HSHS GOOD SHEPHERD HOSPITAL - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hospital_Cdm_Chg , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg ," 6 DEGREES HEALTH, INC ", AETNA , AETNA MEDICARE , AMISH COMMUNITY DISCOUNT , BC EXCHANGE , BCBS OF ILLINOIS PPO , BLUE CROSS BLUE SHEILD OF ILLINOIS DUAL , BLUE CROSS BLUE SHIELD IPA IL , BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV , CELTIC INSURANCE COMPANY , CIGNA , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV ," ESSENCE, L.L.P. ", HEALTH ALLIANCE KINGERY , HEALTH ALLIANCE MEDICAL PLAN EXCHANGE ," HEALTH ALLIANCE MEDICAL PLANS, INC. ", HEALTH ALLIANCE MEDICARE , HEALTH ALLIANCE PPO , HEALTHLINK , HEALTHLINK PPO , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE , HUMANA MEDICARE ADVANTAGE , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MERIDIAN HMO MCD , MOLINA MEDICAID , MOLINA MEDICARE , MULTIPLAN , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , UHC CATERPILLAR , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST 
HSHS GOOD SHEPHERD HOSPITAL (ACU),N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$43,572.74 ","$2,470.94 ","$219,668.28 ","$219,668.28 ","$48,414.16 ","$59,307.35 ","$16,944.96 ","$60,517.70 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$51,440.05 ","$59,307.35 ","$86,971.06 ","$60,493.49 ","$25,500.00 ","$25,500.00 ","$25,500.00 ","$59,307.35 ","$25,500.00 ","$43,028.08 ","$43,028.08 ","$54,465.93 ","$60,517.70 ","$51,440.05 ","$59,307.35 ","$59,307.35 ","$33,950.43 ","$86,109.96 ","$25,054.33 ","$2,588.61 ","$2,470.94 ","$59,307.35 ","$10,500.00 ","$60,517.70 ","$16,944.96 ","$54,465.93 ","$47,506.39 ","$49,987.62 ","$59,307.35 ","$39,336.51 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$11,020.10 ","$1,400.00 ","$57,163.50 ","$57,163.50 ","$12,244.56 ","$14,999.59 ","$4,285.60 ","$15,305.70 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$14,999.59 ","$15,305.70 ","$13,009.85 ","$14,999.59 ","$22,632.17 ","$15,299.57 ","$3,400.00 ","$3,400.00 ","$3,400.00 ","$14,999.59 ","$3,400.00 ","$15,305.70 ","$15,305.70 ","$13,775.13 ","$15,305.70 ","$13,009.85 ","$14,999.59 ","$14,999.59 ","$8,586.50 ","$22,408.09 ","$6,336.56 ","$2,588.61 ","$2,470.94 ","$14,999.59 ","$1,400.00 ","$15,305.70 ","$4,285.60 ","$13,775.13 ","$12,014.97 ","$12,642.51 ","$14,999.59 ","$9,948.71 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$8,247.72 ","$1,400.00 ","$43,111.10 ","$43,111.10 ","$9,164.13 ","$11,226.06 ","$3,207.44 ","$11,455.16 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$11,226.06 ","$11,455.16 ","$9,736.89 ","$11,226.06 ","$17,068.54 ","$11,450.57 ","$3,400.00 ","$3,400.00 ","$3,400.00 ","$11,226.06 ","$3,400.00 ","$11,455.16 ","$11,455.16 ","$10,309.64 ","$11,455.16 ","$9,736.89 ","$11,226.06 ","$11,226.06 ","$6,426.34 ","$16,899.55 ","$4,742.44 ","$2,588.61 ","$2,470.94 ","$11,226.06 ","$1,400.00 ","$11,455.16 ","$3,207.44 ","$10,309.64 ","$8,992.30 ","$9,461.96 ","$11,226.06 ","$7,445.85 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$17,060.09 ","$2,470.94 ","$84,918.83 ","$84,918.83 ","$18,955.66 ","$23,220.68 ","$6,634.48 ","$23,694.57 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$20,140.38 ","$23,220.68 ","$33,621.07 ","$23,685.09 ","$6,800.00 ","$6,800.00 ","$6,800.00 ","$23,220.68 ","$6,800.00 ","$23,694.57 ","$23,694.57 ","$21,325.11 ","$23,694.57 ","$20,140.38 ","$23,220.68 ","$23,220.68 ","$13,292.65 ","$33,288.18 ","$9,809.55 ","$2,588.61 ","$2,470.94 ","$23,220.68 ","$2,800.00 ","$23,694.57 ","$6,634.48 ","$21,325.11 ","$18,600.24 ","$19,571.71 ","$23,220.68 ","$15,401.47 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,916.60 ","$1,400.00 ","$26,395.65 ","$26,395.65 ","$5,462.89 ","$6,692.04 ","$1,912.01 ","$6,828.61 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$6,692.04 ","$6,828.61 ","$5,804.32 ","$6,692.04 ","$10,450.56 ","$6,825.88 ","$3,400.00 ","$3,400.00 ","$3,400.00 ","$6,692.04 ","$3,400.00 ","$6,828.61 ","$6,828.61 ","$6,145.75 ","$6,828.61 ","$5,804.32 ","$6,692.04 ","$6,692.04 ","$3,830.85 ","$10,347.09 ","$2,827.04 ","$2,588.61 ","$2,470.94 ","$6,692.04 ","$1,400.00 ","$6,828.61 ","$1,912.01 ","$6,145.75 ","$5,360.46 ","$5,640.43 ","$6,692.04 ","$4,438.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,"$1,401.00 ","$1,008.72 ",$392.28 ,"$1,401.00 ", Inpatient Medicare +150 ,"$1,120.80 ", Inpatient Medicare ,$392.28 ,"$11,666.00 ","$12,280.00 ", Inpatient Medicare ,"$11,052.00 ", Inpatient Medicare , Inpatient Medicare +102% ,"$1,190.85 ", Inpatient Medicare +150% , Inptient Medicare +1% , Inpatient Medicare +2% ,"$1,700.00 ","$1,700.00 ","$1,700.00 ", Inpatient Medicare ,"$1,700.00 ","$11,185.00 ","$11,185.00 ","$1,260.90 ", Inpatient Medicare +150% ,"$1,190.85 ", Inpatient Medicare , Inpatient Medicare ,$785.96 , Inpatient Medicare ,$580.01 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$700.00 ,"$11,052.00 ",$392.28 ,"$1,260.90 ","$1,099.79 ","$1,157.23 ", Inpatient Medicare ,$910.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),12000002,N/A,HC DAILY SERVICE SWING BED,120,1 ,$682.00 ,$491.04 ,$190.96 ,$682.00 , Inpatient Medicare +150 ,$545.60 , Inpatient Medicare ,$190.96 ,"$11,666.00 ","$12,280.00 ", Inpatient Medicare ,"$11,052.00 ", Inpatient Medicare , Inpatient Medicare +102% ,$579.70 , Inpatient Medicare +150% , Inptient Medicare +1% , Inpatient Medicare +2% ,"$1,700.00 ","$1,700.00 ","$1,700.00 ", Inpatient Medicare ,"$1,700.00 ","$11,185.00 ","$11,185.00 ",$613.80 , Inpatient Medicare +150% ,$579.70 , Inpatient Medicare , Inpatient Medicare ,$382.60 , Inpatient Medicare ,$282.35 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$700.00 ,"$11,052.00 ",$190.96 ,$613.80 ,$535.37 ,$563.33 , Inpatient Medicare ,$443.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$2,980.00 ","$2,145.60 ",$834.40 ,"$2,980.00 ", Inpatient Medicare +150 ,"$2,384.00 ", Inpatient Medicare ,$834.40 ,"$11,666.00 ","$12,280.00 ", Inpatient Medicare ,"$11,052.00 ", Inpatient Medicare , Inpatient Medicare +102% ,"$2,533.00 ", Inpatient Medicare +150% , Inptient Medicare +1% , Inpatient Medicare +2% ,"$1,700.00 ","$1,700.00 ","$1,700.00 ", Inpatient Medicare ,"$1,700.00 ","$11,185.00 ","$11,185.00 ","$2,682.00 ", Inpatient Medicare +150% ,"$2,533.00 ", Inpatient Medicare , Inpatient Medicare ,"$1,671.78 ", Inpatient Medicare ,"$1,233.72 ", Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$700.00 ,"$11,052.00 ",$834.40 ,"$2,682.00 ","$2,339.30 ","$2,461.48 ", Inpatient Medicare ,"$1,937.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,"$1,401.00 ","$1,008.72 ",$392.28 ,"$1,401.00 ", Inpatient Medicare +150 ,"$1,120.80 ", Inpatient Medicare ,$392.28 ,"$11,666.00 ","$12,280.00 ", Inpatient Medicare ,"$11,052.00 ", Inpatient Medicare , Inpatient Medicare +102% ,"$1,190.85 ", Inpatient Medicare +150% , Inptient Medicare +1% , Inpatient Medicare +2% ,"$1,700.00 ","$1,700.00 ","$1,700.00 ", Inpatient Medicare ,"$1,700.00 ","$11,185.00 ","$11,185.00 ","$1,260.90 ", Inpatient Medicare +150% ,"$1,190.85 ", Inpatient Medicare , Inpatient Medicare ,$785.96 , Inpatient Medicare ,$580.01 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$700.00 ,"$11,052.00 ",$392.28 ,"$1,260.90 ","$1,099.79 ","$1,157.23 ", Inpatient Medicare ,$910.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),12600001,N/A,HC DAILY SERVICE DETOXIFICATION,126,1 ,"$1,401.00 ","$1,008.72 ",$392.28 ,"$1,401.00 ", Inpatient Medicare +150 ,"$1,120.80 ", Inpatient Medicare ,$392.28 ,"$11,666.00 ","$12,280.00 ", Inpatient Medicare ,"$11,052.00 ", Inpatient Medicare , Inpatient Medicare +102% ,"$1,190.85 ", Inpatient Medicare +150% , Inptient Medicare +1% , Inpatient Medicare +2% ,$600.00 ,$600.00 ,$600.00 , Inpatient Medicare ,$600.00 ,"$11,185.00 ","$11,185.00 ","$1,260.90 ", Inpatient Medicare +150% ,"$1,190.85 ", Inpatient Medicare , Inpatient Medicare ,$785.96 , Inpatient Medicare ,$580.01 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$700.00 ,"$11,052.00 ",$392.28 ,"$1,260.90 ","$1,099.79 ","$1,157.23 ", Inpatient Medicare ,$910.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ATROPINE 1 % SOLN 5 ML BOTTLE,250,1 ,$88.00 ,$63.36 ,$24.64 ,$88.00 , N/A ,$70.40 , N/A ,$24.64 ,$76.82 ,$80.87 , N/A ,$72.78 , N/A , N/A ,$80.96 , N/A , N/A , N/A ,$73.39 ,$73.39 ,$73.39 , N/A ,$73.39 ,$75.33 ,$75.33 ,$79.20 , N/A ,$74.80 , N/A , N/A ,$49.37 , N/A ,$36.43 , N/A , N/A , N/A ,$74.80 ,$72.78 ,$24.64 ,$79.20 ,$69.08 ,$72.69 , N/A ,$57.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,AZTREONAM 1 G SOLR 1 EACH VIAL,250,1 ,$87.00 ,$62.64 ,$24.36 ,$87.00 , N/A ,$69.60 , N/A ,$24.36 ,$75.95 ,$79.95 , N/A ,$71.95 , N/A , N/A ,$80.04 , N/A , N/A , N/A ,$72.56 ,$72.56 ,$72.56 , N/A ,$72.56 ,$74.47 ,$74.47 ,$78.30 , N/A ,$73.95 , N/A , N/A ,$48.81 , N/A ,$36.02 , N/A , N/A , N/A ,$73.95 ,$71.95 ,$24.36 ,$78.30 ,$68.30 ,$71.86 , N/A ,$56.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BRIMONIDINE 0.2 % SOLN 10 ML BOTTLE,250,1 ,$22.50 ,$16.20 ,$6.30 ,$22.50 , N/A ,$18.00 , N/A ,$6.30 ,$19.64 ,$20.68 , N/A ,$18.61 , N/A , N/A ,$20.70 , N/A , N/A , N/A ,$18.77 ,$18.77 ,$18.77 , N/A ,$18.77 ,$19.26 ,$19.26 ,$20.25 , N/A ,$19.13 , N/A , N/A ,$12.62 , N/A ,$9.32 , N/A , N/A , N/A ,$19.13 ,$18.61 ,$6.30 ,$20.25 ,$17.66 ,$18.59 , N/A ,$14.63 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE,250,1 ,$19.00 ,$13.68 ,$5.32 ,$19.00 , N/A ,$15.20 , N/A ,$5.32 ,$16.59 ,$17.46 , N/A ,$15.71 , N/A , N/A ,$17.48 , N/A , N/A , N/A ,$15.85 ,$15.85 ,$15.85 , N/A ,$15.85 ,$16.26 ,$16.26 ,$17.10 , N/A ,$16.15 , N/A , N/A ,$10.66 , N/A ,$7.87 , N/A , N/A , N/A ,$16.15 ,$15.71 ,$5.32 ,$17.10 ,$14.92 ,$15.69 , N/A ,$12.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BUDESONIDE 0.5 MG/2ML SUSP,250,1 ,$17.00 ,$12.24 ,$4.76 ,$17.00 , N/A ,$13.60 , N/A ,$4.76 ,$14.84 ,$15.62 , N/A ,$14.06 , N/A , N/A ,$15.64 , N/A , N/A , N/A ,$14.18 ,$14.18 ,$14.18 , N/A ,$14.18 ,$14.55 ,$14.55 ,$15.30 , N/A ,$14.45 , N/A , N/A ,$9.54 , N/A ,$7.04 , N/A , N/A , N/A ,$14.45 ,$14.06 ,$4.76 ,$15.30 ,$13.35 ,$14.04 , N/A ,$11.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,250,1 ,$494.00 ,$355.68 ,$138.32 ,$494.00 , N/A ,$395.20 , N/A ,$138.32 ,$431.26 ,$453.99 , N/A ,$408.54 , N/A , N/A ,$454.48 , N/A , N/A , N/A ,$412.00 ,$412.00 ,$412.00 , N/A ,$412.00 ,$422.86 ,$422.86 ,$444.60 , N/A ,$419.90 , N/A , N/A ,$277.13 , N/A ,$204.52 , N/A , N/A , N/A ,$419.90 ,$408.54 ,$138.32 ,$444.60 ,$387.79 ,$408.04 , N/A ,$321.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,250,1 ,$25.50 ,$18.36 ,$7.14 ,$25.50 , N/A ,$20.40 , N/A ,$7.14 ,$22.26 ,$23.43 , N/A ,$21.09 , N/A , N/A ,$23.46 , N/A , N/A , N/A ,$21.27 ,$21.27 ,$21.27 , N/A ,$21.27 ,$21.83 ,$21.83 ,$22.95 , N/A ,$21.68 , N/A , N/A ,$14.31 , N/A ,$10.56 , N/A , N/A , N/A ,$21.68 ,$21.09 ,$7.14 ,$22.95 ,$20.02 ,$21.06 , N/A ,$16.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,CIPROFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$25.50 ,$18.36 ,$7.14 ,$25.50 , N/A ,$20.40 , N/A ,$7.14 ,$22.26 ,$23.43 , N/A ,$21.09 , N/A , N/A ,$23.46 , N/A , N/A , N/A ,$21.27 ,$21.27 ,$21.27 , N/A ,$21.27 ,$21.83 ,$21.83 ,$22.95 , N/A ,$21.68 , N/A , N/A ,$14.31 , N/A ,$10.56 , N/A , N/A , N/A ,$21.68 ,$21.09 ,$7.14 ,$22.95 ,$20.02 ,$21.06 , N/A ,$16.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,FORMOTEROL 20 MCG/2ML NEBU,250,1 ,$33.50 ,$24.12 ,$9.38 ,$33.50 , N/A ,$26.80 , N/A ,$9.38 ,$29.25 ,$30.79 , N/A ,$27.70 , N/A , N/A ,$30.82 , N/A , N/A , N/A ,$27.94 ,$27.94 ,$27.94 , N/A ,$27.94 ,$28.68 ,$28.68 ,$30.15 , N/A ,$28.48 , N/A , N/A ,$18.79 , N/A ,$13.87 , N/A , N/A , N/A ,$28.48 ,$27.70 ,$9.38 ,$30.15 ,$26.30 ,$27.67 , N/A ,$21.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LEVOTHYROXINE 100 MCG SOLR,250,1 ,$253.50 ,$182.52 ,$70.98 ,$253.50 , N/A ,$202.80 , N/A ,$70.98 ,$221.31 ,$232.97 , N/A ,$209.64 , N/A , N/A ,$233.22 , N/A , N/A , N/A ,$211.42 ,$211.42 ,$211.42 , N/A ,$211.42 ,$217.00 ,$217.00 ,$228.15 , N/A ,$215.48 , N/A , N/A ,$142.21 , N/A ,$104.95 , N/A , N/A , N/A ,$215.48 ,$209.64 ,$70.98 ,$228.15 ,$199.00 ,$209.39 , N/A ,$164.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % GEL 5 ML TUBE,250,1 ,$13.00 ,$9.36 ,$3.64 ,$13.00 , N/A ,$10.40 , N/A ,$3.64 ,$11.35 ,$11.95 , N/A ,$10.75 , N/A , N/A ,$11.96 , N/A , N/A , N/A ,$10.84 ,$10.84 ,$10.84 , N/A ,$10.84 ,$11.13 ,$11.13 ,$11.70 , N/A ,$11.05 , N/A , N/A ,$7.29 , N/A ,$5.38 , N/A , N/A , N/A ,$11.05 ,$10.75 ,$3.64 ,$11.70 ,$10.21 ,$10.74 , N/A ,$8.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % PRSY 11 ML SYRINGE,250,1 ,$11.50 ,$8.28 ,$3.22 ,$11.50 , N/A ,$9.20 , N/A ,$3.22 ,$10.04 ,$10.57 , N/A ,$9.51 , N/A , N/A ,$10.58 , N/A , N/A , N/A ,$9.59 ,$9.59 ,$9.59 , N/A ,$9.59 ,$9.84 ,$9.84 ,$10.35 , N/A ,$9.78 , N/A , N/A ,$6.45 , N/A ,$4.76 , N/A , N/A , N/A ,$9.78 ,$9.51 ,$3.22 ,$10.35 ,$9.03 ,$9.50 , N/A ,$7.48 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE 5 % PTCH,250,1 ,$14.50 ,$10.44 ,$4.06 ,$14.50 , N/A ,$11.60 , N/A ,$4.06 ,$12.66 ,$13.33 , N/A ,$11.99 , N/A , N/A ,$13.34 , N/A , N/A , N/A ,$12.09 ,$12.09 ,$12.09 , N/A ,$12.09 ,$12.41 ,$12.41 ,$13.05 , N/A ,$12.33 , N/A , N/A ,$8.13 , N/A ,$6.00 , N/A , N/A , N/A ,$12.33 ,$11.99 ,$4.06 ,$13.05 ,$11.38 ,$11.98 , N/A ,$9.43 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:200000 SOLN,250,1 ,$38.00 ,$27.36 ,$10.64 ,$38.00 , N/A ,$30.40 , N/A ,$10.64 ,$33.17 ,$34.92 , N/A ,$31.43 , N/A , N/A ,$34.96 , N/A , N/A , N/A ,$31.69 ,$31.69 ,$31.69 , N/A ,$31.69 ,$32.53 ,$32.53 ,$34.20 , N/A ,$32.30 , N/A , N/A ,$21.32 , N/A ,$15.73 , N/A , N/A , N/A ,$32.30 ,$31.43 ,$10.64 ,$34.20 ,$29.83 ,$31.39 , N/A ,$24.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA 5 G TUBE,250,1 ,$15.00 ,$10.80 ,$4.20 ,$15.00 , N/A ,$12.00 , N/A ,$4.20 ,$13.10 ,$13.79 , N/A ,$12.41 , N/A , N/A ,$13.80 , N/A , N/A , N/A ,$12.51 ,$12.51 ,$12.51 , N/A ,$12.51 ,$12.84 ,$12.84 ,$13.50 , N/A ,$12.75 , N/A , N/A ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$12.75 ,$12.41 ,$4.20 ,$13.50 ,$11.78 ,$12.39 , N/A ,$9.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,NEOMYCIN-BACITRACIN-POLYMYXIN 400-5-5000 OINT 28 G TUBE,250,1 ,$9.00 ,$6.48 ,$2.52 ,$9.00 , N/A ,$7.20 , N/A ,$2.52 ,$7.86 ,$8.27 , N/A ,$7.44 , N/A , N/A ,$8.28 , N/A , N/A , N/A ,$7.51 ,$7.51 ,$7.51 , N/A ,$7.51 ,$7.70 ,$7.70 ,$8.10 , N/A ,$7.65 , N/A , N/A ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% SOLN,250,1 ,$195.50 ,$140.76 ,$54.74 ,$195.50 , N/A ,$156.40 , N/A ,$54.74 ,$170.67 ,$179.66 , N/A ,$161.68 , N/A , N/A ,$179.86 , N/A , N/A , N/A ,$163.05 ,$163.05 ,$163.05 , N/A ,$163.05 ,$167.35 ,$167.35 ,$175.95 , N/A ,$166.18 , N/A , N/A ,$109.68 , N/A ,$80.94 , N/A , N/A , N/A ,$166.18 ,$161.68 ,$54.74 ,$175.95 ,$153.47 ,$161.48 , N/A ,$127.08 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,NOREPINEPHRINE 1 MG/ML SOLN,250,1 ,$49.25 ,$35.46 ,$13.79 ,$49.25 , N/A ,$39.40 , N/A ,$13.79 ,$43.00 ,$45.26 , N/A ,$40.73 , N/A , N/A ,$45.31 , N/A , N/A , N/A ,$41.07 ,$41.07 ,$41.07 , N/A ,$41.07 ,$42.16 ,$42.16 ,$44.33 , N/A ,$41.86 , N/A , N/A ,$27.63 , N/A ,$20.39 , N/A , N/A , N/A ,$41.86 ,$40.73 ,$13.79 ,$44.33 ,$38.66 ,$40.68 , N/A ,$32.01 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,NOREPINEPHRINE 4-5 MG/250ML-% SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 600-0.9 MG/50ML-% SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 900 MG/50ML SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,CLINDAMYCIN 900-0.9 MG/50ML-% SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,INSULIN REGULAR 100 UNITS/100 ML NS SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,MANNITOL 20 % SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,METRONIDAZOLE 500 MG/100ML SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,NITROGLYCERIN 200-5 MCG/ML-% SOLN,250,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,OFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$106.00 ,$76.32 ,$29.68 ,$106.00 , N/A ,$84.80 , N/A ,$29.68 ,$92.54 ,$97.41 , N/A ,$87.66 , N/A , N/A ,$97.52 , N/A , N/A , N/A ,$88.40 ,$88.40 ,$88.40 , N/A ,$88.40 ,$90.74 ,$90.74 ,$95.40 , N/A ,$90.10 , N/A , N/A ,$59.47 , N/A ,$43.88 , N/A , N/A , N/A ,$90.10 ,$87.66 ,$29.68 ,$95.40 ,$83.21 ,$87.56 , N/A ,$68.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,OLANZAPINE 10 MG SOLR,250,1 ,$64.00 ,$46.08 ,$17.92 ,$64.00 , N/A ,$51.20 , N/A ,$17.92 ,$55.87 ,$58.82 , N/A ,$52.93 , N/A , N/A ,$58.88 , N/A , N/A , N/A ,$53.38 ,$53.38 ,$53.38 , N/A ,$53.38 ,$54.78 ,$54.78 ,$57.60 , N/A ,$54.40 , N/A , N/A ,$35.90 , N/A ,$26.50 , N/A , N/A , N/A ,$54.40 ,$52.93 ,$17.92 ,$57.60 ,$50.24 ,$52.86 , N/A ,$41.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,PHENYLEPHRINE 10 % SOLN 5 ML BOTTLE,250,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,"POLYETHYLENE GLYCOL 236 G SOLR 4,000 ML BOTTLE",250,1 ,$42.00 ,$30.24 ,$11.76 ,$42.00 , N/A ,$33.60 , N/A ,$11.76 ,$36.67 ,$38.60 , N/A ,$34.73 , N/A , N/A ,$38.64 , N/A , N/A , N/A ,$35.03 ,$35.03 ,$35.03 , N/A ,$35.03 ,$35.95 ,$35.95 ,$37.80 , N/A ,$35.70 , N/A , N/A ,$23.56 , N/A ,$17.39 , N/A , N/A , N/A ,$35.70 ,$34.73 ,$11.76 ,$37.80 ,$32.97 ,$34.69 , N/A ,$27.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,"POLYETHYLENE GLYCOL-ELECTROLYTES 420 G SOLR 4,000 ML BOTTLE",250,1 ,$48.00 ,$34.56 ,$13.44 ,$48.00 , N/A ,$38.40 , N/A ,$13.44 ,$41.90 ,$44.11 , N/A ,$39.70 , N/A , N/A ,$44.16 , N/A , N/A , N/A ,$40.03 ,$40.03 ,$40.03 , N/A ,$40.03 ,$41.09 ,$41.09 ,$43.20 , N/A ,$40.80 , N/A , N/A ,$26.93 , N/A ,$19.87 , N/A , N/A , N/A ,$40.80 ,$39.70 ,$13.44 ,$43.20 ,$37.68 ,$39.65 , N/A ,$31.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,250,1 ,$83.00 ,$59.76 ,$23.24 ,$83.00 , N/A ,$66.40 , N/A ,$23.24 ,$72.46 ,$76.28 , N/A ,$68.64 , N/A , N/A ,$76.36 , N/A , N/A , N/A ,$69.22 ,$69.22 ,$69.22 , N/A ,$69.22 ,$71.05 ,$71.05 ,$74.70 , N/A ,$70.55 , N/A , N/A ,$46.56 , N/A ,$34.36 , N/A , N/A , N/A ,$70.55 ,$68.64 ,$23.24 ,$74.70 ,$65.16 ,$68.56 , N/A ,$53.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$63.50 ,$45.72 ,$17.78 ,$63.50 , N/A ,$50.80 , N/A ,$17.78 ,$55.44 ,$58.36 , N/A ,$52.51 , N/A , N/A ,$58.42 , N/A , N/A , N/A ,$52.96 ,$52.96 ,$52.96 , N/A ,$52.96 ,$54.36 ,$54.36 ,$57.15 , N/A ,$53.98 , N/A , N/A ,$35.62 , N/A ,$26.29 , N/A , N/A , N/A ,$53.98 ,$52.51 ,$17.78 ,$57.15 ,$49.85 ,$52.45 , N/A ,$41.28 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,DOXYCYCLINE HYCLATE 100 MG SOLR 1 EACH VIAL,250,1 ,$63.50 ,$45.72 ,$17.78 ,$63.50 , N/A ,$50.80 , N/A ,$17.78 ,$55.44 ,$58.36 , N/A ,$52.51 , N/A , N/A ,$58.42 , N/A , N/A , N/A ,$52.96 ,$52.96 ,$52.96 , N/A ,$52.96 ,$54.36 ,$54.36 ,$57.15 , N/A ,$53.98 , N/A , N/A ,$35.62 , N/A ,$26.29 , N/A , N/A , N/A ,$53.98 ,$52.51 ,$17.78 ,$57.15 ,$49.85 ,$52.45 , N/A ,$41.28 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SCOPOLAMINE 1 MG/3DAYS PT72,250,1 ,$34.50 ,$24.84 ,$9.66 ,$34.50 , N/A ,$27.60 , N/A ,$9.66 ,$30.12 ,$31.71 , N/A ,$28.53 , N/A , N/A ,$31.74 , N/A , N/A , N/A ,$28.77 ,$28.77 ,$28.77 , N/A ,$28.77 ,$29.53 ,$29.53 ,$31.05 , N/A ,$29.33 , N/A , N/A ,$19.35 , N/A ,$14.28 , N/A , N/A , N/A ,$29.33 ,$28.53 ,$9.66 ,$31.05 ,$27.08 ,$28.50 , N/A ,$22.43 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,"SODIUM CHLORIDE 0.45 % SOLN 1,000 ML FLEX CONT",250,1 ,$55.00 ,$39.60 ,$15.40 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$45.43 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SODIUM CHLORIDE 0.9 % NEBU,250,1 ,$34.00 ,$24.48 ,$9.52 ,$34.00 , N/A ,$27.20 , N/A ,$9.52 ,$29.68 ,$31.25 , N/A ,$28.12 , N/A , N/A ,$31.28 , N/A , N/A , N/A ,$28.36 ,$28.36 ,$28.36 , N/A ,$28.36 ,$29.10 ,$29.10 ,$30.60 , N/A ,$28.90 , N/A , N/A ,$19.07 , N/A ,$14.08 , N/A , N/A , N/A ,$28.90 ,$28.12 ,$9.52 ,$30.60 ,$26.69 ,$28.08 , N/A ,$22.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 1,000 ML PLAS CONT",250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 , N/A ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE 4 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.68 ,$6.00 , N/A ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 , N/A ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 3,000 ML FLEX CONT",250,1 ,$27.00 ,$19.44 ,$7.56 ,$27.00 , N/A ,$21.60 , N/A ,$7.56 ,$23.57 ,$24.81 , N/A ,$22.33 , N/A , N/A ,$24.84 , N/A , N/A , N/A ,$22.52 ,$22.52 ,$22.52 , N/A ,$22.52 ,$23.11 ,$23.11 ,$24.30 , N/A ,$22.95 , N/A , N/A ,$15.15 , N/A ,$11.18 , N/A , N/A , N/A ,$22.95 ,$22.33 ,$7.56 ,$24.30 ,$21.20 ,$22.30 , N/A ,$17.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SODIUM CHLORIDE 7 % NEBU,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ALBUTEROL (2.5 MG/3ML) 0.083% NEBU,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ALBUTEROL 1.25 MG/3ML NEBU,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,FLUORESCEIN 1 MG STRP,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,IPRATROPIUM 0.02 % SOLN,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML SOLN,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE VISCOUS 2 % SOLN 15 ML CUP,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,OPHTHALMIC IRRIGATION SOLN 118 ML BOTTLE,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,RACEPINEPHRINE 2.25 % 2.25 % NEBU,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SILVER-POTASSIUM NITRATE 75-25 % MISC,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SIMETHICONE 40 MG/0.6ML SUSP,250,1 ,$4.50 ,$3.24 ,$1.26 ,$4.50 , N/A ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 , N/A ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SODIUM HYPOCHLORITE 0.25 % SOLN 473 ML BOTTLE,250,1 ,$21.00 ,$15.12 ,$5.88 ,$21.00 , N/A ,$16.80 , N/A ,$5.88 ,$18.33 ,$19.30 , N/A ,$17.37 , N/A , N/A ,$19.32 , N/A , N/A , N/A ,$17.51 ,$17.51 ,$17.51 , N/A ,$17.51 ,$17.98 ,$17.98 ,$18.90 , N/A ,$17.85 , N/A , N/A ,$11.78 , N/A ,$8.69 , N/A , N/A , N/A ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 , N/A ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SODIUM HYPOCHLORITE 0.125 % SOLN,250,1 ,$21.00 ,$15.12 ,$5.88 ,$21.00 , N/A ,$16.80 , N/A ,$5.88 ,$18.33 ,$19.30 , N/A ,$17.37 , N/A , N/A ,$19.32 , N/A , N/A , N/A ,$17.51 ,$17.51 ,$17.51 , N/A ,$17.51 ,$17.98 ,$17.98 ,$18.90 , N/A ,$17.85 , N/A , N/A ,$11.78 , N/A ,$8.69 , N/A , N/A , N/A ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 , N/A ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,STERILE WATER SOLN 10 ML VIAL,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BUPIVACAINE 0.25 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,BUPIVACAINE-EPINEPHRINE PF 0.5% -1:200000 SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,CALCIUM CHLORIDE 10 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,DILTIAZEM 125 MG/25ML SOLN 25 ML VIAL,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,DILTIAZEM 25 MG/5ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ENALAPRILAT 1.25 MG/ML INJ,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ETOMIDATE 2 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,FAMOTIDINE 20 MG/2ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,FLUMAZENIL 0.5 MG/5ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,GLYCOPYRROLATE 0.4 MG/2ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,KETAMINE 100 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,KETAMINE 50 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LABETALOL 5 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 1 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 1 % SOLN 5 ML VIAL,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE (PF) 2 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE 1 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE 2 % SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:200000 SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:100000 SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,METOPROLOL TARTRATE 5 MG/5ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,MULTIVITAMIN (ADULT MVI) INJ 10 ML VIAL,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ROCURONIUM 100 MG/10ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,ROCURONIUM 50 MG/5ML SOLN,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN 50 ML SYRINGE,250,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,SUGAMMADEX 200 MG/2ML SOLN,250,1 ,$277.50 ,$199.80 ,$77.70 ,$277.50 , N/A ,$222.00 , N/A ,$77.70 ,$242.26 ,$255.02 , N/A ,$229.49 , N/A , N/A ,$255.30 , N/A , N/A , N/A ,$231.44 ,$231.44 ,$231.44 , N/A ,$231.44 ,$237.54 ,$237.54 ,$249.75 , N/A ,$235.88 , N/A , N/A ,$155.68 , N/A ,$114.89 , N/A , N/A , N/A ,$235.88 ,$229.49 ,$77.70 ,$249.75 ,$217.84 ,$229.22 , N/A ,$180.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25000003,N/A,TRYPAN BLUE 0.06 % SOLN 0.5 ML SYRINGE,250,1 ,$133.50 ,$96.12 ,$37.38 ,$133.50 , N/A ,$106.80 , N/A ,$37.38 ,$116.55 ,$122.69 , N/A ,$110.40 , N/A , N/A ,$122.82 , N/A , N/A , N/A ,$111.34 ,$111.34 ,$111.34 , N/A ,$111.34 ,$114.28 ,$114.28 ,$120.15 , N/A ,$113.48 , N/A , N/A ,$74.89 , N/A ,$55.27 , N/A , N/A , N/A ,$113.48 ,$110.40 ,$37.38 ,$120.15 ,$104.80 ,$110.27 , N/A ,$86.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25800000,N/A,DEXTROSE 10 % SOLN,258,1 ,$55.00 ,$39.60 ,$15.40 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$45.43 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),25800000,N/A,DEXTROSE 50 % SOLN,258,1 ,$37.00 ,$26.64 ,$10.36 ,$37.00 , N/A ,$29.60 , N/A ,$10.36 ,$32.30 ,$34.00 , N/A ,$30.60 , N/A , N/A ,$34.04 , N/A , N/A , N/A ,$30.86 ,$30.86 ,$30.86 , N/A ,$30.86 ,$31.67 ,$31.67 ,$33.30 , N/A ,$31.45 , N/A , N/A ,$20.76 , N/A ,$15.32 , N/A , N/A , N/A ,$31.45 ,$30.60 ,$10.36 ,$33.30 ,$29.05 ,$30.56 , N/A ,$24.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$457.00 ,$329.04 ,$127.96 ,$501.93 ,$501.93 ,$365.60 ,$196.75 ,$127.96 ,$398.96 ,$419.98 ,$183.71 ,$377.94 ,$196.75 ,$405.55 , N/A ,$447.86 ,$196.75 ,$200.69 ,$381.14 ,$381.14 ,$381.14 ,$196.75 ,$381.14 ,$391.19 ,$391.19 ,$411.30 ,$457.00 ,$388.45 ,$196.75 ,$196.75 ,$256.38 ,$196.75 ,$189.20 ,$218.89 ,$208.94 ,$206.60 ,$388.45 ,$377.94 ,$127.96 ,$411.30 ,$358.75 ,$377.48 ,$196.75 ,$297.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$138.00 ,$99.36 ,$37.68 ,$138.00 ,$102.95 ,$110.40 ,$40.36 ,$38.64 ,$120.47 ,$126.82 ,$37.68 ,$114.13 ,$40.36 ,$83.18 , N/A ,$100.89 ,$40.36 ,$41.16 ,$115.09 ,$115.09 ,$115.09 ,$40.36 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$96.12 ,$117.30 ,$40.36 ,$40.36 ,$77.42 ,$40.36 ,$57.13 ,$138.00 ,$138.00 ,$42.38 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$40.36 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$370.00 ,$266.40 ,$103.60 ,$501.93 ,$501.93 ,$296.00 ,$196.75 ,$103.60 ,$323.01 ,$340.03 ,$183.71 ,$305.99 ,$196.75 ,$370.00 , N/A ,$362.60 ,$196.75 ,$200.69 ,$308.58 ,$308.58 ,$308.58 ,$196.75 ,$308.58 ,$316.72 ,$316.72 ,$333.00 ,$370.00 ,$314.50 ,$196.75 ,$196.75 ,$207.57 ,$196.75 ,$153.18 ,$218.89 ,$208.94 ,$206.60 ,$314.50 ,$305.99 ,$103.60 ,$333.00 ,$290.45 ,$305.62 ,$196.75 ,$240.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$164.00 ,$118.08 ,$37.68 ,$164.00 ,$102.95 ,$131.20 ,$40.36 ,$45.92 ,$143.17 ,$150.72 ,$37.68 ,$135.63 ,$40.36 ,$83.18 , N/A ,$100.89 ,$40.36 ,$41.16 ,$136.78 ,$136.78 ,$136.78 ,$40.36 ,$136.78 ,$140.38 ,$140.38 ,$147.60 ,$96.12 ,$139.40 ,$40.36 ,$40.36 ,$92.00 ,$40.36 ,$67.90 ,$164.00 ,$164.00 ,$42.38 ,$139.40 ,$135.63 ,$45.92 ,$147.60 ,$128.74 ,$135.46 ,$40.36 ,$106.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$131.00 ,$94.32 ,$36.68 ,$163.93 ,$163.93 ,$104.80 ,$64.26 ,$36.68 ,$114.36 ,$120.39 ,$60.01 ,$108.34 ,$64.26 ,$131.00 , N/A ,$128.38 ,$64.26 ,$65.54 ,$109.25 ,$109.25 ,$109.25 ,$64.26 ,$109.25 ,$112.14 ,$112.14 ,$117.90 ,$131.00 ,$111.35 ,$64.26 ,$64.26 ,$73.49 ,$64.26 ,$54.23 ,$131.00 ,$131.00 ,$67.48 ,$111.35 ,$108.34 ,$36.68 ,$117.90 ,$102.84 ,$108.21 ,$64.26 ,$85.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000005,96368,HC INFUS CONCURRENT,260,1 ,$132.00 ,$95.04 ,$36.96 ,$132.00 , N/A ,$105.60 , N/A ,$36.96 ,$115.24 ,$121.31 , N/A ,$109.16 , N/A , N/A , N/A , N/A , N/A , N/A ,$110.09 ,$110.09 ,$110.09 , N/A ,$110.09 ,$112.99 ,$112.99 ,$118.80 , N/A ,$112.20 , N/A , N/A ,$74.05 , N/A ,$54.65 ,$132.00 ,$132.00 , N/A ,$112.20 ,$109.16 ,$36.96 ,$118.80 ,$103.62 ,$109.03 , N/A ,$85.