.28 ,$730.24 ,"$1,512.64 ",$587.84 ,"$1,590.88 ",$638.96 ,"$1,431.79 ","$1,431.79 ",$664.52 ,$92.32 ,"$1,159.00 ","$1,825.60 ","$3,195.68 ",$587.84 ,$562.28 ,"$1,956.00 ","$1,851.68 ","$1,851.68 ",$587.84 ,"$1,851.68 ","$2,268.96 ","$2,268.96 ","$2,268.96 ", N/A ,"$2,347.20 ","$1,499.60 ","$2,216.80 ",$562.28 ,"$2,608.00 ","$1,463.09 ",$562.28 ,"$1,079.71 ","$2,031.33 ","$1,846.66 ",$587.84 ,"$2,216.80 ","$1,116.91 ","$1,431.79 ",$730.24 ,"$2,347.20 ","$2,608.00 ",$562.28 ,"$2,268.96 ",$133.00 ,"$2,608.00 ",$133.00 ,$599.84 ,"$1,695.20 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100040,64493,HC INJ PARAVERT F JNT L/S 1 LV-LT,761,1 ,"$1,738.00 ","$1,251.36 ",$92.32 ,"$2,130.45 ",$999.35 ,"$1,094.94 ","$1,042.80 ",$374.71 ,$486.64 ,"$1,008.04 ",$391.75 ,"$1,060.18 ",$425.81 ,$954.16 ,$954.16 ,$442.84 ,$92.32 ,$772.37 ,"$1,216.60 ","$2,130.45 ",$391.75 ,$374.71 ,"$1,303.50 ","$1,233.98 ","$1,233.98 ",$391.75 ,"$1,233.98 ","$1,512.06 ","$1,512.06 ","$1,512.06 ", N/A ,"$1,564.20 ",$999.35 ,"$1,477.30 ",$374.71 ,"$1,738.00 ",$975.02 ,$374.71 ,$719.53 ,"$1,354.21 ","$1,231.10 ",$391.75 ,"$1,477.30 ",$744.32 ,$954.16 ,$486.64 ,"$1,564.20 ","$1,738.00 ",$374.71 ,"$1,512.06 ",$133.00 ,"$1,738.00 ",$133.00 ,$399.74 ,"$1,129.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100041,64493,HC INJ PARAVERT F JNT L/S 1 LV-RT,761,1 ,"$1,738.00 ","$1,251.36 ",$92.32 ,"$2,130.45 ",$999.35 ,"$1,094.94 ","$1,042.80 ",$374.71 ,$486.64 ,"$1,008.04 ",$391.75 ,"$1,060.18 ",$425.81 ,$954.16 ,$954.16 ,$442.84 ,$92.32 ,$772.37 ,"$1,216.60 ","$2,130.45 ",$391.75 ,$374.71 ,"$1,303.50 ","$1,233.98 ","$1,233.98 ",$391.75 ,"$1,233.98 ","$1,512.06 ","$1,512.06 ","$1,512.06 ", N/A ,"$1,564.20 ",$999.35 ,"$1,477.30 ",$374.71 ,"$1,738.00 ",$975.02 ,$374.71 ,$719.53 ,"$1,354.21 ","$1,231.10 ",$391.75 ,"$1,477.30 ",$744.32 ,$954.16 ,$486.64 ,"$1,564.20 ","$1,738.00 ",$374.71 ,"$1,512.06 ",$133.00 ,"$1,738.00 ",$133.00 ,$399.74 ,"$1,129.70 " ST. JOSEPH'S HOSPITAL - HIGHLAND,76100042,64494,HC INJ PARAVERT F JNT L/S 2 LV,761,1 ,"$1,165.00 ",$838.80 ,$52.65 ,"$1,354.21 ",$669.88 ,$733.95 ,$699.00 ,$251.17 ,$326.20 ,$675.70 ,$262.59 ,$710.65 ,$285.42 ,$639.59 ,$639.59 ,$296.84 ,$52.65 ,$517.73 ,$815.50 , N/A ,$262.59 ,$251.17 ,$873.75 ,$827.15 ,$827.15 ,$262.59 ,$827.15 ,"$1,013.55 ","$1,013.55 ","$1,013.55 ", N/A ,"$1,048.50 ",$669.88 ,$990.25 ,$251.17 ,"$1,165.00 ",$653.57 ,$251.17 ,$482.31 ,"$1,354.21 ","$1,231.10 ",$262.59 ,$990.25 ,$498.93 ,$639.59 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$251.17 ,"$1,013.55 ",$133.00 ,"$1,165.00 ",$133.00 ,$267.95 ,$757.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100043,64494,HC INJ PARAVERT F JNT L/S 2 LV-LT,761,1 ,"$1,165.00 ",$838.80 ,$52.65 ,"$1,354.21 ",$669.88 ,$733.95 ,$699.00 ,$251.17 ,$326.20 ,$675.70 ,$262.59 ,$710.65 ,$285.42 ,$639.59 ,$639.59 ,$296.84 ,$52.65 ,$517.73 ,$815.50 , N/A ,$262.59 ,$251.17 ,$873.75 ,$827.15 ,$827.15 ,$262.59 ,$827.15 ,"$1,013.55 ","$1,013.55 ","$1,013.55 ", N/A ,"$1,048.50 ",$669.88 ,$990.25 ,$251.17 ,"$1,165.00 ",$653.57 ,$251.17 ,$482.31 ,"$1,354.21 ","$1,231.10 ",$262.59 ,$990.25 ,$498.93 ,$639.59 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$251.17 ,"$1,013.55 ",$133.00 ,"$1,165.00 ",$133.00 ,$267.95 ,$757.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100044,64494,HC INJ PARAVERT F JNT L/S 2 LV-RT,761,1 ,"$1,165.00 ",$838.80 ,$52.65 ,"$1,354.21 ",$669.88 ,$733.95 ,$699.00 ,$251.17 ,$326.20 ,$675.70 ,$262.59 ,$710.65 ,$285.42 ,$639.59 ,$639.59 ,$296.84 ,$52.65 ,$517.73 ,$815.50 , N/A ,$262.59 ,$251.17 ,$873.75 ,$827.15 ,$827.15 ,$262.59 ,$827.15 ,"$1,013.55 ","$1,013.55 ","$1,013.55 ", N/A ,"$1,048.50 ",$669.88 ,$990.25 ,$251.17 ,"$1,165.00 ",$653.57 ,$251.17 ,$482.31 ,"$1,354.21 ","$1,231.10 ",$262.59 ,$990.25 ,$498.93 ,$639.59 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$251.17 ,"$1,013.55 ",$133.00 ,"$1,165.00 ",$133.00 ,$267.95 ,$757.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100045,64495,HC INJ PARAVRT F JNT L/S 3+ LV,761,1 ,"$1,142.00 ",$822.24 ,$53.28 ,"$1,354.21 ",$656.65 ,$719.46 ,$685.20 ,$246.22 ,$319.76 ,$662.36 ,$257.41 ,$696.62 ,$279.79 ,$626.96 ,$626.96 ,$290.98 ,$53.28 ,$507.50 ,$799.40 , N/A ,$257.41 ,$246.22 ,$856.50 ,$810.82 ,$810.82 ,$257.41 ,$810.82 ,$993.54 ,$993.54 ,$993.54 , N/A ,"$1,027.80 ",$656.65 ,$970.70 ,$246.22 ,"$1,142.00 ",$640.66 ,$246.22 ,$472.79 ,"$1,354.21 ","$1,231.10 ",$257.41 ,$970.70 ,$489.07 ,$626.96 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$246.22 ,$993.54 ,$133.00 ,"$1,142.00 ",$133.00 ,$262.66 ,$742.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100046,64495,HC INJ PARAVRT F JNT L/S 3+ LV-LT,761,1 ,"$1,142.00 ",$822.24 ,$53.28 ,"$1,354.21 ",$656.65 ,$719.46 ,$685.20 ,$246.22 ,$319.76 ,$662.36 ,$257.41 ,$696.62 ,$279.79 ,$626.96 ,$626.96 ,$290.98 ,$53.28 ,$507.50 ,$799.40 , N/A ,$257.41 ,$246.22 ,$856.50 ,$810.82 ,$810.82 ,$257.41 ,$810.82 ,$993.54 ,$993.54 ,$993.54 , N/A ,"$1,027.80 ",$656.65 ,$970.70 ,$246.22 ,"$1,142.00 ",$640.66 ,$246.22 ,$472.79 ,"$1,354.21 ","$1,231.10 ",$257.41 ,$970.70 ,$489.07 ,$626.96 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$246.22 ,$993.54 ,$133.00 ,"$1,142.00 ",$133.00 ,$262.66 ,$742.