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),26000020,96373,HC THERAPEUTIC PROPHALYTIC INJ,260,1 ,$117.00 ,$84.24 ,$32.76 ,$501.93 ,$501.93 ,$93.60 ,$114.66 ,$32.76 ,$102.14 ,$107.52 ,$114.66 ,$96.76 ,$114.66 ,$117.00 , N/A ,$114.66 ,$196.75 ,$116.95 ,$97.58 ,$97.58 ,$97.58 ,$114.66 ,$97.58 ,$100.15 ,$100.15 ,$105.30 ,$117.00 ,$99.45 ,$114.66 ,$114.66 ,$65.64 ,$196.75 ,$48.44 , N/A , N/A ,$114.66 ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 ,$96.64 ,$196.75 ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000015,N/A,HC SET IV EXTENSION,270,1 ,$9.00 ,$6.48 ,$2.52 ,$9.00 , N/A ,$7.20 , N/A ,$2.52 ,$7.86 ,$8.27 , N/A ,$7.44 , N/A , N/A ,$8.28 , N/A , N/A , N/A ,$7.51 ,$7.51 ,$7.51 , N/A ,$7.51 ,$7.70 ,$7.70 ,$8.10 , N/A ,$7.65 , N/A , N/A ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000022,N/A,HC TRAY BIOPSY,270,1 ,$24.00 ,$17.28 ,$6.72 ,$24.00 , N/A ,$19.20 , N/A ,$6.72 ,$20.95 ,$22.06 , N/A ,$19.85 , N/A , N/A ,$22.08 , N/A , N/A , N/A ,$20.02 ,$20.02 ,$20.02 , N/A ,$20.02 ,$20.54 ,$20.54 ,$21.60 , N/A ,$20.40 , N/A , N/A ,$13.46 , N/A ,$9.94 , N/A , N/A , N/A ,$20.40 ,$19.85 ,$6.72 ,$21.60 ,$18.84 ,$19.82 , N/A ,$15.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000032,N/A,HC ELECTRODE TIER 2,270,1 ,$55.00 ,$39.60 ,$15.40 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$45.43 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000033,N/A,HC ELECTRODE TIER 3,270,1 ,$62.00 ,$44.64 ,$17.36 ,$62.00 , N/A ,$49.60 , N/A ,$17.36 ,$54.13 ,$56.98 , N/A ,$51.27 , N/A , N/A ,$57.04 , N/A , N/A , N/A ,$51.71 ,$51.71 ,$51.71 , N/A ,$51.71 ,$53.07 ,$53.07 ,$55.80 , N/A ,$52.70 , N/A , N/A ,$34.78 , N/A ,$25.67 , N/A , N/A , N/A ,$52.70 ,$51.27 ,$17.36 ,$55.80 ,$48.67 ,$51.21 , N/A ,$40.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000054,N/A,HC KIT BLOOD GLUCOSE,270,1 ,$24.00 ,$17.28 ,$6.72 ,$24.00 , N/A ,$19.20 , N/A ,$6.72 ,$20.95 ,$22.06 , N/A ,$19.85 , N/A , N/A ,$22.08 , N/A , N/A , N/A ,$20.02 ,$20.02 ,$20.02 , N/A ,$20.02 ,$20.54 ,$20.54 ,$21.60 , N/A ,$20.40 , N/A , N/A ,$13.46 , N/A ,$9.94 , N/A , N/A , N/A ,$20.40 ,$19.85 ,$6.72 ,$21.60 ,$18.84 ,$19.82 , N/A ,$15.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000136,N/A,HC BIOTESTCELL,270,1 ,$146.00 ,$105.12 ,$40.88 ,$146.00 , N/A ,$116.80 , N/A ,$40.88 ,$127.46 ,$134.17 , N/A ,$120.74 , N/A , N/A ,$134.32 , N/A , N/A , N/A ,$121.76 ,$121.76 ,$121.76 , N/A ,$121.76 ,$124.98 ,$124.98 ,$131.40 , N/A ,$124.10 , N/A , N/A ,$81.91 , N/A ,$60.44 , N/A , N/A , N/A ,$124.10 ,$120.74 ,$40.88 ,$131.40 ,$114.61 ,$120.60 , N/A ,$94.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000137,N/A,HC COOLCUT ABLATOR,270,1 ,$146.00 ,$105.12 ,$40.88 ,$146.00 , N/A ,$116.80 , N/A ,$40.88 ,$127.46 ,$134.17 , N/A ,$120.74 , N/A , N/A ,$134.32 , N/A , N/A , N/A ,$121.76 ,$121.76 ,$121.76 , N/A ,$121.76 ,$124.98 ,$124.98 ,$131.40 , N/A ,$124.10 , N/A , N/A ,$81.91 , N/A ,$60.44 , N/A , N/A , N/A ,$124.10 ,$120.74 ,$40.88 ,$131.40 ,$114.61 ,$120.60 , N/A ,$94.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000138,N/A,HC NANOSCOPE HANDPIECE,270,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$20.00 , N/A ,$7.00 ,$21.83 ,$22.98 , N/A ,$20.68 , N/A , N/A ,$23.00 , N/A , N/A , N/A ,$20.85 ,$20.85 ,$20.85 , N/A ,$20.85 ,$21.40 ,$21.40 ,$22.50 , N/A ,$21.25 , N/A , N/A ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$21.25 ,$20.68 ,$7.00 ,$22.50 ,$19.63 ,$20.65 , N/A ,$16.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000139,N/A,HC PADDED SPLINT ROLL,270,1 ,$117.00 ,$84.24 ,$32.76 ,$117.00 , N/A ,$93.60 , N/A ,$32.76 ,$102.14 ,$107.52 , N/A ,$96.76 , N/A , N/A ,$107.64 , N/A , N/A , N/A ,$97.58 ,$97.58 ,$97.58 , N/A ,$97.58 ,$100.15 ,$100.15 ,$105.30 , N/A ,$99.45 , N/A , N/A ,$65.64 , N/A ,$48.44 , N/A , N/A , N/A ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 ,$96.64 , N/A ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000140,N/A,HC TORPEDO SHAVER,270,1 ,$312.00 ,$224.64 ,$87.36 ,$312.00 , N/A ,$249.60 , N/A ,$87.36 ,$272.38 ,$286.73 , N/A ,$258.02 , N/A , N/A ,$287.04 , N/A , N/A , N/A ,$260.21 ,$260.21 ,$260.21 , N/A ,$260.21 ,$267.07 ,$267.07 ,$280.80 , N/A ,$265.20 , N/A , N/A ,$175.03 , N/A ,$129.17 , N/A , N/A , N/A ,$265.20 ,$258.02 ,$87.36 ,$280.80 ,$244.92 ,$257.71 , N/A ,$202.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000141,N/A,HC QUANTIFY PLUS CONTROL BILEVEL,270,1 ,$130.00 ,$93.60 ,$36.40 ,$130.00 , N/A ,$104.00 , N/A ,$36.40 ,$113.49 ,$119.47 , N/A ,$107.51 , N/A , N/A ,$119.60 , N/A , N/A , N/A ,$108.42 ,$108.42 ,$108.42 , N/A ,$108.42 ,$111.28 ,$111.28 ,$117.00 , N/A ,$110.50 , N/A , N/A ,$72.93 , N/A ,$53.82 , N/A , N/A , N/A ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 , N/A ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000142,N/A,HC ET ADULT- LG,270,1 ,$33.00 ,$23.76 ,$9.24 ,$33.00 , N/A ,$26.40 , N/A ,$9.24 ,$28.81 ,$30.33 , N/A ,$27.29 , N/A , N/A ,$30.36 , N/A , N/A , N/A ,$27.52 ,$27.52 ,$27.52 , N/A ,$27.52 ,$28.25 ,$28.25 ,$29.70 , N/A ,$28.05 , N/A , N/A ,$18.51 , N/A ,$13.66 , N/A , N/A , N/A ,$28.05 ,$27.29 ,$9.24 ,$29.70 ,$25.91 ,$27.26 , N/A ,$21.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27000143,N/A,HC HUMIDITY BAGS,270,1 ,$1.00 ,$0.72 ,$0.28 ,$1.00 , N/A ,$0.80 , N/A ,$0.28 ,$0.87 ,$0.92 , N/A ,$0.83 , N/A , N/A ,$0.92 , N/A , N/A , N/A ,$0.83 ,$0.83 ,$0.83 , N/A ,$0.83 ,$0.86 ,$0.86 ,$0.90 , N/A ,$0.85 , N/A , N/A ,$0.56 , N/A ,$0.41 , N/A , N/A , N/A ,$0.85 ,$0.83 ,$0.28 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100106,N/A,HC OXYGEN DAILY,271,1 ,$386.00 ,$277.92 ,$108.08 ,$386.00 , N/A ,$308.80 , N/A ,$108.08 ,$336.98 ,$354.73 , N/A ,$319.22 , N/A , N/A ,$355.12 , N/A , N/A , N/A ,$321.92 ,$321.92 ,$321.92 , N/A ,$321.92 ,$330.42 ,$330.42 ,$347.40 , N/A ,$328.10 , N/A , N/A ,$216.55 , N/A ,$159.80 , N/A , N/A , N/A ,$328.10 ,$319.22 ,$108.08 ,$347.40 ,$303.01 ,$318.84 , N/A ,$250.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100107,N/A,HC OXYGEN HOURLY,271,1 ,$17.04 ,$12.27 ,$4.77 ,$17.04 , N/A ,$13.63 , N/A ,$4.77 ,$14.88 ,$15.66 , N/A ,$14.09 , N/A , N/A ,$15.68 , N/A , N/A , N/A ,$14.21 ,$14.21 ,$14.21 , N/A ,$14.21 ,$14.59 ,$14.59 ,$15.34 , N/A ,$14.48 , N/A , N/A ,$9.56 , N/A ,$7.05 , N/A , N/A , N/A ,$14.48 ,$14.09 ,$4.77 ,$15.34 ,$13.38 ,$14.08 , N/A ,$11.08 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100114,N/A,HC PEAK FLOWMETER,271,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100115,N/A,HC PERITONEAL LVG TRAY/CATH,271,1 ,$69.00 ,$49.68 ,$19.32 ,$69.00 , N/A ,$55.20 , N/A ,$19.32 ,$60.24 ,$63.41 , N/A ,$57.06 , N/A , N/A ,$63.48 , N/A , N/A , N/A ,$57.55 ,$57.55 ,$57.55 , N/A ,$57.55 ,$59.06 ,$59.06 ,$62.10 , N/A ,$58.65 , N/A , N/A ,$38.71 , N/A ,$28.57 , N/A , N/A , N/A ,$58.65 ,$57.06 ,$19.32 ,$62.10 ,$54.17 ,$56.99 , N/A ,$44.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100118,N/A,HC POST OP SHOE,271,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$20.00 , N/A ,$7.00 ,$21.83 ,$22.98 , N/A ,$20.68 , N/A , N/A ,$23.00 , N/A , N/A , N/A ,$20.85 ,$20.85 ,$20.85 , N/A ,$20.85 ,$21.40 ,$21.40 ,$22.50 , N/A ,$21.25 , N/A , N/A ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$21.25 ,$20.68 ,$7.00 ,$22.50 ,$19.63 ,$20.65 , N/A ,$16.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100149,N/A,HC SPLINT WRIST,271,1 ,$26.00 ,$18.72 ,$7.28 ,$26.00 , N/A ,$20.80 , N/A ,$7.28 ,$22.70 ,$23.89 , N/A ,$21.50 , N/A , N/A ,$23.92 , N/A , N/A , N/A ,$21.68 ,$21.68 ,$21.68 , N/A ,$21.68 ,$22.26 ,$22.26 ,$23.40 , N/A ,$22.10 , N/A , N/A ,$14.59 , N/A ,$10.76 , N/A , N/A , N/A ,$22.10 ,$21.50 ,$7.28 ,$23.40 ,$20.41 ,$21.48 , N/A ,$16.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100188,N/A,HC SLING ARM,271,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$22.40 , N/A ,$7.84 ,$24.44 ,$25.73 , N/A ,$23.16 , N/A , N/A ,$25.76 , N/A , N/A , N/A ,$23.35 ,$23.35 ,$23.35 , N/A ,$23.35 ,$23.97 ,$23.97 ,$25.20 , N/A ,$23.80 , N/A , N/A ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 , N/A ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$31.00 ,$22.32 ,$8.68 ,$31.00 , N/A ,$24.80 , N/A ,$8.68 ,$27.06 ,$28.49 , N/A ,$25.64 , N/A , N/A ,$28.52 , N/A , N/A , N/A ,$25.85 ,$25.85 ,$25.85 , N/A ,$25.85 ,$26.54 ,$26.54 ,$27.90 , N/A ,$26.35 , N/A , N/A ,$17.39 , N/A ,$12.83 , N/A , N/A , N/A ,$26.35 ,$25.64 ,$8.68 ,$27.90 ,$24.34 ,$25.61 , N/A ,$20.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$74.00 ,$53.28 ,$20.72 ,$74.00 , N/A ,$59.20 , N/A ,$20.72 ,$64.60 ,$68.01 , N/A ,$61.20 , N/A , N/A ,$68.08 , N/A , N/A , N/A ,$61.72 ,$61.72 ,$61.72 , N/A ,$61.72 ,$63.34 ,$63.34 ,$66.60 , N/A ,$62.90 , N/A , N/A ,$41.51 , N/A ,$30.64 , N/A , N/A , N/A ,$62.90 ,$61.20 ,$20.72 ,$66.60 ,$58.09 ,$61.12 , N/A ,$48.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$22.40 , N/A ,$7.84 ,$24.44 ,$25.73 , N/A ,$23.16 , N/A , N/A ,$25.76 , N/A , N/A , N/A ,$23.35 ,$23.35 ,$23.35 , N/A ,$23.35 ,$23.97 ,$23.97 ,$25.20 , N/A ,$23.80 , N/A , N/A ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 , N/A ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100228,N/A,HC STOCK ANTIEMBOLISM THIGH,271,1 ,$16.00 ,$11.52 ,$4.48 ,$16.00 , N/A ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A ,$14.72 , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 , N/A ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100235,N/A,HC MASK OXYGEN,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100284,N/A,HC PROBE/SENSOR PULSE OXIMETER S2,271,1 ,$34.00 ,$24.48 ,$9.52 ,$34.00 , N/A ,$27.20 , N/A ,$9.52 ,$29.68 ,$31.25 , N/A ,$28.12 , N/A , N/A ,$31.28 , N/A , N/A , N/A ,$28.36 ,$28.36 ,$28.36 , N/A ,$28.36 ,$29.10 ,$29.10 ,$30.60 , N/A ,$28.90 , N/A , N/A ,$19.07 , N/A ,$14.08 , N/A , N/A , N/A ,$28.90 ,$28.12 ,$9.52 ,$30.60 ,$26.69 ,$28.08 , N/A ,$22.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100290,A4467,HC GARMENT ELASTIC,271,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$20.00 , N/A ,$7.00 ,$21.83 ,$22.98 , N/A ,$20.68 , N/A , N/A , N/A , N/A , N/A , N/A ,$20.85 ,$20.85 ,$20.85 , N/A ,$20.85 ,$21.40 ,$21.40 ,$22.50 , N/A ,$21.25 , N/A , N/A ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$21.25 ,$20.68 ,$7.00 ,$22.50 ,$19.63 ,$20.65 , N/A ,$16.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100325,N/A,HC SPACER MDI,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27100491,N/A,HC PROTECTANT SKIN,271,1 ,$10.00 ,$7.20 ,$2.80 ,$10.00 , N/A ,$8.00 , N/A ,$2.80 ,$8.73 ,$9.19 , N/A ,$8.27 , N/A , N/A ,$9.20 , N/A , N/A , N/A ,$8.34 ,$8.34 ,$8.34 , N/A ,$8.34 ,$8.56 ,$8.56 ,$9.00 , N/A ,$8.50 , N/A , N/A ,$5.61 , N/A ,$4.14 , N/A , N/A , N/A ,$8.50 ,$8.27 ,$2.80 ,$9.00 ,$7.85 ,$8.26 , N/A ,$6.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,HARNESS CPAP + MASK #5 REG ADLT,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,BRA SURGICAL SIZE MEDIUM,271,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,HEADREST DONUT,271,1 ,$3.03 ,$2.18 ,$0.85 ,$3.03 , N/A ,$2.42 , N/A ,$0.85 ,$2.65 ,$2.78 , N/A ,$2.51 , N/A , N/A ,$2.79 , N/A , N/A , N/A ,$2.53 ,$2.53 ,$2.53 , N/A ,$2.53 ,$2.59 ,$2.59 ,$2.73 , N/A ,$2.58 , N/A , N/A ,$1.70 , N/A ,$1.25 , N/A , N/A , N/A ,$2.58 ,$2.51 ,$0.85 ,$2.73 ,$2.38 ,$2.50 , N/A ,$1.97 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,IMMOBILIZER ORTHOPEDIC UNIVERSAL CONTOUR 19IN 27IN KNEE 3 PANEL PERFORATE BREATHABLE ALUMINUM VINYL FOAM,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,BRACE ORTHOPEDIC LARGE CONTOUR 10-11.5IN ANKLE CONTACT CLOSURE VINYL STEEL,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,BRACE ORTHOPEDIC MEDIUM CONTOUR 8.5-10IN ANKLE CONTACT CLOSURE STEEL VINYL,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CUFF TOURNIQUET DISP CUFF 4 X 24,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CUFF TOURNIQUET DISP CUFF 4 X 34,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CUFF TOURNIQUET DUAL PORT 18,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CUFF TOURNIQUET SINGLE PORT  24,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,DRESSING STOCKINETTE ORTHO COTTON TUBLR NON-STERILE 25YDX4,271,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,PREP PAINT STICKS 220,271,1 ,$7.89 ,$5.68 ,$2.21 ,$7.89 , N/A ,$6.31 , N/A ,$2.21 ,$6.89 ,$7.25 , N/A ,$6.53 , N/A , N/A ,$7.26 , N/A , N/A , N/A ,$6.58 ,$6.58 ,$6.58 , N/A ,$6.58 ,$6.75 ,$6.75 ,$7.10 , N/A ,$6.71 , N/A , N/A ,$4.43 , N/A ,$3.27 , N/A , N/A , N/A ,$6.71 ,$6.53 ,$2.21 ,$7.10 ,$6.19 ,$6.52 , N/A ,$5.13 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SLING ORTHOPEDIC XL 22X9IN ARM CONTACT CLOSURE THUMB LOOP DEEP POCKET TIETEX 1.5IN BLUE,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 3,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CHAMBER HUMIDIFIER CLEAR OPTICHAMBER DIAMOND VALVE MOUTHPIECE PHILIPS RESPIRONICS LATEX FREE DISPOSABLE,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SLING ORTHOPEDIC LARGE 19X8IN ARM FASHION THUMB LOOP DEEP POCKET CONTACT CLOSURE TIETEX 1.5IN BLUE,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SLING ORTHOPEDIC MEDIUM 16X7IN ARM FASHION THUMB LOOP DEEP POCKET CONTACT CLOSURE TIETEX 1.5IN BLUE,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SLING ORTHOPEDIC SMALL 13X6IN ARM FASHION THUMB LOOP DEEP POCKET CONTACT CLOSURE TIETEX LATEX FREE 1.5IN BLUE,271,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SOLN IRR 0.9 NACL 3000ML BAG,271,1 ,$28.17 ,$20.28 ,$7.89 ,$28.17 , N/A ,$22.54 , N/A ,$7.89 ,$24.59 ,$25.89 , N/A ,$23.30 , N/A , N/A ,$25.92 , N/A , N/A , N/A ,$23.49 ,$23.49 ,$23.49 , N/A ,$23.49 ,$24.11 ,$24.11 ,$25.35 , N/A ,$23.94 , N/A , N/A ,$15.80 , N/A ,$11.66 , N/A , N/A , N/A ,$23.94 ,$23.30 ,$7.89 ,$25.35 ,$22.11 ,$23.27 , N/A ,$18.31 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,TAPE MEDIPORE 6,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 2,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,CAST PAD SYNTHETIC 4,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,DRESSING STOCKINETTE 3 TUBE/ YARD,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,IMMOBIL SHOULDER MED,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,IMMOBILIZER SHOULDER XL CONTOUR 42-48IN FEMALE,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,PULLEY EXERCISE HOME RANGER RANGEMASTER SHOULDER RUBBER ORIGINAL MOLD HANDLE OVER THE DOOR STRAP REUSABLE,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE POSTOPERATIVE 15D LARGE MALE CONTACT CLOSURE FOREFOOT SUPPORT REINFORCE HEEL DARCO,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE POSTOPERATIVE 15D MEDIUM FEMALE CONTACT CLOSURE FOREFOOT SUPPORT REINFORCE HEEL DARCO,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE POSTOPERATIVE 15D MEDIUM MALE CONTACT CLOSURE FOREFOOT SUPPORT REINFORCE HEEL DARCO,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE POSTOPERATIVE 15D SMALL FEMALE CONTACT CLOSURE FOREFOOT SUPPORT REINFORCE HEEL DARCO,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE POSTOPERATIVE 15D SMALL MALE CONTACT CLOSURE FOREFOOT SUPPORT REINFORCE HEEL DARCO,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE POSTOPERATIVE 15D XL MALE CONTACT CLOSURE FOREFOOT SUPPORT REINFORCE HEEL DARCO,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SHOE TRAUMA SHOE/WOMAN LG,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SPLINT ORTHOPEDIC MEDIUM CONTOUR 1.5IN 6.5-8.5IN WRIST RIGHT PERFORATE 3 CONTACT CLOSURE COCKUP ALUMINUM VINYL ADULT,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SUPPORTER ATHLETIC MALE LARGE,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27170000,N/A,SUPPORTER ATHLETIC MALE MEDIUM,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200034,C1729,HC CATHETER DRAINAGE,272,1 ,$67.00 ,$48.24 ,$18.76 ,$67.00 , N/A ,$53.60 , N/A ,$18.76 ,$58.49 ,$61.57 , N/A ,$55.41 , N/A , N/A , N/A , N/A , N/A , N/A ,$55.88 ,$55.88 ,$55.88 , N/A ,$55.88 ,$57.35 ,$57.35 ,$60.30 , N/A ,$56.95 , N/A , N/A ,$37.59 , N/A ,$27.74 , N/A , N/A , N/A ,$56.95 ,$55.41 ,$18.76 ,$60.30 ,$52.60 ,$55.34 , N/A ,$43.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200054,C1751,HC KIT CATHETER,272,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 , N/A ,$99.20 , N/A ,$34.72 ,$108.25 ,$113.96 , N/A ,$102.55 , N/A , N/A , N/A , N/A , N/A , N/A ,$103.42 ,$103.42 ,$103.42 , N/A ,$103.42 ,$106.14 ,$106.14 ,$111.60 , N/A ,$105.40 , N/A , N/A ,$69.56 , N/A ,$51.34 , N/A , N/A , N/A ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 , N/A ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200075,C1758,HC CATHETER URETERAL,272,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$14.40 , N/A ,$5.04 ,$15.71 ,$16.54 , N/A ,$14.89 , N/A , N/A , N/A , N/A , N/A , N/A ,$15.01 ,$15.01 ,$15.01 , N/A ,$15.01 ,$15.41 ,$15.41 ,$16.20 , N/A ,$15.30 , N/A , N/A ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$15.30 ,$14.89 ,$5.04 ,$16.20 ,$14.13 ,$14.87 , N/A ,$11.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200226,N/A,HC ADHESIVE DERMABOND,272,1 ,$453.00 ,$326.16 ,$126.84 ,$453.00 , N/A ,$362.40 , N/A ,$126.84 ,$395.47 ,$416.31 , N/A ,$374.63 , N/A , N/A ,$416.76 , N/A , N/A , N/A ,$377.80 ,$377.80 ,$377.80 , N/A ,$377.80 ,$387.77 ,$387.77 ,$407.70 , N/A ,$385.05 , N/A , N/A ,$254.13 , N/A ,$187.54 , N/A , N/A , N/A ,$385.05 ,$374.63 ,$126.84 ,$407.70 ,$355.61 ,$374.18 , N/A ,$294.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200231,N/A,HC AEROCHAMBER,272,1 ,$49.00 ,$35.28 ,$13.72 ,$49.00 , N/A ,$39.20 , N/A ,$13.72 ,$42.78 ,$45.03 , N/A ,$40.52 , N/A , N/A ,$45.08 , N/A , N/A , N/A ,$40.87 ,$40.87 ,$40.87 , N/A ,$40.87 ,$41.94 ,$41.94 ,$44.10 , N/A ,$41.65 , N/A , N/A ,$27.49 , N/A ,$20.29 , N/A , N/A , N/A ,$41.65 ,$40.52 ,$13.72 ,$44.10 ,$38.47 ,$40.47 , N/A ,$31.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200238,N/A,HC AMBU BAG PEDIATRIC,272,1 ,$19.00 ,$13.68 ,$5.32 ,$19.00 , N/A ,$15.20 , N/A ,$5.32 ,$16.59 ,$17.46 , N/A ,$15.71 , N/A , N/A ,$17.48 , N/A , N/A , N/A ,$15.85 ,$15.85 ,$15.85 , N/A ,$15.85 ,$16.26 ,$16.26 ,$17.10 , N/A ,$16.15 , N/A , N/A ,$10.66 , N/A ,$7.87 , N/A , N/A , N/A ,$16.15 ,$15.71 ,$5.32 ,$17.10 ,$14.92 ,$15.69 , N/A ,$12.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200288,N/A,HC BAG AMBU,272,1 ,$98.00 ,$70.56 ,$27.44 ,$98.00 , N/A ,$78.40 , N/A ,$27.44 ,$85.55 ,$90.06 , N/A ,$81.05 , N/A , N/A ,$90.16 , N/A , N/A , N/A ,$81.73 ,$81.73 ,$81.73 , N/A ,$81.73 ,$83.89 ,$83.89 ,$88.20 , N/A ,$83.30 , N/A , N/A ,$54.98 , N/A ,$40.57 , N/A , N/A , N/A ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 , N/A ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$16.00 ,$11.52 ,$4.48 ,$16.00 , N/A ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A ,$14.72 , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 , N/A ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27200568,N/A,HC BRA SURGICAL,272,1 ,$92.00 ,$66.24 ,$25.76 ,$92.00 , N/A ,$73.60 , N/A ,$25.76 ,$80.32 ,$84.55 , N/A ,$76.08 , N/A , N/A ,$84.64 , N/A , N/A , N/A ,$76.73 ,$76.73 ,$76.73 , N/A ,$76.73 ,$78.75 ,$78.75 ,$82.80 , N/A ,$78.20 , N/A , N/A ,$51.61 , N/A ,$38.09 , N/A , N/A , N/A ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 , N/A ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201088,N/A,HC DISSECTOR BALLOON DISP,272,1 ,$204.00 ,$146.88 ,$57.12 ,$204.00 , N/A ,$163.20 , N/A ,$57.12 ,$178.09 ,$187.48 , N/A ,$168.71 , N/A , N/A ,$187.68 , N/A , N/A , N/A ,$170.14 ,$170.14 ,$170.14 , N/A ,$170.14 ,$174.62 ,$174.62 ,$183.60 , N/A ,$173.40 , N/A , N/A ,$114.44 , N/A ,$84.46 , N/A , N/A , N/A ,$173.40 ,$168.71 ,$57.12 ,$183.60 ,$160.14 ,$168.50 , N/A ,$132.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201471,N/A,HC JACKSON PRATT SUCTION DR,272,1 ,$36.00 ,$25.92 ,$10.08 ,$36.00 , N/A ,$28.80 , N/A ,$10.08 ,$31.43 ,$33.08 , N/A ,$29.77 , N/A , N/A ,$33.12 , N/A , N/A , N/A ,$30.02 ,$30.02 ,$30.02 , N/A ,$30.02 ,$30.82 ,$30.82 ,$32.40 , N/A ,$30.60 , N/A , N/A ,$20.20 , N/A ,$14.90 , N/A , N/A , N/A ,$30.60 ,$29.77 ,$10.08 ,$32.40 ,$28.26 ,$29.74 , N/A ,$23.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201494,N/A,HC KIT CATH 3LUMEN 7FR20CM,272,1 ,$363.00 ,$261.36 ,$101.64 ,$363.00 , N/A ,$290.40 , N/A ,$101.64 ,$316.90 ,$333.60 , N/A ,$300.20 , N/A , N/A ,$333.96 , N/A , N/A , N/A ,$302.74 ,$302.74 ,$302.74 , N/A ,$302.74 ,$310.73 ,$310.73 ,$326.70 , N/A ,$308.55 , N/A , N/A ,$203.64 , N/A ,$150.28 , N/A , N/A , N/A ,$308.55 ,$300.20 ,$101.64 ,$326.70 ,$284.96 ,$299.84 , N/A ,$235.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201502,N/A,HC KIT DRAINAGE,272,1 ,$362.00 ,$260.64 ,$101.36 ,$362.00 , N/A ,$289.60 , N/A ,$101.36 ,$316.03 ,$332.68 , N/A ,$299.37 , N/A , N/A ,$333.04 , N/A , N/A , N/A ,$301.91 ,$301.91 ,$301.91 , N/A ,$301.91 ,$309.87 ,$309.87 ,$325.80 , N/A ,$307.70 , N/A , N/A ,$203.08 , N/A ,$149.87 , N/A , N/A , N/A ,$307.70 ,$299.37 ,$101.36 ,$325.80 ,$284.17 ,$299.01 , N/A ,$235.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201542,N/A,HC KIT TIGHTROPE SYNDESMESIS REPAIR,272,1 ,"$1,375.00 ",$990.00 ,$385.00 ,"$1,375.00 ", N/A ,"$1,100.00 ", N/A ,$385.00 ,"$1,200.38 ","$1,263.63 ", N/A ,"$1,137.13 ", N/A , N/A ,"$1,265.00 ", N/A , N/A , N/A ,"$1,146.75 ","$1,146.75 ","$1,146.75 ", N/A ,"$1,146.75 ","$1,177.00 ","$1,177.00 ","$1,237.50 ", N/A ,"$1,168.75 ", N/A , N/A ,$771.38 , N/A ,$569.25 , N/A , N/A , N/A ,"$1,168.75 ","$1,137.13 ",$385.00 ,"$1,237.50 ","$1,079.38 ","$1,135.75 ", N/A ,$893.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201832,N/A,HC PEP DEVICE,272,1 ,$93.00 ,$66.96 ,$26.04 ,$93.00 , N/A ,$74.40 , N/A ,$26.04 ,$81.19 ,$85.47 , N/A ,$76.91 , N/A , N/A ,$85.56 , N/A , N/A , N/A ,$77.56 ,$77.56 ,$77.56 , N/A ,$77.56 ,$79.61 ,$79.61 ,$83.70 , N/A ,$79.05 , N/A , N/A ,$52.17 , N/A ,$38.50 , N/A , N/A , N/A ,$79.05 ,$76.91 ,$26.04 ,$83.70 ,$73.01 ,$76.82 , N/A ,$60.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201906,N/A,HC PROBE ELECTRODE SERVAS,272,1 ,"$1,034.00 ",$744.48 ,$289.52 ,"$1,034.00 ", N/A ,$827.20 , N/A ,$289.52 ,$902.68 ,$950.25 , N/A ,$855.12 , N/A , N/A ,$951.28 , N/A , N/A , N/A ,$862.36 ,$862.36 ,$862.36 , N/A ,$862.36 ,$885.10 ,$885.10 ,$930.60 , N/A ,$878.90 , N/A , N/A ,$580.07 , N/A ,$428.08 , N/A , N/A , N/A ,$878.90 ,$855.12 ,$289.52 ,$930.60 ,$811.69 ,$854.08 , N/A ,$672.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27201938,N/A,HC PULSE OXIMETER PROBE DISP,272,1 ,$34.00 ,$24.48 ,$9.52 ,$34.00 , N/A ,$27.20 , N/A ,$9.52 ,$29.68 ,$31.25 , N/A ,$28.12 , N/A , N/A ,$31.28 , N/A , N/A , N/A ,$28.36 ,$28.36 ,$28.36 , N/A ,$28.36 ,$29.10 ,$29.10 ,$30.60 , N/A ,$28.90 , N/A , N/A ,$19.07 , N/A ,$14.08 , N/A , N/A , N/A ,$28.90 ,$28.12 ,$9.52 ,$30.60 ,$26.69 ,$28.08 , N/A ,$22.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27202002,N/A,HC SCD SLEEVE KNEE,272,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$20.00 , N/A ,$7.00 ,$21.83 ,$22.98 , N/A ,$20.68 , N/A , N/A ,$23.00 , N/A , N/A , N/A ,$20.85 ,$20.85 ,$20.85 , N/A ,$20.85 ,$21.40 ,$21.40 ,$22.50 , N/A ,$21.25 , N/A , N/A ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$21.25 ,$20.68 ,$7.00 ,$22.50 ,$19.63 ,$20.65 , N/A ,$16.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27202609,N/A,HC SUTURE GRASPERS (ALL),272,1 ,$175.00 ,$126.00 ,$49.00 ,$175.00 , N/A ,$140.00 , N/A ,$49.00 ,$152.78 ,$160.83 , N/A ,$144.73 , N/A , N/A ,$161.00 , N/A , N/A , N/A ,$145.95 ,$145.95 ,$145.95 , N/A ,$145.95 ,$149.80 ,$149.80 ,$157.50 , N/A ,$148.75 , N/A , N/A ,$98.18 , N/A ,$72.45 , N/A , N/A , N/A ,$148.75 ,$144.73 ,$49.00 ,$157.50 ,$137.38 ,$144.55 , N/A ,$113.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27202665,N/A,HC THORACENTESIS TRAY,272,1 ,$112.00 ,$80.64 ,$31.36 ,$112.00 , N/A ,$89.60 , N/A ,$31.36 ,$97.78 ,$102.93 , N/A ,$92.62 , N/A , N/A ,$103.04 , N/A , N/A , N/A ,$93.41 ,$93.41 ,$93.41 , N/A ,$93.41 ,$95.87 ,$95.87 ,$100.80 , N/A ,$95.20 , N/A , N/A ,$62.83 , N/A ,$46.37 , N/A , N/A , N/A ,$95.20 ,$92.62 ,$31.36 ,$100.80 ,$87.92 ,$92.51 , N/A ,$72.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27202737,N/A,HC TRAY BIO-CORKSCREW INSTRUMENTS,272,1 ,$912.00 ,$656.64 ,$255.36 ,$912.00 , N/A ,$729.60 , N/A ,$255.36 ,$796.18 ,$838.13 , N/A ,$754.22 , N/A , N/A ,$839.04 , N/A , N/A , N/A ,$760.61 ,$760.61 ,$760.61 , N/A ,$760.61 ,$780.67 ,$780.67 ,$820.80 , N/A ,$775.20 , N/A , N/A ,$511.63 , N/A ,$377.57 , N/A , N/A , N/A ,$775.20 ,$754.22 ,$255.36 ,$820.80 ,$715.92 ,$753.31 , N/A ,$592.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27202807,N/A,HC TRAY SPINAL,272,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$22.40 , N/A ,$7.84 ,$24.44 ,$25.73 , N/A ,$23.16 , N/A , N/A ,$25.76 , N/A , N/A , N/A ,$23.35 ,$23.35 ,$23.35 , N/A ,$23.35 ,$23.97 ,$23.97 ,$25.20 , N/A ,$23.80 , N/A , N/A ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 , N/A ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27202955,N/A,HC ULTRASOUND GEL,272,1 ,$90.00 ,$64.80 ,$25.20 ,$90.00 , N/A ,$72.00 , N/A ,$25.20 ,$78.57 ,$82.71 , N/A ,$74.43 , N/A , N/A ,$82.80 , N/A , N/A , N/A ,$75.06 ,$75.06 ,$75.06 , N/A ,$75.06 ,$77.04 ,$77.04 ,$81.00 , N/A ,$76.50 , N/A , N/A ,$50.49 , N/A ,$37.26 , N/A , N/A , N/A ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 , N/A ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203051,N/A,HC NASAL PACKING,272,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203079,N/A,HC SKIN STAPLER 35W,272,1 ,$29.00 ,$20.88 ,$8.12 ,$29.00 , N/A ,$23.20 , N/A ,$8.12 ,$25.32 ,$26.65 , N/A ,$23.98 , N/A , N/A ,$26.68 , N/A , N/A , N/A ,$24.19 ,$24.19 ,$24.19 , N/A ,$24.19 ,$24.82 ,$24.82 ,$26.10 , N/A ,$24.65 , N/A , N/A ,$16.27 , N/A ,$12.01 , N/A , N/A , N/A ,$24.65 ,$23.98 ,$8.12 ,$26.10 ,$22.77 ,$23.95 , N/A ,$18.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203298,N/A,HC HEMOSTATIC PARTICLES,272,1 ,$170.00 ,$122.40 ,$47.60 ,$170.00 , N/A ,$136.00 , N/A ,$47.60 ,$148.41 ,$156.23 , N/A ,$140.59 , N/A , N/A ,$156.40 , N/A , N/A , N/A ,$141.78 ,$141.78 ,$141.78 , N/A ,$141.78 ,$145.52 ,$145.52 ,$153.00 , N/A ,$144.50 , N/A , N/A ,$95.37 , N/A ,$70.38 , N/A , N/A , N/A ,$144.50 ,$140.59 ,$47.60 ,$153.00 ,$133.45 ,$140.42 , N/A ,$110.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$185.00 ,$133.20 ,$51.80 ,$185.00 , N/A ,$148.00 , N/A ,$51.80 ,$161.51 ,$170.02 , N/A ,$153.00 , N/A , N/A ,$170.20 , N/A , N/A , N/A ,$154.29 ,$154.29 ,$154.29 , N/A ,$154.29 ,$158.36 ,$158.36 ,$166.50 , N/A ,$157.25 , N/A , N/A ,$103.79 , N/A ,$76.59 , N/A , N/A , N/A ,$157.25 ,$153.00 ,$51.80 ,$166.50 ,$145.23 ,$152.81 , N/A ,$120.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203510,N/A,HC CATHETER URETHRAL,272,1 ,$21.00 ,$15.12 ,$5.88 ,$21.00 , N/A ,$16.80 , N/A ,$5.88 ,$18.33 ,$19.30 , N/A ,$17.37 , N/A , N/A ,$19.32 , N/A , N/A , N/A ,$17.51 ,$17.51 ,$17.51 , N/A ,$17.51 ,$17.98 ,$17.98 ,$18.90 , N/A ,$17.85 , N/A , N/A ,$11.78 , N/A ,$8.69 , N/A , N/A , N/A ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 , N/A ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203562,N/A,HC CATHETER SUCTION,272,1 ,$15.00 ,$10.80 ,$4.20 ,$15.00 , N/A ,$12.00 , N/A ,$4.20 ,$13.10 ,$13.79 , N/A ,$12.41 , N/A , N/A ,$13.80 , N/A , N/A , N/A ,$12.51 ,$12.51 ,$12.51 , N/A ,$12.51 ,$12.84 ,$12.84 ,$13.50 , N/A ,$12.75 , N/A , N/A ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$12.75 ,$12.41 ,$4.20 ,$13.50 ,$11.78 ,$12.39 , N/A ,$9.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203580,N/A,HC KIT IV START,272,1 ,$5.00 ,$3.60 ,$1.40 ,$5.00 , N/A ,$4.00 , N/A ,$1.40 ,$4.37 ,$4.60 , N/A ,$4.14 , N/A , N/A ,$4.60 , N/A , N/A , N/A ,$4.17 ,$4.17 ,$4.17 , N/A ,$4.17 ,$4.28 ,$4.28 ,$4.50 , N/A ,$4.25 , N/A , N/A ,$2.81 , N/A ,$2.07 , N/A , N/A , N/A ,$4.25 ,$4.14 ,$1.40 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203597,N/A,HC TUBING ANY,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203607,N/A,HC CIRCUIT CPAP/BIPAP,272,1 ,$19.00 ,$13.68 ,$5.32 ,$19.00 , N/A ,$15.20 , N/A ,$5.32 ,$16.59 ,$17.46 , N/A ,$15.71 , N/A , N/A ,$17.48 , N/A , N/A , N/A ,$15.85 ,$15.85 ,$15.85 , N/A ,$15.85 ,$16.26 ,$16.26 ,$17.10 , N/A ,$16.15 , N/A , N/A ,$10.66 , N/A ,$7.87 , N/A , N/A , N/A ,$16.15 ,$15.71 ,$5.32 ,$17.10 ,$14.92 ,$15.69 , N/A ,$12.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203626,N/A,HC TUBE ENDOTRACH,272,1 ,$89.00 ,$64.08 ,$24.92 ,$89.00 , N/A ,$71.20 , N/A ,$24.92 ,$77.70 ,$81.79 , N/A ,$73.60 , N/A , N/A ,$81.88 , N/A , N/A , N/A ,$74.23 ,$74.23 ,$74.23 , N/A ,$74.23 ,$76.18 ,$76.18 ,$80.10 , N/A ,$75.65 , N/A , N/A ,$49.93 , N/A ,$36.85 , N/A , N/A , N/A ,$75.65 ,$73.60 ,$24.92 ,$80.10 ,$69.87 ,$73.51 , N/A ,$57.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203636,N/A,HC TRAY MYELOGRAM,272,1 ,$40.00 ,$28.80 ,$11.20 ,$40.00 , N/A ,$32.00 , N/A ,$11.20 ,$34.92 ,$36.76 , N/A ,$33.08 , N/A , N/A ,$36.80 , N/A , N/A , N/A ,$33.36 ,$33.36 ,$33.36 , N/A ,$33.36 ,$34.24 ,$34.24 ,$36.00 , N/A ,$34.00 , N/A , N/A ,$22.44 , N/A ,$16.56 , N/A , N/A , N/A ,$34.00 ,$33.08 ,$11.20 ,$36.00 ,$31.40 ,$33.04 , N/A ,$26.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203689,N/A,HC COVER PROBE,272,1 ,$16.00 ,$11.52 ,$4.48 ,$16.00 , N/A ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A ,$14.72 , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 , N/A ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27203873,N/A,HC BAG RESUSCITATION PEDI,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204575,N/A,HC LARYNGEAL MASK AIRWAY SUPREME,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204616,N/A,HC TUBING SUCTION,272,1 ,$24.00 ,$17.28 ,$6.72 ,$24.00 , N/A ,$19.20 , N/A ,$6.72 ,$20.95 ,$22.06 , N/A ,$19.85 , N/A , N/A ,$22.08 , N/A , N/A , N/A ,$20.02 ,$20.02 ,$20.02 , N/A ,$20.02 ,$20.54 ,$20.54 ,$21.60 , N/A ,$20.40 , N/A , N/A ,$13.46 , N/A ,$9.94 , N/A , N/A , N/A ,$20.40 ,$19.85 ,$6.72 ,$21.60 ,$18.84 ,$19.82 , N/A ,$15.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204656,N/A,HC BAG RESUSCITOR,272,1 ,$40.00 ,$28.80 ,$11.20 ,$40.00 , N/A ,$32.00 , N/A ,$11.20 ,$34.92 ,$36.76 , N/A ,$33.08 , N/A , N/A ,$36.80 , N/A , N/A , N/A ,$33.36 ,$33.36 ,$33.36 , N/A ,$33.36 ,$34.24 ,$34.24 ,$36.00 , N/A ,$34.00 , N/A , N/A ,$22.44 , N/A ,$16.56 , N/A , N/A , N/A ,$34.00 ,$33.08 ,$11.20 ,$36.00 ,$31.40 ,$33.04 , N/A ,$26.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$39.00 ,$28.08 ,$10.92 ,$39.00 , N/A ,$31.20 , N/A ,$10.92 ,$34.05 ,$35.84 , N/A ,$32.25 , N/A , N/A ,$35.88 , N/A , N/A , N/A ,$32.53 ,$32.53 ,$32.53 , N/A ,$32.53 ,$33.38 ,$33.38 ,$35.10 , N/A ,$33.15 , N/A , N/A ,$21.88 , N/A ,$16.15 , N/A , N/A , N/A ,$33.15 ,$32.25 ,$10.92 ,$35.10 ,$30.62 ,$32.21 , N/A ,$25.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204866,N/A,HC AIRWAY INTUBATING W/OXYGEN DELIVERY,272,1 ,$149.00 ,$107.28 ,$41.72 ,$149.00 , N/A ,$119.20 , N/A ,$41.72 ,$130.08 ,$136.93 , N/A ,$123.22 , N/A , N/A ,$137.08 , N/A , N/A , N/A ,$124.27 ,$124.27 ,$124.27 , N/A ,$124.27 ,$127.54 ,$127.54 ,$134.10 , N/A ,$126.65 , N/A , N/A ,$83.59 , N/A ,$61.69 , N/A , N/A , N/A ,$126.65 ,$123.22 ,$41.72 ,$134.10 ,$116.97 ,$123.07 , N/A ,$96.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204898,N/A,HC KIT INCISION  AND  DRAINAGE,272,1 ,$88.00 ,$63.36 ,$24.64 ,$88.00 , N/A ,$70.40 , N/A ,$24.64 ,$76.82 ,$80.87 , N/A ,$72.78 , N/A , N/A ,$80.96 , N/A , N/A , N/A ,$73.39 ,$73.39 ,$73.39 , N/A ,$73.39 ,$75.33 ,$75.33 ,$79.20 , N/A ,$74.80 , N/A , N/A ,$49.37 , N/A ,$36.43 , N/A , N/A , N/A ,$74.80 ,$72.78 ,$24.64 ,$79.20 ,$69.08 ,$72.69 , N/A ,$57.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204936,N/A,HC NEEDLE NERVE BLOCK ECHOGENIC,272,1 ,$123.00 ,$88.56 ,$34.44 ,$123.00 , N/A ,$98.40 , N/A ,$34.44 ,$107.38 ,$113.04 , N/A ,$101.72 , N/A , N/A ,$113.16 , N/A , N/A , N/A ,$102.58 ,$102.58 ,$102.58 , N/A ,$102.58 ,$105.29 ,$105.29 ,$110.70 , N/A ,$104.55 , N/A , N/A ,$69.00 , N/A ,$50.92 , N/A , N/A , N/A ,$104.55 ,$101.72 ,$34.44 ,$110.70 ,$96.56 ,$101.60 , N/A ,$79.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204937,N/A,HC NEEDLE NERVE BLOCK STIMULATING,272,1 ,$27.00 ,$19.44 ,$7.56 ,$27.00 , N/A ,$21.60 , N/A ,$7.56 ,$23.57 ,$24.81 , N/A ,$22.33 , N/A , N/A ,$24.84 , N/A , N/A , N/A ,$22.52 ,$22.52 ,$22.52 , N/A ,$22.52 ,$23.11 ,$23.11 ,$24.30 , N/A ,$22.95 , N/A , N/A ,$15.15 , N/A ,$11.18 , N/A , N/A , N/A ,$22.95 ,$22.33 ,$7.56 ,$24.30 ,$21.20 ,$22.30 , N/A ,$17.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204988,N/A,HC BAG INFUSION PRESSURE,272,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$20.00 , N/A ,$7.00 ,$21.83 ,$22.98 , N/A ,$20.68 , N/A , N/A ,$23.00 , N/A , N/A , N/A ,$20.85 ,$20.85 ,$20.85 , N/A ,$20.85 ,$21.40 ,$21.40 ,$22.50 , N/A ,$21.25 , N/A , N/A ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$21.25 ,$20.68 ,$7.00 ,$22.50 ,$19.63 ,$20.65 , N/A ,$16.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27204999,N/A,HC SENSOR PULSE OX,272,1 ,$31.00 ,$22.32 ,$8.68 ,$31.00 , N/A ,$24.80 , N/A ,$8.68 ,$27.06 ,$28.49 , N/A ,$25.64 , N/A , N/A ,$28.52 , N/A , N/A , N/A ,$25.85 ,$25.85 ,$25.85 , N/A ,$25.85 ,$26.54 ,$26.54 ,$27.90 , N/A ,$26.35 , N/A , N/A ,$17.39 , N/A ,$12.83 , N/A , N/A , N/A ,$26.35 ,$25.64 ,$8.68 ,$27.90 ,$24.34 ,$25.61 , N/A ,$20.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205023,N/A,HC SNARE OVAL,272,1 ,$46.00 ,$33.12 ,$12.88 ,$46.00 , N/A ,$36.80 , N/A ,$12.88 ,$40.16 ,$42.27 , N/A ,$38.04 , N/A , N/A ,$42.32 , N/A , N/A , N/A ,$38.36 ,$38.36 ,$38.36 , N/A ,$38.36 ,$39.38 ,$39.38 ,$41.40 , N/A ,$39.10 , N/A , N/A ,$25.81 , N/A ,$19.04 , N/A , N/A , N/A ,$39.10 ,$38.04 ,$12.88 ,$41.40 ,$36.11 ,$38.00 , N/A ,$29.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205037,N/A,HC SUCTION CATH CLOSED ELBOW,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205058,N/A,HC TRAY FOLEY,272,1 ,$52.00 ,$37.44 ,$14.56 ,$52.00 , N/A ,$41.60 , N/A ,$14.56 ,$45.40 ,$47.79 , N/A ,$43.00 , N/A , N/A ,$47.84 , N/A , N/A , N/A ,$43.37 ,$43.37 ,$43.37 , N/A ,$43.37 ,$44.51 ,$44.51 ,$46.80 , N/A ,$44.20 , N/A , N/A ,$29.17 , N/A ,$21.53 , N/A , N/A , N/A ,$44.20 ,$43.00 ,$14.56 ,$46.80 ,$40.82 ,$42.95 , N/A ,$33.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205074,N/A,HC TUBE TRACH,272,1 ,$46.00 ,$33.12 ,$12.88 ,$46.00 , N/A ,$36.80 , N/A ,$12.88 ,$40.16 ,$42.27 , N/A ,$38.04 , N/A , N/A ,$42.32 , N/A , N/A , N/A ,$38.36 ,$38.36 ,$38.36 , N/A ,$38.36 ,$39.38 ,$39.38 ,$41.40 , N/A ,$39.10 , N/A , N/A ,$25.81 , N/A ,$19.04 , N/A , N/A , N/A ,$39.10 ,$38.04 ,$12.88 ,$41.40 ,$36.11 ,$38.00 , N/A ,$29.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205269,N/A,HC CIRCUIT BREATHING W/EXPIRATORY VALVE,272,1 ,$59.00 ,$42.48 ,$16.52 ,$59.00 , N/A ,$47.20 , N/A ,$16.52 ,$51.51 ,$54.22 , N/A ,$48.79 , N/A , N/A ,$54.28 , N/A , N/A , N/A ,$49.21 ,$49.21 ,$49.21 , N/A ,$49.21 ,$50.50 ,$50.50 ,$53.10 , N/A ,$50.15 , N/A , N/A ,$33.10 , N/A ,$24.43 , N/A , N/A , N/A ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 , N/A ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205286,N/A,HC BAG INFUSION PRESSURE SMALL,272,1 ,$110.00 ,$79.20 ,$30.80 ,$110.00 , N/A ,$88.00 , N/A ,$30.80 ,$96.03 ,$101.09 , N/A ,$90.97 , N/A , N/A ,$101.20 , N/A , N/A , N/A ,$91.74 ,$91.74 ,$91.74 , N/A ,$91.74 ,$94.16 ,$94.16 ,$99.00 , N/A ,$93.50 , N/A , N/A ,$61.71 , N/A ,$45.54 , N/A , N/A , N/A ,$93.50 ,$90.97 ,$30.80 ,$99.00 ,$86.35 ,$90.86 , N/A ,$71.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205386,N/A,HC HANDLE LARYNGEAL BLADE,272,1 ,$72.00 ,$51.84 ,$20.16 ,$72.00 , N/A ,$57.60 , N/A ,$20.16 ,$62.86 ,$66.17 , N/A ,$59.54 , N/A , N/A ,$66.24 , N/A , N/A , N/A ,$60.05 ,$60.05 ,$60.05 , N/A ,$60.05 ,$61.63 ,$61.63 ,$64.80 , N/A ,$61.20 , N/A , N/A ,$40.39 , N/A ,$29.81 , N/A , N/A , N/A ,$61.20 ,$59.54 ,$20.16 ,$64.80 ,$56.52 ,$59.47 , N/A ,$46.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205411,N/A,HC DRESSING ELASTIC NET,272,1 ,$118.00 ,$84.96 ,$33.04 ,$118.00 , N/A ,$94.40 , N/A ,$33.04 ,$103.01 ,$108.44 , N/A ,$97.59 , N/A , N/A ,$108.56 , N/A , N/A , N/A ,$98.41 ,$98.41 ,$98.41 , N/A ,$98.41 ,$101.01 ,$101.01 ,$106.20 , N/A ,$100.30 , N/A , N/A ,$66.20 , N/A ,$48.85 , N/A , N/A , N/A ,$100.30 ,$97.59 ,$33.04 ,$106.20 ,$92.63 ,$97.47 , N/A ,$76.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205436,N/A,HC THERAPY PUTTY,272,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205487,N/A,HC BOTTLE DRAINAGE SAFETY VAC,272,1 ,$25.00 ,$18.00 ,$7.00 ,$25.00 , N/A ,$20.00 , N/A ,$7.00 ,$21.83 ,$22.98 , N/A ,$20.68 , N/A , N/A ,$23.00 , N/A , N/A , N/A ,$20.85 ,$20.85 ,$20.85 , N/A ,$20.85 ,$21.40 ,$21.40 ,$22.50 , N/A ,$21.25 , N/A , N/A ,$14.03 , N/A ,$10.35 , N/A , N/A , N/A ,$21.25 ,$20.68 ,$7.00 ,$22.50 ,$19.63 ,$20.65 , N/A ,$16.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205494,N/A,HC REPLACEMENT PROC MODULES,272,1 ,$57.00 ,$41.04 ,$15.96 ,$57.00 , N/A ,$45.60 , N/A ,$15.96 ,$49.76 ,$52.38 , N/A ,$47.14 , N/A , N/A ,$52.44 , N/A , N/A , N/A ,$47.54 ,$47.54 ,$47.54 , N/A ,$47.54 ,$48.79 ,$48.79 ,$51.30 , N/A ,$48.45 , N/A , N/A ,$31.98 , N/A ,$23.60 , N/A , N/A , N/A ,$48.45 ,$47.14 ,$15.96 ,$51.30 ,$44.75 ,$47.08 , N/A ,$37.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205503,N/A,HC IMPLANT SYSTEM BIOCOMPOSITE,272,1 ,$27.00 ,$19.44 ,$7.56 ,$27.00 , N/A ,$21.60 , N/A ,$7.56 ,$23.57 ,$24.81 , N/A ,$22.33 , N/A , N/A ,$24.84 , N/A , N/A , N/A ,$22.52 ,$22.52 ,$22.52 , N/A ,$22.52 ,$23.11 ,$23.11 ,$24.30 , N/A ,$22.95 , N/A , N/A ,$15.15 , N/A ,$11.18 , N/A , N/A , N/A ,$22.95 ,$22.33 ,$7.56 ,$24.30 ,$21.20 ,$22.30 , N/A ,$17.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205504,N/A,HC STEAM CHEMICAL INTEGRATOR,272,1 ,$23.00 ,$16.56 ,$6.44 ,$23.00 , N/A ,$18.40 , N/A ,$6.44 ,$20.08 ,$21.14 , N/A ,$19.02 , N/A , N/A ,$21.16 , N/A , N/A , N/A ,$19.18 ,$19.18 ,$19.18 , N/A ,$19.18 ,$19.69 ,$19.69 ,$20.70 , N/A ,$19.55 , N/A , N/A ,$12.90 , N/A ,$9.52 , N/A , N/A , N/A ,$19.55 ,$19.02 ,$6.44 ,$20.70 ,$18.06 ,$19.00 , N/A ,$14.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205505,N/A,HC MEDI-FLOW LENS IRRIGATION SET,272,1 ,$21.00 ,$15.12 ,$5.88 ,$21.00 , N/A ,$16.80 , N/A ,$5.88 ,$18.33 ,$19.30 , N/A ,$17.37 , N/A , N/A ,$19.32 , N/A , N/A , N/A ,$17.51 ,$17.51 ,$17.51 , N/A ,$17.51 ,$17.98 ,$17.98 ,$18.90 , N/A ,$17.85 , N/A , N/A ,$11.78 , N/A ,$8.69 , N/A , N/A , N/A ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 , N/A ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205506,N/A,HC HEAT SEAL STERILIZATION POUCH,272,1 ,$42.00 ,$30.24 ,$11.76 ,$42.00 , N/A ,$33.60 , N/A ,$11.76 ,$36.67 ,$38.60 , N/A ,$34.73 , N/A , N/A ,$38.64 , N/A , N/A , N/A ,$35.03 ,$35.03 ,$35.03 , N/A ,$35.03 ,$35.95 ,$35.95 ,$37.80 , N/A ,$35.70 , N/A , N/A ,$23.56 , N/A ,$17.39 , N/A , N/A , N/A ,$35.70 ,$34.73 ,$11.76 ,$37.80 ,$32.97 ,$34.69 , N/A ,$27.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205507,N/A,HC HEAT SEAL STERILIZATION TUBING,272,1 ,$31.00 ,$22.32 ,$8.68 ,$31.00 , N/A ,$24.80 , N/A ,$8.68 ,$27.06 ,$28.49 , N/A ,$25.64 , N/A , N/A ,$28.52 , N/A , N/A , N/A ,$25.85 ,$25.85 ,$25.85 , N/A ,$25.85 ,$26.54 ,$26.54 ,$27.90 , N/A ,$26.35 , N/A , N/A ,$17.39 , N/A ,$12.83 , N/A , N/A , N/A ,$26.35 ,$25.64 ,$8.68 ,$27.90 ,$24.34 ,$25.61 , N/A ,$20.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205508,N/A,HC POUCH PEEL STERILIZATION,272,1 ,$29.00 ,$20.88 ,$8.12 ,$29.00 , N/A ,$23.20 , N/A ,$8.12 ,$25.32 ,$26.65 , N/A ,$23.98 , N/A , N/A ,$26.68 , N/A , N/A , N/A ,$24.19 ,$24.19 ,$24.19 , N/A ,$24.19 ,$24.82 ,$24.82 ,$26.10 , N/A ,$24.65 , N/A , N/A ,$16.27 , N/A ,$12.01 , N/A , N/A , N/A ,$24.65 ,$23.98 ,$8.12 ,$26.10 ,$22.77 ,$23.95 , N/A ,$18.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205509,N/A,HC CT SYRINGE KIT,272,1 ,$18.00 ,$12.96 ,$5.04 ,$18.00 , N/A ,$14.40 , N/A ,$5.04 ,$15.71 ,$16.54 , N/A ,$14.89 , N/A , N/A ,$16.56 , N/A , N/A , N/A ,$15.01 ,$15.01 ,$15.01 , N/A ,$15.01 ,$15.41 ,$15.41 ,$16.20 , N/A ,$15.30 , N/A , N/A ,$10.10 , N/A ,$7.45 , N/A , N/A , N/A ,$15.30 ,$14.89 ,$5.04 ,$16.20 ,$14.13 ,$14.87 , N/A ,$11.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205510,N/A,HC EMG NEEDLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205511,N/A,HC WOUND GEL,272,1 ,$41.00 ,$29.52 ,$11.48 ,$41.00 , N/A ,$32.80 , N/A ,$11.48 ,$35.79 ,$37.68 , N/A ,$33.91 , N/A , N/A ,$37.72 , N/A , N/A , N/A ,$34.19 ,$34.19 ,$34.19 , N/A ,$34.19 ,$35.10 ,$35.10 ,$36.90 , N/A ,$34.85 , N/A , N/A ,$23.00 , N/A ,$16.97 , N/A , N/A , N/A ,$34.85 ,$33.91 ,$11.48 ,$36.90 ,$32.19 ,$33.87 , N/A ,$26.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205512,N/A,HC DRESSING PICC KIT,272,1 ,$46.00 ,$33.12 ,$12.88 ,$46.00 , N/A ,$36.80 , N/A ,$12.88 ,$40.16 ,$42.27 , N/A ,$38.04 , N/A , N/A ,$42.32 , N/A , N/A , N/A ,$38.36 ,$38.36 ,$38.36 , N/A ,$38.36 ,$39.38 ,$39.38 ,$41.40 , N/A ,$39.10 , N/A , N/A ,$25.81 , N/A ,$19.04 , N/A , N/A , N/A ,$39.10 ,$38.04 ,$12.88 ,$41.40 ,$36.11 ,$38.00 , N/A ,$29.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205513,N/A,HC BULB EVACUATOR,272,1 ,$41.00 ,$29.52 ,$11.48 ,$41.00 , N/A ,$32.80 , N/A ,$11.48 ,$35.79 ,$37.68 , N/A ,$33.91 , N/A , N/A ,$37.72 , N/A , N/A , N/A ,$34.19 ,$34.19 ,$34.19 , N/A ,$34.19 ,$35.10 ,$35.10 ,$36.90 , N/A ,$34.85 , N/A , N/A ,$23.00 , N/A ,$16.97 , N/A , N/A , N/A ,$34.85 ,$33.91 ,$11.48 ,$36.90 ,$32.19 ,$33.87 , N/A ,$26.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27205514,N/A,HC RIGID SOLE COVER,272,1 ,$53.00 ,$38.16 ,$14.84 ,$53.00 , N/A ,$42.40 , N/A ,$14.84 ,$46.27 ,$48.71 , N/A ,$43.83 , N/A , N/A ,$48.76 , N/A , N/A , N/A ,$44.20 ,$44.20 ,$44.20 , N/A ,$44.20 ,$45.37 ,$45.37 ,$47.70 , N/A ,$45.05 , N/A , N/A ,$29.73 , N/A ,$21.94 , N/A , N/A , N/A ,$45.05 ,$43.83 ,$14.84 ,$47.70 ,$41.61 ,$43.78 , N/A ,$34.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRAIN INCISION 10MM FLAT CHANNEL BARD,272,1 ,$39.21 ,$28.23 ,$10.98 ,$39.21 , N/A ,$31.37 , N/A ,$10.98 ,$34.23 ,$36.03 , N/A ,$32.43 , N/A , N/A ,$36.07 , N/A , N/A , N/A ,$32.70 ,$32.70 ,$32.70 , N/A ,$32.70 ,$33.56 ,$33.56 ,$35.29 , N/A ,$33.33 , N/A , N/A ,$22.00 , N/A ,$16.23 , N/A , N/A , N/A ,$33.33 ,$32.43 ,$10.98 ,$35.29 ,$30.78 ,$32.39 , N/A ,$25.49 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRAIN JP 7FR,272,1 ,$22.83 ,$16.44 ,$6.39 ,$22.83 , N/A ,$18.26 , N/A ,$6.39 ,$19.93 ,$20.98 , N/A ,$18.88 , N/A , N/A ,$21.00 , N/A , N/A , N/A ,$19.04 ,$19.04 ,$19.04 , N/A ,$19.04 ,$19.54 ,$19.54 ,$20.55 , N/A ,$19.41 , N/A , N/A ,$12.81 , N/A ,$9.45 , N/A , N/A , N/A ,$19.41 ,$18.88 ,$6.39 ,$20.55 ,$17.92 ,$18.86 , N/A ,$14.84 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRAIN JP BULB SILICONE 100ML,272,1 ,$11.04 ,$7.95 ,$3.09 ,$11.04 , N/A ,$8.83 , N/A ,$3.09 ,$9.64 ,$10.15 , N/A ,$9.13 , N/A , N/A ,$10.16 , N/A , N/A , N/A ,$9.21 ,$9.21 ,$9.21 , N/A ,$9.21 ,$9.45 ,$9.45 ,$9.94 , N/A ,$9.38 , N/A , N/A ,$6.19 , N/A ,$4.57 , N/A , N/A , N/A ,$9.38 ,$9.13 ,$3.09 ,$9.94 ,$8.67 ,$9.12 , N/A ,$7.18 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRESSING TELFA 3IN X 8IN,272,1 ,$0.24 ,$0.17 ,$0.07 ,$0.24 , N/A ,$0.19 , N/A ,$0.07 ,$0.21 ,$0.22 , N/A ,$0.20 , N/A , N/A ,$0.22 , N/A , N/A , N/A ,$0.20 ,$0.20 ,$0.20 , N/A ,$0.20 ,$0.21 ,$0.21 ,$0.22 , N/A ,$0.20 , N/A , N/A ,$0.13 , N/A ,$0.10 , N/A , N/A , N/A ,$0.20 ,$0.20 ,$0.07 ,$0.22 ,$0.19 ,$0.20 , N/A ,$0.16 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRESSING XEROFORM 2 X 2,272,1 ,$1.14 ,$0.82 ,$0.32 ,$1.14 , N/A ,$0.91 , N/A ,$0.32 ,$1.00 ,$1.05 , N/A ,$0.94 , N/A , N/A ,$1.05 , N/A , N/A , N/A ,$0.95 ,$0.95 ,$0.95 , N/A ,$0.95 ,$0.98 ,$0.98 ,$1.03 , N/A ,$0.97 , N/A , N/A ,$0.64 , N/A ,$0.47 , N/A , N/A , N/A ,$0.97 ,$0.94 ,$0.32 ,$1.03 ,$0.89 ,$0.94 , N/A ,$0.74 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL 12 30D KNIFE 12CM 24-28FR STERILE DISPOSABLE HIGH FREQUENCY ROLLER BUTTON LATEX FREE,272,1 ,$178.47 ,$128.50 ,$49.97 ,$178.47 , N/A ,$142.78 , N/A ,$49.97 ,$155.80 ,$164.01 , N/A ,$147.59 , N/A , N/A ,$164.19 , N/A , N/A , N/A ,$148.84 ,$148.84 ,$148.84 , N/A ,$148.84 ,$152.77 ,$152.77 ,$160.62 , N/A ,$151.70 , N/A , N/A ,$100.12 , N/A ,$73.89 , N/A , N/A , N/A ,$151.70 ,$147.59 ,$49.97 ,$160.62 ,$140.10 ,$147.42 , N/A ,$116.01 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT ARTHREX PERCUTANEOUS 3.0 SUTURTAKS,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$480.00 , N/A ,$168.00 ,$523.80 ,$551.40 , N/A ,$496.20 , N/A , N/A ,$552.00 , N/A , N/A , N/A ,$500.40 ,$500.40 ,$500.40 , N/A ,$500.40 ,$513.60 ,$513.60 ,$540.00 , N/A ,$510.00 , N/A , N/A ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$510.00 ,$496.20 ,$168.00 ,$540.00 ,$471.00 ,$495.60 , N/A ,$390.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CLIP RESOLUTION 360 2.8MM  235CM,272,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$480.00 , N/A ,$168.00 ,$523.80 ,$551.40 , N/A ,$496.20 , N/A , N/A ,$552.00 , N/A , N/A , N/A ,$500.40 ,$500.40 ,$500.40 , N/A ,$500.40 ,$513.60 ,$513.60 ,$540.00 , N/A ,$510.00 , N/A , N/A ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$510.00 ,$496.20 ,$168.00 ,$540.00 ,$471.00 ,$495.60 , N/A ,$390.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT INSERTION PERCUTANEOUS KNOTLESS SUTURETAK,272,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$960.00 , N/A ,$336.00 ,"$1,047.60 ","$1,102.80 ", N/A ,$992.40 , N/A , N/A ,"$1,104.00 ", N/A , N/A , N/A ,"$1,000.80 ","$1,000.80 ","$1,000.80 ", N/A ,"$1,000.80 ","$1,027.20 ","$1,027.20 ","$1,080.00 ", N/A ,"$1,020.00 ", N/A , N/A ,$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,020.00 ",$992.40 ,$336.00 ,"$1,080.00 ",$942.00 ,$991.20 , N/A ,$780.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT INSTRUMENT DISPOSABLE 3.9MM KNOTLESS CORKSCREW,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$720.00 , N/A ,$252.00 ,$785.70 ,$827.10 , N/A ,$744.30 , N/A , N/A ,$828.00 , N/A , N/A , N/A ,$750.60 ,$750.60 ,$750.60 , N/A ,$750.60 ,$770.40 ,$770.40 ,$810.00 , N/A ,$765.00 , N/A , N/A ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$765.00 ,$744.30 ,$252.00 ,$810.00 ,$706.50 ,$743.40 , N/A ,$585.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CAUTERY LIGASURE HANDPIECE CURVED SMALL JAW,272,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$720.00 , N/A ,$252.00 ,$785.70 ,$827.10 , N/A ,$744.30 , N/A , N/A ,$828.00 , N/A , N/A , N/A ,$750.60 ,$750.60 ,$750.60 , N/A ,$750.60 ,$770.40 ,$770.40 ,$810.00 , N/A ,$765.00 , N/A , N/A ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$765.00 ,$744.30 ,$252.00 ,$810.00 ,$706.50 ,$743.40 , N/A ,$585.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT VANTAGE CATARACT,272,1 ,$865.20 ,$622.94 ,$242.26 ,$865.20 , N/A ,$692.16 , N/A ,$242.26 ,$755.32 ,$795.12 , N/A ,$715.52 , N/A , N/A ,$795.98 , N/A , N/A , N/A ,$721.58 ,$721.58 ,$721.58 , N/A ,$721.58 ,$740.61 ,$740.61 ,$778.68 , N/A ,$735.42 , N/A , N/A ,$485.38 , N/A ,$358.19 , N/A , N/A , N/A ,$735.42 ,$715.52 ,$242.26 ,$778.68 ,$679.18 ,$714.66 , N/A ,$562.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,Needle HYPO 25GA X 1.5IN,272,1 ,$0.21 ,$0.15 ,$0.06 ,$0.21 , N/A ,$0.17 , N/A ,$0.06 ,$0.18 ,$0.19 , N/A ,$0.17 , N/A , N/A ,$0.19 , N/A , N/A , N/A ,$0.18 ,$0.18 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.18 ,$0.19 , N/A ,$0.18 , N/A , N/A ,$0.12 , N/A ,$0.09 , N/A , N/A , N/A ,$0.18 ,$0.17 ,$0.06 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PROBE ELECTROSURGICAL 33CM 5MM SPATULA MONOPOLAR,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,FLIPCUTTER II SHORT 10.0MM,272,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,REAMER ARTHREX PILOTED HEAD 7MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ABDOMINAL,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,REAMER ARTHREX PILOT HEAD SWIVEL LOCK 7.5MM,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CLIP RESOLUTION 2.8MM 360 235CM 11MM OPEN,272,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,RETRIEVER RESCUENET 30MM 7.5FR,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,MAT SUCTION 56X35IN THE SUCTIONER FOAM ABSORBABLE ANTIFATIGUE ANTISLIP CONTINUOUS,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL BIT STRYKER 1.9MM X 27MM,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL BIT TWIST STRYKER,272,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,STAPLE RELOAD RELIATACK ARTIC FIXATION,272,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,200.00 ", N/A ,$420.00 ,"$1,309.50 ","$1,378.50 ", N/A ,"$1,240.50 ", N/A , N/A ,"$1,380.00 ", N/A , N/A , N/A ,"$1,251.00 ","$1,251.00 ","$1,251.00 ", N/A ,"$1,251.00 ","$1,284.00 ","$1,284.00 ","$1,350.00 ", N/A ,"$1,275.00 ", N/A , N/A ,$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,275.00 ","$1,240.50 ",$420.00 ,"$1,350.00 ","$1,177.50 ","$1,239.00 ", N/A ,$975.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE ARTHREX LASSO CRESCENT CAT NUM AR 4068C,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,STAPLE RELOAD 10 COUNT RELIATACK FIXATION,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 1.8 QC 110MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.0 QC 140MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL BIT SYNTHES 2.4 QC 100MM,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT DRAINAGE 6.44IN 8FR 22GA PNEUMOTHORAX CATHETER RADIOPAQUE NEEDLE SHARP SAFETY 10ML LATEX FREE,272,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE ARTHREX LASSO QUICKPASS LEFT CURVED 45D,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,NEEDLE SCORPION AR-13995N,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PASSER QUICKPASS LASSO 45D RIGHT CURVE THUMBWHEEL SUTURE NITINOL STERILE DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PROBE ELECTROSURGICAL APOLLORF 90D MULTIPORT,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ABSORB HEMO PARTICLES ARISTA,272,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE ETHILON MULTIPASS 3-0 FS-1 18IN,272,1 ,$3.75 ,$2.70 ,$1.05 ,$3.75 , N/A ,$3.00 , N/A ,$1.05 ,$3.27 ,$3.45 , N/A ,$3.10 , N/A , N/A ,$3.45 , N/A , N/A , N/A ,$3.13 ,$3.13 ,$3.13 , N/A ,$3.13 ,$3.21 ,$3.21 ,$3.38 , N/A ,$3.19 , N/A , N/A ,$2.10 , N/A ,$1.55 , N/A , N/A , N/A ,$3.19 ,$3.10 ,$1.05 ,$3.38 ,$2.94 ,$3.10 , N/A ,$2.44 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE GORE-TEX CV-0 THX-36 DA 36IN,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,HANDPIECE SURGICAL NANOSCOPE,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT SECONDARY FIXATION  ACL/PCL,272,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE MONOCRYL 4-0 PS-2 Y496G,272,1 ,$11.37 ,$8.19 ,$3.18 ,$11.37 , N/A ,$9.10 , N/A ,$3.18 ,$9.93 ,$10.45 , N/A ,$9.40 , N/A , N/A ,$10.46 , N/A , N/A , N/A ,$9.48 ,$9.48 ,$9.48 , N/A ,$9.48 ,$9.73 ,$9.73 ,$10.23 , N/A ,$9.66 , N/A , N/A ,$6.38 , N/A ,$4.71 , N/A , N/A , N/A ,$9.66 ,$9.40 ,$3.18 ,$10.23 ,$8.93 ,$9.39 , N/A ,$7.39 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 0 CT-2 27 J270H,272,1 ,$3.81 ,$2.74 ,$1.07 ,$3.81 , N/A ,$3.05 , N/A ,$1.07 ,$3.33 ,$3.50 , N/A ,$3.15 , N/A , N/A ,$3.51 , N/A , N/A , N/A ,$3.18 ,$3.18 ,$3.18 , N/A ,$3.18 ,$3.26 ,$3.26 ,$3.43 , N/A ,$3.24 , N/A , N/A ,$2.14 , N/A ,$1.58 , N/A , N/A , N/A ,$3.24 ,$3.15 ,$1.07 ,$3.43 ,$2.99 ,$3.15 , N/A ,$2.48 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE VICRYL 2-0 SH 27 J417H,272,1 ,$3.66 ,$2.64 ,$1.02 ,$3.66 , N/A ,$2.93 , N/A ,$1.02 ,$3.20 ,$3.36 , N/A ,$3.03 , N/A , N/A ,$3.37 , N/A , N/A , N/A ,$3.05 ,$3.05 ,$3.05 , N/A ,$3.05 ,$3.13 ,$3.13 ,$3.29 , N/A ,$3.11 , N/A , N/A ,$2.05 , N/A ,$1.52 , N/A , N/A , N/A ,$3.11 ,$3.03 ,$1.02 ,$3.29 ,$2.87 ,$3.02 , N/A ,$2.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SYSTEM CPAP LG ADLT DLX MASK  WITH B/V FILTER,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,POWER PICK ATHREX 45 DEGREE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE FIBERSNARE FIBERWIRE 2 26IN CLOSED LOOP STIFFEN GREEN 12IN NONABSORBABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE FIBERTAPE ARTHREX 2MM 36 BLUE #2 FIBERWIRE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 7CM 3.5MM COOLCUT TORPEDO SMALL JOINT DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL SURGICAL 3.9 MM KNOTLESS CORKSCREW,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRILL TWIST YELLOW 122MM 2.6MM AO SHAFT END 70MM VARIAX LOCK PLATE SYSTEM NONSTERILE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL 45D BALL COOLCUT STERILE SMALL JOINT ABLATION RADIOFREQUENCY WAND,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT INSTRUMENT ACL TRANSTIBIAL HALL STYLE SAW BLADE DISPOSABLE,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TIP SCISSOR ENDOCUT MICROLINE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,LAPAROTOMY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,LOWER EXTREMITY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,MARKER ENDOSPOT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,NEEDLE HYPO INTERJECT SCLEROTHERAPY 25GA,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,OPEN SHOULDER SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ARTHROSCOPY BONUTTI GRAY SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK EXTREMITY GSS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK MINOR SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ORTHO MINOR 575 SFL GSS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK SURGICAL DRAPE IMPERVIOUS SPLIT STERILE DISPOSABLE ORTHO IX 124X90IN 48X12IN LOWER EXTREMITY LATEX FREE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,POSITIONER ARTHREX UNIVERSAL HEAD,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SET BLOOD WARMING HIGH FLOW,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SET THORACENTESIS 7CM 5FR ONE STEP DRAINAGE SHOP 3 SAFETY NEEDLE VALVED CATHETER FIXED LUER THORACENTESIS PARACENTESIS CENTESIS,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUCTION/IRRIGATOR STRYKER ENDOSCOPY STRYKEFLOW II,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE FIBERLOOP 2 AR-7234,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE TIGERSTICK TIGERWIRE 2 50IN 1 END STIFFEN MONOFILAMENT BLACK WHITE 12IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BLADE SHAVER EXCALIBER 13CM 4MM COOLCUT,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BURR SHAVER 13CM 5.5MM COOLCUT 12 FLUTE OVAL STERILE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BURR SHAVER 13CM 5.5MM COOLCUT 8 FLUTE ROUND STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BURR SHAVER 13CM 5MM COOLCUT 8 FLUTE OVAL STERILE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CANNULA BUTTON 10MM 3CM PASSPORT BUTTON SILICONE CURVE HIP 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CANNULA BUTTON 8MM 2CM PASSPORT BUTTON SILICONE CURVE HIP 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE STERILE LATEX FREE DISPOSABLE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CANNULA PASSPORT BUTTON 8 X 3,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CATCH ENDO POUCH,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CLIP LIGACLIP TITANIUM SMALL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRAINAGE CHEST SYSTEM SENTINAL,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ELECTRODE ELECTROSURGICAL 90D L HOOK 170MM STERILE DISPOSABLE INSULATE ARTHROSCOPIC STANDARD VALLEYLAB SWITCHPEN,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,FORCEP BIOPSY FORCEP RADIAL JAW 3.2 240CM,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,FORCEP BIOPSY RADIAL JAW HOT 2.8,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),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 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,FORCEPS BIOPSY NEEDLE 240CM 2.2MM RADIAL JAW 4 2.8MM STANDARD CAPACITY STERILE DISPOSABLE ORANGE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,LAP CHOLE SAE,272,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TRAP LABEL REMOVABLE 4 CHAMBER CATCHEM SPECIMEN POLYP DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PREP CHLORAPREP 26ML,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PROTECTOR EYE OPTI-GARD BLUE FOAM,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CAUTERY BATTERY BOVIE 2200F HIGH TEMPERATURE FINE TIP STERILE LATEX FREE DISPOSABLE,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,FORCEP RADIAL JAW BX,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A ,$18.40 , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TUBING ARTHREX ARTHROSCOPY,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ARTHROSCOPY,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ARTHROSCOPY KNEE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ARTHROSCOPY SFL GSS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK ORTHO MAJOR SFL GSS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK SHOULDER SJS GSS,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,STAPLE RELOAD 5 COUNT RELIATACK FIXATION,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE FIBERLOOP ARTHREX SUTURETAPE NEEDLE BLACK WHITE NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE TIGERLOOP ARTHREX SUTURETAPE NEEDLE BLACK WHITE NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TIP DISSECTOR MARYLAND MONOPOLAR TRADITIONAL,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BLADE SHAVER 