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100047,64495,HC INJ PARAVRT F JNT L/S 3+ LV-RT,761,1 ,"$1,142.00 ",$822.24 ,$53.28 ,"$1,354.21 ",$656.65 ,$719.46 ,$685.20 ,$246.22 ,$319.76 ,$662.36 ,$257.41 ,$696.62 ,$279.79 ,$626.96 ,$626.96 ,$290.98 ,$53.28 ,$507.50 ,$799.40 , N/A ,$257.41 ,$246.22 ,$856.50 ,$810.82 ,$810.82 ,$257.41 ,$810.82 ,$993.54 ,$993.54 ,$993.54 , N/A ,"$1,027.80 ",$656.65 ,$970.70 ,$246.22 ,"$1,142.00 ",$640.66 ,$246.22 ,$472.79 ,"$1,354.21 ","$1,231.10 ",$257.41 ,$970.70 ,$489.07 ,$626.96 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$246.22 ,$993.54 ,$133.00 ,"$1,142.00 ",$133.00 ,$262.66 ,$742.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$850.00 ,$612.00 ,$23.34 ,$932.68 ,$488.75 ,$535.50 ,$510.00 ,$183.26 ,$238.00 ,$493.00 ,$191.59 ,$518.50 ,$208.25 ,$466.65 ,$466.65 ,$216.58 ,$23.34 ,$377.74 ,$595.00 ,$932.68 ,$191.59 ,$183.26 ,$637.50 ,$603.50 ,$603.50 ,$191.59 ,$603.50 ,$739.50 ,$739.50 ,$739.50 , N/A ,$765.00 ,$488.75 ,$722.50 ,$183.26 ,$850.00 ,$476.85 ,$183.26 ,$351.90 ,$488.43 ,$444.03 ,$191.59 ,$722.50 ,$364.02 ,$466.65 ,$238.00 ,$765.00 ,$850.00 ,$183.26 ,$739.50 ,$133.00 ,$850.00 ,$133.00 ,$195.50 ,$552.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,76100049,97608,HC NEG PRESS WOUND THERAPY WO DME>50CM,761,1 ,$942.00 ,$678.24 ,$27.41 ,$942.00 ,$541.65 ,$593.46 ,$565.20 ,$203.10 ,$263.76 ,$546.36 ,$212.33 ,$574.62 ,$230.79 ,$517.16 ,$517.16 ,$240.02 ,$27.41 ,$418.62 ,$659.40 ,$932.68 ,$212.33 ,$203.10 ,$706.50 ,$668.82 ,$668.82 ,$212.33 ,$668.82 ,$819.54 ,$819.54 ,$819.54 , N/A ,$847.80 ,$541.65 ,$800.70 ,$203.10 ,$942.00 ,$528.46 ,$203.10 ,$389.99 ,$488.43 ,$444.03 ,$212.33 ,$800.70 ,$403.42 ,$517.16 ,$263.76 ,$847.80 ,$942.00 ,$203.10 ,$819.54 ,$133.00 ,$942.00 ,$133.00 ,$216.66 ,$612.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$354.00 ,$254.88 ,$76.32 ,$354.00 ,$203.55 ,$223.02 ,$212.40 ,$76.32 ,$99.12 ,$205.32 ,$79.79 ,$215.94 ,$86.73 ,$194.35 ,$194.35 ,$90.20 ,$194.35 ,$157.32 ,$247.80 , N/A ,$79.79 ,$76.32 ,$265.50 ,$251.34 ,$251.34 ,$79.79 ,$251.34 ,$307.98 ,$307.98 ,$307.98 , N/A ,$318.60 ,$203.55 ,$300.90 ,$76.32 ,$354.00 ,$198.59 ,$76.32 ,$146.56 , N/A , N/A ,$79.79 ,$300.90 ,$151.61 ,$194.35 ,$99.12 ,$318.60 ,$354.00 ,$76.32 ,$307.98 ,$354.00 ,$354.00 ,$354.00 ,$81.42 ,$230.10 ST. JOSEPH'S HOSPITAL - HIGHLAND,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$62.00 ,$44.64 ,$13.37 ,$62.00 ,$35.65 ,$39.06 ,$37.20 ,$13.37 ,$17.36 ,$35.96 ,$13.97 ,$37.82 ,$15.19 ,$34.04 ,$34.04 ,$15.80 ,$34.04 ,$27.55 ,$43.40 , N/A ,$13.97 ,$13.37 ,$46.50 ,$44.02 ,$44.02 ,$13.97 ,$44.02 ,$53.94 ,$53.94 ,$53.94 , N/A ,$55.80 ,$35.65 ,$52.70 ,$13.37 ,$62.00 ,$34.78 ,$13.37 ,$25.67 , N/A , N/A ,$13.97 ,$52.70 ,$26.55 ,$34.04 ,$17.36 ,$55.80 ,$62.00 ,$13.37 ,$53.94 ,$62.00 ,$62.00 ,$62.00 ,$14.26 ,$40.30 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$113.00 ,$81.36 ,$19.58 ,$168.68 ,$64.98 ,$71.19 ,$67.80 ,$24.36 ,$31.64 ,$65.54 ,$25.47 ,$68.93 ,$27.68 ,$62.04 ,$62.04 ,$28.79 ,$19.58 ,$50.22 ,$79.10 ,$168.68 ,$25.47 ,$24.36 ,$84.75 ,$80.23 ,$80.23 ,$25.47 ,$80.23 ,$98.31 ,$98.31 ,$98.31 , N/A ,$101.70 ,$64.98 ,$96.05 ,$24.36 ,$113.00 ,$63.39 ,$24.36 ,$46.78 , N/A , N/A ,$25.47 ,$96.05 ,$48.39 ,$62.04 ,$31.64 ,$101.70 ,$113.00 ,$24.36 ,$98.31 ,$53.00 ,$113.00 ,$53.00 ,$25.99 ,$73.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$99.00 ,$71.28 ,$14.18 ,$99.00 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$14.18 ,$44.00 ,$69.30 , N/A ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 , N/A , N/A ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$53.00 ,$99.00 ,$53.00 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$99.00 ,$71.28 ,$27.72 ,$105.93 , N/A ,$62.37 ,$59.40 , N/A ,$27.72 ,$57.42 , N/A ,$60.39 , N/A ,$54.35 ,$54.35 , N/A ,$64.35 , N/A ,$69.30 ,$105.93 , N/A , N/A ,$74.25 ,$70.29 ,$70.29 , N/A ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 , N/A ,$84.15 , N/A ,$99.00 ,$55.54 , N/A ,$40.99 , N/A , N/A , N/A ,$84.15 , N/A ,$54.35 ,$27.72 ,$89.10 ,$99.00 , N/A ,$86.13 ,$53.00 ,$99.00 ,$53.00 , N/A ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$99.00 ,$71.28 ,$27.72 ,$105.93 , N/A ,$62.37 ,$59.40 , N/A ,$27.72 ,$57.42 , N/A ,$60.39 , N/A ,$54.35 ,$54.35 , N/A ,$64.35 , N/A ,$69.30 ,$105.93 , N/A , N/A ,$74.25 ,$70.29 ,$70.29 , N/A ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 , N/A ,$84.15 , N/A ,$99.00 ,$55.54 , N/A ,$40.99 , N/A , N/A , N/A ,$84.15 , N/A ,$54.35 ,$27.72 ,$89.10 ,$99.00 , N/A ,$86.13 ,$53.00 ,$99.00 ,$53.00 , N/A ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$99.00 ,$71.28 ,$21.34 ,$105.93 ,$56.93 ,$62.37 ,$59.40 ,$21.34 ,$27.72 ,$57.42 ,$22.31 ,$60.39 ,$24.25 ,$54.35 ,$54.35 ,$25.23 ,$64.35 ,$44.00 ,$69.30 ,$105.93 ,$22.31 ,$21.34 ,$74.25 ,$70.29 ,$70.29 ,$22.31 ,$70.29 ,$86.13 ,$86.13 ,$86.13 , N/A ,$89.10 ,$56.93 ,$84.15 ,$21.34 ,$99.00 ,$55.54 ,$21.34 ,$40.99 , N/A , N/A ,$22.31 ,$84.15 ,$42.39 ,$54.35 ,$27.72 ,$89.10 ,$99.00 ,$21.34 ,$86.13 ,$53.00 ,$99.00 ,$53.00 ,$22.77 ,$64.35 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100008,N/A,HC HEALTH FAIR INFLUENZA VACCINE,771,1 ,$25.00 ,$18.00 ,$5.39 ,$25.00 ,$14.38 ,$15.75 ,$15.00 ,$5.39 ,$7.00 ,$14.50 ,$5.63 ,$15.25 ,$6.12 ,$13.73 ,$13.73 ,$6.37 ,$16.25 ,$11.11 ,$17.50 , N/A ,$5.63 ,$5.39 ,$18.75 ,$17.75 ,$17.75 ,$5.63 ,$17.75 ,$21.75 ,$21.75 ,$21.75 , N/A ,$22.50 ,$14.38 ,$21.25 ,$5.39 ,$25.00 ,$14.03 ,$5.39 ,$10.35 , N/A , N/A ,$5.63 ,$21.25 ,$10.71 ,$13.73 ,$7.00 ,$22.50 ,$25.00 ,$5.39 ,$21.75 ,$25.00 ,$25.00 ,$25.00 ,$5.75 ,$16.