7CM 3MM DISSECTOR,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DEVICE LAPROSHARK FASCIAL CLOSURE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ENDO CLIP APPLIER LIGAMAX M/L 5MM,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,GRASPER LAPAROSCOPIC FENESTRATE 5MM CONTROLTIP 22.6MM DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,GRASPER LAPAROSCOPIC MODIFY 5MM CONTROLTIP RAPTOR 25.9MM DISPOSABLE,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TUBING FLUSHING,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,MANIFOLD SUCTION NEPTUNE 2 2 STANDARD 4 PORT WASTE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,NEEDLE BONE MARROW ASPIRATION JAMSHIDI 8GA X 10CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,NEEDLE HYPO VERRES INSUFLATION 120MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK BASIC 571 SFL GSS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK BASIC GSS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK LAPAROTOMY,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK SURGICAL LARGE MICROCOOL DAVOL HOLLISTER OB III ABSORBENT TOWEL ABDOMINAL DRAPE BACK TABLE COVER STERILE DISPOSABLE 60X38IN 22X15IN PLASTIC LATEX FREE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SNARE 2.8CM ROUND 240CM 25MM 2.4MM CAPTIVATOR II LOOP STIFF SHEATH BRAID WIRE ENDOSCOPIC POLYPECTOMY STERILE DISPOSABLE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SNARE ROUND 15MM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SNARE ROUND 240MM 10MM 2.4MM CAPTIVATOR II,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SPONGE GELFOAM 100,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SUTURE FIBERWIRE #2 AR-7200,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TROCAR FIOS ADVANCE 5X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TROCAR LAPAROSCOPIC 100MM 12MM KII BALLOON BLUNT TIP STERILE LATEX FREE OPTICAL ACCESS SYSTEM ABDOMINAL,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),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 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TROCAR Z THREADED 12X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TUBE CHEST ARGYLE W/ TROCAR 20FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ADHESIVE DERMABOND,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BLADE SAW 25X9MM PRECISION THIN OFFSET STRYKER,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,BLADE STRYKER 9MM PRECISION THK.76MM 31MM OFFSET,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CANNULA ARTHROSCOPIC 7MM 7CM TWIST-IN,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CANNULA TWIST IN 8.25MM X 7CM,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,DRAIN JACK PRATT 19FR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,ENDOCLOSE SUTURING INSTRUMENT,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,KIT COLON WITH LUBE,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,TUBING SUCTION 100FT 9/32IN 16 MALE CUT TO FEMALE CONNECTOR NONSTERILE LATEX,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,NEEDLE INSULATED STIMUPLEX,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,PACK UNIVERSAL SPLIT,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SET BLOOD WARMING STANDARD FLOW HEAT EXCHANGER BUBBLE TRAP 39ML RANGER DISPOSABLE 9000ML/HOUR 30IN STERILE LATEX FREE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SLEEVE SCD CALF 17,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,SLING ORTHO 13X10IN FOAM XL,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,STAPLER PRECISE 35 WIDE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27270000,N/A,CANNULA SLEEVE WITH BALLOON FIXATION,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY 10FR 3CC BALLOON,272,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A , N/A , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271729,C1729,CATHETER THORACIC TROCAR 28 FR X 16,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A , N/A , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271729,C1729,CATHETER THORACIC 24FR W TROCAR,272,1 ,$75.00 ,$54.00 ,$21.00 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A , N/A , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),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 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A , N/A , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271729,C1729,CATHETER FOLEY BARD 3-WAY 22FR 30ML,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A , N/A , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),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 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A , N/A , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271751,C1751,KIT CATHETER 7FR 8IN .032IN MTLUM PRESS INJ SPRG GDWIRE 2 LL,272,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A , N/A , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271758,C1758,CATHETER URETHRAL BARDEX LUBRICATH 18FR STANDARD FOLEY 3 WAY 2 STAGGER DRAINAGE EYE MEDIUM ROUND TIP NATURAL RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE,272,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A , N/A , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),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 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A , N/A , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27271769,C1769,WIRE GUIDE ALPHATEC,272,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A , N/A , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27400003,L0120,HC CERVICAL COLLAR,274,1 ,$173.00 ,$124.56 ,$48.44 ,$173.00 ,$157.60 ,$138.40 ,$61.78 ,$48.44 ,$151.03 ,$158.99 ,$57.68 ,$143.07 ,$61.78 ,$127.35 ,$159.16 ,$154.45 ,$61.78 ,$63.01 ,$144.28 ,$144.28 ,$144.28 ,$61.78 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$147.16 ,$147.05 ,$61.78 ,$61.78 ,$97.05 ,$61.78 ,$71.62 , N/A , N/A ,$64.88 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$61.78 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27400019,L1830,HC KNEE IMMOBILIZER,274,1 ,$68.00 ,$48.96 ,$19.04 ,$194.95 ,$194.95 ,$54.40 ,$66.64 ,$19.04 ,$59.36 ,$62.49 ,$66.64 ,$56.24 ,$66.64 ,$68.00 ,$62.56 ,$66.64 ,$76.42 ,$67.97 ,$56.71 ,$56.71 ,$56.71 ,$66.64 ,$56.71 ,$58.21 ,$58.21 ,$61.20 ,$68.00 ,$57.80 ,$66.64 ,$66.64 ,$38.15 ,$76.42 ,$28.15 , N/A , N/A ,$66.64 ,$57.80 ,$56.24 ,$19.04 ,$61.20 ,$53.38 ,$56.17 ,$76.42 ,$44.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27400039,L3670,HC SHOULDER IMMOBILIZER FIT  AND  ADJ,274,1 ,$28.00 ,$20.16 ,$7.84 ,$269.15 ,$269.15 ,$22.40 ,$27.44 ,$7.84 ,$24.44 ,$25.73 ,$27.44 ,$23.16 ,$27.44 ,$28.00 ,$25.76 ,$27.44 ,$105.51 ,$27.99 ,$23.35 ,$23.35 ,$23.35 ,$27.44 ,$23.35 ,$23.97 ,$23.97 ,$25.20 ,$28.00 ,$23.80 ,$27.44 ,$27.44 ,$15.71 ,$105.51 ,$11.59 , N/A , N/A ,$27.44 ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 ,$105.51 ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27400129,L1971,HC AFO ANKLE BRACE PREFAB,274,1 ,$46.00 ,$33.12 ,$12.88 ,"$1,176.13 ","$1,176.13 ",$36.80 ,$45.08 ,$12.88 ,$40.16 ,$42.27 ,$45.08 ,$38.04 ,$45.08 ,$46.00 ,$42.32 ,$45.08 ,$461.04 ,$45.98 ,$38.36 ,$38.36 ,$38.36 ,$45.08 ,$38.36 ,$39.38 ,$39.38 ,$41.40 ,$46.00 ,$39.10 ,$45.08 ,$45.08 ,$25.81 ,$461.04 ,$19.04 , N/A , N/A ,$45.08 ,$39.10 ,$38.04 ,$12.88 ,$41.40 ,$36.11 ,$38.00 ,$461.04 ,$29.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27470172,L0172,HC CERVICAL COLLAR SEMI-RIGID,274,1 ,$40.00 ,$28.80 ,$11.20 ,$369.33 ,$369.33 ,$32.00 ,$39.20 ,$11.20 ,$34.92 ,$36.76 ,$39.20 ,$33.08 ,$39.20 ,$40.00 ,$36.80 ,$39.20 ,$144.78 ,$39.98 ,$33.36 ,$33.36 ,$33.36 ,$39.20 ,$33.36 ,$34.24 ,$34.24 ,$36.00 ,$40.00 ,$34.00 ,$39.20 ,$39.20 ,$22.44 ,$144.78 ,$16.56 , N/A , N/A ,$39.20 ,$34.00 ,$33.08 ,$11.20 ,$36.00 ,$31.40 ,$33.04 ,$144.78 ,$26.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27662787,V2787,IOL ASTIGMATISM (TORIC) CORRECTING UPGRADE,276,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 ,$375.00 ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 ,$375.00 ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 ,$375.00 ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27662787,V2787,IOL TECNIS SIMPLICITY DIU UPGRADE,276,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,200.00 ", N/A ,$420.00 ,"$1,309.50 ","$1,378.50 ","$1,500.00 ","$1,240.50 ", N/A , N/A ,"$1,380.00 ", N/A , N/A , N/A ,"$1,251.00 ","$1,251.00 ","$1,251.00 ", N/A ,"$1,251.00 ","$1,284.00 ","$1,284.00 ","$1,350.00 ","$1,500.00 ","$1,275.00 ", N/A , N/A ,$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,275.00 ","$1,240.50 ",$420.00 ,"$1,350.00 ","$1,177.50 ","$1,239.00 ","$1,500.00 ",$975.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27662788,V2788,IOL AMO MULTIFOCAL ZLB00,276,1 ,$925.00 ,$666.00 ,$259.00 ,$925.00 , N/A ,$740.00 , N/A ,$259.00 ,$807.53 ,$850.08 , N/A ,$764.98 , N/A , N/A ,$851.00 , N/A , N/A , N/A ,$771.45 ,$771.45 ,$771.45 , N/A ,$771.45 ,$791.80 ,$791.80 ,$832.50 , N/A ,$786.25 , N/A , N/A ,$518.93 , N/A ,$382.95 , N/A , N/A , N/A ,$786.25 ,$764.98 ,$259.00 ,$832.50 ,$726.13 ,$764.05 , N/A ,$601.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27662788,V2788,IOL TECNIS SYMPHONY ZXR00 UPGRADE,276,1 ,$775.00 ,$558.00 ,$217.00 ,$775.00 , N/A ,$620.00 , N/A ,$217.00 ,$676.58 ,$712.23 , N/A ,$640.93 , N/A , N/A ,$713.00 , N/A , N/A , N/A ,$646.35 ,$646.35 ,$646.35 , N/A ,$646.35 ,$663.40 ,$663.40 ,$697.50 , N/A ,$658.75 , N/A , N/A ,$434.78 , N/A ,$320.85 , N/A , N/A , N/A ,$658.75 ,$640.93 ,$217.00 ,$697.50 ,$608.38 ,$640.15 , N/A ,$503.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27662788,V2788,IOL PRESBYOPIA (PRESBYOPIA/RESTOR) CORRECTING UPGRADE,276,1 ,$775.00 ,$558.00 ,$217.00 ,$775.00 , N/A ,$620.00 , N/A ,$217.00 ,$676.58 ,$712.23 , N/A ,$640.93 , N/A , N/A ,$713.00 , N/A , N/A , N/A ,$646.35 ,$646.35 ,$646.35 , N/A ,$646.35 ,$663.40 ,$663.40 ,$697.50 , N/A ,$658.75 , N/A , N/A ,$434.78 , N/A ,$320.85 , N/A , N/A , N/A ,$658.75 ,$640.93 ,$217.00 ,$697.50 ,$608.38 ,$640.15 , N/A ,$503.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27662788,V2788,IOL TECNIS SYMPHONY ZXT UPGRADE,276,1 ,$865.00 ,$622.80 ,$242.20 ,$865.00 , N/A ,$692.00 , N/A ,$242.20 ,$755.15 ,$794.94 , N/A ,$715.36 , N/A , N/A ,$795.80 , N/A , N/A , N/A ,$721.41 ,$721.41 ,$721.41 , N/A ,$721.41 ,$740.44 ,$740.44 ,$778.50 , N/A ,$735.25 , N/A , N/A ,$485.27 , N/A ,$358.11 , N/A , N/A , N/A ,$735.25 ,$715.36 ,$242.20 ,$778.50 ,$679.03 ,$714.49 , N/A ,$562.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,"HC LENS, INTRAOCULAR (NEW TECHNOLOGY)",276,1 ,"$3,008.00 ","$2,165.76 ",$842.24 ,"$3,008.00 ", N/A ,"$2,406.40 ", N/A ,$842.24 ,"$2,625.98 ","$2,764.35 ", N/A ,"$2,487.62 ", N/A , N/A ,"$2,767.36 ", N/A , N/A , N/A ,"$2,508.67 ","$2,508.67 ","$2,508.67 ", N/A ,"$2,508.67 ","$2,574.85 ","$2,574.85 ","$2,707.20 ", N/A ,"$2,556.80 ", N/A , N/A ,"$1,687.49 ", N/A ,"$1,245.31 ", N/A , N/A , N/A ,"$2,556.80 ","$2,487.62 ",$842.24 ,"$2,707.20 ","$2,361.28 ","$2,484.61 ", N/A ,"$1,955.20 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL AMO PRECISION MULTIFOCAL ZKB00,276,1 ,$925.00 ,$666.00 ,$259.00 ,$925.00 , N/A ,$740.00 , N/A ,$259.00 ,$807.53 ,$850.08 , N/A ,$764.98 , N/A , N/A ,$851.00 , N/A , N/A , N/A ,$771.45 ,$771.45 ,$771.45 , N/A ,$771.45 ,$791.80 ,$791.80 ,$832.50 , N/A ,$786.25 , N/A , N/A ,$518.93 , N/A ,$382.95 , N/A , N/A , N/A ,$786.25 ,$764.98 ,$259.00 ,$832.50 ,$726.13 ,$764.05 , N/A ,$601.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON MN6AD1,276,1 ,$925.00 ,$666.00 ,$259.00 ,$925.00 , N/A ,$740.00 , N/A ,$259.00 ,$807.53 ,$850.08 , N/A ,$764.98 , N/A , N/A ,$851.00 , N/A , N/A , N/A ,$771.45 ,$771.45 ,$771.45 , N/A ,$771.45 ,$791.80 ,$791.80 ,$832.50 , N/A ,$786.25 , N/A , N/A ,$518.93 , N/A ,$382.95 , N/A , N/A , N/A ,$786.25 ,$764.98 ,$259.00 ,$832.50 ,$726.13 ,$764.05 , N/A ,$601.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON RESTOR SN6AD1,276,1 ,$925.00 ,$666.00 ,$259.00 ,$925.00 , N/A ,$740.00 , N/A ,$259.00 ,$807.53 ,$850.08 , N/A ,$764.98 , N/A , N/A ,$851.00 , N/A , N/A , N/A ,$771.45 ,$771.45 ,$771.45 , N/A ,$771.45 ,$791.80 ,$791.80 ,$832.50 , N/A ,$786.25 , N/A , N/A ,$518.93 , N/A ,$382.95 , N/A , N/A , N/A ,$786.25 ,$764.98 ,$259.00 ,$832.50 ,$726.13 ,$764.05 , N/A ,$601.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL AMO SYMFONY TORIC ZXT375,276,1 ,"$1,015.00 ",$730.80 ,$284.20 ,"$1,015.00 ", N/A ,$812.00 , N/A ,$284.20 ,$886.10 ,$932.79 , N/A ,$839.41 , N/A , N/A ,$933.80 , N/A , N/A , N/A ,$846.51 ,$846.51 ,$846.51 , N/A ,$846.51 ,$868.84 ,$868.84 ,$913.50 , N/A ,$862.75 , N/A , N/A ,$569.42 , N/A ,$420.21 , N/A , N/A , N/A ,$862.75 ,$839.41 ,$284.20 ,$913.50 ,$796.78 ,$838.39 , N/A ,$659.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL BAUSCH  AND  LOMB MX60E ENVISTA,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON MN60AC,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON MTA3U0,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON MTA4U0,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON MTA5UO,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL ALCON SN60AT,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL AMO PRECISION PCB00,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS MULTIFOCAL SYMPHONY ZXR00,276,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,640.00 ", N/A ,$924.00 ,"$2,880.90 ","$3,032.70 ", N/A ,"$2,729.10 ", N/A , N/A ,"$3,036.00 ", N/A , N/A , N/A ,"$2,752.20 ","$2,752.20 ","$2,752.20 ", N/A ,"$2,752.20 ","$2,824.80 ","$2,824.80 ","$2,970.00 ", N/A ,"$2,805.00 ", N/A , N/A ,"$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,805.00 ","$2,729.10 ",$924.00 ,"$2,970.00 ","$2,590.50 ","$2,725.80 ", N/A ,"$2,145.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL AMO SYMFONY TORIC ZXT150,276,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,640.00 ", N/A ,$924.00 ,"$2,880.90 ","$3,032.70 ", N/A ,"$2,729.10 ", N/A , N/A ,"$3,036.00 ", N/A , N/A , N/A ,"$2,752.20 ","$2,752.20 ","$2,752.20 ", N/A ,"$2,752.20 ","$2,824.80 ","$2,824.80 ","$2,970.00 ", N/A ,"$2,805.00 ", N/A , N/A ,"$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,805.00 ","$2,729.10 ",$924.00 ,"$2,970.00 ","$2,590.50 ","$2,725.80 ", N/A ,"$2,145.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL AMO SYMFONY TORIC ZXT225,276,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,640.00 ", N/A ,$924.00 ,"$2,880.90 ","$3,032.70 ", N/A ,"$2,729.10 ", N/A , N/A ,"$3,036.00 ", N/A , N/A , N/A ,"$2,752.20 ","$2,752.20 ","$2,752.20 ", N/A ,"$2,752.20 ","$2,824.80 ","$2,824.80 ","$2,970.00 ", N/A ,"$2,805.00 ", N/A , N/A ,"$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,805.00 ","$2,729.10 ",$924.00 ,"$2,970.00 ","$2,590.50 ","$2,725.80 ", N/A ,"$2,145.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL AMO SYMFONY TORIC ZXT300,276,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,640.00 ", N/A ,$924.00 ,"$2,880.90 ","$3,032.70 ", N/A ,"$2,729.10 ", N/A , N/A ,"$3,036.00 ", N/A , N/A , N/A ,"$2,752.20 ","$2,752.20 ","$2,752.20 ", N/A ,"$2,752.20 ","$2,824.80 ","$2,824.80 ","$2,970.00 ", N/A ,"$2,805.00 ", N/A , N/A ,"$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,805.00 ","$2,729.10 ",$924.00 ,"$2,970.00 ","$2,590.50 ","$2,725.80 ", N/A ,"$2,145.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT9,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC DIU150,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC DIU300,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU150,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU225,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU300,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU375,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU450,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU525,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TECNIS TORIC ZCU600,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT3,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT4,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT5,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT6,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT7,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27671780,C1780,IOL TORIC LENS SA6AT8,276,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL TECNIS DIB00,276,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL TECNIS SIMPLICITY DCB00,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL ALCON ACU0T0,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL ALCON MA60AC,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL ALCON SN60WF,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL AMO PRECISION ZCB00,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL BAUSCH LOMB PRECISION LI61AO,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL LENS Z9002,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27672632,V2632,IOL PRECISION ZA9003,276,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27800181,C1763,HC ALLOGRAFT PASTE,278,1 ,"$5,225.00 ","$3,762.00 ","$1,463.00 ","$5,225.00 ", N/A ,"$4,180.00 ", N/A ,"$1,463.00 ","$4,561.43 ","$4,801.78 ", N/A ,"$4,321.08 ", N/A , N/A ,"$4,807.00 ", N/A , N/A , N/A ,"$4,357.65 ","$4,357.65 ","$4,357.65 ", N/A ,"$4,357.65 ","$4,472.60 ","$4,472.60 ","$4,702.50 ", N/A ,"$4,441.25 ", N/A , N/A ,"$2,931.23 ", N/A ,"$2,163.15 ", N/A , N/A , N/A ,"$4,441.25 ","$4,321.08 ","$1,463.00 ","$4,702.50 ","$4,101.63 ","$4,315.85 ", N/A ,"$3,396.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27870000,N/A,DECELLULARIZED ARTHROFLEX DERMIS LIFENET 70MM X 40MM,278,1 ,"$6,300.00 ","$4,536.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$5,040.00 ", N/A ,"$1,764.00 ","$5,499.90 ","$5,789.70 ", N/A ,"$5,210.10 ", N/A , N/A ,"$5,796.00 ", N/A , N/A , N/A ,"$5,254.20 ","$5,254.20 ","$5,254.20 ", N/A ,"$5,254.20 ","$5,392.80 ","$5,392.80 ","$5,670.00 ", N/A ,"$5,355.00 ", N/A , N/A ,"$3,534.30 ", N/A ,"$2,608.20 ", N/A , N/A , N/A ,"$5,355.00 ","$5,210.10 ","$1,764.00 ","$5,670.00 ","$4,945.50 ","$5,203.80 ", N/A ,"$4,095.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27870000,N/A,DEVICE FIXATION TIGHTROPE DEPLOY SUTURE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,080.00 ", N/A ,$378.00 ,"$1,178.55 ","$1,240.65 ", N/A ,"$1,116.45 ", N/A , N/A ,"$1,242.00 ", N/A , N/A , N/A ,"$1,125.90 ","$1,125.90 ","$1,125.90 ", N/A ,"$1,125.90 ","$1,155.60 ","$1,155.60 ","$1,215.00 ", N/A ,"$1,147.50 ", N/A , N/A ,$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,147.50 ","$1,116.45 ",$378.00 ,"$1,215.00 ","$1,059.75 ","$1,115.10 ", N/A ,$877.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27870000,N/A,SYSTEM IMPLANT MPFL BIOCOMPOSITE ARTHREX,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,560.00 ", N/A ,"$1,596.00 ","$4,976.10 ","$5,238.30 ", N/A ,"$4,713.90 ", N/A , N/A ,"$5,244.00 ", N/A , N/A , N/A ,"$4,753.80 ","$4,753.80 ","$4,753.80 ", N/A ,"$4,753.80 ","$4,879.20 ","$4,879.20 ","$5,130.00 ", N/A ,"$4,845.00 ", N/A , N/A ,"$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$4,845.00 ","$4,713.90 ","$1,596.00 ","$5,130.00 ","$4,474.50 ","$4,708.20 ", N/A ,"$3,705.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ALLOGRAFT,278,1 ,"$5,100.00 ","$3,672.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$4,080.00 ", N/A ,"$1,428.00 ","$4,452.30 ","$4,686.90 ", N/A ,"$4,217.70 ", N/A , N/A ,"$4,692.00 ", N/A , N/A , N/A ,"$4,253.40 ","$4,253.40 ","$4,253.40 ", N/A ,"$4,253.40 ","$4,365.60 ","$4,365.60 ","$4,590.00 ", N/A ,"$4,335.00 ", N/A , N/A ,"$2,861.10 ", N/A ,"$2,111.40 ", N/A , N/A , N/A ,"$4,335.00 ","$4,217.70 ","$1,428.00 ","$4,590.00 ","$4,003.50 ","$4,212.60 ", N/A ,"$3,315.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE FIXATION CORKSCREW FT FIBERWIRE 3-0 NANO 2 NEEDLE 1.35MM K WIRE,278,1 ,"$6,900.00 ","$4,968.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,520.00 ", N/A ,"$1,932.00 ","$6,023.70 ","$6,341.10 ", N/A ,"$5,706.30 ", N/A , N/A ,"$6,348.00 ", N/A , N/A , N/A ,"$5,754.60 ","$5,754.60 ","$5,754.60 ", N/A ,"$5,754.60 ","$5,906.40 ","$5,906.40 ","$6,210.00 ", N/A ,"$5,865.00 ", N/A , N/A ,"$3,870.90 ", N/A ,"$2,856.60 ", N/A , N/A , N/A ,"$5,865.00 ","$5,706.30 ","$1,932.00 ","$6,210.00 ","$5,416.50 ","$5,699.40 ", N/A ,"$4,485.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE SPEEDBRIDGE ARTHREX 4.75 X 19.1MM,278,1 ,"$5,700.00 ","$4,104.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,560.00 ", N/A ,"$1,596.00 ","$4,976.10 ","$5,238.30 ", N/A ,"$4,713.90 ", N/A , N/A ,"$5,244.00 ", N/A , N/A , N/A ,"$4,753.80 ","$4,753.80 ","$4,753.80 ", N/A ,"$4,753.80 ","$4,879.20 ","$4,879.20 ","$5,130.00 ", N/A ,"$4,845.00 ", N/A , N/A ,"$3,197.70 ", N/A ,"$2,359.80 ", N/A , N/A , N/A ,"$4,845.00 ","$4,713.90 ","$1,596.00 ","$5,130.00 ","$4,474.50 ","$4,708.20 ", N/A ,"$3,705.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,IMPLANT ANCHOR ARTHREX BIO SWIVELOCK 4.75MM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,200.00 ", N/A ,$420.00 ,"$1,309.50 ","$1,378.50 ", N/A ,"$1,240.50 ", N/A , N/A ,"$1,380.00 ", N/A , N/A , N/A ,"$1,251.00 ","$1,251.00 ","$1,251.00 ", N/A ,"$1,251.00 ","$1,284.00 ","$1,284.00 ","$1,350.00 ", N/A ,"$1,275.00 ", N/A , N/A ,$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,275.00 ","$1,240.50 ",$420.00 ,"$1,350.00 ","$1,177.50 ","$1,239.00 ", N/A ,$975.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,200.00 ", N/A ,$420.00 ,"$1,309.50 ","$1,378.50 ", N/A ,"$1,240.50 ", N/A , N/A ,"$1,380.00 ", N/A , N/A , N/A ,"$1,251.00 ","$1,251.00 ","$1,251.00 ", N/A ,"$1,251.00 ","$1,284.00 ","$1,284.00 ","$1,350.00 ", N/A ,"$1,275.00 ", N/A , N/A ,$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,275.00 ","$1,240.50 ",$420.00 ,"$1,350.00 ","$1,177.50 ","$1,239.00 ", N/A ,$975.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX WHITE/BLACK 4.75 X 19.1MM,278,1 ,"$1,500.00 ","$1,080.00 ",$420.00 ,"$1,500.00 ", N/A ,"$1,200.00 ", N/A ,$420.00 ,"$1,309.50 ","$1,378.50 ", N/A ,"$1,240.50 ", N/A , N/A ,"$1,380.00 ", N/A , N/A , N/A ,"$1,251.00 ","$1,251.00 ","$1,251.00 ", N/A ,"$1,251.00 ","$1,284.00 ","$1,284.00 ","$1,350.00 ", N/A ,"$1,275.00 ", N/A , N/A ,$841.50 , N/A ,$621.00 , N/A , N/A , N/A ,"$1,275.00 ","$1,240.50 ",$420.00 ,"$1,350.00 ","$1,177.50 ","$1,239.00 ", N/A ,$975.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,IMPLANT SYSTEM ARTHREX PROXIMAL TENODESIS,278,1 ,"$2,100.00 ","$1,512.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,680.00 ", N/A ,$588.00 ,"$1,833.30 ","$1,929.90 ", N/A ,"$1,736.70 ", N/A , N/A ,"$1,932.00 ", N/A , N/A , N/A ,"$1,751.40 ","$1,751.40 ","$1,751.40 ", N/A ,"$1,751.40 ","$1,797.60 ","$1,797.60 ","$1,890.00 ", N/A ,"$1,785.00 ", N/A , N/A ,"$1,178.10 ", N/A ,$869.40 , N/A , N/A , N/A ,"$1,785.00 ","$1,736.70 ",$588.00 ,"$1,890.00 ","$1,648.50 ","$1,734.60 ", N/A ,"$1,365.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,PLATE STRAIGHT 84MMX2MM TITANIUM 6 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE FIBULA DISTAL NONSTERILE,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$960.00 , N/A ,$336.00 ,"$1,047.60 ","$1,102.80 ", N/A ,$992.40 , N/A , N/A ,"$1,104.00 ", N/A , N/A , N/A ,"$1,000.80 ","$1,000.80 ","$1,000.80 ", N/A ,"$1,000.80 ","$1,027.20 ","$1,027.20 ","$1,080.00 ", N/A ,"$1,020.00 ", N/A , N/A ,$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,020.00 ",$992.40 ,$336.00 ,"$1,080.00 ",$942.00 ,$991.20 , N/A ,$780.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 3.9MM 2 CORKSCREW KNOTLESS PEEK 10.2MM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$960.00 , N/A ,$336.00 ,"$1,047.60 ","$1,102.80 ", N/A ,$992.40 , N/A , N/A ,"$1,104.00 ", N/A , N/A , N/A ,"$1,000.80 ","$1,000.80 ","$1,000.80 ", N/A ,"$1,000.80 ","$1,027.20 ","$1,027.20 ","$1,080.00 ", N/A ,"$1,020.00 ", N/A , N/A ,$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,020.00 ",$992.40 ,$336.00 ,"$1,080.00 ",$942.00 ,$991.20 , N/A ,$780.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4/2.7 VA-LCP FIRST TMT FUSION STANDARD,278,1 ,"$3,300.00 ","$2,376.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,640.00 ", N/A ,$924.00 ,"$2,880.90 ","$3,032.70 ", N/A ,"$2,729.10 ", N/A , N/A ,"$3,036.00 ", N/A , N/A , N/A ,"$2,752.20 ","$2,752.20 ","$2,752.20 ", N/A ,"$2,752.20 ","$2,824.80 ","$2,824.80 ","$2,970.00 ", N/A ,"$2,805.00 ", N/A , N/A ,"$1,851.30 ", N/A ,"$1,366.20 ", N/A , N/A , N/A ,"$2,805.00 ","$2,729.10 ",$924.00 ,"$2,970.00 ","$2,590.50 ","$2,725.80 ", N/A ,"$2,145.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,PLATE SYNTHES 2.4/2.7 VA-LCP TMT FUSION,278,1 ,"$2,700.00 ","$1,944.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,160.00 ", N/A ,$756.00 ,"$2,357.10 ","$2,481.30 ", N/A ,"$2,232.90 ", N/A , N/A ,"$2,484.00 ", N/A , N/A , N/A ,"$2,251.80 ","$2,251.80 ","$2,251.80 ", N/A ,"$2,251.80 ","$2,311.20 ","$2,311.20 ","$2,430.00 ", N/A ,"$2,295.00 ", N/A , N/A ,"$1,514.70 ", N/A ,"$1,117.80 ", N/A , N/A , N/A ,"$2,295.00 ","$2,232.90 ",$756.00 ,"$2,430.00 ","$2,119.50 ","$2,230.20 ", N/A ,"$1,755.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,PLATE VARIAX STRYKER 2.3,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR ARTHREX BIO COMPOSITE SUTURETAK,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR ARTHREX MINI BIOCOMPOSITE SUTURE TAK,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW ARTHREX INTERFERENCE BIOCOMPOSITE 20MM 9MM KNEE FASTTHREAD,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$720.00 , N/A ,$252.00 ,$785.70 ,$827.10 , N/A ,$744.30 , N/A , N/A ,$828.00 , N/A , N/A , N/A ,$750.60 ,$750.60 ,$750.60 , N/A ,$750.60 ,$770.40 ,$770.40 ,$810.00 , N/A ,$765.00 , N/A , N/A ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$765.00 ,$744.30 ,$252.00 ,$810.00 ,$706.50 ,$743.40 , N/A ,$585.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 8MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW BONE 1.7MM 12MM VARIAX TITANIUM HAND WRIST SELF TAP LOCK CROSS PIN HEAD NONSTERILE,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW BONE 1.7MM 13MM TITANIUM HAND WRIST SELF TAP LOCK LOW PROFILE CROSS PIN HEAD STERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW BONE 2.3MM 13MM TITANIUM SELF TAP LOCK LOW PROFILE CROSS PIN HEAD NONSTERILE GREEN,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 12MM,278,1 ,$300.00 ,$216.00 ,$84.00 ,$300.00 , N/A ,$240.00 , N/A ,$84.00 ,$261.90 ,$275.70 , N/A ,$248.10 , N/A , N/A ,$276.00 , N/A , N/A , N/A ,$250.20 ,$250.20 ,$250.20 , N/A ,$250.20 ,$256.80 ,$256.80 ,$270.00 , N/A ,$255.00 , N/A , N/A ,$168.30 , N/A ,$124.20 , N/A , N/A , N/A ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 14MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 12MM,278,1 ,$375.00 ,$270.00 ,$105.00 ,$375.00 , N/A ,$300.00 , N/A ,$105.00 ,$327.38 ,$344.63 , N/A ,$310.13 , N/A , N/A ,$345.00 , N/A , N/A , N/A ,$312.75 ,$312.75 ,$312.75 , N/A ,$312.75 ,$321.00 ,$321.00 ,$337.50 , N/A ,$318.75 , N/A , N/A ,$210.38 , N/A ,$155.25 , N/A , N/A , N/A ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 , N/A ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.3 CORTEX SELF TAP 15MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW BONE 3.5MM 12MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW STRYKER 2.3 X 8MM,278,1 ,$225.00 ,$162.00 ,$63.00 ,$225.00 , N/A ,$180.00 , N/A ,$63.00 ,$196.43 ,$206.78 , N/A ,$186.08 , N/A , N/A ,$207.00 , N/A , N/A , N/A ,$187.65 ,$187.65 ,$187.65 , N/A ,$187.65 ,$192.60 ,$192.60 ,$202.50 , N/A ,$191.25 , N/A , N/A ,$126.23 , N/A ,$93.15 , N/A , N/A , N/A ,$191.25 ,$186.08 ,$63.00 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 28MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 14MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 16MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 18MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 VA LOCKING S/TAP T8 20MM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SET IMPLANT 6MM 4.5MM CANNULATED DRILL GUIDEPIN INTERFERENCE SCREW REAMER MEDIAL PATELLOFEMORAL LIGAMENT PACK,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,600.00 ", N/A ,"$1,260.00 ","$3,928.50 ","$4,135.50 ", N/A ,"$3,721.50 ", N/A , N/A ,"$4,140.00 ", N/A , N/A , N/A ,"$3,753.00 ","$3,753.00 ","$3,753.00 ", N/A ,"$3,753.00 ","$3,852.00 ","$3,852.00 ","$4,050.00 ", N/A ,"$3,825.00 ", N/A , N/A ,"$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$3,825.00 ","$3,721.50 ","$1,260.00 ","$4,050.00 ","$3,532.50 ","$3,717.00 ", N/A ,"$2,925.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,FLEXIGRAFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,600.00 ", N/A ,"$1,260.00 ","$3,928.50 ","$4,135.50 ", N/A ,"$3,721.50 ", N/A , N/A ,"$4,140.00 ", N/A , N/A , N/A ,"$3,753.00 ","$3,753.00 ","$3,753.00 ", N/A ,"$3,753.00 ","$3,852.00 ","$3,852.00 ","$4,050.00 ", N/A ,"$3,825.00 ", N/A , N/A ,"$2,524.50 ", N/A ,"$1,863.00 ", N/A , N/A , N/A ,"$3,825.00 ","$3,721.50 ","$1,260.00 ","$4,050.00 ","$3,532.50 ","$3,717.00 ", N/A ,"$2,925.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,"SUTURE ANCHOR, SWIVELOCK TENODESIS, BIOCOMPOSITE 7X19.1MM",278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,080.00 ", N/A ,$378.00 ,"$1,178.55 ","$1,240.65 ", N/A ,"$1,116.45 ", N/A , N/A ,"$1,242.00 ", N/A , N/A , N/A ,"$1,125.90 ","$1,125.90 ","$1,125.90 ", N/A ,"$1,125.90 ","$1,155.60 ","$1,155.60 ","$1,215.00 ", N/A ,"$1,147.50 ", N/A , N/A ,$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,147.50 ","$1,116.45 ",$378.00 ,"$1,215.00 ","$1,059.75 ","$1,115.10 ", N/A ,$877.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE 3MM 2 SUTURETAK FIBERWIRE ARTHREX KNOTLESS CRUCIATE LIGAMENT BIOCOMPOSITE 12.7MM STERILE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,080.00 ", N/A ,$378.00 ,"$1,178.55 ","$1,240.65 ", N/A ,"$1,116.45 ", N/A , N/A ,"$1,242.00 ", N/A , N/A , N/A ,"$1,125.90 ","$1,125.90 ","$1,125.90 ", N/A ,"$1,125.90 ","$1,155.60 ","$1,155.60 ","$1,215.00 ", N/A ,"$1,147.50 ", N/A , N/A ,$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,147.50 ","$1,116.45 ",$378.00 ,"$1,215.00 ","$1,059.75 ","$1,115.10 ", N/A ,$877.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,ANCHOR SUTURE SWIVELOCK SELF PUNCH 24.5MM BIOCOMPOSITE,278,1 ,"$1,350.00 ",$972.00 ,$378.00 ,"$1,350.00 ", N/A ,"$1,080.00 ", N/A ,$378.00 ,"$1,178.55 ","$1,240.65 ", N/A ,"$1,116.45 ", N/A , N/A ,"$1,242.00 ", N/A , N/A , N/A ,"$1,125.90 ","$1,125.90 ","$1,125.90 ", N/A ,"$1,125.90 ","$1,155.60 ","$1,155.60 ","$1,215.00 ", N/A ,"$1,147.50 ", N/A , N/A ,$757.35 , N/A ,$558.90 , N/A , N/A , N/A ,"$1,147.50 ","$1,116.45 ",$378.00 ,"$1,215.00 ","$1,059.75 ","$1,115.10 ", N/A ,$877.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.6 COMPRESSION 30MM X 150MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTEX SELF TAP 14MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTEX SELF TAP 16MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.4 CORTEX SELF TAP 18MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,SCREW SYNTHES 2.7 CORTICAL SELF TAP 44MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871713,C1713,WIRE SYNTHES 1.6 COMPRESSION 20MM X 150MM,278,1 ,$150.00 ,$108.00 ,$42.00 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871762,C1762,DECELLULARIZED ARTHROFLEX DERMIS LIFENET 40X70 2.5-3.5MM,278,1 ,"$11,100.00 ","$7,992.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,880.00 ", N/A ,"$3,108.00 ","$9,690.30 ","$10,200.90 ", N/A ,"$9,179.70 ", N/A , N/A ,"$10,212.00 ", N/A , N/A , N/A ,"$9,257.40 ","$9,257.40 ","$9,257.40 ", N/A ,"$9,257.40 ","$9,501.60 ","$9,501.60 ","$9,990.00 ", N/A ,"$9,435.00 ", N/A , N/A ,"$6,227.10 ", N/A ,"$4,595.40 ", N/A , N/A , N/A ,"$9,435.00 ","$9,179.70 ","$3,108.00 ","$9,990.00 ","$8,713.50 ","$9,168.60 ", N/A ,"$7,215.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD PLUG XLARGE 0112780,278,1 ,$525.00 ,$378.00 ,$147.00 ,$525.00 , N/A ,$420.00 , N/A ,$147.00 ,$458.33 ,$482.48 , N/A ,$434.18 , N/A , N/A ,$483.00 , N/A , N/A , N/A ,$437.85 ,$437.85 ,$437.85 , N/A ,$437.85 ,$449.40 ,$449.40 ,$472.50 , N/A ,$446.25 , N/A , N/A ,$294.53 , N/A ,$217.35 , N/A , N/A , N/A ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 , N/A ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH PARIETEX PATCH 6 CM,278,1 ,"$1,200.00 ",$864.00 ,$336.00 ,"$1,200.00 ", N/A ,$960.00 , N/A ,$336.00 ,"$1,047.60 ","$1,102.80 ", N/A ,$992.40 , N/A , N/A ,"$1,104.00 ", N/A , N/A , N/A ,"$1,000.80 ","$1,000.80 ","$1,000.80 ", N/A ,"$1,000.80 ","$1,027.20 ","$1,027.20 ","$1,080.00 ", N/A ,"$1,020.00 ", N/A , N/A ,$673.20 , N/A ,$496.80 , N/A , N/A , N/A ,"$1,020.00 ",$992.40 ,$336.00 ,"$1,080.00 ",$942.00 ,$991.20 , N/A ,$780.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH PARIETEX PLUG AND PATCH 8CM,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$480.00 , N/A ,$168.00 ,$523.80 ,$551.40 , N/A ,$496.20 , N/A , N/A ,$552.00 , N/A , N/A , N/A ,$500.40 ,$500.40 ,$500.40 , N/A ,$500.40 ,$513.60 ,$513.60 ,$540.00 , N/A ,$510.00 , N/A , N/A ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$510.00 ,$496.20 ,$168.00 ,$540.00 ,$471.00 ,$495.60 , N/A ,$390.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD 3D MAX MEDIUM LEFT 3.1 X 5.3 0117310,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$480.00 , N/A ,$168.00 ,$523.80 ,$551.40 , N/A ,$496.20 , N/A , N/A ,$552.00 , N/A , N/A , N/A ,$500.40 ,$500.40 ,$500.40 , N/A ,$500.40 ,$513.60 ,$513.60 ,$540.00 , N/A ,$510.00 , N/A , N/A ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$510.00 ,$496.20 ,$168.00 ,$540.00 ,$471.00 ,$495.60 , N/A ,$390.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD 3D MAX MEDIUM RIGHT 3.1 X 5.3 0117320,278,1 ,$600.00 ,$432.00 ,$168.00 ,$600.00 , N/A ,$480.00 , N/A ,$168.00 ,$523.80 ,$551.40 , N/A ,$496.20 , N/A , N/A ,$552.00 , N/A , N/A , N/A ,$500.40 ,$500.40 ,$500.40 , N/A ,$500.40 ,$513.60 ,$513.60 ,$540.00 , N/A ,$510.00 , N/A , N/A ,$336.60 , N/A ,$248.40 , N/A , N/A , N/A ,$510.00 ,$496.20 ,$168.00 ,$540.00 ,$471.00 ,$495.60 , N/A ,$390.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH SURGICAL 3DMAX 6.7X4.8IN ABDOMINAL RIGHT LIGHTWEIGHT MONOFILAMENT ANATOMICAL SEAL EDGE STERILE POLYPROPYLENE XL LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD 3D MAX LARGE LEFT 4.1 X 6.2 0117311,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD 3D MAX LARGE RIGHT 4.1 X 6.2 0117321,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH SURGICAL 3DMAX 6.7X4.8IN ABDOMINAL LEFT LIGHTWEIGHT PORE KNIT MONOFILAMENT SEAL EDGE STERILE POLYPROPYLENE XL LATEX FREE,278,1 ,$750.00 ,$540.00 ,$210.00 ,$750.00 , N/A ,$600.00 , N/A ,$210.00 ,$654.75 ,$689.25 , N/A ,$620.25 , N/A , N/A ,$690.00 , N/A , N/A , N/A ,$625.50 ,$625.50 ,$625.50 , N/A ,$625.50 ,$642.00 ,$642.00 ,$675.00 , N/A ,$637.50 , N/A , N/A ,$420.75 , N/A ,$310.50 , N/A , N/A , N/A ,$637.50 ,$620.25 ,$210.00 ,$675.00 ,$588.75 ,$619.50 , N/A ,$487.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH SYMBOTEX 3.3 X 2.3MM 9CM,278,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , N/A ,$720.00 , N/A ,$252.00 ,$785.70 ,$827.10 , N/A ,$744.30 , N/A , N/A ,$828.00 , N/A , N/A , N/A ,$750.60 ,$750.60 ,$750.60 , N/A ,$750.60 ,$770.40 ,$770.40 ,$810.00 , N/A ,$765.00 , N/A , N/A ,$504.90 , N/A ,$372.60 , N/A , N/A , N/A ,$765.00 ,$744.30 ,$252.00 ,$810.00 ,$706.50 ,$743.40 , N/A ,$585.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,PATCH PARIETEX VENTRAL 4.6CM,278,1 ,"$1,050.00 ",$756.00 ,$294.00 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 , N/A , N/A , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,PLUG LARGE MESH PERFIX 1.6 X 1.90,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD PERFIX PLUG SM,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27871781,C1781,MESH BARD PLUG MEDIUM 0112760,278,1 ,$450.00 ,$324.00 ,$126.00 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$186.30 , N/A , N/A , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),27880083,C1713,HC 2.4MM TI STRAIGHT PLATE 6H 36MM,278,1 ,"$1,158.00 ",$833.76 ,$324.24 ,"$1,158.00 ", N/A ,$926.40 , N/A ,$324.24 ,"$1,010.93 ","$1,064.20 ", N/A ,$957.67 , N/A , N/A ,"$1,065.36 ", N/A , N/A , N/A ,$965.77 ,$965.77 ,$965.77 , N/A ,$965.77 ,$991.25 ,$991.25 ,"$1,042.20 ", N/A ,$984.30 , N/A , N/A ,$649.64 , N/A ,$479.41 , N/A , N/A , N/A ,$984.30 ,$957.67 ,$324.24 ,"$1,042.20 ",$909.03 ,$956.51 , N/A ,$752.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),29200003,N/A,HC CRUTCHES PER PAIR,271,1 ,$30.00 ,$21.60 ,$8.40 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$36.00 ,$25.92 ,$10.08 ,$36.00 , N/A ,$28.80 , N/A ,$10.08 ,$31.43 ,$33.08 , N/A ,$29.77 , N/A , N/A , N/A , N/A , N/A , N/A ,$30.02 ,$30.02 ,$30.02 , N/A ,$30.02 ,$30.82 ,$30.82 ,$32.40 , N/A ,$30.60 , N/A , N/A ,$20.20 , N/A ,$14.90 , N/A , N/A , N/A ,$30.60 ,$29.77 ,$10.08 ,$32.40 ,$28.26 ,$29.74 , N/A ,$23.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000010,36415,HC VENIPUNCTURE,300,1 ,$9.00 ,$6.48 ,$1.58 ,$21.43 ,$21.43 ,$7.20 ,$8.40 ,$2.52 ,$7.86 ,$8.27 ,$8.40 ,$7.44 ,$8.40 ,$9.00 , N/A ,$8.82 ,$8.40 ,$8.57 , N/A , N/A , N/A ,$8.40 , N/A ,$7.70 ,$7.70 ,$8.10 ,$9.00 ,$7.65 ,$8.40 ,$8.40 ,$5.05 ,$8.40 ,$3.73 ,$1.65 ,$1.58 ,$8.82 ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 ,$9.00 ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000013,36415,HC VENIPUNCTURE (DRAW FEE),300,1 ,$16.00 ,$11.52 ,$1.58 ,$21.43 ,$21.43 ,$12.80 ,$8.40 ,$4.48 ,$13.97 ,$14.70 ,$8.40 ,$13.23 ,$8.40 ,$16.00 , N/A ,$15.68 ,$8.40 ,$8.57 , N/A , N/A , N/A ,$8.40 , N/A ,$13.70 ,$13.70 ,$14.40 ,$16.00 ,$13.60 ,$8.40 ,$8.40 ,$8.98 ,$8.40 ,$6.62 ,$1.65 ,$1.58 ,$8.82 ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 ,$9.00 ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$163.00 ,$117.36 ,$32.37 ,$263.43 ,$263.43 ,$130.40 ,$103.26 ,$45.64 ,$142.30 ,$149.80 ,$103.26 ,$134.80 ,$103.26 ,$163.00 ,$149.96 ,$159.74 ,$103.26 ,$105.33 ,$135.94 ,$135.94 ,$135.94 ,$103.26 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$163.00 ,$138.55 ,$103.26 ,$103.26 ,$91.44 ,$103.26 ,$67.48 ,$33.91 ,$32.37 ,$108.43 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$110.59 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000108,89220,HC SPUTUM COLLECTION,300,1 ,$66.00 ,$47.52 ,$5.38 ,$356.75 ,$356.75 ,$52.80 ,$64.68 ,$18.48 ,$57.62 ,$60.65 ,$64.68 ,$54.58 ,$64.68 ,$66.00 ,$60.72 ,$64.68 ,$139.85 ,$65.97 ,$55.04 ,$55.04 ,$55.04 ,$64.68 ,$55.04 ,$56.50 ,$56.50 ,$59.40 ,$66.00 ,$56.10 ,$64.68 ,$64.68 ,$37.03 ,$139.85 ,$27.32 ,$5.63 ,$5.38 ,$64.68 ,$56.10 ,$54.58 ,$18.48 ,$59.40 ,$51.81 ,$54.52 ,$149.77 ,$42.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000131,G0480,HC DRUG CONFIRMATION EA PROC 1-7 CLASSES-90,301,1 ,$141.00 ,$101.52 ,$20.25 ,$286.08 ,$286.08 ,$112.80 ,$112.14 ,$39.48 ,$123.09 ,$129.58 ,$112.14 ,$116.61 ,$112.14 ,$141.00 ,$129.72 ,$138.18 ,$112.14 ,$114.39 ,$117.59 ,$117.59 ,$117.59 ,$112.14 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$112.14 ,$112.14 ,$79.10 ,$112.14 ,$58.37 ,$21.22 ,$20.25 ,$117.75 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$120.10 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$176.00 ,$126.72 ,$27.21 ,$356.75 ,$356.75 ,$140.80 ,$139.85 ,$49.28 ,$153.65 ,$161.74 ,$139.85 ,$145.55 ,$139.85 ,$176.00 ,$161.92 ,$172.48 ,$139.85 ,$142.64 ,$146.78 ,$146.78 ,$146.78 ,$139.85 ,$146.78 ,$150.66 ,$150.66 ,$158.40 ,$176.00 ,$149.60 ,$139.85 ,$139.85 ,$98.74 ,$139.85 ,$72.86 ,$28.50 ,$27.21 ,$146.84 ,$149.60 ,$145.55 ,$49.28 ,$158.40 ,$138.16 ,$145.38 ,$149.77 ,$114.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$110.00 ,$79.20 ,$5.49 ,$110.00 ,$14.00 ,$88.00 ,$5.49 ,$30.80 ,$96.03 ,$101.09 ,$5.49 ,$90.97 ,$5.49 ,$11.31 ,$101.20 ,$13.72 ,$5.49 ,$5.60 ,$91.74 ,$91.74 ,$91.74 ,$5.49 ,$91.74 ,$94.16 ,$94.16 ,$99.00 ,$14.00 ,$93.50 ,$5.49 ,$5.49 ,$61.71 ,$5.49 ,$45.54 ,$22.52 ,$21.49 ,$5.76 ,$93.50 ,$90.97 ,$30.80 ,$99.00 ,$86.35 ,$90.86 ,$5.88 ,$71.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000242,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$78.00 ,$56.16 ,$21.84 ,$263.43 ,$263.43 ,$62.40 ,$76.44 ,$21.84 ,$68.09 ,$71.68 ,$76.44 ,$64.51 ,$76.44 ,$78.00 , N/A ,$76.44 ,$103.26 ,$77.97 ,$65.05 ,$65.05 ,$65.05 ,$76.44 ,$65.05 ,$66.77 ,$66.77 ,$70.20 ,$78.00 ,$66.30 ,$76.44 ,$76.44 ,$43.76 ,$103.26 ,$32.29 ,$33.91 ,$32.37 ,$76.44 ,$66.30 ,$64.51 ,$21.84 ,$70.20 ,$61.23 ,$64.43 ,$110.59 ,$50.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000245,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$7.00 ,$5.04 ,$1.96 ,$10.68 ,$10.68 ,$5.60 ,$4.18 ,$1.96 ,$6.11 ,$6.43 ,$4.18 ,$5.79 ,$4.18 ,$7.00 ,$6.44 ,$6.86 ,$4.18 ,$4.27 ,$5.84 ,$5.84 ,$5.84 ,$4.18 ,$5.84 ,$5.99 ,$5.99 ,$6.30 ,$7.00 ,$5.95 ,$4.18 ,$4.18 ,$3.93 ,$4.18 ,$2.90 ,$4.90 ,$4.67 ,$4.39 ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$5.78 ,$4.48 ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30000250,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$97.00 ,$69.84 ,$11.81 ,$97.00 ,$30.13 ,$77.60 ,$11.81 ,$27.16 ,$84.68 ,$89.14 ,$11.81 ,$80.22 ,$11.81 ,$24.34 ,$89.24 ,$29.53 ,$11.81 ,$12.04 ,$80.90 ,$80.90 ,$80.90 ,$11.81 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$30.13 ,$82.45 ,$11.81 ,$11.81 ,$54.42 ,$11.81 ,$40.16 ,$22.52 ,$21.49 ,$12.40 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$12.65 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30002013,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$116.00 ,$83.52 ,$32.37 ,$263.43 ,$263.43 ,$92.80 ,$103.26 ,$32.48 ,$101.27 ,$106.60 ,$103.26 ,$95.93 ,$103.26 ,$116.00 , N/A ,$113.68 ,$103.26 ,$105.33 ,$96.74 ,$96.74 ,$96.74 ,$103.26 ,$96.74 ,$99.30 ,$99.30 ,$104.40 ,$116.00 ,$98.60 ,$103.26 ,$103.26 ,$65.08 ,$103.26 ,$48.02 ,$33.91 ,$32.37 ,$108.43 ,$98.60 ,$95.93 ,$32.48 ,$104.40 ,$91.06 ,$95.82 ,$110.59 ,$75.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30002016,89051,HC CELL CT BODY FLUID W/DIFF T2,300,1 ,$110.00 ,$79.20 ,$5.49 ,$110.00 ,$14.00 ,$88.00 ,$5.49 ,$30.80 ,$96.03 ,$101.09 ,$5.49 ,$90.97 ,$5.49 ,$11.31 ,$101.20 ,$13.72 ,$5.49 ,$5.60 ,$91.74 ,$91.74 ,$91.74 ,$5.49 ,$91.74 ,$94.16 ,$94.16 ,$99.00 ,$14.00 ,$93.50 ,$5.49 ,$5.49 ,$61.71 ,$5.49 ,$45.54 ,$22.52 ,$21.49 ,$5.76 ,$93.50 ,$90.97 ,$30.80 ,$99.00 ,$86.35 ,$90.86 ,$5.88 ,$71.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30002018,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$110.00 ,$79.20 ,$7.18 ,$110.00 ,$18.33 ,$88.00 ,$7.18 ,$30.80 ,$96.03 ,$101.09 ,$7.18 ,$90.97 ,$7.18 ,$14.81 ,$101.20 ,$17.96 ,$7.18 ,$7.33 ,$91.74 ,$91.74 ,$91.74 ,$7.18 ,$91.74 ,$94.16 ,$94.16 ,$99.00 ,$18.33 ,$93.50 ,$7.18 ,$7.18 ,$61.71 ,$7.18 ,$45.54 ,$22.52 ,$21.49 ,$7.55 ,$93.50 ,$90.97 ,$30.80 ,$99.00 ,$86.35 ,$90.86 ,$7.69 ,$71.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30002019,89060,HC CRYSTAL ID LIGHT MICRO-90,300,1 ,$110.00 ,$79.20 ,$7.18 ,$110.00 ,$18.33 ,$88.00 ,$7.18 ,$30.80 ,$96.03 ,$101.09 ,$7.18 ,$90.97 ,$7.18 ,$14.81 ,$101.20 ,$17.96 ,$7.18 ,$7.33 ,$91.74 ,$91.74 ,$91.74 ,$7.18 ,$91.74 ,$94.16 ,$94.16 ,$99.00 ,$18.33 ,$93.50 ,$7.18 ,$7.18 ,$61.71 ,$7.18 ,$45.54 ,$22.52 ,$21.49 ,$7.55 ,$93.50 ,$90.97 ,$30.80 ,$99.00 ,$86.35 ,$90.86 ,$7.69 ,$71.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30002039,86999,HC TRANSFUSION UNLISTED PROCEDURE -90,300,1 ,$78.00 ,$56.16 ,$21.84 ,$78.00 ,$56.63 ,$62.40 ,$22.20 ,$21.84 ,$68.09 ,$71.68 ,$22.20 ,$64.51 ,$22.20 ,$45.75 ,$71.76 ,$55.50 ,$22.20 ,$22.64 ,$65.05 ,$65.05 ,$65.05 ,$22.20 ,$65.05 ,$66.77 ,$66.77 ,$70.20 ,$56.63 ,$66.30 ,$22.20 ,$22.20 ,$43.76 ,$22.20 ,$32.29 ,$28.50 ,$27.21 ,$23.30 ,$66.30 ,$64.51 ,$21.84 ,$70.20 ,$61.23 ,$64.43 ,$23.77 ,$50.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30002041,83921,HC SEMEN PRESENCE/MOTILITY,300,1 ,$97.00 ,$69.84 ,$7.53 ,$97.00 ,$53.03 ,$77.60 ,$20.79 ,$27.16 ,$84.68 ,$89.14 ,$20.79 ,$80.22 ,$20.79 ,$42.84 ,$89.24 ,$51.97 ,$20.79 ,$21.20 ,$80.90 ,$80.90 ,$80.90 ,$20.79 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$53.03 ,$82.45 ,$20.79 ,$20.79 ,$54.42 ,$20.79 ,$40.16 ,$7.89 ,$7.53 ,$21.82 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$22.27 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$243.00 ,$174.96 ,$6.87 ,$243.00 ,$21.15 ,$194.40 ,$8.29 ,$68.04 ,$212.14 ,$223.32 ,$8.29 ,$200.96 ,$8.29 ,$17.09 ,$223.56 ,$20.73 ,$8.29 ,$8.46 ,$202.66 ,$202.66 ,$202.66 ,$8.29 ,$202.66 ,$208.01 ,$208.01 ,$218.70 ,$21.15 ,$206.55 ,$8.29 ,$8.29 ,$136.32 ,$8.29 ,$100.60 ,$7.19 ,$6.87 ,$8.70 ,$206.55 ,$200.96 ,$68.04 ,$218.70 ,$190.76 ,$200.72 ,$8.88 ,$157.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$121.00 ,$87.12 ,$6.87 ,$121.00 ,$17.53 ,$96.80 ,$6.87 ,$33.88 ,$105.63 ,$111.20 ,$6.87 ,$100.07 ,$6.87 ,$14.16 ,$111.32 ,$17.18 ,$6.87 ,$7.01 ,$100.91 ,$100.91 ,$100.91 ,$6.87 ,$100.91 ,$103.58 ,$103.58 ,$108.90 ,$17.53 ,$102.85 ,$6.87 ,$6.87 ,$67.88 ,$6.87 ,$50.09 ,$7.19 ,$6.87 ,$7.21 ,$102.85 ,$100.07 ,$33.88 ,$108.90 ,$94.99 ,$99.95 ,$7.36 ,$78.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$267.00 ,$192.24 ,$6.87 ,$267.00 ,$26.40 ,$213.60 ,$10.35 ,$74.76 ,$233.09 ,$245.37 ,$10.35 ,$220.81 ,$10.35 ,$21.33 ,$245.64 ,$25.87 ,$10.35 ,$10.55 ,$222.68 ,$222.68 ,$222.68 ,$10.35 ,$222.68 ,$228.55 ,$228.55 ,$240.30 ,$26.40 ,$226.95 ,$10.35 ,$10.35 ,$149.79 ,$10.35 ,$110.54 ,$7.19 ,$6.87 ,$10.87 ,$226.95 ,$220.81 ,$74.76 ,$240.30 ,$209.60 ,$220.54 ,$11.08 ,$173.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100107,80061,HC LIPID PANEL,301,1 ,$168.00 ,$120.96 ,$6.87 ,$168.00 ,$33.48 ,$134.40 ,$13.12 ,$47.04 ,$146.66 ,$154.39 ,$13.12 ,$138.94 ,$13.12 ,$27.05 ,$154.56 ,$32.81 ,$13.12 ,$13.39 ,$140.11 ,$140.11 ,$140.11 ,$13.12 ,$140.11 ,$143.81 ,$143.81 ,$151.20 ,$33.48 ,$142.80 ,$13.12 ,$13.12 ,$94.25 ,$13.12 ,$69.55 ,$7.19 ,$6.87 ,$13.78 ,$142.80 ,$138.94 ,$47.04 ,$151.20 ,$131.88 ,$138.77 ,$14.05 ,$109.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100108,80069,HC RENAL PANEL,301,1 ,$211.00 ,$151.92 ,$6.87 ,$211.00 ,$21.70 ,$168.80 ,$8.51 ,$59.08 ,$184.20 ,$193.91 ,$8.51 ,$174.50 ,$8.51 ,$17.53 ,$194.12 ,$21.27 ,$8.51 ,$8.67 ,$175.97 ,$175.97 ,$175.97 ,$8.51 ,$175.97 ,$180.62 ,$180.62 ,$189.90 ,$21.70 ,$179.35 ,$8.51 ,$8.51 ,$118.37 ,$8.51 ,$87.35 ,$7.19 ,$6.87 ,$8.93 ,$179.35 ,$174.50 ,$59.08 ,$189.90 ,$165.64 ,$174.29 ,$9.11 ,$137.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$229.00 ,$164.88 ,$6.87 ,$229.00 ,$20.43 ,$183.20 ,$8.01 ,$64.12 ,$199.92 ,$210.45 ,$8.01 ,$189.38 ,$8.01 ,$16.50 ,$210.68 ,$20.02 ,$8.01 ,$8.16 ,$190.99 ,$190.99 ,$190.99 ,$8.01 ,$190.99 ,$196.02 ,$196.02 ,$206.10 ,$20.43 ,$194.65 ,$8.01 ,$8.01 ,$128.47 ,$8.01 ,$94.81 ,$7.19 ,$6.87 ,$8.41 ,$194.65 ,$189.38 ,$64.12 ,$206.10 ,$179.77 ,$189.15 ,$8.57 ,$148.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$253.00 ,$182.16 ,$8.64 ,$253.00 ,$36.43 ,$202.40 ,$14.28 ,$70.84 ,$220.87 ,$232.51 ,$14.28 ,$209.23 ,$14.28 ,$29.43 ,$232.76 ,$35.70 ,$14.28 ,$14.56 ,$211.00 ,$211.00 ,$211.00 ,$14.28 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$36.43 ,$215.05 ,$14.28 ,$14.28 ,$141.93 ,$14.28 ,$104.74 ,$9.05 ,$8.64 ,$14.99 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$15.29 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100120,80162,HC DIGOXIN LEVELS,301,1 ,$199.00 ,$143.28 ,$8.64 ,$199.00 ,$33.20 ,$159.20 ,$13.01 ,$55.72 ,$173.73 ,$182.88 ,$13.01 ,$164.57 ,$13.01 ,$26.83 ,$183.08 ,$32.54 ,$13.01 ,$13.28 ,$165.97 ,$165.97 ,$165.97 ,$13.01 ,$165.97 ,$170.34 ,$170.34 ,$179.10 ,$33.20 ,$169.15 ,$13.01 ,$13.01 ,$111.64 ,$13.01 ,$82.39 ,$9.05 ,$8.64 ,$13.66 ,$169.15 ,$164.57 ,$55.72 ,$179.10 ,$156.22 ,$164.37 ,$13.94 ,$129.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100121,80164,HC VALPROIC ACID,301,1 ,$270.00 ,$194.40 ,$8.64 ,$270.00 ,$33.85 ,$216.00 ,$13.27 ,$75.60 ,$235.71 ,$248.13 ,$13.27 ,$223.29 ,$13.27 ,$27.35 ,$248.40 ,$33.17 ,$13.27 ,$13.53 ,$225.18 ,$225.18 ,$225.18 ,$13.27 ,$225.18 ,$231.12 ,$231.12 ,$243.00 ,$33.85 ,$229.50 ,$13.27 ,$13.27 ,$151.47 ,$13.27 ,$111.78 ,$9.05 ,$8.64 ,$13.94 ,$229.50 ,$223.29 ,$75.60 ,$243.00 ,$211.95 ,$223.02 ,$14.21 ,$175.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100124,80170,HC GENTAMICIN,301,1 ,$217.00 ,$156.24 ,$8.64 ,$217.00 ,$40.95 ,$173.60 ,$16.05 ,$60.76 ,$189.44 ,$199.42 ,$16.05 ,$179.46 ,$16.05 ,$33.09 ,$199.64 ,$40.13 ,$16.05 ,$16.38 ,$180.98 ,$180.98 ,$180.98 ,$16.05 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$40.95 ,$184.45 ,$16.05 ,$16.05 ,$121.74 ,$16.05 ,$89.84 ,$9.05 ,$8.64 ,$16.86 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$17.19 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100127,80178,HC LITHIUM,301,1 ,$121.00 ,$87.12 ,$6.48 ,$121.00 ,$16.53 ,$96.80 ,$6.48 ,$33.88 ,$105.63 ,$111.20 ,$6.48 ,$100.07 ,$6.48 ,$13.35 ,$111.32 ,$16.20 ,$6.48 ,$6.61 ,$100.91 ,$100.91 ,$100.91 ,$6.48 ,$100.91 ,$103.58 ,$103.58 ,$108.90 ,$16.53 ,$102.85 ,$6.48 ,$6.48 ,$67.88 ,$6.48 ,$50.09 ,$9.05 ,$8.64 ,$6.80 ,$102.85 ,$100.07 ,$33.88 ,$108.90 ,$94.99 ,$99.95 ,$6.94 ,$78.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$59.00 ,$42.48 ,$8.64 ,$59.00 ,$33.13 ,$47.20 ,$12.98 ,$16.52 ,$51.51 ,$54.22 ,$12.98 ,$48.79 ,$12.98 ,$26.77 ,$54.28 ,$32.47 ,$12.98 ,$13.25 ,$49.21 ,$49.21 ,$49.21 ,$12.98 ,$49.21 ,$50.50 ,$50.50 ,$53.10 ,$33.13 ,$50.15 ,$12.98 ,$12.98 ,$33.10 ,$12.98 ,$24.43 ,$9.05 ,$8.64 ,$13.63 ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 ,$13.91 ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100138,80198,HC THEOPHYLLINE,301,1 ,$202.00 ,$145.44 ,$8.64 ,$202.00 ,$35.35 ,$161.60 ,$13.86 ,$56.56 ,$176.35 ,$185.64 ,$13.86 ,$167.05 ,$13.86 ,$28.56 ,$185.84 ,$34.64 ,$13.86 ,$14.13 ,$168.47 ,$168.47 ,$168.47 ,$13.86 ,$168.47 ,$172.91 ,$172.91 ,$181.80 ,$35.35 ,$171.70 ,$13.86 ,$13.86 ,$113.32 ,$13.86 ,$83.63 ,$9.05 ,$8.64 ,$14.55 ,$171.70 ,$167.05 ,$56.56 ,$181.80 ,$158.57 ,$166.85 ,$14.84 ,$131.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100139,80200,HC TOBRAMYCIN,301,1 ,$261.00 ,$187.92 ,$8.64 ,$261.00 ,$40.33 ,$208.80 ,$15.81 ,$73.08 ,$227.85 ,$239.86 ,$15.81 ,$215.85 ,$15.81 ,$32.58 ,$240.12 ,$39.52 ,$15.81 ,$16.12 ,$217.67 ,$217.67 ,$217.67 ,$15.81 ,$217.67 ,$223.42 ,$223.42 ,$234.90 ,$40.33 ,$221.85 ,$15.81 ,$15.81 ,$146.42 ,$15.81 ,$108.05 ,$9.05 ,$8.64 ,$16.60 ,$221.85 ,$215.85 ,$73.08 ,$234.90 ,$204.89 ,$215.59 ,$16.93 ,$169.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100141,80202,HC VANCOMYCIN,301,1 ,$275.00 ,$198.00 ,$8.64 ,$275.00 ,$33.85 ,$220.00 ,$13.27 ,$77.00 ,$240.08 ,$252.73 ,$13.27 ,$227.43 ,$13.27 ,$27.35 ,$253.00 ,$33.17 ,$13.27 ,$13.53 ,$229.35 ,$229.35 ,$229.35 ,$13.27 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$33.85 ,$233.75 ,$13.27 ,$13.27 ,$154.28 ,$13.27 ,$113.85 ,$9.05 ,$8.64 ,$13.94 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$14.21 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100157,82009,HC ACETONE SERUM,301,1 ,$64.00 ,$46.08 ,$3.35 ,$64.00 ,$11.30 ,$51.20 ,$4.43 ,$17.92 ,$55.87 ,$58.82 ,$4.43 ,$52.93 ,$4.43 ,$9.13 ,$58.88 ,$11.07 ,$4.43 ,$4.52 ,$53.38 ,$53.38 ,$53.38 ,$4.43 ,$53.38 ,$54.78 ,$54.78 ,$57.60 ,$11.30 ,$54.40 ,$4.43 ,$4.43 ,$35.90 ,$4.43 ,$26.50 ,$3.51 ,$3.35 ,$4.65 ,$54.40 ,$52.93 ,$17.92 ,$57.60 ,$50.24 ,$52.86 ,$4.74 ,$41.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$129.00 ,$92.88 ,$7.53 ,$129.00 ,$20.43 ,$103.20 ,$8.01 ,$36.12 ,$112.62 ,$118.55 ,$8.01 ,$106.68 ,$8.01 ,$16.50 ,$118.68 ,$20.02 ,$8.01 ,$8.16 ,$107.59 ,$107.59 ,$107.59 ,$8.01 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$20.43 ,$109.65 ,$8.01 ,$8.01 ,$72.37 ,$8.01 ,$53.41 ,$7.89 ,$7.53 ,$8.41 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$8.57 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100165,82040,HC ALBUMIN SERUM,301,1 ,$102.00 ,$73.44 ,$3.35 ,$102.00 ,$12.38 ,$81.60 ,$4.85 ,$28.56 ,$89.05 ,$93.74 ,$4.85 ,$84.35 ,$4.85 ,$10.00 ,$93.84 ,$12.13 ,$4.85 ,$4.95 ,$85.07 ,$85.07 ,$85.07 ,$4.85 ,$85.07 ,$87.31 ,$87.31 ,$91.80 ,$12.38 ,$86.70 ,$4.85 ,$4.85 ,$57.22 ,$4.85 ,$42.23 ,$3.51 ,$3.35 ,$5.10 ,$86.70 ,$84.35 ,$28.56 ,$91.80 ,$80.07 ,$84.25 ,$5.19 ,$66.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$30.00 ,$21.60 ,$2.69 ,$30.00 ,$14.45 ,$24.00 ,$5.66 ,$8.40 ,$26.19 ,$27.57 ,$5.66 ,$24.81 ,$5.66 ,$11.68 ,$27.60 ,$14.16 ,$5.66 ,$5.78 ,$25.02 ,$25.02 ,$25.02 ,$5.66 ,$25.02 ,$25.68 ,$25.68 ,$27.00 ,$14.45 ,$25.50 ,$5.66 ,$5.66 ,$16.83 ,$5.66 ,$12.42 ,$2.82 ,$2.69 ,$5.95 ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 ,$6.07 ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100186,82140,HC AMMONIA,301,1 ,$118.00 ,$84.96 ,$7.53 ,$118.00 ,$36.43 ,$94.40 ,$14.28 ,$33.04 ,$103.01 ,$108.44 ,$14.28 ,$97.59 ,$14.28 ,$29.43 ,$108.56 ,$35.70 ,$14.28 ,$14.56 ,$98.41 ,$98.41 ,$98.41 ,$14.28 ,$98.41 ,$101.01 ,$101.01 ,$106.20 ,$36.43 ,$100.30 ,$14.28 ,$14.28 ,$66.20 ,$14.28 ,$48.85 ,$7.89 ,$7.53 ,$14.99 ,$100.30 ,$97.59 ,$33.04 ,$106.20 ,$92.63 ,$97.47 ,$15.29 ,$76.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100188,82150,HC AMYLASE,301,1 ,$180.00 ,$129.60 ,$6.35 ,$180.00 ,$16.20 ,$144.00 ,$6.35 ,$50.40 ,$157.14 ,$165.42 ,$6.35 ,$148.86 ,$6.35 ,$13.09 ,$165.60 ,$15.88 ,$6.35 ,$6.48 ,$150.12 ,$150.12 ,$150.12 ,$6.35 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$16.20 ,$153.00 ,$6.35 ,$6.35 ,$100.98 ,$6.35 ,$74.52 ,$7.89 ,$7.53 ,$6.66 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$6.80 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$166.00 ,$119.52 ,$3.35 ,$166.00 ,$12.55 ,$132.80 ,$4.92 ,$46.48 ,$144.92 ,$152.55 ,$4.92 ,$137.28 ,$4.92 ,$10.14 ,$152.72 ,$12.30 ,$4.92 ,$5.02 ,$138.44 ,$138.44 ,$138.44 ,$4.92 ,$138.44 ,$142.10 ,$142.10 ,$149.40 ,$12.55 ,$141.10 ,$4.92 ,$4.92 ,$93.13 ,$4.92 ,$68.72 ,$3.51 ,$3.35 ,$5.16 ,$141.10 ,$137.28 ,$46.48 ,$149.40 ,$130.31 ,$137.12 ,$5.27 ,$107.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$74.00 ,$53.28 ,$3.35 ,$74.00 ,$12.55 ,$59.20 ,$4.92 ,$20.72 ,$64.60 ,$68.01 ,$4.92 ,$61.20 ,$4.92 ,$10.14 ,$68.08 ,$12.30 ,$4.92 ,$5.02 ,$61.72 ,$61.72 ,$61.72 ,$4.92 ,$61.72 ,$63.34 ,$63.34 ,$66.60 ,$12.55 ,$62.90 ,$4.92 ,$4.92 ,$41.51 ,$4.92 ,$30.64 ,$3.51 ,$3.35 ,$5.16 ,$62.90 ,$61.20 ,$20.72 ,$66.60 ,$58.09 ,$61.12 ,$5.27 ,$48.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100208,82274,HC OCCULT BLOOD FECAL HGB,301,1 ,$70.00 ,$50.40 ,$7.53 ,$70.00 ,$39.80 ,$56.00 ,$15.60 ,$19.60 ,$61.11 ,$64.33 ,$15.60 ,$57.89 ,$15.60 ,$32.16 ,$64.40 ,$39.00 ,$15.60 ,$15.92 ,$58.38 ,$58.38 ,$58.38 ,$15.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$39.80 ,$59.50 ,$15.60 ,$15.60 ,$39.27 ,$15.60 ,$28.98 ,$7.89 ,$7.53 ,$16.39 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$16.71 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100212,82306,HC VITAMIN D 25 OH,301,1 ,$160.00 ,$115.20 ,$20.25 ,$160.00 ,$74.00 ,$128.00 ,$29.01 ,$44.80 ,$139.68 ,$147.04 ,$29.01 ,$132.32 ,$29.01 ,$59.79 ,$147.20 ,$72.52 ,$29.01 ,$29.59 ,$133.44 ,$133.44 ,$133.44 ,$29.01 ,$133.44 ,$136.96 ,$136.96 ,$144.00 ,$74.00 ,$136.00 ,$29.01 ,$29.01 ,$89.76 ,$29.01 ,$66.24 ,$21.22 ,$20.25 ,$30.46 ,$136.00 ,$132.32 ,$44.80 ,$144.00 ,$125.60 ,$132.16 ,$31.07 ,$104.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100214,82310,HC CALCIUM,301,1 ,$107.00 ,$77.04 ,$3.35 ,$107.00 ,$12.90 ,$85.60 ,$5.06 ,$29.96 ,$93.41 ,$98.33 ,$5.06 ,$88.49 ,$5.06 ,$10.42 ,$98.44 ,$12.64 ,$5.06 ,$5.15 ,$89.24 ,$89.24 ,$89.24 ,$5.06 ,$89.24 ,$91.59 ,$91.59 ,$96.30 ,$12.90 ,$90.95 ,$5.06 ,$5.06 ,$60.03 ,$5.06 ,$44.30 ,$3.51 ,$3.35 ,$5.31 ,$90.95 ,$88.49 ,$29.96 ,$96.30 ,$84.00 ,$88.38 ,$5.42 ,$69.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100215,82330,HC CALCIUM IONIZED,301,1 ,$319.00 ,$229.68 ,$7.53 ,$319.00 ,$34.20 ,$255.20 ,$13.41 ,$89.32 ,$278.49 ,$293.16 ,$13.41 ,$263.81 ,$13.41 ,$27.63 ,$293.48 ,$33.52 ,$13.41 ,$13.67 ,$266.05 ,$266.05 ,$266.05 ,$13.41 ,$266.05 ,$273.06 ,$273.06 ,$287.10 ,$34.20 ,$271.15 ,$13.41 ,$13.41 ,$178.96 ,$13.41 ,$132.07 ,$7.89 ,$7.53 ,$14.07 ,$271.15 ,$263.81 ,$89.32 ,$287.10 ,$250.42 ,$263.49 ,$14.36 ,$207.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$59.00 ,$42.48 ,$5.91 ,$59.00 ,$15.08 ,$47.20 ,$5.91 ,$16.52 ,$51.51 ,$54.22 ,$5.91 ,$48.79 ,$5.91 ,$12.18 ,$54.28 ,$14.78 ,$5.91 ,$6.03 ,$49.21 ,$49.21 ,$49.21 ,$5.91 ,$49.21 ,$50.50 ,$50.50 ,$53.10 ,$15.08 ,$50.15 ,$5.91 ,$5.91 ,$33.10 ,$5.91 ,$24.43 ,$7.89 ,$7.53 ,$6.20 ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 ,$6.33 ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100222,82374,HC BICARBONATE,301,1 ,$152.00 ,$109.44 ,$3.35 ,$152.00 ,$12.20 ,$121.60 ,$4.78 ,$42.56 ,$132.70 ,$139.69 ,$4.78 ,$125.70 ,$4.78 ,$9.86 ,$139.84 ,$11.96 ,$4.78 ,$4.88 ,$126.77 ,$126.77 ,$126.77 ,$4.78 ,$126.77 ,$130.11 ,$130.11 ,$136.80 ,$12.20 ,$129.20 ,$4.78 ,$4.78 ,$85.27 ,$4.78 ,$62.93 ,$3.51 ,$3.35 ,$5.02 ,$129.20 ,$125.70 ,$42.56 ,$136.80 ,$119.32 ,$125.55 ,$5.13 ,$98.