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100009,0001A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$25.87 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 ,$103.80 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 , N/A , N/A ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100010,0002A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$25.87 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 ,$103.80 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 , N/A , N/A ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100011,0011A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100012,0012A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5M SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100013,0021A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 , N/A ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100014,0022A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 , N/A ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100015,0031A,HC ADMINISTRATION SARS-COV-2 VACCINE AD26 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100016,0041A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100017,0042A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100018,0003A,HC ADM SARSCOV2 30MCG/0.3ML 3RD - PFIZER,771,1 ,$120.00 ,$86.40 ,$25.87 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 ,$103.80 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 , N/A , N/A ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100019,0013A,HC ADM SARSCOV2 100MCG/0.5ML 3RD - MODERNA,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100020,0051A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, FIRST DOSE",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100021,0052A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, SECOND DOSE",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100022,0053A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, THIRD DOSE",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100023,0004A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, DILUENT RECONSTITUTED, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$25.87 ,$120.00 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 ,$103.80 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 , N/A , N/A ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100024,0054A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100026,0071A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, FIRST DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100027,0072A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, SECOND DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100028,0034A,"HC ADMIN SARS-COV-2 VACCINE JOHNSON AND JOHNSON, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100031,M0222,HC INTRAVENOUS INJECTION BEBTELOVIMAB ADMINISTRATION,260,1 ,$120.00 ,$86.40 ,$25.87 ,$876.25 ,$69.00 ,$75.60 ,$72.00 ,$25.87 ,$33.60 ,$69.60 ,$27.05 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$30.58 ,$78.00 ,$53.33 ,$84.00 ,$876.25 ,$27.05 ,$25.87 ,$90.00 ,$85.20 ,$85.20 ,$27.05 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$69.00 ,$102.00 ,$25.87 ,$120.00 ,$67.32 ,$25.87 ,$49.68 , N/A , N/A ,$27.05 ,$102.00 ,$51.39 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$25.87 ,$104.40 ,$90.00 ,$120.00 ,$90.00 ,$27.60 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100036,0134A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 50MCG/0.5ML,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100037,0144A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 25MCG/0.25ML,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100038,0124A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 30MCG/0.3ML,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,77100039,0154A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 10MCG/0.2ML,771,1 ,$120.00 ,$86.40 ,$2.44 ,$120.00 ,$78.00 ,$75.60 ,$72.00 ,$2.52 ,$33.60 ,$69.60 ,$2.52 ,$73.20 ,$29.40 ,$65.88 ,$65.88 ,$2.44 ,$78.00 ,$5.03 ,$84.00 ,$103.80 ,$2.52 ,$2.44 ,$90.00 ,$85.20 ,$85.20 ,$2.44 ,$85.20 ,$104.40 ,$104.40 ,$104.40 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.52 ,$120.00 ,$67.32 ,$2.52 ,$49.68 , N/A , N/A ,$2.52 ,$102.00 ,$4.78 ,$65.88 ,$33.60 ,$108.00 ,$120.00 ,$2.52 ,$104.40 ,$53.00 ,$120.00 ,$53.00 ,$2.44 ,$78.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$76.00 ,$54.72 ,$16.39 ,$76.00 ,$43.70 ,$47.88 ,$45.60 ,$16.39 ,$21.28 ,$44.08 ,$17.13 ,$46.36 ,$18.62 ,$41.72 ,$41.72 ,$19.36 ,$49.40 ,$33.77 ,$53.20 ,$71.60 ,$17.13 ,$16.39 ,$57.00 ,$53.96 ,$53.96 ,$17.13 ,$53.96 ,$66.12 ,$66.12 ,$66.12 , N/A ,$68.40 ,$43.70 ,$64.60 ,$16.39 ,$76.00 ,$42.64 ,$16.39 ,$31.46 ,$24.81 ,$22.55 ,$17.13 ,$64.60 ,$32.55 ,$41.72 ,$21.28 ,$68.40 ,$76.00 ,$16.39 ,$66.12 ,$57.00 ,$76.00 ,$57.00 ,$17.48 ,$49.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000024,90832,PC THERAPY INDIVIDUAL PSYCH 30 MIN - 95,780,1 ,$136.00 ,$97.92 ,$29.32 ,$364.25 ,$78.20 ,$85.68 ,$81.60 ,$29.32 ,$38.08 ,$78.88 ,$30.65 ,$82.96 ,$33.32 ,$74.66 ,$74.66 ,$34.65 ,$66.88 ,$60.44 ,$95.20 ,$364.25 ,$30.65 ,$29.32 ,$102.00 ,$96.56 ,$96.56 ,$30.65 ,$96.56 ,$118.32 ,$118.32 ,$118.32 , N/A ,$122.40 ,$78.20 ,$115.60 ,$29.32 ,$136.00 ,$76.30 ,$29.32 ,$56.30 , N/A , N/A ,$30.65 ,$115.60 ,$58.24 ,$74.66 ,$38.08 ,$122.40 ,$136.00 ,$29.32 ,$118.32 ,$102.00 ,$136.00 ,$102.00 ,$31.28 ,$88.40 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000026,90834,PC THERAPY INDIVIDUAL PSYCH 45 MIN - 95,961,1 ,$169.00 ,$121.68 ,$36.44 ,$364.25 ,$97.18 ,$106.47 ,$101.40 ,$36.44 ,$47.32 ,$98.02 ,$38.09 ,$103.09 ,$41.40 ,$92.78 ,$92.78 ,$43.06 ,$88.87 ,$75.10 ,$118.30 ,$364.25 ,$38.09 ,$36.44 ,$126.75 ,$119.99 ,$119.99 ,$38.09 ,$119.99 ,$147.03 ,$147.03 ,$147.03 , N/A ,$152.10 ,$97.18 ,$143.65 ,$36.44 ,$169.00 ,$94.81 ,$36.44 ,$126.09 ,$251.74 ,$228.85 ,$38.09 ,$143.65 ,$72.37 ,$92.78 ,$47.32 ,$152.10 ,$169.00 ,$36.44 ,$147.03 , N/A ,$169.00 , N/A ,$38.87 ,$109.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000028,90837,PC THERAPY INDIVIDUAL PSYCH 60 MIN - 95,961,1 ,$258.00 ,$185.76 ,$55.62 ,$364.25 ,$148.35 ,$162.54 ,$154.80 ,$55.62 ,$72.24 ,$149.64 ,$58.15 ,$157.38 ,$63.21 ,$141.64 ,$141.64 ,$65.74 ,$130.39 ,$114.66 ,$180.60 ,$364.25 ,$58.15 ,$55.62 ,$193.50 ,$183.18 ,$183.18 ,$58.15 ,$183.18 ,$224.46 ,$224.46 ,$224.46 , N/A ,$232.20 ,$148.35 ,$219.30 ,$55.62 ,$258.00 ,$144.74 ,$55.62 ,$188.50 ,$251.74 ,$228.85 ,$58.15 ,$219.30 ,$110.49 ,$141.64 ,$72.24 ,$232.20 ,$258.00 ,$55.62 ,$224.46 , N/A ,$258.00 , N/A ,$59.34 ,$167.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000221,90832,HC THERAPY INDIVIDUAL PSYCH 30 MIN-95,780,1 ,$150.00 ,$108.00 ,$32.34 ,$364.25 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$66.88 ,$66.66 ,$105.00 ,$364.25 ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 , N/A , N/A ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 ,$112.50 ,$150.00 ,$112.50 ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000222,90834,HC THERAPY INDIVIDUAL PSYCH 45 MIN-95,780,1 ,$186.00 ,$133.92 ,$40.10 ,$364.25 ,$106.95 ,$117.18 ,$111.60 ,$40.10 ,$52.08 ,$107.88 ,$41.92 ,$113.46 ,$45.57 ,$102.11 ,$102.11 ,$47.39 ,$88.87 ,$82.66 ,$130.20 ,$364.25 ,$41.92 ,$40.10 ,$139.50 ,$132.06 ,$132.06 ,$41.92 ,$132.06 ,$161.82 ,$161.82 ,$161.82 , N/A ,$167.40 ,$106.95 ,$158.10 ,$40.10 ,$186.00 ,$104.35 ,$40.10 ,$77.00 , N/A , N/A ,$41.92 ,$158.10 ,$79.65 ,$102.11 ,$52.08 ,$167.40 ,$186.00 ,$40.10 ,$161.82 ,$139.50 ,$186.00 ,$139.50 ,$42.78 ,$120.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,78000223,90837,HC THERAPY INDIVIDUAL PSYCH 60 MIN-95,780,1 ,$284.00 ,$204.48 ,$61.23 ,$364.25 ,$163.30 ,$178.92 ,$170.40 ,$61.23 ,$79.52 ,$164.72 ,$64.01 ,$173.24 ,$69.58 ,$155.92 ,$155.92 ,$72.36 ,$130.39 ,$126.21 ,$198.80 ,$364.25 ,$64.01 ,$61.23 ,$213.00 ,$201.64 ,$201.64 ,$64.01 ,$201.64 ,$247.08 ,$247.08 ,$247.08 , N/A ,$255.60 ,$163.30 ,$241.40 ,$61.23 ,$284.00 ,$159.32 ,$61.23 ,$117.58 , N/A , N/A ,$64.01 ,$241.40 ,$121.63 ,$155.92 ,$79.52 ,$255.60 ,$284.00 ,$61.23 ,$247.08 ,$213.00 ,$284.00 ,$213.00 ,$65.32 ,$184.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,91400004,90832,HC THERAPY INDIVIDUAL PSYCH 30MIN,914,1 ,$150.00 ,$108.00 ,$32.34 ,$364.25 ,$86.25 ,$94.50 ,$90.00 ,$32.34 ,$42.00 ,$87.00 ,$33.81 ,$91.50 ,$36.75 ,$82.35 ,$82.35 ,$38.22 ,$66.88 ,$66.66 ,$105.00 ,$364.25 ,$33.81 ,$32.34 ,$112.50 ,$106.50 ,$106.50 ,$33.81 ,$106.50 ,$130.50 ,$130.50 ,$130.50 , N/A ,$135.00 ,$86.25 ,$127.50 ,$32.34 ,$150.00 ,$84.15 ,$32.34 ,$62.10 ,$251.32 ,$228.47 ,$33.81 ,$127.50 ,$64.24 ,$82.35 ,$42.00 ,$135.00 ,$150.00 ,$32.34 ,$130.50 , N/A ,$150.00 , N/A ,$34.50 ,$97.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,91400007,90834,HC THERAPY INDIVIDUAL PSYCH 45MIN,914,1 ,$186.00 ,$133.92 ,$40.10 ,$364.25 ,$106.95 ,$117.18 ,$111.60 ,$40.10 ,$52.08 ,$107.88 ,$41.92 ,$113.46 ,$45.57 ,$102.11 ,$102.11 ,$47.39 ,$88.87 ,$82.66 ,$130.20 ,$364.25 ,$41.92 ,$40.10 ,$139.50 ,$132.06 ,$132.06 ,$41.92 ,$132.06 ,$161.82 ,$161.82 ,$161.82 , N/A ,$167.40 ,$106.95 ,$158.10 ,$40.10 ,$186.00 ,$104.35 ,$40.10 ,$77.00 ,$251.74 ,$228.85 ,$41.92 ,$158.10 ,$79.65 ,$102.11 ,$52.08 ,$167.40 ,$186.00 ,$40.10 ,$161.82 , N/A ,$186.00 , N/A ,$42.78 ,$120.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,91400012,90837,HC THERAPY INDIVIDUAL PSYCH 60MIN,914,1 ,$284.00 ,$204.48 ,$61.23 ,$364.25 ,$163.30 ,$178.92 ,$170.40 ,$61.23 ,$79.52 ,$164.72 ,$64.01 ,$173.24 ,$69.58 ,$155.92 ,$155.92 ,$72.36 ,$130.39 ,$126.21 ,$198.80 ,$364.25 ,$64.01 ,$61.23 ,$213.00 ,$201.64 ,$201.64 ,$64.01 ,$201.64 ,$247.08 ,$247.08 ,$247.08 , N/A ,$255.60 ,$163.30 ,$241.40 ,$61.23 ,$284.00 ,$159.32 ,$61.23 ,$117.58 ,$251.74 ,$228.85 ,$64.01 ,$241.40 ,$121.63 ,$155.92 ,$79.52 ,$255.60 ,$284.00 ,$61.23 ,$247.08 , N/A ,$284.00 , N/A ,$65.32 ,$184.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,91600005,90846,HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN,916,1 ,$284.00 ,$204.48 ,$61.23 ,$364.25 ,$163.30 ,$178.92 ,$170.40 ,$61.23 ,$79.52 ,$164.72 ,$64.01 ,$173.24 ,$69.58 ,$155.92 ,$155.92 ,$72.36 ,$96.13 ,$126.21 ,$198.80 ,$364.25 ,$64.01 ,$61.23 ,$213.00 ,$201.64 ,$201.64 ,$64.01 ,$201.64 ,$247.08 ,$247.08 ,$247.08 , N/A ,$255.60 ,$163.30 ,$241.40 ,$61.23 ,$284.00 ,$159.32 ,$61.23 ,$117.58 ,$265.40 ,$241.27 ,$64.01 ,$241.40 ,$121.63 ,$155.92 ,$79.52 ,$255.60 ,$284.00 ,$61.23 ,$247.08 , N/A ,$284.00 , N/A ,$65.32 ,$184.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,91600006,90847,HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN,916,1 ,$311.00 ,$223.92 ,$67.05 ,$364.25 ,$178.83 ,$195.93 ,$186.60 ,$67.05 ,$87.08 ,$180.38 ,$70.10 ,$189.71 ,$76.19 ,$170.74 ,$170.74 ,$79.24 ,$100.15 ,$138.21 ,$217.70 ,$364.25 ,$70.10 ,$67.05 ,$233.25 ,$220.81 ,$220.81 ,$70.10 ,$220.81 ,$270.57 ,$270.57 ,$270.57 , N/A ,$279.90 ,$178.83 ,$264.35 ,$67.05 ,$311.00 ,$174.47 ,$67.05 ,$128.75 ,$265.40 ,$241.27 ,$70.10 ,$264.35 ,$133.19 ,$170.74 ,$87.08 ,$279.90 ,$311.00 ,$67.05 ,$270.57 , N/A ,$311.00 , N/A ,$71.53 ,$202.