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100225,82375,HC CARBOXYHEMOGLOBIN,301,1 ,$108.00 ,$77.76 ,$7.53 ,$108.00 ,$30.80 ,$86.40 ,$12.07 ,$30.24 ,$94.28 ,$99.25 ,$12.07 ,$89.32 ,$12.07 ,$24.89 ,$99.36 ,$30.18 ,$12.07 ,$12.32 ,$90.07 ,$90.07 ,$90.07 ,$12.07 ,$90.07 ,$92.45 ,$92.45 ,$97.20 ,$30.80 ,$91.80 ,$12.07 ,$12.07 ,$60.59 ,$12.07 ,$44.71 ,$7.89 ,$7.53 ,$12.68 ,$91.80 ,$89.32 ,$30.24 ,$97.20 ,$84.78 ,$89.21 ,$12.93 ,$70.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100237,82435,HC CHLORIDE,301,1 ,$78.00 ,$56.16 ,$3.35 ,$78.00 ,$11.50 ,$62.40 ,$4.51 ,$21.84 ,$68.09 ,$71.68 ,$4.51 ,$64.51 ,$4.51 ,$9.29 ,$71.76 ,$11.27 ,$4.51 ,$4.60 ,$65.05 ,$65.05 ,$65.05 ,$4.51 ,$65.05 ,$66.77 ,$66.77 ,$70.20 ,$11.50 ,$66.30 ,$4.51 ,$4.51 ,$43.76 ,$4.51 ,$32.29 ,$3.51 ,$3.35 ,$4.73 ,$66.30 ,$64.51 ,$21.84 ,$70.20 ,$61.23 ,$64.43 ,$4.83 ,$50.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100241,82465,HC CHOLESTEROL,301,1 ,$92.00 ,$66.24 ,$3.35 ,$92.00 ,$10.88 ,$73.60 ,$4.26 ,$25.76 ,$80.32 ,$84.55 ,$4.26 ,$76.08 ,$4.26 ,$8.79 ,$84.64 ,$10.66 ,$4.26 ,$4.35 ,$76.73 ,$76.73 ,$76.73 ,$4.26 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$10.88 ,$78.20 ,$4.26 ,$4.26 ,$51.61 ,$4.26 ,$38.09 ,$3.51 ,$3.35 ,$4.48 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$4.57 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$153.00 ,$110.16 ,$3.35 ,$153.00 ,$16.28 ,$122.40 ,$6.38 ,$42.84 ,$133.57 ,$140.61 ,$6.38 ,$126.53 ,$6.38 ,$13.15 ,$140.76 ,$15.95 ,$6.38 ,$6.51 ,$127.60 ,$127.60 ,$127.60 ,$6.38 ,$127.60 ,$130.97 ,$130.97 ,$137.70 ,$16.28 ,$130.05 ,$6.38 ,$6.38 ,$85.83 ,$6.38 ,$63.34 ,$3.51 ,$3.35 ,$6.70 ,$130.05 ,$126.53 ,$42.84 ,$137.70 ,$120.11 ,$126.38 ,$6.83 ,$99.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$254.00 ,$182.88 ,$7.53 ,$254.00 ,$28.88 ,$203.20 ,$11.32 ,$71.12 ,$221.74 ,$233.43 ,$11.32 ,$210.06 ,$11.32 ,$23.33 ,$233.68 ,$28.30 ,$11.32 ,$11.54 ,$211.84 ,$211.84 ,$211.84 ,$11.32 ,$211.84 ,$217.42 ,$217.42 ,$228.60 ,$28.88 ,$215.90 ,$11.32 ,$11.32 ,$142.49 ,$11.32 ,$105.16 ,$7.89 ,$7.53 ,$11.89 ,$215.90 ,$210.06 ,$71.12 ,$228.60 ,$199.39 ,$209.80 ,$12.12 ,$165.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100262,82565,HC CREATININE,301,1 ,$122.00 ,$87.84 ,$3.35 ,$122.00 ,$12.80 ,$97.60 ,$5.02 ,$34.16 ,$106.51 ,$112.12 ,$5.02 ,$100.89 ,$5.02 ,$10.34 ,$112.24 ,$12.54 ,$5.02 ,$5.12 ,$101.75 ,$101.75 ,$101.75 ,$5.02 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$12.80 ,$103.70 ,$5.02 ,$5.02 ,$68.44 ,$5.02 ,$50.51 ,$3.51 ,$3.35 ,$5.27 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$5.37 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$43.00 ,$30.96 ,$3.35 ,$43.00 ,$12.95 ,$34.40 ,$5.08 ,$12.04 ,$37.54 ,$39.52 ,$5.08 ,$35.56 ,$5.08 ,$10.46 ,$39.56 ,$12.69 ,$5.08 ,$5.17 ,$35.86 ,$35.86 ,$35.86 ,$5.08 ,$35.86 ,$36.81 ,$36.81 ,$38.70 ,$12.95 ,$36.55 ,$5.08 ,$5.08 ,$24.12 ,$5.08 ,$17.80 ,$3.51 ,$3.35 ,$5.33 ,$36.55 ,$35.56 ,$12.04 ,$38.70 ,$33.76 ,$35.52 ,$5.44 ,$27.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100266,82575,HC CREATININE CLEARANCE,301,1 ,$259.00 ,$186.48 ,$7.53 ,$259.00 ,$23.65 ,$207.20 ,$9.27 ,$72.52 ,$226.11 ,$238.02 ,$9.27 ,$214.19 ,$9.27 ,$19.11 ,$238.28 ,$23.18 ,$9.27 ,$9.46 ,$216.01 ,$216.01 ,$216.01 ,$9.27 ,$216.01 ,$221.70 ,$221.70 ,$233.10 ,$23.65 ,$220.15 ,$9.27 ,$9.27 ,$145.30 ,$9.27 ,$107.23 ,$7.89 ,$7.53 ,$9.73 ,$220.15 ,$214.19 ,$72.52 ,$233.10 ,$203.32 ,$213.93 ,$9.93 ,$168.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100269,82607,HC VITAMIN B12,301,1 ,$123.00 ,$88.56 ,$10.13 ,$123.00 ,$37.70 ,$98.40 ,$14.78 ,$34.44 ,$107.38 ,$113.04 ,$14.78 ,$101.72 ,$14.78 ,$30.46 ,$113.16 ,$36.95 ,$14.78 ,$15.07 ,$102.58 ,$102.58 ,$102.58 ,$14.78 ,$102.58 ,$105.29 ,$105.29 ,$110.70 ,$37.70 ,$104.55 ,$14.78 ,$14.78 ,$69.00 ,$14.78 ,$50.92 ,$10.62 ,$10.13 ,$15.51 ,$104.55 ,$101.72 ,$34.44 ,$110.70 ,$96.56 ,$101.60 ,$15.83 ,$79.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100290,82728,HC FERRITIN,301,1 ,$275.00 ,$198.00 ,$7.53 ,$275.00 ,$34.08 ,$220.00 ,$13.36 ,$77.00 ,$240.08 ,$252.73 ,$13.36 ,$227.43 ,$13.36 ,$27.53 ,$253.00 ,$33.40 ,$13.36 ,$13.62 ,$229.35 ,$229.35 ,$229.35 ,$13.36 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$34.08 ,$233.75 ,$13.36 ,$13.36 ,$154.28 ,$13.36 ,$113.85 ,$7.89 ,$7.53 ,$14.02 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$14.31 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100292,82746,HC FOLIC ACID SERUM,301,1 ,$119.00 ,$85.68 ,$7.53 ,$119.00 ,$36.75 ,$95.20 ,$14.41 ,$33.32 ,$103.89 ,$109.36 ,$14.41 ,$98.41 ,$14.41 ,$29.69 ,$109.48 ,$36.01 ,$14.41 ,$14.69 ,$99.25 ,$99.25 ,$99.25 ,$14.41 ,$99.25 ,$101.86 ,$101.86 ,$107.10 ,$36.75 ,$101.15 ,$14.41 ,$14.41 ,$66.76 ,$14.41 ,$49.27 ,$7.89 ,$7.53 ,$15.13 ,$101.15 ,$98.41 ,$33.32 ,$107.10 ,$93.42 ,$98.29 ,$15.43 ,$77.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100306,82803,HC BLOOD GAS PH PO2  AND /OR PCO2,301,1 ,$372.00 ,$267.84 ,$7.53 ,$372.00 ,$65.18 ,$297.60 ,$25.55 ,$104.16 ,$324.76 ,$341.87 ,$25.55 ,$307.64 ,$25.55 ,$52.66 ,$342.24 ,$63.88 ,$25.55 ,$26.06 ,$310.25 ,$310.25 ,$310.25 ,$25.55 ,$310.25 ,$318.43 ,$318.43 ,$334.80 ,$65.18 ,$316.20 ,$25.55 ,$25.55 ,$208.69 ,$25.55 ,$154.01 ,$7.89 ,$7.53 ,$26.82 ,$316.20 ,$307.64 ,$104.16 ,$334.80 ,$292.02 ,$307.27 ,$27.36 ,$241.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100307,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$372.00 ,$267.84 ,$7.53 ,$372.00 ,$196.93 ,$297.60 ,$77.19 ,$104.16 ,$324.76 ,$341.87 ,$77.19 ,$307.64 ,$77.19 ,$159.12 ,$342.24 ,$192.99 ,$77.19 ,$78.74 ,$310.25 ,$310.25 ,$310.25 ,$77.19 ,$310.25 ,$318.43 ,$318.43 ,$334.80 ,$196.93 ,$316.20 ,$77.19 ,$77.19 ,$208.69 ,$77.19 ,$154.01 ,$7.89 ,$7.53 ,$81.06 ,$316.20 ,$307.64 ,$104.16 ,$334.80 ,$292.02 ,$307.27 ,$82.67 ,$241.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$116.00 ,$83.52 ,$3.35 ,$116.00 ,$9.83 ,$92.80 ,$3.85 ,$32.48 ,$101.27 ,$106.60 ,$3.85 ,$95.93 ,$3.85 ,$7.94 ,$106.72 ,$9.63 ,$3.85 ,$3.93 ,$96.74 ,$96.74 ,$96.74 ,$3.85 ,$96.74 ,$99.30 ,$99.30 ,$104.40 ,$9.83 ,$98.60 ,$3.85 ,$3.85 ,$65.08 ,$3.85 ,$48.02 ,$3.51 ,$3.35 ,$4.05 ,$98.60 ,$95.93 ,$32.48 ,$104.40 ,$91.06 ,$95.82 ,$4.13 ,$75.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100312,82947,HC GLUCOSE,301,1 ,$70.00 ,$50.40 ,$3.35 ,$70.00 ,$9.83 ,$56.00 ,$3.85 ,$19.60 ,$61.11 ,$64.33 ,$3.85 ,$57.89 ,$3.85 ,$7.94 ,$64.40 ,$9.63 ,$3.85 ,$3.93 ,$58.38 ,$58.38 ,$58.38 ,$3.85 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$9.83 ,$59.50 ,$3.85 ,$3.85 ,$39.27 ,$3.85 ,$28.98 ,$3.51 ,$3.35 ,$4.05 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$4.13 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100313,82950,HC GLUCOSE SCREEN,301,1 ,$92.00 ,$66.24 ,$3.35 ,$92.00 ,$11.88 ,$73.60 ,$4.65 ,$25.76 ,$80.32 ,$84.55 ,$4.65 ,$76.08 ,$4.65 ,$9.60 ,$84.64 ,$11.64 ,$4.65 ,$4.75 ,$76.73 ,$76.73 ,$76.73 ,$4.65 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$11.88 ,$78.20 ,$4.65 ,$4.65 ,$51.61 ,$4.65 ,$38.09 ,$3.51 ,$3.35 ,$4.89 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$4.99 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$215.00 ,$154.80 ,$7.53 ,$215.00 ,$32.18 ,$172.00 ,$12.61 ,$60.20 ,$187.70 ,$197.59 ,$12.61 ,$177.81 ,$12.61 ,$26.00 ,$197.80 ,$31.54 ,$12.61 ,$12.87 ,$179.31 ,$179.31 ,$179.31 ,$12.61 ,$179.31 ,$184.04 ,$184.04 ,$193.50 ,$32.18 ,$182.75 ,$12.61 ,$12.61 ,$120.62 ,$12.61 ,$89.01 ,$7.89 ,$7.53 ,$13.24 ,$182.75 ,$177.81 ,$60.20 ,$193.50 ,$168.78 ,$177.59 ,$13.50 ,$139.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100319,82977,HC GGT/GGTP,301,1 ,$135.00 ,$97.20 ,$3.35 ,$135.00 ,$18.00 ,$108.00 ,$7.06 ,$37.80 ,$117.86 ,$124.07 ,$7.06 ,$111.65 ,$7.06 ,$14.54 ,$124.20 ,$17.64 ,$7.06 ,$7.19 ,$112.59 ,$112.59 ,$112.59 ,$7.06 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$18.00 ,$114.75 ,$7.06 ,$7.06 ,$75.74 ,$7.06 ,$55.89 ,$3.51 ,$3.35 ,$7.41 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$7.56 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$193.00 ,$138.96 ,$7.53 ,$193.00 ,$24.28 ,$154.40 ,$9.52 ,$54.04 ,$168.49 ,$177.37 ,$9.52 ,$159.61 ,$9.52 ,$19.61 ,$177.56 ,$23.79 ,$9.52 ,$9.70 ,$160.96 ,$160.96 ,$160.96 ,$9.52 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$24.28 ,$164.05 ,$9.52 ,$9.52 ,$108.27 ,$9.52 ,$79.90 ,$7.89 ,$7.53 ,$10.00 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$159.42 ,$10.19 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100338,83050,HC METHEMOGLOBIN,301,1 ,$108.00 ,$77.76 ,$7.53 ,$108.00 ,$20.50 ,$86.40 ,$8.04 ,$30.24 ,$94.28 ,$99.25 ,$8.04 ,$89.32 ,$8.04 ,$16.56 ,$99.36 ,$20.09 ,$8.04 ,$8.19 ,$90.07 ,$90.07 ,$90.07 ,$8.04 ,$90.07 ,$92.45 ,$92.45 ,$97.20 ,$20.50 ,$91.80 ,$8.04 ,$8.04 ,$60.59 ,$8.04 ,$44.71 ,$7.89 ,$7.53 ,$8.44 ,$91.80 ,$89.32 ,$30.24 ,$97.20 ,$84.78 ,$89.21 ,$8.60 ,$70.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100393,83540,HC IRON TOTAL,301,1 ,$122.00 ,$87.84 ,$3.35 ,$122.00 ,$16.18 ,$97.60 ,$6.34 ,$34.16 ,$106.51 ,$112.12 ,$6.34 ,$100.89 ,$6.34 ,$13.07 ,$112.24 ,$15.86 ,$6.34 ,$6.47 ,$101.75 ,$101.75 ,$101.75 ,$6.34 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$16.18 ,$103.70 ,$6.34 ,$6.34 ,$68.44 ,$6.34 ,$50.51 ,$3.51 ,$3.35 ,$6.65 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$6.79 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$62.00 ,$44.64 ,$7.53 ,$62.00 ,$21.85 ,$49.60 ,$8.57 ,$17.36 ,$54.13 ,$56.98 ,$8.57 ,$51.27 ,$8.57 ,$17.65 ,$57.04 ,$21.41 ,$8.57 ,$8.73 ,$51.71 ,$51.71 ,$51.71 ,$8.57 ,$51.71 ,$53.07 ,$53.07 ,$55.80 ,$21.85 ,$52.70 ,$8.57 ,$8.57 ,$34.78 ,$8.57 ,$25.67 ,$7.89 ,$7.53 ,$9.00 ,$52.70 ,$51.27 ,$17.36 ,$55.80 ,$48.67 ,$51.21 ,$9.17 ,$40.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$314.00 ,$226.08 ,$7.53 ,$314.00 ,$28.93 ,$251.20 ,$11.34 ,$87.92 ,$274.12 ,$288.57 ,$11.34 ,$259.68 ,$11.34 ,$23.37 ,$288.88 ,$28.35 ,$11.34 ,$11.56 ,$261.88 ,$261.88 ,$261.88 ,$11.34 ,$261.88 ,$268.78 ,$268.78 ,$282.60 ,$28.93 ,$266.90 ,$11.34 ,$11.34 ,$176.15 ,$11.34 ,$130.00 ,$7.89 ,$7.53 ,$11.91 ,$266.90 ,$259.68 ,$87.92 ,$282.60 ,$246.49 ,$259.36 ,$12.14 ,$204.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$203.00 ,$146.16 ,$3.35 ,$203.00 ,$15.10 ,$162.40 ,$5.92 ,$56.84 ,$177.22 ,$186.56 ,$5.92 ,$167.88 ,$5.92 ,$12.20 ,$186.76 ,$14.80 ,$5.92 ,$6.04 ,$169.30 ,$169.30 ,$169.30 ,$5.92 ,$169.30 ,$173.77 ,$173.77 ,$182.70 ,$15.10 ,$172.55 ,$5.92 ,$5.92 ,$113.88 ,$5.92 ,$84.04 ,$3.51 ,$3.35 ,$6.21 ,$172.55 ,$167.88 ,$56.84 ,$182.70 ,$159.36 ,$167.68 ,$6.34 ,$131.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100409,83690,HC LIPASE,301,1 ,$128.00 ,$92.16 ,$3.35 ,$128.00 ,$17.23 ,$102.40 ,$6.75 ,$35.84 ,$111.74 ,$117.63 ,$6.75 ,$105.86 ,$6.75 ,$13.92 ,$117.76 ,$16.89 ,$6.75 ,$6.89 ,$106.75 ,$106.75 ,$106.75 ,$6.75 ,$106.75 ,$109.57 ,$109.57 ,$115.20 ,$17.23 ,$108.80 ,$6.75 ,$6.75 ,$71.81 ,$6.75 ,$52.99 ,$3.51 ,$3.35 ,$7.09 ,$108.80 ,$105.86 ,$35.84 ,$115.20 ,$100.48 ,$105.73 ,$7.23 ,$83.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100415,83718,HC CHOLESTEROL HDL,301,1 ,$139.00 ,$100.08 ,$7.53 ,$139.00 ,$20.48 ,$111.20 ,$8.03 ,$38.92 ,$121.35 ,$127.74 ,$8.03 ,$114.95 ,$8.03 ,$16.54 ,$127.88 ,$20.07 ,$8.03 ,$8.18 ,$115.93 ,$115.93 ,$115.93 ,$8.03 ,$115.93 ,$118.98 ,$118.98 ,$125.10 ,$20.48 ,$118.15 ,$8.03 ,$8.03 ,$77.98 ,$8.03 ,$57.55 ,$7.89 ,$7.53 ,$8.43 ,$118.15 ,$114.95 ,$38.92 ,$125.10 ,$109.12 ,$114.81 ,$8.59 ,$90.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100417,83735,HC MAGNESIUM,301,1 ,$184.00 ,$132.48 ,$3.35 ,$184.00 ,$16.75 ,$147.20 ,$6.57 ,$51.52 ,$160.63 ,$169.10 ,$6.57 ,$152.17 ,$6.57 ,$13.53 ,$169.28 ,$16.41 ,$6.57 ,$6.69 ,$153.46 ,$153.46 ,$153.46 ,$6.57 ,$153.46 ,$157.50 ,$157.50 ,$165.60 ,$16.75 ,$156.40 ,$6.57 ,$6.57 ,$103.22 ,$6.57 ,$76.18 ,$3.51 ,$3.35 ,$6.90 ,$156.40 ,$152.17 ,$51.52 ,$165.60 ,$144.44 ,$151.98 ,$7.04 ,$119.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$352.00 ,$253.44 ,$20.25 ,$352.00 ,$98.15 ,$281.60 ,$38.47 ,$98.56 ,$307.30 ,$323.49 ,$38.47 ,$291.10 ,$38.47 ,$79.31 ,$323.84 ,$96.19 ,$38.47 ,$39.25 ,$293.57 ,$293.57 ,$293.57 ,$38.47 ,$293.57 ,$301.31 ,$301.31 ,$316.80 ,$98.15 ,$299.20 ,$38.47 ,$38.47 ,$197.47 ,$38.47 ,$145.73 ,$21.22 ,$20.25 ,$40.40 ,$299.20 ,$291.10 ,$98.56 ,$316.80 ,$276.32 ,$290.75 ,$41.21 ,$228.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$137.00 ,$98.64 ,$3.35 ,$137.00 ,$12.95 ,$109.60 ,$5.08 ,$38.36 ,$119.60 ,$125.90 ,$5.08 ,$113.30 ,$5.08 ,$10.46 ,$126.04 ,$12.69 ,$5.08 ,$5.17 ,$114.26 ,$114.26 ,$114.26 ,$5.08 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$12.95 ,$116.45 ,$5.08 ,$5.08 ,$76.86 ,$5.08 ,$56.72 ,$3.51 ,$3.35 ,$5.33 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$5.44 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100684,84100,HC PHOSPHORUS,301,1 ,$102.00 ,$73.44 ,$3.35 ,$102.00 ,$11.85 ,$81.60 ,$4.65 ,$28.56 ,$89.05 ,$93.74 ,$4.65 ,$84.35 ,$4.65 ,$9.57 ,$93.84 ,$11.61 ,$4.65 ,$4.73 ,$85.07 ,$85.07 ,$85.07 ,$4.65 ,$85.07 ,$87.31 ,$87.31 ,$91.80 ,$11.85 ,$86.70 ,$4.65 ,$4.65 ,$57.22 ,$4.65 ,$42.23 ,$3.51 ,$3.35 ,$4.88 ,$86.70 ,$84.35 ,$28.56 ,$91.80 ,$80.07 ,$84.25 ,$4.98 ,$66.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100691,84132,HC POTASSIUM,301,1 ,$85.00 ,$61.20 ,$3.35 ,$85.00 ,$11.90 ,$68.00 ,$4.66 ,$23.80 ,$74.21 ,$78.12 ,$4.66 ,$70.30 ,$4.66 ,$9.62 ,$78.20 ,$11.66 ,$4.66 ,$4.76 ,$70.89 ,$70.89 ,$70.89 ,$4.66 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$11.90 ,$72.25 ,$4.66 ,$4.66 ,$47.69 ,$4.66 ,$35.19 ,$3.51 ,$3.35 ,$4.90 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$5.00 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100694,84133,HC POTASSIUM URINE,301,1 ,$35.00 ,$25.20 ,$3.35 ,$35.00 ,$11.83 ,$28.00 ,$4.64 ,$9.80 ,$30.56 ,$32.17 ,$4.64 ,$28.95 ,$4.64 ,$9.55 ,$32.20 ,$11.59 ,$4.64 ,$4.72 ,$29.19 ,$29.19 ,$29.19 ,$4.64 ,$29.19 ,$29.96 ,$29.96 ,$31.50 ,$11.83 ,$29.75 ,$4.64 ,$4.64 ,$19.64 ,$4.64 ,$14.49 ,$3.51 ,$3.35 ,$4.87 ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 ,$4.97 ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100695,84134,HC PREALBUMIN,301,1 ,$165.00 ,$118.80 ,$7.53 ,$165.00 ,$36.48 ,$132.00 ,$14.30 ,$46.20 ,$144.05 ,$151.64 ,$14.30 ,$136.46 ,$14.30 ,$29.47 ,$151.80 ,$35.75 ,$14.30 ,$14.58 ,$137.61 ,$137.61 ,$137.61 ,$14.30 ,$137.61 ,$141.24 ,$141.24 ,$148.50 ,$36.48 ,$140.25 ,$14.30 ,$14.30 ,$92.57 ,$14.30 ,$68.31 ,$7.89 ,$7.53 ,$15.01 ,$140.25 ,$136.46 ,$46.20 ,$148.50 ,$129.53 ,$136.29 ,$15.32 ,$107.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100697,84146,HC PROLACTIN,301,1 ,$139.00 ,$100.08 ,$17.61 ,$139.00 ,$48.45 ,$111.20 ,$18.99 ,$38.92 ,$121.35 ,$127.74 ,$18.99 ,$114.95 ,$18.99 ,$39.15 ,$127.88 ,$47.48 ,$18.99 ,$19.37 ,$115.93 ,$115.93 ,$115.93 ,$18.99 ,$115.93 ,$118.98 ,$118.98 ,$125.10 ,$48.45 ,$118.15 ,$18.99 ,$18.99 ,$77.98 ,$18.99 ,$57.55 ,$18.45 ,$17.61 ,$19.94 ,$118.15 ,$114.95 ,$38.92 ,$125.10 ,$109.12 ,$114.81 ,$20.34 ,$90.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100698,84153,HC PSA TOTAL,301,1 ,$275.00 ,$198.00 ,$7.53 ,$275.00 ,$45.98 ,$220.00 ,$18.02 ,$77.00 ,$240.08 ,$252.73 ,$18.02 ,$227.43 ,$18.02 ,$37.15 ,$253.00 ,$45.06 ,$18.02 ,$18.38 ,$229.35 ,$229.35 ,$229.35 ,$18.02 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$45.98 ,$233.75 ,$18.02 ,$18.02 ,$154.28 ,$18.02 ,$113.85 ,$7.89 ,$7.53 ,$18.92 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$19.31 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100700,84155,HC PROTEIN TOTAL,301,1 ,$85.00 ,$61.20 ,$3.35 ,$85.00 ,$9.18 ,$68.00 ,$3.60 ,$23.80 ,$74.21 ,$78.12 ,$3.60 ,$70.30 ,$3.60 ,$7.41 ,$78.20 ,$9.00 ,$3.60 ,$3.67 ,$70.89 ,$70.89 ,$70.89 ,$3.60 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$9.18 ,$72.25 ,$3.60 ,$3.60 ,$47.69 ,$3.60 ,$35.19 ,$3.51 ,$3.35 ,$3.77 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$3.85 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$21.00 ,$15.12 ,$3.35 ,$21.00 ,$9.18 ,$16.80 ,$3.60 ,$5.88 ,$18.33 ,$19.30 ,$3.60 ,$17.37 ,$3.60 ,$7.41 ,$19.32 ,$9.00 ,$3.60 ,$3.67 ,$17.51 ,$17.51 ,$17.51 ,$3.60 ,$17.51 ,$17.98 ,$17.98 ,$18.90 ,$9.18 ,$17.85 ,$3.60 ,$3.60 ,$11.78 ,$3.60 ,$8.69 ,$3.51 ,$3.35 ,$3.77 ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 ,$3.85 ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$129.00 ,$92.88 ,$3.35 ,$129.00 ,$10.00 ,$103.20 ,$3.92 ,$36.12 ,$112.62 ,$118.55 ,$3.92 ,$106.68 ,$3.92 ,$8.08 ,$118.68 ,$9.80 ,$3.92 ,$4.00 ,$107.59 ,$107.59 ,$107.59 ,$3.92 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$10.00 ,$109.65 ,$3.92 ,$3.92 ,$72.37 ,$3.92 ,$53.41 ,$3.51 ,$3.35 ,$4.12 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$4.19 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100721,84295,HC SODIUM,301,1 ,$80.00 ,$57.60 ,$3.35 ,$80.00 ,$12.03 ,$64.00 ,$4.71 ,$22.40 ,$69.84 ,$73.52 ,$4.71 ,$66.16 ,$4.71 ,$9.72 ,$73.60 ,$11.79 ,$4.71 ,$4.81 ,$66.72 ,$66.72 ,$66.72 ,$4.71 ,$66.72 ,$68.48 ,$68.48 ,$72.00 ,$12.03 ,$68.00 ,$4.71 ,$4.71 ,$44.88 ,$4.71 ,$33.12 ,$3.51 ,$3.35 ,$4.95 ,$68.00 ,$66.16 ,$22.40 ,$72.00 ,$62.80 ,$66.08 ,$5.05 ,$52.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100724,84300,HC SODIUM URINE,301,1 ,$47.00 ,$33.84 ,$3.35 ,$47.00 ,$12.65 ,$37.60 ,$4.96 ,$13.16 ,$41.03 ,$43.19 ,$4.96 ,$38.87 ,$4.96 ,$10.22 ,$43.24 ,$12.40 ,$4.96 ,$5.06 ,$39.20 ,$39.20 ,$39.20 ,$4.96 ,$39.20 ,$40.23 ,$40.23 ,$42.30 ,$12.65 ,$39.95 ,$4.96 ,$4.96 ,$26.37 ,$4.96 ,$19.46 ,$3.51 ,$3.35 ,$5.20 ,$39.95 ,$38.87 ,$13.16 ,$42.30 ,$36.90 ,$38.82 ,$5.31 ,$30.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$113.00 ,$81.36 ,$6.73 ,$113.00 ,$17.18 ,$90.40 ,$6.73 ,$31.64 ,$98.65 ,$103.85 ,$6.73 ,$93.45 ,$6.73 ,$13.88 ,$103.96 ,$16.84 ,$6.73 ,$6.87 ,$94.24 ,$94.24 ,$94.24 ,$6.73 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$17.18 ,$96.05 ,$6.73 ,$6.73 ,$63.39 ,$6.73 ,$46.78 ,$10.62 ,$10.13 ,$7.07 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$7.21 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100740,84439,HC T4 FREE,301,1 ,$98.00 ,$70.56 ,$8.84 ,$98.00 ,$22.55 ,$78.40 ,$8.84 ,$27.44 ,$85.55 ,$90.06 ,$8.84 ,$81.05 ,$8.84 ,$18.22 ,$90.16 ,$22.10 ,$8.84 ,$9.02 ,$81.73 ,$81.73 ,$81.73 ,$8.84 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$22.55 ,$83.30 ,$8.84 ,$8.84 ,$54.98 ,$8.84 ,$40.57 ,$10.62 ,$10.13 ,$9.28 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$9.47 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$193.00 ,$138.96 ,$10.13 ,$193.00 ,$42.00 ,$154.40 ,$16.46 ,$54.04 ,$168.49 ,$177.37 ,$16.46 ,$159.61 ,$16.46 ,$33.94 ,$177.56 ,$41.16 ,$16.46 ,$16.80 ,$160.96 ,$160.96 ,$160.96 ,$16.46 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$42.00 ,$164.05 ,$16.46 ,$16.46 ,$108.27 ,$16.46 ,$79.90 ,$10.62 ,$10.13 ,$17.29 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$159.42 ,$17.63 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100746,84450,HC AST,301,1 ,$135.00 ,$97.20 ,$3.35 ,$135.00 ,$12.95 ,$108.00 ,$5.08 ,$37.80 ,$117.86 ,$124.07 ,$5.08 ,$111.65 ,$5.08 ,$10.46 ,$124.20 ,$12.69 ,$5.08 ,$5.17 ,$112.59 ,$112.59 ,$112.59 ,$5.08 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$12.95 ,$114.75 ,$5.08 ,$5.08 ,$75.74 ,$5.08 ,$55.89 ,$3.51 ,$3.35 ,$5.33 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$5.44 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100747,84460,HC ALT,301,1 ,$129.00 ,$92.88 ,$3.35 ,$129.00 ,$13.25 ,$103.20 ,$5.19 ,$36.12 ,$112.62 ,$118.55 ,$5.19 ,$106.68 ,$5.19 ,$10.71 ,$118.68 ,$12.98 ,$5.19 ,$5.30 ,$107.59 ,$107.59 ,$107.59 ,$5.19 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$13.25 ,$109.65 ,$5.19 ,$5.19 ,$72.37 ,$5.19 ,$53.41 ,$3.51 ,$3.35 ,$5.46 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$5.57 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100750,84478,HC TRIGLYCERIDES,301,1 ,$113.00 ,$81.36 ,$3.35 ,$113.00 ,$14.35 ,$90.40 ,$5.63 ,$31.64 ,$98.65 ,$103.85 ,$5.63 ,$93.45 ,$5.63 ,$11.59 ,$103.96 ,$14.06 ,$5.63 ,$5.73 ,$94.24 ,$94.24 ,$94.24 ,$5.63 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$14.35 ,$96.05 ,$5.63 ,$5.63 ,$63.39 ,$5.63 ,$46.78 ,$3.51 ,$3.35 ,$5.91 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$6.03 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100758,84484,HC TROPONIN QN,301,1 ,$217.00 ,$156.24 ,$7.53 ,$217.00 ,$31.18 ,$173.60 ,$12.22 ,$60.76 ,$189.44 ,$199.42 ,$12.22 ,$179.46 ,$12.22 ,$25.19 ,$199.64 ,$30.56 ,$12.22 ,$12.47 ,$180.98 ,$180.98 ,$180.98 ,$12.22 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$31.18 ,$184.45 ,$12.22 ,$12.22 ,$121.74 ,$12.22 ,$89.84 ,$7.89 ,$7.53 ,$12.83 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$13.09 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100761,84520,HC BUN,301,1 ,$105.00 ,$75.60 ,$3.35 ,$105.00 ,$9.88 ,$84.00 ,$3.87 ,$29.40 ,$91.67 ,$96.50 ,$3.87 ,$86.84 ,$3.87 ,$7.98 ,$96.60 ,$9.68 ,$3.87 ,$3.95 ,$87.57 ,$87.57 ,$87.57 ,$3.87 ,$87.57 ,$89.88 ,$89.88 ,$94.50 ,$9.88 ,$89.25 ,$3.87 ,$3.87 ,$58.91 ,$3.87 ,$43.47 ,$3.51 ,$3.35 ,$4.07 ,$89.25 ,$86.84 ,$29.40 ,$94.50 ,$82.43 ,$86.73 ,$4.15 ,$68.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100764,84540,HC UREA URINE,301,1 ,$167.00 ,$120.24 ,$3.35 ,$167.00 ,$13.90 ,$133.60 ,$5.45 ,$46.76 ,$145.79 ,$153.47 ,$5.45 ,$138.11 ,$5.45 ,$11.23 ,$153.64 ,$13.62 ,$5.45 ,$5.56 ,$139.28 ,$139.28 ,$139.28 ,$5.45 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$13.90 ,$141.95 ,$5.45 ,$5.45 ,$93.69 ,$5.45 ,$69.14 ,$3.51 ,$3.35 ,$5.72 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$5.83 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100765,84550,HC URIC ACID,301,1 ,$102.00 ,$73.44 ,$3.35 ,$102.00 ,$11.30 ,$81.60 ,$4.43 ,$28.56 ,$89.05 ,$93.74 ,$4.43 ,$84.35 ,$4.43 ,$9.13 ,$93.84 ,$11.07 ,$4.43 ,$4.52 ,$85.07 ,$85.07 ,$85.07 ,$4.43 ,$85.07 ,$87.31 ,$87.31 ,$91.80 ,$11.30 ,$86.70 ,$4.43 ,$4.43 ,$57.22 ,$4.43 ,$42.23 ,$3.51 ,$3.35 ,$4.65 ,$86.70 ,$84.35 ,$28.56 ,$91.80 ,$80.07 ,$84.25 ,$4.74 ,$66.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100802,84702,HC HCG QN,301,1 ,$218.00 ,$156.96 ,$10.13 ,$218.00 ,$37.63 ,$174.40 ,$14.75 ,$61.04 ,$190.31 ,$200.34 ,$14.75 ,$180.29 ,$14.75 ,$30.40 ,$200.56 ,$36.88 ,$14.75 ,$15.04 ,$181.81 ,$181.81 ,$181.81 ,$14.75 ,$181.81 ,$186.61 ,$186.61 ,$196.20 ,$37.63 ,$185.30 ,$14.75 ,$14.75 ,$122.30 ,$14.75 ,$90.25 ,$10.62 ,$10.13 ,$15.48 ,$185.30 ,$180.29 ,$61.04 ,$196.20 ,$171.13 ,$180.07 ,$15.80 ,$141.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100808,84703,HC HCG QL,301,1 ,$144.00 ,$103.68 ,$7.37 ,$144.00 ,$18.80 ,$115.20 ,$7.37 ,$40.32 ,$125.71 ,$132.34 ,$7.37 ,$119.09 ,$7.37 ,$15.19 ,$132.48 ,$18.42 ,$7.37 ,$7.52 ,$120.10 ,$120.10 ,$120.10 ,$7.37 ,$120.10 ,$123.26 ,$123.26 ,$129.60 ,$18.80 ,$122.40 ,$7.37 ,$7.37 ,$80.78 ,$7.37 ,$59.62 ,$7.89 ,$7.53 ,$7.74 ,$122.40 ,$119.09 ,$40.32 ,$129.60 ,$113.04 ,$118.94 ,$7.89 ,$93.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30100845,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$15.00 ,$10.80 ,$1.69 ,$15.00 ,$12.60 ,$12.00 ,$4.94 ,$4.20 ,$13.10 ,$13.79 ,$4.94 ,$12.41 ,$4.94 ,$10.18 ,$13.80 ,$12.35 ,$4.94 ,$5.04 ,$12.51 ,$12.51 ,$12.51 ,$4.94 ,$12.51 ,$12.84 ,$12.84 ,$13.50 ,$12.60 ,$12.75 ,$4.94 ,$4.94 ,$8.42 ,$4.94 ,$6.21 ,$1.77 ,$1.69 ,$5.18 ,$12.75 ,$12.41 ,$4.20 ,$13.50 ,$11.78 ,$12.39 ,$5.29 ,$9.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101001,82355,HC CALCULUS ANALYSIS QL,301,1 ,$181.00 ,$130.32 ,$7.53 ,$181.00 ,$28.95 ,$144.80 ,$11.35 ,$50.68 ,$158.01 ,$166.34 ,$11.35 ,$149.69 ,$11.35 ,$23.39 ,$166.52 ,$28.37 ,$11.35 ,$11.57 ,$150.95 ,$150.95 ,$150.95 ,$11.35 ,$150.95 ,$154.94 ,$154.94 ,$162.90 ,$28.95 ,$153.85 ,$11.35 ,$11.35 ,$101.54 ,$11.35 ,$74.93 ,$7.89 ,$7.53 ,$11.92 ,$153.85 ,$149.69 ,$50.68 ,$162.90 ,$142.09 ,$149.51 ,$12.15 ,$117.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101011,83630,HC LACTOFERRIN FECAL QL,301,1 ,$162.00 ,$116.64 ,$7.53 ,$162.00 ,$49.25 ,$129.60 ,$19.31 ,$45.36 ,$141.43 ,$148.88 ,$19.31 ,$133.97 ,$19.31 ,$39.79 ,$149.04 ,$48.26 ,$19.31 ,$19.69 ,$135.11 ,$135.11 ,$135.11 ,$19.31 ,$135.11 ,$138.67 ,$138.67 ,$145.80 ,$49.25 ,$137.70 ,$19.31 ,$19.31 ,$90.88 ,$19.31 ,$67.07 ,$7.89 ,$7.53 ,$20.28 ,$137.70 ,$133.97 ,$45.36 ,$145.80 ,$127.17 ,$133.81 ,$20.68 ,$105.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$275.00 ,$198.00 ,$7.53 ,$275.00 ,$48.28 ,$220.00 ,$18.92 ,$77.00 ,$240.08 ,$252.73 ,$18.92 ,$227.43 ,$18.92 ,$39.01 ,$253.00 ,$47.31 ,$18.92 ,$19.31 ,$229.35 ,$229.35 ,$229.35 ,$18.92 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$48.28 ,$233.75 ,$18.92 ,$18.92 ,$154.28 ,$18.92 ,$113.85 ,$7.89 ,$7.53 ,$19.87 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$20.27 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101087,80074,HC HEPATITIS PANEL ACUTE - 90,301,1 ,$174.00 ,$125.28 ,$6.87 ,$174.00 ,$119.08 ,$139.20 ,$46.68 ,$48.72 ,$151.90 ,$159.91 ,$46.68 ,$143.90 ,$46.68 ,$96.21 ,$160.08 ,$116.70 ,$46.68 ,$47.61 ,$145.12 ,$145.12 ,$145.12 ,$46.68 ,$145.12 ,$148.94 ,$148.94 ,$156.60 ,$119.08 ,$147.90 ,$46.68 ,$46.68 ,$97.61 ,$46.68 ,$72.04 ,$7.19 ,$6.87 ,$49.01 ,$147.90 ,$143.90 ,$48.72 ,$156.60 ,$136.59 ,$143.72 ,$49.99 ,$113.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101089,80150,HC AMIKACIN - 90,301,1 ,$98.00 ,$70.56 ,$8.64 ,$98.00 ,$37.70 ,$78.40 ,$14.78 ,$27.44 ,$85.55 ,$90.06 ,$14.78 ,$81.05 ,$14.78 ,$30.46 ,$90.16 ,$36.95 ,$14.78 ,$15.07 ,$81.73 ,$81.73 ,$81.73 ,$14.78 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$37.70 ,$83.30 ,$14.78 ,$14.78 ,$54.98 ,$14.78 ,$40.57 ,$9.05 ,$8.64 ,$15.51 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$15.83 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101092,80156,HC CARBAMAZEPINE TOTAL - 90,301,1 ,$233.00 ,$167.76 ,$8.64 ,$233.00 ,$36.43 ,$186.40 ,$14.28 ,$65.24 ,$203.41 ,$214.13 ,$14.28 ,$192.69 ,$14.28 ,$29.43 ,$214.36 ,$35.70 ,$14.28 ,$14.56 ,$194.32 ,$194.32 ,$194.32 ,$14.28 ,$194.32 ,$199.45 ,$199.45 ,$209.70 ,$36.43 ,$198.05 ,$14.28 ,$14.28 ,$130.71 ,$14.28 ,$96.46 ,$9.05 ,$8.64 ,$14.99 ,$198.05 ,$192.69 ,$65.24 ,$209.70 ,$182.91 ,$192.46 ,$15.29 ,$151.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$279.00 ,$200.88 ,$8.64 ,$279.00 ,$45.13 ,$223.20 ,$17.69 ,$78.12 ,$243.57 ,$256.40 ,$17.69 ,$230.73 ,$17.69 ,$36.46 ,$256.68 ,$44.23 ,$17.69 ,$18.04 ,$232.69 ,$232.69 ,$232.69 ,$17.69 ,$232.69 ,$238.82 ,$238.82 ,$251.10 ,$45.13 ,$237.15 ,$17.69 ,$17.69 ,$156.52 ,$17.69 ,$115.51 ,$9.05 ,$8.64 ,$18.57 ,$237.15 ,$230.73 ,$78.12 ,$251.10 ,$219.02 ,$230.45 ,$18.94 ,$181.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101095,80159,HC CLOZAPINE - 90,301,1 ,$149.00 ,$107.28 ,$8.64 ,$149.00 ,$50.38 ,$119.20 ,$19.75 ,$41.72 ,$130.08 ,$136.93 ,$19.75 ,$123.22 ,$19.75 ,$40.70 ,$137.08 ,$49.37 ,$19.75 ,$20.14 ,$124.27 ,$124.27 ,$124.27 ,$19.75 ,$124.27 ,$127.54 ,$127.54 ,$134.10 ,$50.38 ,$126.65 ,$19.75 ,$19.75 ,$83.59 ,$19.75 ,$61.69 ,$9.05 ,$8.64 ,$20.74 ,$126.65 ,$123.22 ,$41.72 ,$134.10 ,$116.97 ,$123.07 ,$21.15 ,$96.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101102,80171,HC GABAPENTIN PLASMA - 90,301,1 ,$214.00 ,$154.08 ,$8.64 ,$214.00 ,$54.18 ,$171.20 ,$21.24 ,$59.92 ,$186.82 ,$196.67 ,$21.24 ,$176.98 ,$21.24 ,$43.77 ,$196.88 ,$53.10 ,$21.24 ,$21.66 ,$178.48 ,$178.48 ,$178.48 ,$21.24 ,$178.48 ,$183.18 ,$183.18 ,$192.60 ,$54.18 ,$181.90 ,$21.24 ,$21.24 ,$120.05 ,$21.24 ,$88.60 ,$9.05 ,$8.64 ,$22.29 ,$181.90 ,$176.98 ,$59.92 ,$192.60 ,$167.99 ,$176.76 ,$22.75 ,$139.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101104,80175,HC LAMOTRIGINE - 90,301,1 ,$378.00 ,$272.16 ,$8.64 ,$378.00 ,$33.13 ,$302.40 ,$12.98 ,$105.84 ,$329.99 ,$347.38 ,$12.98 ,$312.61 ,$12.98 ,$26.77 ,$347.76 ,$32.47 ,$12.98 ,$13.25 ,$315.25 ,$315.25 ,$315.25 ,$12.98 ,$315.25 ,$323.57 ,$323.57 ,$340.20 ,$33.13 ,$321.30 ,$12.98 ,$12.98 ,$212.06 ,$12.98 ,$156.49 ,$9.05 ,$8.64 ,$13.63 ,$321.30 ,$312.61 ,$105.84 ,$340.20 ,$296.73 ,$312.23 ,$13.91 ,$245.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101106,80177,HC LEVETIRACETAM - 90,301,1 ,$316.00 ,$227.52 ,$8.64 ,$316.00 ,$33.13 ,$252.80 ,$12.98 ,$88.48 ,$275.87 ,$290.40 ,$12.98 ,$261.33 ,$12.98 ,$26.77 ,$290.72 ,$32.47 ,$12.98 ,$13.25 ,$263.54 ,$263.54 ,$263.54 ,$12.98 ,$263.54 ,$270.50 ,$270.50 ,$284.40 ,$33.13 ,$268.60 ,$12.98 ,$12.98 ,$177.28 ,$12.98 ,$130.82 ,$9.05 ,$8.64 ,$13.63 ,$268.60 ,$261.33 ,$88.48 ,$284.40 ,$248.06 ,$261.02 ,$13.91 ,$205.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101109,80183,HC OXCARBAZEPINE - 90,301,1 ,$192.00 ,$138.24 ,$8.64 ,$192.00 ,$33.13 ,$153.60 ,$12.98 ,$53.76 ,$167.62 ,$176.45 ,$12.98 ,$158.78 ,$12.98 ,$26.77 ,$176.64 ,$32.47 ,$12.98 ,$13.25 ,$160.13 ,$160.13 ,$160.13 ,$12.98 ,$160.13 ,$164.35 ,$164.35 ,$172.80 ,$33.13 ,$163.20 ,$12.98 ,$12.98 ,$107.71 ,$12.98 ,$79.49 ,$9.05 ,$8.64 ,$13.63 ,$163.20 ,$158.78 ,$53.76 ,$172.80 ,$150.72 ,$158.59 ,$13.91 ,$124.