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,91600007,90853,HC THERAPY GROUP PSYCH,916,1 ,$128.00 ,$92.16 ,$23.68 ,$356.95 ,$73.60 ,$80.64 ,$76.80 ,$27.60 ,$35.84 ,$74.24 ,$28.85 ,$78.08 ,$31.36 ,$70.27 ,$70.27 ,$32.61 ,$23.68 ,$56.88 ,$89.60 ,$189.63 ,$28.85 ,$27.60 ,$96.00 ,$90.88 ,$90.88 ,$28.85 ,$90.88 ,$111.36 ,$111.36 ,$111.36 , N/A ,$115.20 ,$73.60 ,$108.80 ,$27.60 ,$128.00 ,$71.81 ,$27.60 ,$52.99 ,$356.95 ,$324.50 ,$28.85 ,$108.80 ,$54.82 ,$70.27 ,$35.84 ,$115.20 ,$128.00 ,$27.60 ,$111.36 , N/A ,$128.00 , N/A ,$29.44 ,$83.20 ST. JOSEPH'S HOSPITAL - HIGHLAND,91800006,96116,HC NEUROPSYCH STATUS EXAM MD/QHCP INIT HOUR,918,1 ,$453.00 ,$326.16 ,$81.25 ,"$1,364.31 ",$260.48 ,$285.39 ,$271.80 ,$97.67 ,$126.84 ,$262.74 ,$102.11 ,$276.33 ,$110.98 ,$248.70 ,$248.70 ,$115.42 ,$81.25 ,$201.31 ,$317.10 ,$670.55 ,$102.11 ,$97.67 ,$339.75 ,$321.63 ,$321.63 ,$102.11 ,$321.63 ,$394.11 ,$394.11 ,$394.11 , N/A ,$407.70 ,$260.48 ,$385.05 ,$97.67 ,$453.00 ,$254.13 ,$97.67 ,$187.54 ,"$1,364.31 ","$1,240.28 ",$102.11 ,$385.05 ,$194.00 ,$248.70 ,$126.84 ,$407.70 ,$453.00 ,$97.67 ,$394.11 ,$266.00 ,$453.00 ,$266.00 ,$104.19 ,$294.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,91800007,96121,HC NEUROPSYCH STATUS EXAM MD/QHCP ADDL HOUR,918,1 ,$453.00 ,$326.16 ,$67.53 ,"$1,364.31 ",$260.48 ,$285.39 ,$271.80 ,$97.67 ,$126.84 ,$262.74 ,$102.11 ,$276.33 ,$110.98 ,$248.70 ,$248.70 ,$115.42 ,$67.53 ,$201.31 ,$317.10 , N/A ,$102.11 ,$97.67 ,$339.75 ,$321.63 ,$321.63 ,$102.11 ,$321.63 ,$394.11 ,$394.11 ,$394.11 , N/A ,$407.70 ,$260.48 ,$385.05 ,$97.67 ,$453.00 ,$254.13 ,$97.67 ,$187.54 ,"$1,364.31 ","$1,240.28 ",$102.11 ,$385.05 ,$194.00 ,$248.70 ,$126.84 ,$407.70 ,$453.00 ,$97.67 ,$394.11 ,$266.00 ,$453.00 ,$266.00 ,$104.19 ,$294.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,$455.00 ,$327.60 ,$19.18 ,$455.00 ,$261.63 ,$286.65 ,$273.00 ,$98.10 ,$127.40 ,$263.90 ,$102.56 ,$277.55 ,$111.47 ,$249.80 ,$249.80 ,$115.93 ,$19.18 ,$202.20 ,$318.50 ,$445.33 ,$102.56 ,$98.10 ,$341.25 ,$323.05 ,$323.05 ,$102.56 ,$323.05 ,$395.85 ,$395.85 ,$395.85 , N/A ,$409.50 ,$261.63 ,$386.75 ,$98.10 ,$455.00 ,$255.26 ,$98.10 ,$188.37 , N/A , N/A ,$102.56 ,$386.75 ,$194.86 ,$249.80 ,$127.40 ,$409.50 ,$455.00 ,$98.10 ,$395.85 ,$455.00 ,$455.00 ,$455.00 ,$104.65 ,$295.75 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,540.00 ","$1,108.80 ",$146.04 ,"$1,540.00 ",$885.50 ,$970.20 ,$924.00 ,$332.02 ,$431.20 ,$893.20 ,$347.12 ,$939.40 ,$377.30 ,$845.46 ,$845.46 ,$392.39 ,$146.04 ,$684.38 ,$414.45 ,$583.80 ,$347.12 ,$332.02 ,"$1,155.00 ","$1,093.40 ","$1,093.40 ",$347.12 ,"$1,093.40 ","$1,339.80 ","$1,339.80 ","$1,339.80 ", N/A ,"$1,386.00 ",$885.50 ,"$1,309.00 ",$332.02 ,"$1,540.00 ",$863.94 ,$332.02 ,$637.56 ,$258.25 ,$234.77 ,$347.12 ,"$1,309.00 ",$659.52 ,$845.46 ,$431.20 ,"$1,386.00 ","$1,540.00 ",$332.02 ,"$1,339.80 ","$1,155.00 ","$1,540.00 ","$1,155.00 ",$354.20 ,"$1,001.00 " ST. JOSEPH'S HOSPITAL - HIGHLAND,92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$466.00 ,$335.52 ,$95.40 ,$466.00 ,$267.95 ,$293.58 ,$279.60 ,$100.47 ,$130.48 ,$270.28 ,$105.04 ,$284.26 ,$114.17 ,$255.83 ,$255.83 ,$118.74 ,$95.40 ,$207.09 ,$271.81 ,$267.20 ,$105.04 ,$100.47 ,$349.50 ,$330.86 ,$330.86 ,$105.04 ,$330.86 ,$405.42 ,$405.42 ,$405.42 , N/A ,$419.40 ,$267.95 ,$396.10 ,$100.47 ,$466.00 ,$261.43 ,$100.47 ,$192.92 ,$258.25 ,$234.77 ,$105.04 ,$396.10 ,$199.57 ,$255.83 ,$130.48 ,$419.40 ,$466.00 ,$100.47 ,$405.42 ,$349.50 ,$466.00 ,$349.50 ,$107.18 ,$302.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$889.00 ,$640.08 ,$66.72 ,$889.00 ,$511.18 ,$560.07 ,$533.40 ,$191.67 ,$248.92 ,$515.62 ,$200.38 ,$542.29 ,$217.80 ,$488.06 ,$488.06 ,$226.52 ,$66.72 ,$395.07 ,$186.67 ,$290.28 ,$200.38 ,$191.67 ,$666.75 ,$631.19 ,$631.19 ,$200.38 ,$631.19 ,$773.43 ,$773.43 ,$773.43 , N/A ,$800.10 ,$511.18 ,$755.65 ,$191.67 ,$889.00 ,$498.73 ,$191.67 ,$368.05 ,$240.80 ,$218.91 ,$200.38 ,$755.65 ,$380.72 ,$488.06 ,$248.92 ,$800.10 ,$889.00 ,$191.67 ,$773.43 ,$666.75 ,$889.00 ,$666.75 ,$204.47 ,$577.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$889.00 ,$640.08 ,$66.72 ,$889.00 ,$511.18 ,$560.07 ,$533.40 ,$191.67 ,$248.92 ,$515.62 ,$200.38 ,$542.29 ,$217.80 ,$488.06 ,$488.06 ,$226.52 ,$66.72 ,$395.07 ,$186.67 ,$145.14 ,$200.38 ,$191.67 ,$666.75 ,$631.19 ,$631.19 ,$200.38 ,$631.19 ,$773.43 ,$773.43 ,$773.43 , N/A ,$800.10 ,$511.18 ,$755.65 ,$191.67 ,$889.00 ,$498.73 ,$191.67 ,$368.05 ,$120.41 ,$109.46 ,$200.38 ,$755.65 ,$380.72 ,$488.06 ,$248.92 ,$800.10 ,$889.00 ,$191.67 ,$773.43 ,$666.75 ,$889.00 ,$666.75 ,$204.47 ,$577.85 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100023,93923,HC TCPO2/ABI/PPG MULT LEVELS,921,1 ,$461.00 ,$331.92 ,$99.39 ,$461.00 ,$265.08 ,$290.43 ,$276.60 ,$99.39 ,$129.08 ,$267.38 ,$103.91 ,$281.21 ,$112.94 ,$253.09 ,$253.09 ,$117.46 ,$101.39 ,$204.87 ,$284.05 ,$363.58 ,$103.91 ,$99.39 ,$345.75 ,$327.31 ,$327.31 ,$103.91 ,$327.31 ,$401.07 ,$401.07 ,$401.07 , N/A ,$414.90 ,$265.08 ,$391.85 ,$99.39 ,$461.00 ,$258.62 ,$99.39 ,$190.85 ,$240.80 ,$218.91 ,$103.91 ,$391.85 ,$197.43 ,$253.09 ,$129.08 ,$414.90 ,$461.00 ,$99.39 ,$401.07 ,$345.75 ,$461.00 ,$345.75 ,$106.03 ,$299.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,$461.00 ,$331.92 ,$99.39 ,$461.00 ,$265.08 ,$290.43 ,$276.60 ,$99.39 ,$129.08 ,$267.38 ,$103.91 ,$281.21 ,$112.94 ,$253.09 ,$253.09 ,$117.46 ,$101.39 ,$204.87 ,$284.05 ,$363.58 ,$103.91 ,$99.39 ,$345.75 ,$327.31 ,$327.31 ,$103.91 ,$327.31 ,$401.07 ,$401.07 ,$401.07 , N/A ,$414.90 ,$265.08 ,$391.85 ,$99.39 ,$461.00 ,$258.62 ,$99.39 ,$190.85 ,$240.80 ,$218.91 ,$103.91 ,$391.85 ,$197.43 ,$253.09 ,$129.08 ,$414.90 ,$461.00 ,$99.39 ,$401.07 ,$345.75 ,$461.00 ,$345.75 ,$106.03 ,$299.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100031,93923,HC RESTING ARTERIAL UPPER BILATERAL,921,1 ,$461.00 ,$331.92 ,$99.39 ,$461.00 ,$265.08 ,$290.43 ,$276.60 ,$99.39 ,$129.08 ,$267.38 ,$103.91 ,$281.21 ,$112.94 ,$253.09 ,$253.09 ,$117.46 ,$101.39 ,$204.87 ,$284.05 ,$363.58 ,$103.91 ,$99.39 ,$345.75 ,$327.31 ,$327.31 ,$103.91 ,$327.31 ,$401.07 ,$401.07 ,$401.07 , N/A ,$414.90 ,$265.08 ,$391.85 ,$99.39 ,$461.00 ,$258.62 ,$99.39 ,$190.85 ,$240.80 ,$218.91 ,$103.91 ,$391.85 ,$197.43 ,$253.09 ,$129.08 ,$414.90 ,$461.00 ,$99.39 ,$401.07 ,$345.75 ,$461.00 ,$345.75 ,$106.03 ,$299.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$1,745.00 ","$1,256.40 ",$193.32 ,"$1,745.00 ","$1,003.38 ","$1,099.35 ","$1,047.00 ",$376.22 ,$488.60 ,"$1,012.10 ",$393.32 ,"$1,064.45 ",$427.52 ,$958.01 ,$958.01 ,$444.63 ,$193.32 ,$775.48 ,$556.74 ,$583.80 ,$393.32 ,$376.22 ,"$1,308.75 ","$1,238.95 ","$1,238.95 ",$393.32 ,"$1,238.95 ","$1,518.15 ","$1,518.15 ","$1,518.15 ", N/A ,"$1,570.50 ","$1,003.38 ","$1,483.25 ",$376.22 ,"$1,745.00 ",$978.95 ,$376.22 ,$722.43 ,$339.92 ,$309.02 ,$393.32 ,"$1,483.25 ",$747.32 ,$958.01 ,$488.60 ,"$1,570.50 ","$1,745.00 ",$376.22 ,"$1,518.15 ","$1,308.75 ","$1,745.00 ","$1,308.75 ",$401.35 ,"$1,134.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,"$1,617.00 ","$1,164.24 ",$114.31 ,"$1,617.00 ",$929.78 ,"$1,018.71 ",$970.20 ,$348.63 ,$452.76 ,$937.86 ,$364.47 ,$986.37 ,$396.16 ,$887.73 ,$887.73 ,$412.01 ,$114.31 ,$718.59 ,$325.19 ,$267.20 ,$364.47 ,$348.63 ,"$1,212.75 ","$1,148.07 ","$1,148.07 ",$364.47 ,"$1,148.07 ","$1,406.79 ","$1,406.79 ","$1,406.79 ", N/A ,"$1,455.30 ",$929.78 ,"$1,374.45 ",$348.63 ,"$1,617.00 ",$907.14 ,$348.63 ,$669.44 ,$339.92 ,$309.02 ,$364.47 ,"$1,374.45 ",$692.50 ,$887.73 ,$452.76 ,"$1,455.30 ","$1,617.00 ",$348.63 ,"$1,406.79 ","$1,212.75 ","$1,617.00 ","$1,212.75 ",$371.91 ,"$1,051.05 " ST. JOSEPH'S HOSPITAL - HIGHLAND,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$2,890.00 ","$2,080.80 ",$150.77 ,"$2,890.00 ","$1,661.75 ","$1,820.70 ","$1,734.00 ",$623.08 ,$809.20 ,"$1,676.20 ",$651.41 ,"$1,762.90 ",$708.05 ,"$1,586.61 ","$1,586.61 ",$736.37 ,$150.77 ,"$1,284.32 ",$430.73 ,$583.80 ,$651.41 ,$623.08 ,"$2,167.50 ","$2,051.90 ","$2,051.90 ",$651.41 ,"$2,051.90 ","$2,514.30 ","$2,514.30 ","$2,514.30 ", N/A ,"$2,601.00 ","$1,661.75 ","$2,456.50 ",$623.08 ,"$2,890.00 ","$1,621.29 ",$623.08 ,"$1,196.46 ",$258.25 ,$234.77 ,$651.41 ,"$2,456.50 ","$1,237.67 ","$1,586.61 ",$809.20 ,"$2,601.00 ","$2,890.00 ",$623.08 ,"$2,514.30 ","$2,167.50 ","$2,890.00 ","$2,167.50 ",$664.70 ,"$1,878.50 " ST. JOSEPH'S HOSPITAL - HIGHLAND,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,"$1,927.00 ","$1,387.44 ",$95.71 ,"$1,927.00 ","$1,108.03 ","$1,214.01 ","$1,156.20 ",$415.46 ,$539.56 ,"$1,117.66 ",$434.35 ,"$1,175.47 ",$472.11 ,"$1,057.92 ","$1,057.92 ",$491.00 ,$95.71 ,$856.36 ,$270.05 ,$267.20 ,$434.35 ,$415.46 ,"$1,445.25 ","$1,368.17 ","$1,368.17 ",$434.35 ,"$1,368.17 ","$1,676.49 ","$1,676.49 ","$1,676.49 ", N/A ,"$1,734.30 ","$1,108.03 ","$1,637.95 ",$415.46 ,"$1,927.00 ","$1,081.05 ",$415.46 ,$797.78 ,$258.25 ,$234.77 ,$434.35 ,"$1,637.95 ",$825.26 ,"$1,057.92 ",$539.56 ,"$1,734.30 ","$1,927.00 ",$415.46 ,"$1,676.49 ","$1,445.25 ","$1,927.00 ","$1,445.25 ",$443.21 ,"$1,252.55 " ST. JOSEPH'S HOSPITAL - HIGHLAND,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$2,345.00 ","$1,688.40 ",$148.25 ,"$2,345.00 ","$1,348.38 ","$1,477.35 ","$1,407.00 ",$505.58 ,$656.60 ,"$1,360.10 ",$528.56 ,"$1,430.45 ",$574.52 ,"$1,287.41 ","$1,287.41 ",$597.51 ,$148.25 ,"$1,042.12 ",$417.95 ,$583.80 ,$528.56 ,$505.58 ,"$1,758.75 ","$1,664.95 ","$1,664.95 ",$528.56 ,"$1,664.95 ","$2,040.15 ","$2,040.15 ","$2,040.15 ", N/A ,"$2,110.50 ","$1,348.38 ","$1,993.25 ",$505.58 ,"$2,345.00 ","$1,315.55 ",$505.58 ,$970.83 ,$339.92 ,$309.02 ,$528.56 ,"$1,993.25 ","$1,004.27 ","$1,287.41 ",$656.60 ,"$2,110.50 ","$2,345.00 ",$505.58 ,"$2,040.15 ","$1,758.75 ","$2,345.00 ","$1,758.75 ",$539.35 ,"$1,524.25 " ST. JOSEPH'S HOSPITAL - HIGHLAND,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,"$1,398.00 ","$1,006.56 ",$93.51 ,"$1,398.00 ",$803.85 ,$880.74 ,$838.80 ,$301.41 ,$391.44 ,$810.84 ,$315.11 ,$852.78 ,$342.51 ,$767.50 ,$767.50 ,$356.21 ,$93.51 ,$621.27 ,$261.06 ,$267.20 ,$315.11 ,$301.41 ,"$1,048.50 ",$992.58 ,$992.58 ,$315.11 ,$992.58 ,"$1,216.26 ","$1,216.26 ","$1,216.26 ", N/A ,"$1,258.20 ",$803.85 ,"$1,188.30 ",$301.41 ,"$1,398.00 ",$784.28 ,$301.41 ,$578.77 ,$339.92 ,$309.02 ,$315.11 ,"$1,188.30 ",$598.71 ,$767.50 ,$391.44 ,"$1,258.20 ","$1,398.00 ",$301.41 ,"$1,216.26 ","$1,048.50 ","$1,398.00 ","$1,048.50 ",$321.54 ,$908.