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$157.00 ,$113.04 ,$8.64 ,$157.00 ,$38.25 ,$125.60 ,$14.99 ,$43.96 ,$137.06 ,$144.28 ,$14.99 ,$129.84 ,$14.99 ,$30.91 ,$144.44 ,$37.48 ,$14.99 ,$15.30 ,$130.94 ,$130.94 ,$130.94 ,$14.99 ,$130.94 ,$134.39 ,$134.39 ,$141.30 ,$38.25 ,$133.45 ,$14.99 ,$14.99 ,$88.08 ,$14.99 ,$65.00 ,$9.05 ,$8.64 ,$15.75 ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$129.68 ,$16.06 ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101113,80185,HC PHENYTOIN TOTAL - 90,301,1 ,$215.00 ,$154.80 ,$8.64 ,$215.00 ,$33.13 ,$172.00 ,$12.98 ,$60.20 ,$187.70 ,$197.59 ,$12.98 ,$177.81 ,$12.98 ,$26.77 ,$197.80 ,$32.47 ,$12.98 ,$13.25 ,$179.31 ,$179.31 ,$179.31 ,$12.98 ,$179.31 ,$184.04 ,$184.04 ,$193.50 ,$33.13 ,$182.75 ,$12.98 ,$12.98 ,$120.62 ,$12.98 ,$89.01 ,$9.05 ,$8.64 ,$13.63 ,$182.75 ,$177.81 ,$60.20 ,$193.50 ,$168.78 ,$177.59 ,$13.91 ,$139.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$146.00 ,$105.12 ,$8.64 ,$146.00 ,$34.40 ,$116.80 ,$13.48 ,$40.88 ,$127.46 ,$134.17 ,$13.48 ,$120.74 ,$13.48 ,$27.80 ,$134.32 ,$33.71 ,$13.48 ,$13.76 ,$121.76 ,$121.76 ,$121.76 ,$13.48 ,$121.76 ,$124.98 ,$124.98 ,$131.40 ,$34.40 ,$124.10 ,$13.48 ,$13.48 ,$81.91 ,$13.48 ,$60.44 ,$9.05 ,$8.64 ,$14.16 ,$124.10 ,$120.74 ,$40.88 ,$131.40 ,$114.61 ,$120.60 ,$14.45 ,$94.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101115,80188,HC PRIMIDONE - 90,301,1 ,$267.00 ,$192.24 ,$8.64 ,$267.00 ,$41.48 ,$213.60 ,$16.26 ,$74.76 ,$233.09 ,$245.37 ,$16.26 ,$220.81 ,$16.26 ,$33.51 ,$245.64 ,$40.65 ,$16.26 ,$16.58 ,$222.68 ,$222.68 ,$222.68 ,$16.26 ,$222.68 ,$228.55 ,$228.55 ,$240.30 ,$41.48 ,$226.95 ,$16.26 ,$16.26 ,$149.79 ,$16.26 ,$110.54 ,$9.05 ,$8.64 ,$17.07 ,$226.95 ,$220.81 ,$74.76 ,$240.30 ,$209.60 ,$220.54 ,$17.41 ,$173.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$270.00 ,$194.40 ,$8.64 ,$270.00 ,$41.88 ,$216.00 ,$16.41 ,$75.60 ,$235.71 ,$248.13 ,$16.41 ,$223.29 ,$16.41 ,$33.84 ,$248.40 ,$41.04 ,$16.41 ,$16.75 ,$225.18 ,$225.18 ,$225.18 ,$16.41 ,$225.18 ,$231.12 ,$231.12 ,$243.00 ,$41.88 ,$229.50 ,$16.41 ,$16.41 ,$151.47 ,$16.41 ,$111.78 ,$9.05 ,$8.64 ,$17.24 ,$229.50 ,$223.29 ,$75.60 ,$243.00 ,$211.95 ,$223.02 ,$17.58 ,$175.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101117,80194,HC QUINIDINE - 90,301,1 ,$213.00 ,$153.36 ,$8.64 ,$213.00 ,$36.50 ,$170.40 ,$14.31 ,$59.64 ,$185.95 ,$195.75 ,$14.31 ,$176.15 ,$14.31 ,$29.49 ,$195.96 ,$35.77 ,$14.31 ,$14.59 ,$177.64 ,$177.64 ,$177.64 ,$14.31 ,$177.64 ,$182.33 ,$182.33 ,$191.70 ,$36.50 ,$181.05 ,$14.31 ,$14.31 ,$119.49 ,$14.31 ,$88.18 ,$9.05 ,$8.64 ,$15.02 ,$181.05 ,$176.15 ,$59.64 ,$191.70 ,$167.21 ,$175.94 ,$15.33 ,$138.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101118,80195,HC RAPAMYCIN (SIROLIMUS) - 90,301,1 ,$247.00 ,$177.84 ,$8.64 ,$247.00 ,$34.33 ,$197.60 ,$13.46 ,$69.16 ,$215.63 ,$226.99 ,$13.46 ,$204.27 ,$13.46 ,$27.73 ,$227.24 ,$33.64 ,$13.46 ,$13.72 ,$206.00 ,$206.00 ,$206.00 ,$13.46 ,$206.00 ,$211.43 ,$211.43 ,$222.30 ,$34.33 ,$209.95 ,$13.46 ,$13.46 ,$138.57 ,$13.46 ,$102.26 ,$9.05 ,$8.64 ,$14.13 ,$209.95 ,$204.27 ,$69.16 ,$222.30 ,$193.90 ,$204.02 ,$14.41 ,$160.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101119,80197,HC TACROLIMUS - 90,301,1 ,$238.00 ,$171.36 ,$8.64 ,$238.00 ,$34.33 ,$190.40 ,$13.46 ,$66.64 ,$207.77 ,$218.72 ,$13.46 ,$196.83 ,$13.46 ,$27.73 ,$218.96 ,$33.64 ,$13.46 ,$13.72 ,$198.49 ,$198.49 ,$198.49 ,$13.46 ,$198.49 ,$203.73 ,$203.73 ,$214.20 ,$34.33 ,$202.30 ,$13.46 ,$13.46 ,$133.52 ,$13.46 ,$98.53 ,$9.05 ,$8.64 ,$14.13 ,$202.30 ,$196.83 ,$66.64 ,$214.20 ,$186.83 ,$196.59 ,$14.41 ,$154.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101122,80200,HC TOBRAMYCIN - 90,301,1 ,$261.00 ,$187.92 ,$8.64 ,$261.00 ,$40.33 ,$208.80 ,$15.81 ,$73.08 ,$227.85 ,$239.86 ,$15.81 ,$215.85 ,$15.81 ,$32.58 ,$240.12 ,$39.52 ,$15.81 ,$16.12 ,$217.67 ,$217.67 ,$217.67 ,$15.81 ,$217.67 ,$223.42 ,$223.42 ,$234.90 ,$40.33 ,$221.85 ,$15.81 ,$15.81 ,$146.42 ,$15.81 ,$108.05 ,$9.05 ,$8.64 ,$16.60 ,$221.85 ,$215.85 ,$73.08 ,$234.90 ,$204.89 ,$215.59 ,$16.93 ,$169.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101124,80201,HC TOPIRAMATE - 90,301,1 ,$251.00 ,$180.72 ,$8.64 ,$251.00 ,$29.80 ,$200.80 ,$11.68 ,$70.28 ,$219.12 ,$230.67 ,$11.68 ,$207.58 ,$11.68 ,$24.08 ,$230.92 ,$29.20 ,$11.68 ,$11.92 ,$209.33 ,$209.33 ,$209.33 ,$11.68 ,$209.33 ,$214.86 ,$214.86 ,$225.90 ,$29.80 ,$213.35 ,$11.68 ,$11.68 ,$140.81 ,$11.68 ,$103.91 ,$9.05 ,$8.64 ,$12.27 ,$213.35 ,$207.58 ,$70.28 ,$225.90 ,$197.04 ,$207.33 ,$12.51 ,$163.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101128,80299,HC THERAPEUTIC DRUG OTHER,301,1 ,$590.00 ,$424.80 ,$8.64 ,$590.00 ,$46.60 ,$472.00 ,$18.27 ,$165.20 ,$515.07 ,$542.21 ,$18.27 ,$487.93 ,$18.27 ,$37.65 ,$542.80 ,$45.67 ,$18.27 ,$18.63 ,$492.06 ,$492.06 ,$492.06 ,$18.27 ,$492.06 ,$505.04 ,$505.04 ,$531.00 ,$46.60 ,$501.50 ,$18.27 ,$18.27 ,$330.99 ,$18.27 ,$244.26 ,$9.05 ,$8.64 ,$19.18 ,$501.50 ,$487.93 ,$165.20 ,$531.00 ,$463.15 ,$487.34 ,$19.56 ,$383.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101130,80299,HC ITRACONAZOLE HPLC - 90,301,1 ,$241.00 ,$173.52 ,$8.64 ,$241.00 ,$46.60 ,$192.80 ,$18.27 ,$67.48 ,$210.39 ,$221.48 ,$18.27 ,$199.31 ,$18.27 ,$37.65 ,$221.72 ,$45.67 ,$18.27 ,$18.63 ,$200.99 ,$200.99 ,$200.99 ,$18.27 ,$200.99 ,$206.30 ,$206.30 ,$216.90 ,$46.60 ,$204.85 ,$18.27 ,$18.27 ,$135.20 ,$18.27 ,$99.77 ,$9.05 ,$8.64 ,$19.18 ,$204.85 ,$199.31 ,$67.48 ,$216.90 ,$189.19 ,$199.07 ,$19.56 ,$156.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$241.00 ,$173.52 ,$8.64 ,$241.00 ,$46.60 ,$192.80 ,$18.27 ,$67.48 ,$210.39 ,$221.48 ,$18.27 ,$199.31 ,$18.27 ,$37.65 ,$221.72 ,$45.67 ,$18.27 ,$18.63 ,$200.99 ,$200.99 ,$200.99 ,$18.27 ,$200.99 ,$206.30 ,$206.30 ,$216.90 ,$46.60 ,$204.85 ,$18.27 ,$18.27 ,$135.20 ,$18.27 ,$99.77 ,$9.05 ,$8.64 ,$19.18 ,$204.85 ,$199.31 ,$67.48 ,$216.90 ,$189.19 ,$199.07 ,$19.56 ,$156.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101133,80306,HC DRUG SCREEN PRESUMPTIVE INSTRMNT ASSIST DIR OPTICAL T2,301,1 ,$155.00 ,$111.60 ,$7.53 ,$155.00 ,$42.85 ,$124.00 ,$16.80 ,$43.40 ,$135.32 ,$142.45 ,$16.80 ,$128.19 ,$16.80 ,$34.62 ,$142.60 ,$41.99 ,$16.80 ,$17.13 ,$129.27 ,$129.27 ,$129.27 ,$16.80 ,$129.27 ,$132.68 ,$132.68 ,$139.50 ,$42.85 ,$131.75 ,$16.80 ,$16.80 ,$86.96 ,$16.80 ,$64.17 ,$7.89 ,$7.53 ,$17.64 ,$131.75 ,$128.19 ,$43.40 ,$139.50 ,$121.68 ,$128.03 ,$17.99 ,$100.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101134,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1,301,1 ,$244.00 ,$175.68 ,$20.25 ,$244.00 ,$155.35 ,$195.20 ,$60.90 ,$68.32 ,$213.01 ,$224.24 ,$60.90 ,$201.79 ,$60.90 ,$125.52 ,$224.48 ,$152.24 ,$60.90 ,$62.11 ,$203.50 ,$203.50 ,$203.50 ,$60.90 ,$203.50 ,$208.86 ,$208.86 ,$219.60 ,$155.35 ,$207.40 ,$60.90 ,$60.90 ,$136.88 ,$60.90 ,$101.02 ,$21.22 ,$20.25 ,$63.94 ,$207.40 ,$201.79 ,$68.32 ,$219.60 ,$191.54 ,$201.54 ,$65.22 ,$158.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101140,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1-90,301,1 ,$98.00 ,$70.56 ,$20.25 ,$155.35 ,$155.35 ,$78.40 ,$60.90 ,$27.44 ,$85.55 ,$90.06 ,$60.90 ,$81.05 ,$60.90 ,$98.00 ,$90.16 ,$96.04 ,$60.90 ,$62.11 ,$81.73 ,$81.73 ,$81.73 ,$60.90 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$98.00 ,$83.30 ,$60.90 ,$60.90 ,$54.98 ,$60.90 ,$40.57 ,$21.22 ,$20.25 ,$63.94 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$65.22 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101145,80320,HC ALCOHOLS - 90,301,1 ,$348.00 ,$250.56 ,$7.53 ,$348.00 , N/A ,$278.40 , N/A ,$97.44 ,$303.80 ,$319.81 , N/A ,$287.80 , N/A , N/A ,$320.16 , N/A , N/A , N/A ,$290.23 ,$290.23 ,$290.23 , N/A ,$290.23 ,$297.89 ,$297.89 ,$313.20 , N/A ,$295.80 , N/A , N/A ,$195.23 , N/A ,$144.07 ,$7.89 ,$7.53 , N/A ,$295.80 ,$287.80 ,$97.44 ,$313.20 ,$273.18 ,$287.45 , N/A ,$226.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101146,80323,HC NICOTINE - 90,301,1 ,$227.00 ,$163.44 ,$20.25 ,$227.00 , N/A ,$181.60 , N/A ,$63.56 ,$198.17 ,$208.61 , N/A ,$187.73 , N/A , N/A ,$208.84 , N/A , N/A , N/A ,$189.32 ,$189.32 ,$189.32 , N/A ,$189.32 ,$194.31 ,$194.31 ,$204.30 , N/A ,$192.95 , N/A , N/A ,$127.35 , N/A ,$93.98 ,$21.22 ,$20.25 , N/A ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 , N/A ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101147,80323,HC NICOTINE URINE - 90,301,1 ,$240.00 ,$172.80 ,$20.25 ,$240.00 , N/A ,$192.00 , N/A ,$67.20 ,$209.52 ,$220.56 , N/A ,$198.48 , N/A , N/A ,$220.80 , N/A , N/A , N/A ,$200.16 ,$200.16 ,$200.16 , N/A ,$200.16 ,$205.44 ,$205.44 ,$216.00 , N/A ,$204.00 , N/A , N/A ,$134.64 , N/A ,$99.36 ,$21.22 ,$20.25 , N/A ,$204.00 ,$198.48 ,$67.20 ,$216.00 ,$188.40 ,$198.24 , N/A ,$156.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101150,80346,HC BENZODIAZEPINES 1-12  -90,301,1 ,$123.00 ,$88.56 ,$20.25 ,$123.00 , N/A ,$98.40 , N/A ,$34.44 ,$107.38 ,$113.04 , N/A ,$101.72 , N/A , N/A ,$113.16 , N/A , N/A , N/A ,$102.58 ,$102.58 ,$102.58 , N/A ,$102.58 ,$105.29 ,$105.29 ,$110.70 , N/A ,$104.55 , N/A , N/A ,$69.00 , N/A ,$50.92 ,$21.22 ,$20.25 , N/A ,$104.55 ,$101.72 ,$34.44 ,$110.70 ,$96.56 ,$101.60 , N/A ,$79.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$273.00 ,$196.56 ,$7.53 ,$273.00 , N/A ,$218.40 , N/A ,$76.44 ,$238.33 ,$250.89 , N/A ,$225.77 , N/A , N/A ,$251.16 , N/A , N/A , N/A ,$227.68 ,$227.68 ,$227.68 , N/A ,$227.68 ,$233.69 ,$233.69 ,$245.70 , N/A ,$232.05 , N/A , N/A ,$153.15 , N/A ,$113.02 ,$7.89 ,$7.53 , N/A ,$232.05 ,$225.77 ,$76.44 ,$245.70 ,$214.31 ,$225.50 , N/A ,$177.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$61.00 ,$43.92 ,$17.08 ,$61.00 , N/A ,$48.80 , N/A ,$17.08 ,$53.25 ,$56.06 , N/A ,$50.45 , N/A , N/A ,$56.12 , N/A , N/A , N/A ,$50.87 ,$50.87 ,$50.87 , N/A ,$50.87 ,$52.22 ,$52.22 ,$54.90 , N/A ,$51.85 , N/A , N/A ,$34.22 , N/A ,$25.25 ,$21.22 ,$20.25 , N/A ,$51.85 ,$50.45 ,$17.08 ,$54.90 ,$47.89 ,$50.39 , N/A ,$39.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$327.00 ,$235.44 ,$7.53 ,$327.00 ,$42.18 ,$261.60 ,$16.53 ,$91.56 ,$285.47 ,$300.51 ,$16.53 ,$270.43 ,$16.53 ,$34.08 ,$300.84 ,$41.34 ,$16.53 ,$16.87 ,$272.72 ,$272.72 ,$272.72 ,$16.53 ,$272.72 ,$279.91 ,$279.91 ,$294.30 ,$42.18 ,$277.95 ,$16.53 ,$16.53 ,$183.45 ,$16.53 ,$135.38 ,$7.89 ,$7.53 ,$17.36 ,$277.95 ,$270.43 ,$91.56 ,$294.30 ,$256.70 ,$270.10 ,$17.71 ,$212.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101158,82024,HC ACTH -90,301,1 ,$235.00 ,$169.20 ,$17.61 ,$235.00 ,$96.55 ,$188.00 ,$37.85 ,$65.80 ,$205.16 ,$215.97 ,$37.85 ,$194.35 ,$37.85 ,$78.01 ,$216.20 ,$94.62 ,$37.85 ,$38.60 ,$195.99 ,$195.99 ,$195.99 ,$37.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$96.55 ,$199.75 ,$37.85 ,$37.85 ,$131.84 ,$37.85 ,$97.29 ,$18.45 ,$17.61 ,$39.74 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$40.53 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101159,82040,HC ALBUMIN-90,301,1 ,$102.00 ,$73.44 ,$3.35 ,$102.00 ,$12.38 ,$81.60 ,$4.85 ,$28.56 ,$89.05 ,$93.74 ,$4.85 ,$84.35 ,$4.85 ,$10.00 ,$93.84 ,$12.13 ,$4.85 ,$4.95 ,$85.07 ,$85.07 ,$85.07 ,$4.85 ,$85.07 ,$87.31 ,$87.31 ,$91.80 ,$12.38 ,$86.70 ,$4.85 ,$4.85 ,$57.22 ,$4.85 ,$42.23 ,$3.51 ,$3.35 ,$5.10 ,$86.70 ,$84.35 ,$28.56 ,$91.80 ,$80.07 ,$84.25 ,$5.19 ,$66.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101160,82042,HC ALBUMIN OTHER SOURCE-90,301,1 ,$167.00 ,$120.24 ,$3.35 ,$167.00 ,$19.45 ,$133.60 ,$7.62 ,$46.76 ,$145.79 ,$153.47 ,$7.62 ,$138.11 ,$7.62 ,$15.72 ,$153.64 ,$19.06 ,$7.62 ,$7.78 ,$139.28 ,$139.28 ,$139.28 ,$7.62 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$19.45 ,$141.95 ,$7.62 ,$7.62 ,$93.69 ,$7.62 ,$69.14 ,$3.51 ,$3.35 ,$8.01 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$8.16 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101162,82085,HC ALDOLASE-90,301,1 ,$163.00 ,$117.36 ,$7.53 ,$163.00 ,$24.28 ,$130.40 ,$9.52 ,$45.64 ,$142.30 ,$149.80 ,$9.52 ,$134.80 ,$9.52 ,$19.61 ,$149.96 ,$23.79 ,$9.52 ,$9.70 ,$135.94 ,$135.94 ,$135.94 ,$9.52 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$24.28 ,$138.55 ,$9.52 ,$9.52 ,$91.44 ,$9.52 ,$67.48 ,$7.89 ,$7.53 ,$10.00 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$10.19 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101163,82088,HC ALDOSTERONE-90,301,1 ,$190.00 ,$136.80 ,$17.61 ,$190.00 ,$101.88 ,$152.00 ,$39.93 ,$53.20 ,$165.87 ,$174.61 ,$39.93 ,$157.13 ,$39.93 ,$82.32 ,$174.80 ,$99.84 ,$39.93 ,$40.74 ,$158.46 ,$158.46 ,$158.46 ,$39.93 ,$158.46 ,$162.64 ,$162.64 ,$171.00 ,$101.88 ,$161.50 ,$39.93 ,$39.93 ,$106.59 ,$39.93 ,$78.66 ,$18.45 ,$17.61 ,$41.93 ,$161.50 ,$157.13 ,$53.20 ,$171.00 ,$149.15 ,$156.94 ,$42.77 ,$123.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$275.00 ,$198.00 ,$7.53 ,$275.00 ,$33.60 ,$220.00 ,$13.17 ,$77.00 ,$240.08 ,$252.73 ,$13.17 ,$227.43 ,$13.17 ,$27.15 ,$253.00 ,$32.93 ,$13.17 ,$13.44 ,$229.35 ,$229.35 ,$229.35 ,$13.17 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$33.60 ,$233.75 ,$13.17 ,$13.17 ,$154.28 ,$13.17 ,$113.85 ,$7.89 ,$7.53 ,$13.83 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$14.10 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$99.00 ,$71.28 ,$7.53 ,$99.00 ,$36.15 ,$79.20 ,$14.17 ,$27.72 ,$86.43 ,$90.98 ,$14.17 ,$81.87 ,$14.17 ,$29.21 ,$91.08 ,$35.43 ,$14.17 ,$14.45 ,$82.57 ,$82.57 ,$82.57 ,$14.17 ,$82.57 ,$84.74 ,$84.74 ,$89.10 ,$36.15 ,$84.15 ,$14.17 ,$14.17 ,$55.54 ,$14.17 ,$40.99 ,$7.89 ,$7.53 ,$14.88 ,$84.15 ,$81.87 ,$27.72 ,$89.10 ,$77.72 ,$81.77 ,$15.18 ,$64.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$300.00 ,$216.00 ,$7.53 ,$300.00 ,$41.93 ,$240.00 ,$16.43 ,$84.00 ,$261.90 ,$275.70 ,$16.43 ,$248.10 ,$16.43 ,$33.88 ,$276.00 ,$41.09 ,$16.43 ,$16.77 ,$250.20 ,$250.20 ,$250.20 ,$16.43 ,$250.20 ,$256.80 ,$256.80 ,$270.00 ,$41.93 ,$255.00 ,$16.43 ,$16.43 ,$168.30 ,$16.43 ,$124.20 ,$7.89 ,$7.53 ,$17.26 ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 ,$17.60 ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101169,82108,HC ALUMINUM-90,301,1 ,$224.00 ,$161.28 ,$9.18 ,$224.00 ,$63.70 ,$179.20 ,$24.97 ,$62.72 ,$195.55 ,$205.86 ,$24.97 ,$185.25 ,$24.97 ,$51.47 ,$206.08 ,$62.43 ,$24.97 ,$25.47 ,$186.82 ,$186.82 ,$186.82 ,$24.97 ,$186.82 ,$191.74 ,$191.74 ,$201.60 ,$63.70 ,$190.40 ,$24.97 ,$24.97 ,$125.66 ,$24.97 ,$92.74 ,$9.61 ,$9.18 ,$26.21 ,$190.40 ,$185.25 ,$62.72 ,$201.60 ,$175.84 ,$185.02 ,$26.74 ,$145.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$674.00 ,$485.28 ,$7.53 ,$674.00 ,$57.45 ,$539.20 ,$22.52 ,$188.72 ,$588.40 ,$619.41 ,$22.52 ,$557.40 ,$22.52 ,$46.42 ,$620.08 ,$56.30 ,$22.52 ,$22.97 ,$562.12 ,$562.12 ,$562.12 ,$22.52 ,$562.12 ,$576.94 ,$576.94 ,$606.60 ,$57.45 ,$572.90 ,$22.52 ,$22.52 ,$378.11 ,$22.52 ,$279.04 ,$7.89 ,$7.53 ,$23.65 ,$572.90 ,$557.40 ,$188.72 ,$606.60 ,$529.09 ,$556.72 ,$24.12 ,$438.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101173,82135,HC AMINOLEVULINIC ACID 24 HR UR-90,301,1 ,$162.50 ,$117.00 ,$7.53 ,$162.50 ,$41.13 ,$130.00 ,$16.12 ,$45.50 ,$141.86 ,$149.34 ,$16.12 ,$134.39 ,$16.12 ,$33.23 ,$149.50 ,$40.31 ,$16.12 ,$16.44 ,$135.53 ,$135.53 ,$135.53 ,$16.12 ,$135.53 ,$139.10 ,$139.10 ,$146.25 ,$41.13 ,$138.13 ,$16.12 ,$16.12 ,$91.16 ,$16.12 ,$67.28 ,$7.89 ,$7.53 ,$16.92 ,$138.13 ,$134.39 ,$45.50 ,$146.25 ,$127.56 ,$134.23 ,$17.27 ,$105.63 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$469.00 ,$337.68 ,$7.53 ,$469.00 ,$42.18 ,$375.20 ,$16.53 ,$131.32 ,$409.44 ,$431.01 ,$16.53 ,$387.86 ,$16.53 ,$34.08 ,$431.48 ,$41.34 ,$16.53 ,$16.87 ,$391.15 ,$391.15 ,$391.15 ,$16.53 ,$391.15 ,$401.46 ,$401.46 ,$422.10 ,$42.18 ,$398.65 ,$16.53 ,$16.53 ,$263.11 ,$16.53 ,$194.17 ,$7.89 ,$7.53 ,$17.36 ,$398.65 ,$387.86 ,$131.32 ,$422.10 ,$368.17 ,$387.39 ,$17.71 ,$304.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$318.00 ,$228.96 ,$17.61 ,$318.00 ,$73.20 ,$254.40 ,$28.69 ,$89.04 ,$277.61 ,$292.24 ,$28.69 ,$262.99 ,$28.69 ,$59.15 ,$292.56 ,$71.74 ,$28.69 ,$29.27 ,$265.21 ,$265.21 ,$265.21 ,$28.69 ,$265.21 ,$272.21 ,$272.21 ,$286.20 ,$73.20 ,$270.30 ,$28.69 ,$28.69 ,$178.40 ,$28.69 ,$131.65 ,$18.45 ,$17.61 ,$30.13 ,$270.30 ,$262.99 ,$89.04 ,$286.20 ,$249.63 ,$262.67 ,$30.73 ,$206.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$239.00 ,$172.08 ,$7.53 ,$239.00 ,$36.50 ,$191.20 ,$14.31 ,$66.92 ,$208.65 ,$219.64 ,$14.31 ,$197.65 ,$14.31 ,$29.49 ,$219.88 ,$35.77 ,$14.31 ,$14.59 ,$199.33 ,$199.33 ,$199.33 ,$14.31 ,$199.33 ,$204.58 ,$204.58 ,$215.10 ,$36.50 ,$203.15 ,$14.31 ,$14.31 ,$134.08 ,$14.31 ,$98.95 ,$7.89 ,$7.53 ,$15.02 ,$203.15 ,$197.65 ,$66.92 ,$215.10 ,$187.62 ,$197.41 ,$15.33 ,$155.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$206.00 ,$148.32 ,$7.53 ,$206.00 ,$52.73 ,$164.80 ,$20.67 ,$57.68 ,$179.84 ,$189.31 ,$20.67 ,$170.36 ,$20.67 ,$42.60 ,$189.52 ,$51.68 ,$20.67 ,$21.08 ,$171.80 ,$171.80 ,$171.80 ,$20.67 ,$171.80 ,$176.34 ,$176.34 ,$185.40 ,$52.73 ,$175.10 ,$20.67 ,$20.67 ,$115.57 ,$20.67 ,$85.28 ,$7.89 ,$7.53 ,$21.70 ,$175.10 ,$170.36 ,$57.68 ,$185.40 ,$161.71 ,$170.16 ,$22.14 ,$133.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101181,82175,HC ARSENIC-90,301,1 ,$404.00 ,$290.88 ,$9.18 ,$404.00 ,$47.43 ,$323.20 ,$18.59 ,$113.12 ,$352.69 ,$371.28 ,$18.59 ,$334.11 ,$18.59 ,$38.32 ,$371.68 ,$46.48 ,$18.59 ,$18.96 ,$336.94 ,$336.94 ,$336.94 ,$18.59 ,$336.94 ,$345.82 ,$345.82 ,$363.60 ,$47.43 ,$343.40 ,$18.59 ,$18.59 ,$226.64 ,$18.59 ,$167.26 ,$9.61 ,$9.18 ,$19.52 ,$343.40 ,$334.11 ,$113.12 ,$363.60 ,$317.14 ,$333.70 ,$19.91 ,$262.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101182,82180,HC VITAMIN C (ASCORBIC ACID)-90,301,1 ,$111.00 ,$79.92 ,$7.53 ,$111.00 ,$24.73 ,$88.80 ,$9.69 ,$31.08 ,$96.90 ,$102.01 ,$9.69 ,$91.80 ,$9.69 ,$19.98 ,$102.12 ,$24.24 ,$9.69 ,$9.89 ,$92.57 ,$92.57 ,$92.57 ,$9.69 ,$92.57 ,$95.02 ,$95.02 ,$99.90 ,$24.73 ,$94.35 ,$9.69 ,$9.69 ,$62.27 ,$9.69 ,$45.95 ,$7.89 ,$7.53 ,$10.17 ,$94.35 ,$91.80 ,$31.08 ,$99.90 ,$87.14 ,$91.69 ,$10.38 ,$72.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$193.00 ,$138.96 ,$15.86 ,$193.00 ,$40.45 ,$154.40 ,$15.86 ,$54.04 ,$168.49 ,$177.37 ,$15.86 ,$159.61 ,$15.86 ,$32.68 ,$177.56 ,$39.64 ,$15.86 ,$16.17 ,$160.96 ,$160.96 ,$160.96 ,$15.86 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$40.45 ,$164.05 ,$15.86 ,$15.86 ,$108.27 ,$15.86 ,$79.90 ,$18.45 ,$17.61 ,$16.65 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$159.42 ,$16.98 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101185,82239,HC BILE ACID TOTAL-90,301,1 ,$163.00 ,$117.36 ,$7.53 ,$163.00 ,$42.80 ,$130.40 ,$16.78 ,$45.64 ,$142.30 ,$149.80 ,$16.78 ,$134.80 ,$16.78 ,$34.58 ,$149.96 ,$41.94 ,$16.78 ,$17.11 ,$135.94 ,$135.94 ,$135.94 ,$16.78 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$42.80 ,$138.55 ,$16.78 ,$16.78 ,$91.44 ,$16.78 ,$67.48 ,$7.89 ,$7.53 ,$17.62 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$17.97 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$92.00 ,$66.24 ,$3.35 ,$92.00 ,$12.55 ,$73.60 ,$4.92 ,$25.76 ,$80.32 ,$84.55 ,$4.92 ,$76.08 ,$4.92 ,$10.14 ,$84.64 ,$12.30 ,$4.92 ,$5.02 ,$76.73 ,$76.73 ,$76.73 ,$4.92 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$12.55 ,$78.20 ,$4.92 ,$4.92 ,$51.61 ,$4.92 ,$38.09 ,$3.51 ,$3.35 ,$5.16 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$5.27 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101188,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$62.00 ,$44.64 ,$3.35 ,$62.00 ,$10.95 ,$49.60 ,$4.29 ,$17.36 ,$54.13 ,$56.98 ,$4.29 ,$51.27 ,$4.29 ,$8.85 ,$57.04 ,$10.73 ,$4.29 ,$4.38 ,$51.71 ,$51.71 ,$51.71 ,$4.29 ,$51.71 ,$53.07 ,$53.07 ,$55.80 ,$10.95 ,$52.70 ,$4.29 ,$4.29 ,$34.78 ,$4.29 ,$25.67 ,$3.51 ,$3.35 ,$4.51 ,$52.70 ,$51.27 ,$17.36 ,$55.80 ,$48.67 ,$51.21 ,$4.60 ,$40.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101191,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$59.00 ,$42.48 ,$3.35 ,$59.00 ,$13.30 ,$47.20 ,$5.21 ,$16.52 ,$51.51 ,$54.22 ,$5.21 ,$48.79 ,$5.21 ,$10.75 ,$54.28 ,$13.03 ,$5.21 ,$5.32 ,$49.21 ,$49.21 ,$49.21 ,$5.21 ,$49.21 ,$50.50 ,$50.50 ,$53.10 ,$13.30 ,$50.15 ,$5.21 ,$5.21 ,$33.10 ,$5.21 ,$24.43 ,$3.51 ,$3.35 ,$5.48 ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 ,$5.59 ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101196,82300,HC CADMIUM-90,301,1 ,$113.00 ,$81.36 ,$9.18 ,$113.00 ,$59.10 ,$90.40 ,$23.17 ,$31.64 ,$98.65 ,$103.85 ,$23.17 ,$93.45 ,$23.17 ,$47.75 ,$103.96 ,$57.92 ,$23.17 ,$23.63 ,$94.24 ,$94.24 ,$94.24 ,$23.17 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$59.10 ,$96.05 ,$23.17 ,$23.17 ,$63.39 ,$23.17 ,$46.78 ,$9.61 ,$9.18 ,$24.32 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$24.81 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101199,82308,HC CALCITONIN-90,301,1 ,$172.00 ,$123.84 ,$17.61 ,$172.00 ,$66.98 ,$137.60 ,$26.25 ,$48.16 ,$150.16 ,$158.07 ,$26.25 ,$142.24 ,$26.25 ,$54.12 ,$158.24 ,$65.64 ,$26.25 ,$26.78 ,$143.45 ,$143.45 ,$143.45 ,$26.25 ,$143.45 ,$147.23 ,$147.23 ,$154.80 ,$66.98 ,$146.20 ,$26.25 ,$26.25 ,$96.49 ,$26.25 ,$71.21 ,$18.45 ,$17.61 ,$27.57 ,$146.20 ,$142.24 ,$48.16 ,$154.80 ,$135.02 ,$142.07 ,$28.12 ,$111.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101204,82360,HC CALCULUS ANALYSIS QN-90,301,1 ,$175.00 ,$126.00 ,$7.53 ,$175.00 ,$32.18 ,$140.00 ,$12.61 ,$49.00 ,$152.78 ,$160.83 ,$12.61 ,$144.73 ,$12.61 ,$26.00 ,$161.00 ,$31.54 ,$12.61 ,$12.87 ,$145.95 ,$145.95 ,$145.95 ,$12.61 ,$145.95 ,$149.80 ,$149.80 ,$157.50 ,$32.18 ,$148.75 ,$12.61 ,$12.61 ,$98.18 ,$12.61 ,$72.45 ,$7.89 ,$7.53 ,$13.24 ,$148.75 ,$144.73 ,$49.00 ,$157.50 ,$137.38 ,$144.55 ,$13.50 ,$113.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101205,82365,HC CALCULUS ANLYS INFRARED-90,301,1 ,$160.00 ,$115.20 ,$7.53 ,$160.00 ,$32.25 ,$128.00 ,$12.64 ,$44.80 ,$139.68 ,$147.04 ,$12.64 ,$132.32 ,$12.64 ,$26.06 ,$147.20 ,$31.60 ,$12.64 ,$12.90 ,$133.44 ,$133.44 ,$133.44 ,$12.64 ,$133.44 ,$136.96 ,$136.96 ,$144.00 ,$32.25 ,$136.00 ,$12.64 ,$12.64 ,$89.76 ,$12.64 ,$66.24 ,$7.89 ,$7.53 ,$13.28 ,$136.00 ,$132.32 ,$44.80 ,$144.00 ,$125.60 ,$132.16 ,$13.54 ,$104.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101208,82378,HC CARBINOEMBRYONIC AG (CEA)-90,301,1 ,$175.00 ,$126.00 ,$7.53 ,$175.00 ,$47.40 ,$140.00 ,$18.58 ,$49.00 ,$152.78 ,$160.83 ,$18.58 ,$144.73 ,$18.58 ,$38.30 ,$161.00 ,$46.45 ,$18.58 ,$18.95 ,$145.95 ,$145.95 ,$145.95 ,$18.58 ,$145.95 ,$149.80 ,$149.80 ,$157.50 ,$47.40 ,$148.75 ,$18.58 ,$18.58 ,$98.18 ,$18.58 ,$72.45 ,$7.89 ,$7.53 ,$19.51 ,$148.75 ,$144.73 ,$49.00 ,$157.50 ,$137.38 ,$144.55 ,$19.90 ,$113.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$317.00 ,$228.24 ,$7.53 ,$317.00 ,$42.18 ,$253.60 ,$16.53 ,$88.76 ,$276.74 ,$291.32 ,$16.53 ,$262.16 ,$16.53 ,$34.08 ,$291.64 ,$41.34 ,$16.53 ,$16.87 ,$264.38 ,$264.38 ,$264.38 ,$16.53 ,$264.38 ,$271.35 ,$271.35 ,$285.30 ,$42.18 ,$269.45 ,$16.53 ,$16.53 ,$177.84 ,$16.53 ,$131.24 ,$7.89 ,$7.53 ,$17.36 ,$269.45 ,$262.16 ,$88.76 ,$285.30 ,$248.85 ,$261.84 ,$17.71 ,$206.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101210,82380,HC CAROTENE-90,301,1 ,$175.00 ,$126.00 ,$7.53 ,$175.00 ,$23.05 ,$140.00 ,$9.04 ,$49.00 ,$152.78 ,$160.83 ,$9.04 ,$144.73 ,$9.04 ,$18.62 ,$161.00 ,$22.59 ,$9.04 ,$9.21 ,$145.95 ,$145.95 ,$145.95 ,$9.04 ,$145.95 ,$149.80 ,$149.80 ,$157.50 ,$23.05 ,$148.75 ,$9.04 ,$9.04 ,$98.18 ,$9.04 ,$72.45 ,$7.89 ,$7.53 ,$9.49 ,$148.75 ,$144.73 ,$49.00 ,$157.50 ,$137.38 ,$144.55 ,$9.67 ,$113.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$348.00 ,$250.56 ,$17.61 ,$348.00 ,$63.13 ,$278.40 ,$24.74 ,$97.44 ,$303.80 ,$319.81 ,$24.74 ,$287.80 ,$24.74 ,$51.01 ,$320.16 ,$61.87 ,$24.74 ,$25.24 ,$290.23 ,$290.23 ,$290.23 ,$24.74 ,$290.23 ,$297.89 ,$297.89 ,$313.20 ,$63.13 ,$295.80 ,$24.74 ,$24.74 ,$195.23 ,$24.74 ,$144.07 ,$18.45 ,$17.61 ,$25.98 ,$295.80 ,$287.80 ,$97.44 ,$313.20 ,$273.18 ,$287.45 ,$26.50 ,$226.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101212,82390,HC CERULOPLASMIN-90,301,1 ,$183.00 ,$131.76 ,$7.53 ,$183.00 ,$26.85 ,$146.40 ,$10.53 ,$51.24 ,$159.76 ,$168.18 ,$10.53 ,$151.34 ,$10.53 ,$21.69 ,$168.36 ,$26.31 ,$10.53 ,$10.73 ,$152.62 ,$152.62 ,$152.62 ,$10.53 ,$152.62 ,$156.65 ,$156.65 ,$164.70 ,$26.85 ,$155.55 ,$10.53 ,$10.53 ,$102.66 ,$10.53 ,$75.76 ,$7.89 ,$7.53 ,$11.05 ,$155.55 ,$151.34 ,$51.24 ,$164.70 ,$143.66 ,$151.16 ,$11.27 ,$118.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101215,82438,HC CHLORIDE OTHER SOURCE-90,301,1 ,"$1,177.00 ",$847.44 ,$3.35 ,"$1,177.00 ",$12.50 ,$941.60 ,$4.90 ,$329.56 ,"$1,027.52 ","$1,081.66 ",$4.90 ,$973.38 ,$4.90 ,$10.10 ,"$1,082.84 ",$12.25 ,$4.90 ,$5.00 ,$981.62 ,$981.62 ,$981.62 ,$4.90 ,$981.62 ,"$1,007.51 ","$1,007.51 ","$1,059.30 ",$12.50 ,"$1,000.45 ",$4.90 ,$4.90 ,$660.30 ,$4.90 ,$487.28 ,$3.51 ,$3.35 ,$5.14 ,"$1,000.45 ",$973.38 ,$329.56 ,"$1,059.30 ",$923.95 ,$972.20 ,$5.25 ,$765.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101216,82480,HC CHOLINESTERASE PSEUDO-90,301,1 ,$104.00 ,$74.88 ,$7.53 ,$104.00 ,$19.68 ,$83.20 ,$7.71 ,$29.12 ,$90.79 ,$95.58 ,$7.71 ,$86.01 ,$7.71 ,$15.90 ,$95.68 ,$19.29 ,$7.71 ,$7.87 ,$86.74 ,$86.74 ,$86.74 ,$7.71 ,$86.74 ,$89.02 ,$89.02 ,$93.60 ,$19.68 ,$88.40 ,$7.71 ,$7.71 ,$58.34 ,$7.71 ,$43.06 ,$7.89 ,$7.53 ,$8.09 ,$88.40 ,$86.01 ,$29.12 ,$93.60 ,$81.64 ,$85.90 ,$8.26 ,$67.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$107.00 ,$77.04 ,$9.18 ,$107.00 ,$50.70 ,$85.60 ,$19.87 ,$29.96 ,$93.41 ,$98.33 ,$19.87 ,$88.49 ,$19.87 ,$40.97 ,$98.44 ,$49.69 ,$19.87 ,$20.28 ,$89.24 ,$89.24 ,$89.24 ,$19.87 ,$89.24 ,$91.59 ,$91.59 ,$96.30 ,$50.70 ,$90.95 ,$19.87 ,$19.87 ,$60.03 ,$19.87 ,$44.30 ,$9.61 ,$9.18 ,$20.86 ,$90.95 ,$88.49 ,$29.96 ,$96.30 ,$84.00 ,$88.38 ,$21.29 ,$69.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101219,82507,HC CITRATE-90,301,1 ,$124.00 ,$89.28 ,$7.53 ,$124.00 ,$69.50 ,$99.20 ,$27.24 ,$34.72 ,$108.25 ,$113.96 ,$27.24 ,$102.55 ,$27.24 ,$56.16 ,$114.08 ,$68.11 ,$27.24 ,$27.79 ,$103.42 ,$103.42 ,$103.42 ,$27.24 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$69.50 ,$105.40 ,$27.24 ,$27.24 ,$69.56 ,$27.24 ,$51.34 ,$7.89 ,$7.53 ,$28.61 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$29.17 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$106.00 ,$76.32 ,$11.61 ,$106.00 ,$46.70 ,$84.80 ,$18.31 ,$29.68 ,$92.54 ,$97.41 ,$18.31 ,$87.66 ,$18.31 ,$37.73 ,$97.52 ,$45.77 ,$18.31 ,$18.67 ,$88.40 ,$88.40 ,$88.40 ,$18.31 ,$88.40 ,$90.74 ,$90.74 ,$95.40 ,$46.70 ,$90.10 ,$18.31 ,$18.31 ,$59.47 ,$18.31 ,$43.88 ,$12.17 ,$11.61 ,$19.22 ,$90.10 ,$87.66 ,$29.68 ,$95.40 ,$83.21 ,$87.56 ,$19.61 ,$68.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101221,82525,HC COPPER-90,301,1 ,$209.00 ,$150.48 ,$9.18 ,$209.00 ,$31.03 ,$167.20 ,$12.16 ,$58.52 ,$182.46 ,$192.07 ,$12.16 ,$172.84 ,$12.16 ,$25.07 ,$192.28 ,$30.41 ,$12.16 ,$12.41 ,$174.31 ,$174.31 ,$174.31 ,$12.16 ,$174.31 ,$178.90 ,$178.90 ,$188.10 ,$31.03 ,$177.65 ,$12.16 ,$12.16 ,$117.25 ,$12.16 ,$86.53 ,$9.61 ,$9.18 ,$12.77 ,$177.65 ,$172.84 ,$58.52 ,$188.10 ,$164.07 ,$172.63 ,$13.02 ,$135.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101222,82530,HC CORTISOL FREE-90,301,1 ,$201.00 ,$144.72 ,$7.53 ,$201.00 ,$41.78 ,$160.80 ,$16.38 ,$56.28 ,$175.47 ,$184.72 ,$16.38 ,$166.23 ,$16.38 ,$33.75 ,$184.92 ,$40.94 ,$16.38 ,$16.70 ,$167.63 ,$167.63 ,$167.63 ,$16.38 ,$167.63 ,$172.06 ,$172.06 ,$180.90 ,$41.78 ,$170.85 ,$16.38 ,$16.38 ,$112.76 ,$16.38 ,$83.21 ,$7.89 ,$7.53 ,$17.20 ,$170.85 ,$166.23 ,$56.28 ,$180.90 ,$157.79 ,$166.03 ,$17.54 ,$130.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$96.00 ,$69.12 ,$15.97 ,$96.00 ,$40.75 ,$76.80 ,$15.97 ,$26.88 ,$83.81 ,$88.22 ,$15.97 ,$79.39 ,$15.97 ,$32.93 ,$88.32 ,$39.93 ,$15.97 ,$16.30 ,$80.06 ,$80.06 ,$80.06 ,$15.97 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$40.75 ,$81.60 ,$15.97 ,$15.97 ,$53.86 ,$15.97 ,$39.74 ,$18.45 ,$17.61 ,$16.78 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$17.11 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$292.00 ,$210.24 ,$7.53 ,$292.00 ,$60.23 ,$233.60 ,$23.61 ,$81.76 ,$254.92 ,$268.35 ,$23.61 ,$241.48 ,$23.61 ,$48.66 ,$268.64 ,$59.03 ,$23.61 ,$24.08 ,$243.53 ,$243.53 ,$243.53 ,$23.61 ,$243.53 ,$249.95 ,$249.95 ,$262.80 ,$60.23 ,$248.20 ,$23.61 ,$23.61 ,$163.81 ,$23.61 ,$120.89 ,$7.89 ,$7.53 ,$24.78 ,$248.20 ,$241.48 ,$81.76 ,$262.80 ,$229.22 ,$241.19 ,$25.28 ,$189.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$353.00 ,$254.16 ,$7.53 ,$353.00 ,$33.48 ,$282.40 ,$13.12 ,$98.84 ,$308.17 ,$324.41 ,$13.12 ,$291.93 ,$13.12 ,$27.05 ,$324.76 ,$32.81 ,$13.12 ,$13.39 ,$294.40 ,$294.40 ,$294.40 ,$13.12 ,$294.40 ,$302.17 ,$302.17 ,$317.70 ,$33.48 ,$300.05 ,$13.12 ,$13.12 ,$198.03 ,$13.12 ,$146.14 ,$7.89 ,$7.53 ,$13.78 ,$300.05 ,$291.93 ,$98.84 ,$317.70 ,$277.11 ,$291.58 ,$14.05 ,$229.