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,92100049,93923,HC RESTING ARTERIAL EXTREMITY COMP -52,921,1 ,$461.00 ,$331.92 ,$99.39 ,$461.00 ,$265.08 ,$290.43 ,$276.60 ,$99.39 ,$129.08 ,$267.38 ,$103.91 ,$281.21 ,$112.94 ,$253.09 ,$253.09 ,$117.46 ,$101.39 ,$204.87 ,$284.05 ,$181.79 ,$103.91 ,$99.39 ,$345.75 ,$327.31 ,$327.31 ,$103.91 ,$327.31 ,$401.07 ,$401.07 ,$401.07 , N/A ,$414.90 ,$265.08 ,$391.85 ,$99.39 ,$461.00 ,$258.62 ,$99.39 ,$190.85 ,$120.41 ,$109.46 ,$103.91 ,$391.85 ,$197.43 ,$253.09 ,$129.08 ,$414.90 ,$461.00 ,$99.39 ,$401.07 ,$345.75 ,$461.00 ,$345.75 ,$106.03 ,$299.65 ST. JOSEPH'S HOSPITAL - HIGHLAND,94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$165.00 ,$118.80 ,$35.57 ,$290.28 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$93.01 ,$73.33 ,$115.50 ,$290.28 ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 ,$150.41 ,$136.74 ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$123.75 ,$165.00 ,$123.75 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,94000110,99195,HC THERAPEUTIC PHLEBOTOMY,940,1 ,$165.00 ,$118.80 ,$35.57 ,$290.28 ,$94.88 ,$103.95 ,$99.00 ,$35.57 ,$46.20 ,$95.70 ,$37.19 ,$100.65 ,$40.42 ,$90.59 ,$90.59 ,$42.04 ,$93.01 ,$73.33 ,$115.50 ,$290.28 ,$37.19 ,$35.57 ,$123.75 ,$117.15 ,$117.15 ,$37.19 ,$117.15 ,$143.55 ,$143.55 ,$143.55 , N/A ,$148.50 ,$94.88 ,$140.25 ,$35.57 ,$165.00 ,$92.57 ,$35.57 ,$68.31 ,$150.41 ,$136.74 ,$37.19 ,$140.25 ,$70.67 ,$90.59 ,$46.20 ,$148.50 ,$165.00 ,$35.57 ,$143.55 ,$123.75 ,$165.00 ,$123.75 ,$37.95 ,$107.25 ST. JOSEPH'S HOSPITAL - HIGHLAND,94000114,20560,HC NEEDLE INSERTION W/O INJECTION 1-2 MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$62.40 , 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 ,$62.40 , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$46.88 ,$42.62 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,94000115,20561,HC NEEDLE INSERTION W/O INJECTION 3+ MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$62.40 , 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 ,$62.40 , N/A , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$46.88 ,$42.62 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. JOSEPH'S HOSPITAL - HIGHLAND,94000118,N/A,HC CASH-BASED THERAPIES GENERIC PACKAGE #1,940,1 ,$400.00 ,$288.00 ,$86.24 ,$400.00 ,$230.00 ,$252.00 ,$240.00 ,$86.24 ,$112.00 ,$232.00 ,$90.16 ,$244.00 ,$98.00 ,$219.60 ,$219.60 ,$101.92 ,$260.00 ,$177.76 ,$280.00 , N/A ,$90.16 ,$86.24 ,$300.00 ,$284.00 ,$284.00 ,$90.16 ,$284.00 ,$348.00 ,$348.00 ,$348.00 , N/A ,$360.00 ,$230.00 ,$340.00 ,$86.24 ,$400.00 ,$224.40 ,$86.24 ,$165.60 , N/A , N/A ,$90.16 ,$340.00 ,$171.30 ,$219.60 ,$112.00 ,$360.00 ,$400.00 ,$86.24 ,$348.00 ,$300.00 ,$400.00 ,$300.00 ,$92.00 ,$260.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,94000119,N/A,HC CASH-BASED THERAPIES GENERIC PACKAGE #2,940,1 ,$700.00 ,$504.00 ,$150.92 ,$700.00 ,$402.50 ,$441.00 ,$420.00 ,$150.92 ,$196.00 ,$406.00 ,$157.78 ,$427.00 ,$171.50 ,$384.30 ,$384.30 ,$178.36 ,$455.00 ,$311.08 ,$490.00 , N/A ,$157.78 ,$150.92 ,$525.00 ,$497.00 ,$497.00 ,$157.78 ,$497.00 ,$609.00 ,$609.00 ,$609.00 , N/A ,$630.00 ,$402.50 ,$595.00 ,$150.92 ,$700.00 ,$392.70 ,$150.92 ,$289.80 , N/A , N/A ,$157.78 ,$595.00 ,$299.78 ,$384.30 ,$196.00 ,$630.00 ,$700.00 ,$150.92 ,$609.00 ,$525.00 ,$700.00 ,$525.00 ,$161.00 ,$455.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$44.00 ,$31.68 ,$10.78 ,$89.70 ,$76.25 ,$27.72 ,$26.40 ,$29.89 ,$12.32 ,$25.52 ,$29.89 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$29.89 ,$31.78 ,$61.61 ,$30.80 ,$89.70 ,$29.89 ,$29.89 ,$33.00 ,$31.24 ,$31.24 ,$29.89 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$76.25 ,$37.40 ,$29.89 ,$44.00 ,$24.68 ,$29.89 ,$18.22 , N/A , N/A ,$29.89 ,$37.40 ,$56.79 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$29.89 ,$38.28 ,$44.00 ,$44.00 ,$44.00 ,$30.50 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$44.00 ,$31.68 ,$10.78 ,$78.20 ,$66.48 ,$27.72 ,$26.40 ,$26.06 ,$12.32 ,$25.52 ,$26.06 ,$26.84 ,$10.78 ,$24.16 ,$24.16 ,$26.06 ,$26.86 ,$53.71 ,$30.80 ,$78.20 ,$26.06 ,$26.06 ,$33.00 ,$31.24 ,$31.24 ,$26.06 ,$31.24 ,$38.28 ,$38.28 ,$38.28 , N/A ,$39.60 ,$66.48 ,$37.40 ,$26.06 ,$44.00 ,$24.68 ,$26.06 ,$18.22 , N/A , N/A ,$26.06 ,$37.40 ,$49.51 ,$24.16 ,$12.32 ,$39.60 ,$44.00 ,$26.06 ,$38.28 ,$44.00 ,$44.00 ,$44.00 ,$26.59 ,$28.60 ST. JOSEPH'S HOSPITAL - HIGHLAND,94200011,G0108,HC DIABETES SELF MGT ED 30 MIN,942,1 ,$78.00 ,$56.16 ,$16.82 ,$135.65 ,$44.85 ,$49.14 ,$46.80 ,$16.82 ,$21.84 ,$45.24 ,$17.58 ,$47.58 ,$19.11 ,$42.82 ,$42.82 ,$19.87 ,$54.26 ,$34.66 ,$54.60 ,$135.65 ,$17.58 ,$16.82 ,$58.50 ,$55.38 ,$55.38 ,$17.58 ,$55.38 ,$67.86 ,$67.86 ,$67.86 , N/A ,$70.20 ,$44.85 ,$66.30 ,$16.82 ,$78.00 ,$43.76 ,$16.82 ,$32.29 , N/A , N/A ,$17.58 ,$66.30 ,$33.41 ,$42.82 ,$21.84 ,$70.20 ,$78.00 ,$16.82 ,$67.86 ,$78.00 ,$78.00 ,$78.00 ,$17.94 ,$50.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,94200013,G0109,HC DIABETES SELF MGT GROUP 30MIN,942,1 ,$78.00 ,$56.16 ,$15.36 ,$78.00 ,$44.85 ,$49.14 ,$46.80 ,$16.82 ,$21.84 ,$45.24 ,$17.58 ,$47.58 ,$19.11 ,$42.82 ,$42.82 ,$19.87 ,$15.36 ,$34.66 ,$54.60 ,$38.40 ,$17.58 ,$16.82 ,$58.50 ,$55.38 ,$55.38 ,$17.58 ,$55.38 ,$67.86 ,$67.86 ,$67.86 , N/A ,$70.20 ,$44.85 ,$66.30 ,$16.82 ,$78.00 ,$43.76 ,$16.82 ,$32.29 , N/A , N/A ,$17.58 ,$66.30 ,$33.41 ,$42.82 ,$21.84 ,$70.20 ,$78.00 ,$16.82 ,$67.86 ,$78.00 ,$78.00 ,$78.00 ,$17.94 ,$50.70 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$233.00 ,$167.76 ,$8.89 ,$300.18 ,$133.98 ,$146.79 ,$139.80 ,$50.23 ,$65.24 ,$135.14 ,$52.52 ,$142.13 ,$57.08 ,$127.92 ,$127.92 ,$59.37 ,$8.89 ,$103.55 ,$163.10 ,$300.18 ,$52.52 ,$50.23 ,$174.75 ,$165.43 ,$165.43 ,$52.52 ,$165.43 ,$202.71 ,$202.71 ,$202.71 , N/A ,$209.70 ,$133.98 ,$198.05 ,$50.23 ,$233.00 ,$130.71 ,$50.23 ,$96.46 , N/A , N/A ,$52.52 ,$198.05 ,$99.78 ,$127.92 ,$65.24 ,$209.70 ,$233.00 ,$50.23 ,$202.71 ,$233.00 ,$233.00 ,$233.00 ,$53.59 ,$151.45 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$386.00 ,$277.92 ,$13.81 ,$386.00 ,$221.95 ,$243.18 ,$231.60 ,$83.22 ,$108.08 ,$223.88 ,$87.00 ,$235.46 ,$94.57 ,$211.91 ,$211.91 ,$98.35 ,$13.81 ,$171.54 ,$270.20 ,$300.18 ,$87.00 ,$83.22 ,$289.50 ,$274.06 ,$274.06 ,$87.00 ,$274.06 ,$335.82 ,$335.82 ,$335.82 , N/A ,$347.40 ,$221.95 ,$328.10 ,$83.22 ,$386.00 ,$216.55 ,$83.22 ,$159.80 , N/A , N/A ,$87.00 ,$328.10 ,$165.31 ,$211.91 ,$108.08 ,$347.40 ,$386.00 ,$83.22 ,$335.82 ,$319.00 ,$386.00 ,$319.00 ,$88.78 ,$250.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300014,93798,HC CARD REHAB W/EKG SESS (PH2)-KX,943,1 ,$386.00 ,$277.92 ,$13.81 ,$386.00 ,$221.95 ,$243.18 ,$231.60 ,$83.22 ,$108.08 ,$223.88 ,$87.00 ,$235.46 ,$94.57 ,$211.91 ,$211.91 ,$98.35 ,$13.81 ,$171.54 ,$270.20 ,$300.18 ,$87.00 ,$83.22 ,$289.50 ,$274.06 ,$274.06 ,$87.00 ,$274.06 ,$335.82 ,$335.82 ,$335.82 , N/A ,$347.40 ,$221.95 ,$328.10 ,$83.22 ,$386.00 ,$216.55 ,$83.22 ,$159.80 , N/A , N/A ,$87.00 ,$328.10 ,$165.31 ,$211.91 ,$108.08 ,$347.40 ,$386.00 ,$83.22 ,$335.82 ,$319.00 ,$386.00 ,$319.00 ,$88.78 ,$250.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$50.00 ,$36.00 ,$10.78 ,$50.00 ,$28.75 ,$31.50 ,$30.00 ,$10.78 ,$14.00 ,$29.00 ,$11.27 ,$30.50 ,$12.25 ,$27.45 ,$27.45 ,$12.74 ,$32.50 ,$22.22 ,$35.00 , N/A ,$11.27 ,$10.78 ,$37.50 ,$35.50 ,$35.50 ,$11.27 ,$35.50 ,$43.50 ,$43.50 ,$43.50 , N/A ,$45.00 ,$28.75 ,$42.50 ,$10.78 ,$50.00 ,$28.05 ,$10.78 ,$20.70 , N/A , N/A ,$11.27 ,$42.50 ,$21.41 ,$27.45 ,$14.00 ,$45.00 ,$50.00 ,$10.78 ,$43.50 ,$50.00 ,$50.00 ,$50.00 ,$11.50 ,$32.50 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300022,N/A,HC CARDIAC REHAB 4 EXERCISE MONTHLY,943,1 ,$40.00 ,$28.80 ,$8.62 ,$40.00 ,$23.00 ,$25.20 ,$24.00 ,$8.62 ,$11.20 ,$23.20 ,$9.02 ,$24.40 ,$9.80 ,$21.96 ,$21.96 ,$10.19 ,$26.00 ,$17.78 ,$28.00 , N/A ,$9.02 ,$8.62 ,$30.00 ,$28.40 ,$28.40 ,$9.02 ,$28.40 ,$34.80 ,$34.80 ,$34.80 , N/A ,$36.00 ,$23.00 ,$34.00 ,$8.62 ,$40.00 ,$22.44 ,$8.62 ,$16.56 , N/A , N/A ,$9.02 ,$34.00 ,$17.13 ,$21.96 ,$11.20 ,$36.00 ,$40.00 ,$8.62 ,$34.80 ,$40.00 ,$40.00 ,$40.00 ,$9.20 ,$26.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300030,G0422,HC INTENSIVE CARDIAC REHAB W/EXERCISE PER HOUR,943,1 ,$360.00 ,$259.20 ,$77.62 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$118.05 ,$159.98 ,$252.00 ,$300.18 ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 , N/A , N/A ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$319.00 ,$360.00 ,$319.00 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,94300031,G0423,HC INTENSIVE CARDIAC REHAB W/O EXERCISE PER HOUR,943,1 ,$360.00 ,$259.20 ,$77.62 ,$360.00 ,$207.00 ,$226.80 ,$216.00 ,$77.62 ,$100.80 ,$208.80 ,$81.14 ,$219.60 ,$88.20 ,$197.64 ,$197.64 ,$91.73 ,$118.05 ,$159.98 ,$252.00 ,$300.18 ,$81.14 ,$77.62 ,$270.00 ,$255.60 ,$255.60 ,$81.14 ,$255.60 ,$313.20 ,$313.20 ,$313.20 , N/A ,$324.00 ,$207.00 ,$306.00 ,$77.62 ,$360.00 ,$201.96 ,$77.62 ,$149.04 , N/A , N/A ,$81.14 ,$306.00 ,$154.17 ,$197.64 ,$100.80 ,$324.00 ,$360.00 ,$77.62 ,$313.20 ,$319.00 ,$360.00 ,$319.00 ,$82.80 ,$234.00 ST. JOSEPH'S HOSPITAL - HIGHLAND,94800001,94625,HC PHY/QHP OP PULM RHB W/O MNTR,948,1 ,$171.00 ,$123.12 ,$17.69 ,$171.00 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$17.69 ,$75.99 ,$119.70 ,$143.70 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 , N/A , N/A ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,94800002,94626,HC PHY/QHP OP PULM RHB W/MNTR,948,1 ,$171.00 ,$123.12 ,$27.62 ,$171.00 ,$98.33 ,$107.73 ,$102.60 ,$36.87 ,$47.88 ,$99.18 ,$38.54 ,$104.31 ,$41.89 ,$93.88 ,$93.88 ,$43.57 ,$27.62 ,$75.99 ,$119.70 ,$143.70 ,$38.54 ,$36.87 ,$128.25 ,$121.41 ,$121.41 ,$38.54 ,$121.41 ,$148.77 ,$148.77 ,$148.77 , N/A ,$153.90 ,$98.33 ,$145.35 ,$36.87 ,$171.00 ,$95.93 ,$36.87 ,$70.79 , N/A , N/A ,$38.54 ,$145.35 ,$73.24 ,$93.88 ,$47.88 ,$153.90 ,$171.00 ,$36.87 ,$148.77 ,$171.00 ,$171.00 ,$171.00 ,$39.33 ,$111.15 ST. JOSEPH'S HOSPITAL - HIGHLAND,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$46.00 ,$33.12 ,$8.24 ,$46.00 ,$26.45 ,$28.98 ,$27.60 ,$9.92 ,$12.88 ,$26.68 ,$10.37 ,$28.06 ,$11.27 ,$25.25 ,$25.25 ,$11.72 ,$8.24 ,$20.44 ,$32.20 , N/A ,$10.37 ,$9.92 ,$34.50 ,$32.66 ,$32.66 ,$10.37 ,$32.66 ,$40.02 ,$40.02 ,$40.02 , N/A ,$41.40 ,$26.45 ,$39.10 ,$9.92 ,$46.00 ,$25.81 ,$9.92 ,$16.94 ,$43.73 ,$39.75 ,$10.37 ,$39.10 ,$19.70 ,$25.25 ,$12.88 ,$41.40 ,$46.00 ,$9.92 ,$40.02 , N/A ,$46.00 , N/A ,$10.58 ,$29.90 ST. JOSEPH'S HOSPITAL - HIGHLAND,98500010,93227,PC HOLTER SCAN =< 48 HOURS,985,1 ,$109.00 ,$78.48 ,$18.21 ,$109.00 ,$62.68 ,$68.67 ,$65.40 ,$23.50 ,$30.52 ,$63.22 ,$24.57 ,$66.49 ,$26.70 ,$59.84 ,$59.84 ,$27.77 ,$18.21 ,$48.44 ,$76.30 , N/A ,$24.57 ,$23.50 ,$81.75 ,$77.39 ,$77.39 ,$24.57 ,$77.39 ,$94.83 ,$94.83 ,$94.83 , N/A ,$98.10 ,$62.68 ,$92.65 ,$23.50 ,$109.00 ,$61.15 ,$23.50 ,$52.66 , N/A , N/A ,$24.57 ,$92.65 ,$46.68 ,$59.84 ,$30.52 ,$98.10 ,$109.00 ,$23.50 ,$94.83 , N/A ,$109.00 , N/A ,$25.07 ,$70.85