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$43.00 ,$30.96 ,$3.35 ,$43.00 ,$12.95 ,$34.40 ,$5.08 ,$12.04 ,$37.54 ,$39.52 ,$5.08 ,$35.56 ,$5.08 ,$10.46 ,$39.56 ,$12.69 ,$5.08 ,$5.17 ,$35.86 ,$35.86 ,$35.86 ,$5.08 ,$35.86 ,$36.81 ,$36.81 ,$38.70 ,$12.95 ,$36.55 ,$5.08 ,$5.08 ,$24.12 ,$5.08 ,$17.80 ,$3.51 ,$3.35 ,$5.33 ,$36.55 ,$35.56 ,$12.04 ,$38.70 ,$33.76 ,$35.52 ,$5.44 ,$27.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$134.00 ,$96.48 ,$6.34 ,$134.00 ,$16.18 ,$107.20 ,$6.34 ,$37.52 ,$116.98 ,$123.15 ,$6.34 ,$110.82 ,$6.34 ,$13.07 ,$123.28 ,$15.86 ,$6.34 ,$6.47 ,$111.76 ,$111.76 ,$111.76 ,$6.34 ,$111.76 ,$114.70 ,$114.70 ,$120.60 ,$16.18 ,$113.90 ,$6.34 ,$6.34 ,$75.17 ,$6.34 ,$55.48 ,$7.89 ,$7.53 ,$6.65 ,$113.90 ,$110.82 ,$37.52 ,$120.60 ,$105.19 ,$110.68 ,$6.79 ,$87.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101236,82608,HC VITAMIN B-12 BINDING CAPACITY-90,301,1 ,$89.00 ,$64.08 ,$7.53 ,$89.00 ,$35.80 ,$71.20 ,$14.03 ,$24.92 ,$77.70 ,$81.79 ,$14.03 ,$73.60 ,$14.03 ,$28.93 ,$81.88 ,$35.08 ,$14.03 ,$14.32 ,$74.23 ,$74.23 ,$74.23 ,$14.03 ,$74.23 ,$76.18 ,$76.18 ,$80.10 ,$35.80 ,$75.65 ,$14.03 ,$14.03 ,$49.93 ,$14.03 ,$36.85 ,$7.89 ,$7.53 ,$14.74 ,$75.65 ,$73.60 ,$24.92 ,$80.10 ,$69.87 ,$73.51 ,$15.03 ,$57.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101237,82626,HC DHEA-90,301,1 ,$354.00 ,$254.88 ,$7.53 ,$354.00 ,$63.18 ,$283.20 ,$24.76 ,$99.12 ,$309.04 ,$325.33 ,$24.76 ,$292.76 ,$24.76 ,$51.05 ,$325.68 ,$61.92 ,$24.76 ,$25.26 ,$295.24 ,$295.24 ,$295.24 ,$24.76 ,$295.24 ,$303.02 ,$303.02 ,$318.60 ,$63.18 ,$300.90 ,$24.76 ,$24.76 ,$198.59 ,$24.76 ,$146.56 ,$7.89 ,$7.53 ,$26.00 ,$300.90 ,$292.76 ,$99.12 ,$318.60 ,$277.89 ,$292.40 ,$26.52 ,$230.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101238,82627,HC DHEA SULFATE-90,301,1 ,$239.00 ,$172.08 ,$17.61 ,$239.00 ,$55.58 ,$191.20 ,$21.79 ,$66.92 ,$208.65 ,$219.64 ,$21.79 ,$197.65 ,$21.79 ,$44.90 ,$219.88 ,$54.47 ,$21.79 ,$22.22 ,$199.33 ,$199.33 ,$199.33 ,$21.79 ,$199.33 ,$204.58 ,$204.58 ,$215.10 ,$55.58 ,$203.15 ,$21.79 ,$21.79 ,$134.08 ,$21.79 ,$98.95 ,$18.45 ,$17.61 ,$22.87 ,$203.15 ,$197.65 ,$66.92 ,$215.10 ,$187.62 ,$197.41 ,$23.33 ,$155.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$337.00 ,$242.64 ,$20.25 ,$337.00 ,$96.25 ,$269.60 ,$37.73 ,$94.36 ,$294.20 ,$309.70 ,$37.73 ,$278.70 ,$37.73 ,$77.77 ,$310.04 ,$94.32 ,$37.73 ,$38.48 ,$281.06 ,$281.06 ,$281.06 ,$37.73 ,$281.06 ,$288.47 ,$288.47 ,$303.30 ,$96.25 ,$286.45 ,$37.73 ,$37.73 ,$189.06 ,$37.73 ,$139.52 ,$21.22 ,$20.25 ,$39.62 ,$286.45 ,$278.70 ,$94.36 ,$303.30 ,$264.55 ,$278.36 ,$40.41 ,$219.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$98.00 ,$70.56 ,$7.53 ,$98.00 ,$28.83 ,$78.40 ,$11.30 ,$27.44 ,$85.55 ,$90.06 ,$11.30 ,$81.05 ,$11.30 ,$23.29 ,$90.16 ,$28.25 ,$11.30 ,$11.52 ,$81.73 ,$81.73 ,$81.73 ,$11.30 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$28.83 ,$83.30 ,$11.30 ,$11.30 ,$54.98 ,$11.30 ,$40.57 ,$7.89 ,$7.53 ,$11.87 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$12.10 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$421.00 ,$303.12 ,$7.53 ,$421.00 ,$55.43 ,$336.80 ,$21.73 ,$117.88 ,$367.53 ,$386.90 ,$21.73 ,$348.17 ,$21.73 ,$44.78 ,$387.32 ,$54.32 ,$21.73 ,$22.16 ,$351.11 ,$351.11 ,$351.11 ,$21.73 ,$351.11 ,$360.38 ,$360.38 ,$378.90 ,$55.43 ,$357.85 ,$21.73 ,$21.73 ,$236.18 ,$21.73 ,$174.29 ,$7.89 ,$7.53 ,$22.81 ,$357.85 ,$348.17 ,$117.88 ,$378.90 ,$330.49 ,$347.75 ,$23.27 ,$273.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$270.00 ,$194.40 ,$7.53 ,$270.00 ,$46.98 ,$216.00 ,$18.41 ,$75.60 ,$235.71 ,$248.13 ,$18.41 ,$223.29 ,$18.41 ,$37.96 ,$248.40 ,$46.04 ,$18.41 ,$18.79 ,$225.18 ,$225.18 ,$225.18 ,$18.41 ,$225.18 ,$231.12 ,$231.12 ,$243.00 ,$46.98 ,$229.50 ,$18.41 ,$18.41 ,$151.47 ,$18.41 ,$111.78 ,$7.89 ,$7.53 ,$19.34 ,$229.50 ,$223.29 ,$75.60 ,$243.00 ,$211.95 ,$223.02 ,$19.72 ,$175.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101246,82670,HC ESTRADIOL-90,301,1 ,$379.00 ,$272.88 ,$17.61 ,$379.00 ,$69.85 ,$303.20 ,$27.38 ,$106.12 ,$330.87 ,$348.30 ,$27.38 ,$313.43 ,$27.38 ,$56.44 ,$348.68 ,$68.45 ,$27.38 ,$27.93 ,$316.09 ,$316.09 ,$316.09 ,$27.38 ,$316.09 ,$324.42 ,$324.42 ,$341.10 ,$69.85 ,$322.15 ,$27.38 ,$27.38 ,$212.62 ,$27.38 ,$156.91 ,$18.45 ,$17.61 ,$28.75 ,$322.15 ,$313.43 ,$106.12 ,$341.10 ,$297.52 ,$313.05 ,$29.32 ,$246.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$112.00 ,$80.64 ,$17.61 ,$112.00 ,$80.75 ,$89.60 ,$31.65 ,$31.36 ,$97.78 ,$102.93 ,$31.65 ,$92.62 ,$31.65 ,$65.25 ,$103.04 ,$79.13 ,$31.65 ,$32.29 ,$93.41 ,$93.41 ,$93.41 ,$31.65 ,$93.41 ,$95.87 ,$95.87 ,$100.80 ,$80.75 ,$95.20 ,$31.65 ,$31.65 ,$62.83 ,$31.65 ,$46.37 ,$18.45 ,$17.61 ,$33.24 ,$95.20 ,$92.62 ,$31.36 ,$100.80 ,$87.92 ,$92.51 ,$33.90 ,$72.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$392.00 ,$282.24 ,$17.61 ,$392.00 ,$54.25 ,$313.60 ,$21.27 ,$109.76 ,$342.22 ,$360.25 ,$21.27 ,$324.18 ,$21.27 ,$43.83 ,$360.64 ,$53.16 ,$21.27 ,$21.69 ,$326.93 ,$326.93 ,$326.93 ,$21.27 ,$326.93 ,$335.55 ,$335.55 ,$352.80 ,$54.25 ,$333.20 ,$21.27 ,$21.27 ,$219.91 ,$21.27 ,$162.29 ,$18.45 ,$17.61 ,$22.33 ,$333.20 ,$324.18 ,$109.76 ,$352.80 ,$307.72 ,$323.79 ,$22.78 ,$254.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101250,82677,HC ESTRIOL-90,301,1 ,$72.00 ,$51.84 ,$17.61 ,$72.00 ,$60.45 ,$57.60 ,$23.70 ,$20.16 ,$62.86 ,$66.17 ,$23.70 ,$59.54 ,$23.70 ,$48.84 ,$66.24 ,$59.24 ,$23.70 ,$24.17 ,$60.05 ,$60.05 ,$60.05 ,$23.70 ,$60.05 ,$61.63 ,$61.63 ,$64.80 ,$60.45 ,$61.20 ,$23.70 ,$23.70 ,$40.39 ,$23.70 ,$29.81 ,$18.45 ,$17.61 ,$24.88 ,$61.20 ,$59.54 ,$20.16 ,$64.80 ,$56.52 ,$59.47 ,$25.38 ,$46.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101251,82679,HC ESTRONE-90,301,1 ,$111.00 ,$79.92 ,$17.61 ,$111.00 ,$62.38 ,$88.80 ,$24.45 ,$31.08 ,$96.90 ,$102.01 ,$24.45 ,$91.80 ,$24.45 ,$50.40 ,$102.12 ,$61.13 ,$24.45 ,$24.94 ,$92.57 ,$92.57 ,$92.57 ,$24.45 ,$92.57 ,$95.02 ,$95.02 ,$99.90 ,$62.38 ,$94.35 ,$24.45 ,$24.45 ,$62.27 ,$24.45 ,$45.95 ,$18.45 ,$17.61 ,$25.68 ,$94.35 ,$91.80 ,$31.08 ,$99.90 ,$87.14 ,$91.69 ,$26.19 ,$72.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$193.00 ,$138.96 ,$3.35 ,$193.00 ,$12.75 ,$154.40 ,$5.00 ,$54.04 ,$168.49 ,$177.37 ,$5.00 ,$159.61 ,$5.00 ,$10.30 ,$177.56 ,$12.49 ,$5.00 ,$5.10 ,$160.96 ,$160.96 ,$160.96 ,$5.00 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$12.75 ,$164.05 ,$5.00 ,$5.00 ,$108.27 ,$5.00 ,$79.90 ,$3.51 ,$3.35 ,$5.25 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$159.42 ,$5.35 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$100.00 ,$72.00 ,$4.67 ,$100.00 ,$44.13 ,$80.00 ,$17.30 ,$28.00 ,$87.30 ,$91.90 ,$17.30 ,$82.70 ,$17.30 ,$35.65 ,$92.00 ,$43.25 ,$17.30 ,$17.64 ,$83.40 ,$83.40 ,$83.40 ,$17.30 ,$83.40 ,$85.60 ,$85.60 ,$90.00 ,$44.13 ,$85.00 ,$17.30 ,$17.30 ,$56.10 ,$17.30 ,$41.40 ,$4.90 ,$4.67 ,$18.16 ,$85.00 ,$82.70 ,$28.00 ,$90.00 ,$78.50 ,$82.60 ,$18.52 ,$65.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$156.00 ,$112.32 ,$7.53 ,$156.00 ,$23.25 ,$124.80 ,$9.11 ,$43.68 ,$136.19 ,$143.36 ,$9.11 ,$129.01 ,$9.11 ,$18.79 ,$143.52 ,$22.78 ,$9.11 ,$9.30 ,$130.10 ,$130.10 ,$130.10 ,$9.11 ,$130.10 ,$133.54 ,$133.54 ,$140.40 ,$23.25 ,$132.60 ,$9.11 ,$9.11 ,$87.52 ,$9.11 ,$64.58 ,$7.89 ,$7.53 ,$9.57 ,$132.60 ,$129.01 ,$43.68 ,$140.40 ,$122.46 ,$128.86 ,$9.76 ,$101.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101263,82785,HC GAMMAGLOBULIN IGE-90,301,1 ,$260.00 ,$187.20 ,$7.53 ,$260.00 ,$41.15 ,$208.00 ,$16.13 ,$72.80 ,$226.98 ,$238.94 ,$16.13 ,$215.02 ,$16.13 ,$33.25 ,$239.20 ,$40.33 ,$16.13 ,$16.45 ,$216.84 ,$216.84 ,$216.84 ,$16.13 ,$216.84 ,$222.56 ,$222.56 ,$234.00 ,$41.15 ,$221.00 ,$16.13 ,$16.13 ,$145.86 ,$16.13 ,$107.64 ,$7.89 ,$7.53 ,$16.93 ,$221.00 ,$215.02 ,$72.80 ,$234.00 ,$204.10 ,$214.76 ,$17.28 ,$169.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$269.00 ,$193.68 ,$7.86 ,$269.00 ,$20.05 ,$215.20 ,$7.86 ,$75.32 ,$234.84 ,$247.21 ,$7.86 ,$222.46 ,$7.86 ,$16.20 ,$247.48 ,$19.65 ,$7.86 ,$8.02 ,$224.35 ,$224.35 ,$224.35 ,$7.86 ,$224.35 ,$230.26 ,$230.26 ,$242.10 ,$20.05 ,$228.65 ,$7.86 ,$7.86 ,$150.91 ,$7.86 ,$111.37 ,$12.17 ,$11.61 ,$8.25 ,$228.65 ,$222.46 ,$75.32 ,$242.10 ,$211.17 ,$222.19 ,$8.42 ,$174.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101268,82941,HC GASTRIN-90,301,1 ,$90.00 ,$64.80 ,$17.28 ,$90.00 ,$44.08 ,$72.00 ,$17.28 ,$25.20 ,$78.57 ,$82.71 ,$17.28 ,$74.43 ,$17.28 ,$35.61 ,$82.80 ,$43.20 ,$17.28 ,$17.62 ,$75.06 ,$75.06 ,$75.06 ,$17.28 ,$75.06 ,$77.04 ,$77.04 ,$81.00 ,$44.08 ,$76.50 ,$17.28 ,$17.28 ,$50.49 ,$17.28 ,$37.26 ,$18.45 ,$17.61 ,$18.14 ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 ,$18.50 ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101274,82955,HC G6PD ENZYME QN-90,301,1 ,$191.00 ,$137.52 ,$7.53 ,$191.00 ,$24.25 ,$152.80 ,$9.51 ,$53.48 ,$166.74 ,$175.53 ,$9.51 ,$157.96 ,$9.51 ,$19.59 ,$175.72 ,$23.76 ,$9.51 ,$9.69 ,$159.29 ,$159.29 ,$159.29 ,$9.51 ,$159.29 ,$163.50 ,$163.50 ,$171.90 ,$24.25 ,$162.35 ,$9.51 ,$9.51 ,$107.15 ,$9.51 ,$79.07 ,$7.89 ,$7.53 ,$9.99 ,$162.35 ,$157.96 ,$53.48 ,$171.90 ,$149.94 ,$157.77 ,$10.18 ,$124.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101275,82977,HC GGT/GGTP-90,301,1 ,$135.00 ,$97.20 ,$3.35 ,$135.00 ,$18.00 ,$108.00 ,$7.06 ,$37.80 ,$117.86 ,$124.07 ,$7.06 ,$111.65 ,$7.06 ,$14.54 ,$124.20 ,$17.64 ,$7.06 ,$7.19 ,$112.59 ,$112.59 ,$112.59 ,$7.06 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$18.00 ,$114.75 ,$7.06 ,$7.06 ,$75.74 ,$7.06 ,$55.89 ,$3.51 ,$3.35 ,$7.41 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$7.56 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$99.00 ,$71.28 ,$7.53 ,$99.00 ,$41.90 ,$79.20 ,$16.42 ,$27.72 ,$86.43 ,$90.98 ,$16.42 ,$81.87 ,$16.42 ,$33.86 ,$91.08 ,$41.06 ,$16.42 ,$16.76 ,$82.57 ,$82.57 ,$82.57 ,$16.42 ,$82.57 ,$84.74 ,$84.74 ,$89.10 ,$41.90 ,$84.15 ,$16.42 ,$16.42 ,$55.54 ,$16.42 ,$40.99 ,$7.89 ,$7.53 ,$17.25 ,$84.15 ,$81.87 ,$27.72 ,$89.10 ,$77.72 ,$81.77 ,$17.59 ,$64.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101277,83001,HC FSH-90,301,1 ,$129.00 ,$92.88 ,$17.61 ,$129.00 ,$46.45 ,$103.20 ,$18.21 ,$36.12 ,$112.62 ,$118.55 ,$18.21 ,$106.68 ,$18.21 ,$37.53 ,$118.68 ,$45.52 ,$18.21 ,$18.57 ,$107.59 ,$107.59 ,$107.59 ,$18.21 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$46.45 ,$109.65 ,$18.21 ,$18.21 ,$72.37 ,$18.21 ,$53.41 ,$18.45 ,$17.61 ,$19.12 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$19.50 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101278,83002,HC LUTEINIZING HORMONE (LH)-90,301,1 ,$129.00 ,$92.88 ,$17.61 ,$129.00 ,$46.30 ,$103.20 ,$18.15 ,$36.12 ,$112.62 ,$118.55 ,$18.15 ,$106.68 ,$18.15 ,$37.41 ,$118.68 ,$45.37 ,$18.15 ,$18.51 ,$107.59 ,$107.59 ,$107.59 ,$18.15 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$46.30 ,$109.65 ,$18.15 ,$18.15 ,$72.37 ,$18.15 ,$53.41 ,$18.45 ,$17.61 ,$19.06 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$19.43 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$105.00 ,$75.60 ,$16.34 ,$105.00 ,$41.68 ,$84.00 ,$16.34 ,$29.40 ,$91.67 ,$96.50 ,$16.34 ,$86.84 ,$16.34 ,$33.67 ,$96.60 ,$40.85 ,$16.34 ,$16.66 ,$87.57 ,$87.57 ,$87.57 ,$16.34 ,$87.57 ,$89.88 ,$89.88 ,$94.50 ,$41.68 ,$89.25 ,$16.34 ,$16.34 ,$58.91 ,$16.34 ,$43.47 ,$18.45 ,$17.61 ,$17.15 ,$89.25 ,$86.84 ,$29.40 ,$94.50 ,$82.43 ,$86.73 ,$17.49 ,$68.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101281,83010,HC HAPTOGLOBIN-90,301,1 ,$59.00 ,$42.48 ,$7.53 ,$59.00 ,$31.45 ,$47.20 ,$12.33 ,$16.52 ,$51.51 ,$54.22 ,$12.33 ,$48.79 ,$12.33 ,$25.41 ,$54.28 ,$30.82 ,$12.33 ,$12.57 ,$49.21 ,$49.21 ,$49.21 ,$12.33 ,$49.21 ,$50.50 ,$50.50 ,$53.10 ,$31.45 ,$50.15 ,$12.33 ,$12.33 ,$33.10 ,$12.33 ,$24.43 ,$7.89 ,$7.53 ,$12.95 ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 ,$13.20 ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101282,83013,HC H PYLORI BREATH TEST-90,301,1 ,$238.00 ,$171.36 ,$20.25 ,$238.00 ,$168.40 ,$190.40 ,$66.01 ,$66.64 ,$207.77 ,$218.72 ,$66.01 ,$196.83 ,$66.01 ,$136.07 ,$218.96 ,$165.03 ,$66.01 ,$67.34 ,$198.49 ,$198.49 ,$198.49 ,$66.01 ,$198.49 ,$203.73 ,$203.73 ,$214.20 ,$168.40 ,$202.30 ,$66.01 ,$66.01 ,$133.52 ,$66.01 ,$98.53 ,$21.22 ,$20.25 ,$69.32 ,$202.30 ,$196.83 ,$66.64 ,$214.20 ,$186.83 ,$196.59 ,$70.70 ,$154.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$118.00 ,$84.96 ,$9.18 ,$118.00 ,$54.90 ,$94.40 ,$21.52 ,$33.04 ,$103.01 ,$108.44 ,$21.52 ,$97.59 ,$21.52 ,$44.36 ,$108.56 ,$53.80 ,$21.52 ,$21.95 ,$98.41 ,$98.41 ,$98.41 ,$21.52 ,$98.41 ,$101.01 ,$101.01 ,$106.20 ,$54.90 ,$100.30 ,$21.52 ,$21.52 ,$66.20 ,$21.52 ,$48.85 ,$9.61 ,$9.18 ,$22.60 ,$100.30 ,$97.59 ,$33.04 ,$106.20 ,$92.63 ,$97.47 ,$23.05 ,$76.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101284,83020,HC HGB ELECTROPHORESIS-90,301,1 ,$310.00 ,$223.20 ,$7.53 ,$310.00 ,$32.18 ,$248.00 ,$12.61 ,$86.80 ,$270.63 ,$284.89 ,$12.61 ,$256.37 ,$12.61 ,$26.00 ,$285.20 ,$31.54 ,$12.61 ,$12.87 ,$258.54 ,$258.54 ,$258.54 ,$12.61 ,$258.54 ,$265.36 ,$265.36 ,$279.00 ,$32.18 ,$263.50 ,$12.61 ,$12.61 ,$173.91 ,$12.61 ,$128.34 ,$7.89 ,$7.53 ,$13.24 ,$263.50 ,$256.37 ,$86.80 ,$279.00 ,$243.35 ,$256.06 ,$13.50 ,$201.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101291,83088,HC HISTAMINE-90,301,1 ,$195.00 ,$140.40 ,$20.25 ,$195.00 ,$73.83 ,$156.00 ,$28.94 ,$54.60 ,$170.24 ,$179.21 ,$28.94 ,$161.27 ,$28.94 ,$59.65 ,$179.40 ,$72.35 ,$28.94 ,$29.52 ,$162.63 ,$162.63 ,$162.63 ,$28.94 ,$162.63 ,$166.92 ,$166.92 ,$175.50 ,$73.83 ,$165.75 ,$28.94 ,$28.94 ,$109.40 ,$28.94 ,$80.73 ,$21.22 ,$20.25 ,$30.39 ,$165.75 ,$161.27 ,$54.60 ,$175.50 ,$153.08 ,$161.07 ,$31.00 ,$126.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$161.00 ,$115.92 ,$17.56 ,$161.00 ,$44.80 ,$128.80 ,$17.56 ,$45.08 ,$140.55 ,$147.96 ,$17.56 ,$133.15 ,$17.56 ,$36.20 ,$148.12 ,$43.90 ,$17.56 ,$17.91 ,$134.27 ,$134.27 ,$134.27 ,$17.56 ,$134.27 ,$137.82 ,$137.82 ,$144.90 ,$44.80 ,$136.85 ,$17.56 ,$17.56 ,$90.32 ,$17.56 ,$66.65 ,$18.45 ,$17.61 ,$18.44 ,$136.85 ,$133.15 ,$45.08 ,$144.90 ,$126.39 ,$132.99 ,$18.81 ,$104.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101293,83150,HC HOMOVANILLIC ACID (HVA)-90,301,1 ,$428.00 ,$308.16 ,$17.61 ,$428.00 ,$56.03 ,$342.40 ,$21.96 ,$119.84 ,$373.64 ,$393.33 ,$21.96 ,$353.96 ,$21.96 ,$45.27 ,$393.76 ,$54.91 ,$21.96 ,$22.40 ,$356.95 ,$356.95 ,$356.95 ,$21.96 ,$356.95 ,$366.37 ,$366.37 ,$385.20 ,$56.03 ,$363.80 ,$21.96 ,$21.96 ,$240.11 ,$21.96 ,$177.19 ,$18.45 ,$17.61 ,$23.06 ,$363.80 ,$353.96 ,$119.84 ,$385.20 ,$335.98 ,$353.53 ,$23.52 ,$278.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$108.00 ,$77.76 ,$10.13 ,$108.00 ,$32.25 ,$86.40 ,$12.64 ,$30.24 ,$94.28 ,$99.25 ,$12.64 ,$89.32 ,$12.64 ,$26.06 ,$99.36 ,$31.60 ,$12.64 ,$12.90 ,$90.07 ,$90.07 ,$90.07 ,$12.64 ,$90.07 ,$92.45 ,$92.45 ,$97.20 ,$32.25 ,$91.80 ,$12.64 ,$12.64 ,$60.59 ,$12.64 ,$44.71 ,$10.62 ,$10.13 ,$13.28 ,$91.80 ,$89.32 ,$30.24 ,$97.20 ,$84.78 ,$89.21 ,$13.54 ,$70.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$148.00 ,$106.56 ,$17.61 ,$148.00 ,$67.93 ,$118.40 ,$26.63 ,$41.44 ,$129.20 ,$136.01 ,$26.63 ,$122.40 ,$26.63 ,$54.88 ,$136.16 ,$66.57 ,$26.63 ,$27.16 ,$123.43 ,$123.43 ,$123.43 ,$26.63 ,$123.43 ,$126.69 ,$126.69 ,$133.20 ,$67.93 ,$125.80 ,$26.63 ,$26.63 ,$83.03 ,$26.63 ,$61.27 ,$18.45 ,$17.61 ,$27.96 ,$125.80 ,$122.40 ,$41.44 ,$133.20 ,$116.18 ,$122.25 ,$28.52 ,$96.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$172.00 ,$123.84 ,$6.74 ,$172.00 ,$28.83 ,$137.60 ,$11.30 ,$48.16 ,$150.16 ,$158.07 ,$11.30 ,$142.24 ,$11.30 ,$23.29 ,$158.24 ,$28.25 ,$11.30 ,$11.52 ,$143.45 ,$143.45 ,$143.45 ,$11.30 ,$143.45 ,$147.23 ,$147.23 ,$154.80 ,$28.83 ,$146.20 ,$11.30 ,$11.30 ,$96.49 ,$11.30 ,$71.21 ,$7.06 ,$6.74 ,$11.87 ,$146.20 ,$142.24 ,$48.16 ,$154.80 ,$135.02 ,$142.07 ,$12.10 ,$111.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101300,83516,HC MLT NON INFECT QL/SQ TTG-90,301,1 ,$206.00 ,$148.32 ,$6.74 ,$206.00 ,$28.83 ,$164.80 ,$11.30 ,$57.68 ,$179.84 ,$189.31 ,$11.30 ,$170.36 ,$11.30 ,$23.29 ,$189.52 ,$28.25 ,$11.30 ,$11.52 ,$171.80 ,$171.80 ,$171.80 ,$11.30 ,$171.80 ,$176.34 ,$176.34 ,$185.40 ,$28.83 ,$175.10 ,$11.30 ,$11.30 ,$115.57 ,$11.30 ,$85.28 ,$7.06 ,$6.74 ,$11.87 ,$175.10 ,$170.36 ,$57.68 ,$185.40 ,$161.71 ,$170.16 ,$12.10 ,$133.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101302,83519,HC QN RIA-90,301,1 ,$244.00 ,$175.68 ,$6.74 ,$244.00 ,$46.00 ,$195.20 ,$18.03 ,$68.32 ,$213.01 ,$224.24 ,$18.03 ,$201.79 ,$18.03 ,$37.17 ,$224.48 ,$45.08 ,$18.03 ,$18.39 ,$203.50 ,$203.50 ,$203.50 ,$18.03 ,$203.50 ,$208.86 ,$208.86 ,$219.60 ,$46.00 ,$207.40 ,$18.03 ,$18.03 ,$136.88 ,$18.03 ,$101.02 ,$7.06 ,$6.74 ,$18.93 ,$207.40 ,$201.79 ,$68.32 ,$219.60 ,$191.54 ,$201.54 ,$19.32 ,$158.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$193.00 ,$138.96 ,$6.74 ,$193.00 ,$43.18 ,$154.40 ,$16.92 ,$54.04 ,$168.49 ,$177.37 ,$16.92 ,$159.61 ,$16.92 ,$34.89 ,$177.56 ,$42.32 ,$16.92 ,$17.27 ,$160.96 ,$160.96 ,$160.96 ,$16.92 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$43.18 ,$164.05 ,$16.92 ,$16.92 ,$108.27 ,$16.92 ,$79.90 ,$7.06 ,$6.74 ,$17.77 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$159.42 ,$18.13 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101307,83525,HC INSULIN TOTAL-90,301,1 ,$216.00 ,$155.52 ,$10.13 ,$216.00 ,$28.58 ,$172.80 ,$11.20 ,$60.48 ,$188.57 ,$198.50 ,$11.20 ,$178.63 ,$11.20 ,$23.09 ,$198.72 ,$28.01 ,$11.20 ,$11.43 ,$180.14 ,$180.14 ,$180.14 ,$11.20 ,$180.14 ,$184.90 ,$184.90 ,$194.40 ,$28.58 ,$183.60 ,$11.20 ,$11.20 ,$121.18 ,$11.20 ,$89.42 ,$10.62 ,$10.13 ,$11.76 ,$183.60 ,$178.63 ,$60.48 ,$194.40 ,$169.56 ,$178.42 ,$12.00 ,$140.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$128.00 ,$92.16 ,$3.35 ,$128.00 ,$15.10 ,$102.40 ,$5.92 ,$35.84 ,$111.74 ,$117.63 ,$5.92 ,$105.86 ,$5.92 ,$12.20 ,$117.76 ,$14.80 ,$5.92 ,$6.04 ,$106.75 ,$106.75 ,$106.75 ,$5.92 ,$106.75 ,$109.57 ,$109.57 ,$115.20 ,$15.10 ,$108.80 ,$5.92 ,$5.92 ,$71.81 ,$5.92 ,$52.99 ,$3.51 ,$3.35 ,$6.21 ,$108.80 ,$105.86 ,$35.84 ,$115.20 ,$100.48 ,$105.73 ,$6.34 ,$83.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$320.00 ,$230.40 ,$7.53 ,$320.00 ,$31.98 ,$256.00 ,$12.53 ,$89.60 ,$279.36 ,$294.08 ,$12.53 ,$264.64 ,$12.53 ,$25.84 ,$294.40 ,$31.34 ,$12.53 ,$12.79 ,$266.88 ,$266.88 ,$266.88 ,$12.53 ,$266.88 ,$273.92 ,$273.92 ,$288.00 ,$31.98 ,$272.00 ,$12.53 ,$12.53 ,$179.52 ,$12.53 ,$132.48 ,$7.89 ,$7.53 ,$13.16 ,$272.00 ,$264.64 ,$89.60 ,$288.00 ,$251.20 ,$264.32 ,$13.43 ,$208.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101316,83655,HC LEAD-90,301,1 ,$180.00 ,$129.60 ,$9.18 ,$180.00 ,$30.28 ,$144.00 ,$11.87 ,$50.40 ,$157.14 ,$165.42 ,$11.87 ,$148.86 ,$11.87 ,$24.46 ,$165.60 ,$29.67 ,$11.87 ,$12.10 ,$150.12 ,$150.12 ,$150.12 ,$11.87 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$30.28 ,$153.00 ,$11.87 ,$11.87 ,$100.98 ,$11.87 ,$74.52 ,$9.61 ,$9.18 ,$12.47 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$12.71 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101325,80335,HC ANTIDEPRESSANTS TRYCLIC 1-2  -90,301,1 ,$199.00 ,$143.28 ,$20.25 ,$199.00 , N/A ,$159.20 , N/A ,$55.72 ,$173.73 ,$182.88 , N/A ,$164.57 , N/A , N/A ,$183.08 , N/A , N/A , N/A ,$165.97 ,$165.97 ,$165.97 , N/A ,$165.97 ,$170.34 ,$170.34 ,$179.10 , N/A ,$169.15 , N/A , N/A ,$111.64 , N/A ,$82.39 ,$21.22 ,$20.25 , N/A ,$169.15 ,$164.57 ,$55.72 ,$179.10 ,$156.22 ,$164.37 , N/A ,$129.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101327,83785,HC MANGANESE-90,301,1 ,$173.00 ,$124.56 ,$9.18 ,$173.00 ,$66.63 ,$138.40 ,$26.12 ,$48.44 ,$151.03 ,$158.99 ,$26.12 ,$143.07 ,$26.12 ,$53.83 ,$159.16 ,$65.30 ,$26.12 ,$26.64 ,$144.28 ,$144.28 ,$144.28 ,$26.12 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$66.63 ,$147.05 ,$26.12 ,$26.12 ,$97.05 ,$26.12 ,$71.62 ,$9.61 ,$9.18 ,$27.42 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$27.97 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101328,83789,HC MASS SPEC QN EACH-90,301,1 ,$198.00 ,$142.56 ,$7.53 ,$198.00 ,$60.28 ,$158.40 ,$23.63 ,$55.44 ,$172.85 ,$181.96 ,$23.63 ,$163.75 ,$23.63 ,$48.70 ,$182.16 ,$59.07 ,$23.63 ,$24.10 ,$165.13 ,$165.13 ,$165.13 ,$23.63 ,$165.13 ,$169.49 ,$169.49 ,$178.20 ,$60.28 ,$168.30 ,$23.63 ,$23.63 ,$111.08 ,$23.63 ,$81.97 ,$7.89 ,$7.53 ,$24.81 ,$168.30 ,$163.75 ,$55.44 ,$178.20 ,$155.43 ,$163.55 ,$25.30 ,$128.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101329,83825,HC MERCURY-90,301,1 ,$258.00 ,$185.76 ,$9.18 ,$258.00 ,$40.65 ,$206.40 ,$15.93 ,$72.24 ,$225.23 ,$237.10 ,$15.93 ,$213.37 ,$15.93 ,$32.85 ,$237.36 ,$39.84 ,$15.93 ,$16.26 ,$215.17 ,$215.17 ,$215.17 ,$15.93 ,$215.17 ,$220.85 ,$220.85 ,$232.20 ,$40.65 ,$219.30 ,$15.93 ,$15.93 ,$144.74 ,$15.93 ,$106.81 ,$9.61 ,$9.18 ,$16.73 ,$219.30 ,$213.37 ,$72.24 ,$232.20 ,$202.53 ,$213.11 ,$17.06 ,$167.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101330,83835,HC METANEPHRINES-90,301,1 ,$199.00 ,$143.28 ,$16.60 ,$199.00 ,$42.35 ,$159.20 ,$16.60 ,$55.72 ,$173.73 ,$182.88 ,$16.60 ,$164.57 ,$16.60 ,$34.22 ,$183.08 ,$41.50 ,$16.60 ,$16.93 ,$165.97 ,$165.97 ,$165.97 ,$16.60 ,$165.97 ,$170.34 ,$170.34 ,$179.10 ,$42.35 ,$169.15 ,$16.60 ,$16.60 ,$111.64 ,$16.60 ,$82.39 ,$18.45 ,$17.61 ,$17.43 ,$169.15 ,$164.57 ,$55.72 ,$179.10 ,$156.22 ,$164.37 ,$17.78 ,$129.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$123.00 ,$88.56 ,$7.53 ,$123.00 ,$43.00 ,$98.40 ,$16.86 ,$34.44 ,$107.38 ,$113.04 ,$16.86 ,$101.72 ,$16.86 ,$34.74 ,$113.16 ,$42.14 ,$16.86 ,$17.19 ,$102.58 ,$102.58 ,$102.58 ,$16.86 ,$102.58 ,$105.29 ,$105.29 ,$110.70 ,$43.00 ,$104.55 ,$16.86 ,$16.86 ,$69.00 ,$16.86 ,$50.92 ,$7.89 ,$7.53 ,$17.70 ,$104.55 ,$101.72 ,$34.44 ,$110.70 ,$96.56 ,$101.60 ,$18.05 ,$79.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101334,83874,HC MYOGLOBIN-90,301,1 ,$199.00 ,$143.28 ,$7.53 ,$199.00 ,$32.30 ,$159.20 ,$12.66 ,$55.72 ,$173.73 ,$182.88 ,$12.66 ,$164.57 ,$12.66 ,$26.10 ,$183.08 ,$31.65 ,$12.66 ,$12.92 ,$165.97 ,$165.97 ,$165.97 ,$12.66 ,$165.97 ,$170.34 ,$170.34 ,$179.10 ,$32.30 ,$169.15 ,$12.66 ,$12.66 ,$111.64 ,$12.66 ,$82.39 ,$7.89 ,$7.53 ,$13.30 ,$169.15 ,$164.57 ,$55.72 ,$179.10 ,$156.22 ,$164.37 ,$13.56 ,$129.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$373.00 ,$268.56 ,$11.61 ,$373.00 ,$34.00 ,$298.40 ,$13.33 ,$104.44 ,$325.63 ,$342.79 ,$13.33 ,$308.47 ,$13.33 ,$27.47 ,$343.16 ,$33.32 ,$13.33 ,$13.59 ,$311.08 ,$311.08 ,$311.08 ,$13.33 ,$311.08 ,$319.29 ,$319.29 ,$335.70 ,$34.00 ,$317.05 ,$13.33 ,$13.33 ,$209.25 ,$13.33 ,$154.42 ,$12.17 ,$11.61 ,$13.99 ,$317.05 ,$308.47 ,$104.44 ,$335.70 ,$292.81 ,$308.10 ,$14.28 ,$242.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$121.00 ,$87.12 ,$7.53 ,$121.00 ,$27.88 ,$96.80 ,$10.93 ,$33.88 ,$105.63 ,$111.20 ,$10.93 ,$100.07 ,$10.93 ,$22.52 ,$111.32 ,$27.32 ,$10.93 ,$11.14 ,$100.91 ,$100.91 ,$100.91 ,$10.93 ,$100.91 ,$103.58 ,$103.58 ,$108.90 ,$27.88 ,$102.85 ,$10.93 ,$10.93 ,$67.88 ,$10.93 ,$50.09 ,$7.89 ,$7.53 ,$11.48 ,$102.85 ,$100.07 ,$33.88 ,$108.90 ,$94.99 ,$99.95 ,$11.70 ,$78.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$201.00 ,$144.72 ,$7.53 ,$201.00 ,$68.48 ,$160.80 ,$26.84 ,$56.28 ,$175.47 ,$184.72 ,$26.84 ,$166.23 ,$26.84 ,$55.33 ,$184.92 ,$67.11 ,$26.84 ,$27.38 ,$167.63 ,$167.63 ,$167.63 ,$26.84 ,$167.63 ,$172.06 ,$172.06 ,$180.90 ,$68.48 ,$170.85 ,$26.84 ,$26.84 ,$112.76 ,$26.84 ,$83.21 ,$7.89 ,$7.53 ,$28.18 ,$170.85 ,$166.23 ,$56.28 ,$180.90 ,$157.79 ,$166.03 ,$28.74 ,$130.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$361.00 ,$259.92 ,$9.18 ,$361.00 ,$59.00 ,$288.80 ,$23.13 ,$101.08 ,$315.15 ,$331.76 ,$23.13 ,$298.55 ,$23.13 ,$47.67 ,$332.12 ,$57.82 ,$23.13 ,$23.59 ,$301.07 ,$301.07 ,$301.07 ,$23.13 ,$301.07 ,$309.02 ,$309.02 ,$324.90 ,$59.00 ,$306.85 ,$23.13 ,$23.13 ,$202.52 ,$23.13 ,$149.45 ,$9.61 ,$9.18 ,$24.28 ,$306.85 ,$298.55 ,$101.08 ,$324.90 ,$283.39 ,$298.19 ,$24.77 ,$234.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101343,83935,HC OSMOLALITY URINE-90,301,1 ,$139.00 ,$100.08 ,$3.35 ,$139.00 ,$17.05 ,$111.20 ,$6.68 ,$38.92 ,$121.35 ,$127.74 ,$6.68 ,$114.95 ,$6.68 ,$13.78 ,$127.88 ,$16.71 ,$6.68 ,$6.82 ,$115.93 ,$115.93 ,$115.93 ,$6.68 ,$115.93 ,$118.98 ,$118.98 ,$125.10 ,$17.05 ,$118.15 ,$6.68 ,$6.68 ,$77.98 ,$6.68 ,$57.55 ,$3.51 ,$3.35 ,$7.02 ,$118.15 ,$114.95 ,$38.92 ,$125.10 ,$109.12 ,$114.81 ,$7.15 ,$90.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101345,83945,HC OXALATE-90,301,1 ,$125.00 ,$90.00 ,$7.53 ,$125.00 ,$36.13 ,$100.00 ,$14.16 ,$35.00 ,$109.13 ,$114.88 ,$14.16 ,$103.38 ,$14.16 ,$29.19 ,$115.00 ,$35.41 ,$14.16 ,$14.45 ,$104.25 ,$104.25 ,$104.25 ,$14.16 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$36.13 ,$106.25 ,$14.16 ,$14.16 ,$70.13 ,$14.16 ,$51.75 ,$7.89 ,$7.53 ,$14.87 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$15.17 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101347,83970,HC PARATHYROID HORMONE (PTH)-90,301,1 ,$136.00 ,$97.92 ,$17.61 ,$136.00 ,$103.20 ,$108.80 ,$40.45 ,$38.08 ,$118.73 ,$124.98 ,$40.45 ,$112.47 ,$40.45 ,$83.39 ,$125.12 ,$101.14 ,$40.45 ,$41.27 ,$113.42 ,$113.42 ,$113.42 ,$40.45 ,$113.42 ,$116.42 ,$116.42 ,$122.40 ,$103.20 ,$115.60 ,$40.45 ,$40.45 ,$76.30 ,$40.45 ,$56.30 ,$18.45 ,$17.61 ,$42.47 ,$115.60 ,$112.47 ,$38.08 ,$122.40 ,$106.76 ,$112.34 ,$43.33 ,$88.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101349,83992,HC PHENCYCLIDINE (PCP)-90,301,1 ,$128.00 ,$92.16 ,$9.18 ,$128.00 , N/A ,$102.40 , N/A ,$35.84 ,$111.74 ,$117.63 , N/A ,$105.86 , N/A , N/A ,$117.76 , N/A , N/A , N/A ,$106.75 ,$106.75 ,$106.75 , N/A ,$106.75 ,$109.57 ,$109.57 ,$115.20 , N/A ,$108.80 , N/A , N/A ,$71.81 , N/A ,$52.99 ,$9.61 ,$9.18 , N/A ,$108.80 ,$105.86 ,$35.84 ,$115.20 ,$100.48 ,$105.73 , N/A ,$83.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$552.00 ,$397.44 ,$7.53 ,$552.00 ,$49.08 ,$441.60 ,$19.24 ,$154.56 ,$481.90 ,$507.29 ,$19.24 ,$456.50 ,$19.24 ,$39.65 ,$507.84 ,$48.10 ,$19.24 ,$19.62 ,$460.37 ,$460.37 ,$460.37 ,$19.24 ,$460.37 ,$472.51 ,$472.51 ,$496.80 ,$49.08 ,$469.20 ,$19.24 ,$19.24 ,$309.67 ,$19.24 ,$228.53 ,$7.89 ,$7.53 ,$20.20 ,$469.20 ,$456.50 ,$154.56 ,$496.80 ,$433.32 ,$455.95 ,$20.60 ,$358.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101352,84030,HC NEWBORN SCREEN PKU-90,301,1 ,$135.00 ,$97.20 ,$3.35 ,$135.00 ,$13.75 ,$108.00 ,$5.39 ,$37.80 ,$117.86 ,$124.07 ,$5.39 ,$111.65 ,$5.39 ,$11.11 ,$124.20 ,$13.47 ,$5.39 ,$5.50 ,$112.59 ,$112.59 ,$112.59 ,$5.39 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$13.75 ,$114.75 ,$5.39 ,$5.39 ,$75.74 ,$5.39 ,$55.89 ,$3.51 ,$3.35 ,$5.66 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$5.77 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101353,84066,HC PHOSPHATASE ACID PROSTATIC-90,301,1 ,$74.00 ,$53.28 ,$7.53 ,$74.00 ,$24.15 ,$59.20 ,$9.47 ,$20.72 ,$64.60 ,$68.01 ,$9.47 ,$61.20 ,$9.47 ,$19.51 ,$68.08 ,$23.67 ,$9.47 ,$9.65 ,$61.72 ,$61.72 ,$61.72 ,$9.47 ,$61.72 ,$63.34 ,$63.34 ,$66.60 ,$24.15 ,$62.90 ,$9.47 ,$9.47 ,$41.51 ,$9.47 ,$30.64 ,$7.89 ,$7.53 ,$9.94 ,$62.90 ,$61.20 ,$20.72 ,$66.60 ,$58.09 ,$61.12 ,$10.14 ,$48.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$137.00 ,$98.64 ,$3.35 ,$137.00 ,$12.95 ,$109.60 ,$5.08 ,$38.36 ,$119.60 ,$125.90 ,$5.08 ,$113.30 ,$5.08 ,$10.46 ,$126.04 ,$12.69 ,$5.08 ,$5.17 ,$114.26 ,$114.26 ,$114.26 ,$5.08 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$12.95 ,$116.45 ,$5.08 ,$5.08 ,$76.86 ,$5.08 ,$56.72 ,$3.51 ,$3.35 ,$5.33 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$5.44 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$186.00 ,$133.92 ,$7.53 ,$186.00 ,$36.95 ,$148.80 ,$14.48 ,$52.08 ,$162.38 ,$170.93 ,$14.48 ,$153.82 ,$14.48 ,$29.86 ,$171.12 ,$36.21 ,$14.48 ,$14.78 ,$155.12 ,$155.12 ,$155.12 ,$14.48 ,$155.12 ,$159.22 ,$159.22 ,$167.40 ,$36.95 ,$158.10 ,$14.48 ,$14.48 ,$104.35 ,$14.48 ,$77.00 ,$7.89 ,$7.53 ,$15.21 ,$158.10 ,$153.82 ,$52.08 ,$167.40 ,$146.01 ,$153.64 ,$15.51 ,$120.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101358,84105,HC PHOSPHORUS URINE-90,301,1 ,$75.00 ,$54.00 ,$3.35 ,$75.00 ,$14.45 ,$60.00 ,$5.66 ,$21.00 ,$65.48 ,$68.93 ,$5.66 ,$62.03 ,$5.66 ,$11.68 ,$69.00 ,$14.16 ,$5.66 ,$5.78 ,$62.55 ,$62.55 ,$62.55 ,$5.66 ,$62.55 ,$64.20 ,$64.20 ,$67.50 ,$14.45 ,$63.75 ,$5.66 ,$5.66 ,$42.08 ,$5.66 ,$31.05 ,$3.51 ,$3.35 ,$5.95 ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 ,$6.07 ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101359,84110,HC PORPHOBILINOGEN QN-90,301,1 ,$74.00 ,$53.28 ,$7.53 ,$74.00 ,$21.10 ,$59.20 ,$8.27 ,$20.72 ,$64.60 ,$68.01 ,$8.27 ,$61.20 ,$8.27 ,$17.05 ,$68.08 ,$20.68 ,$8.27 ,$8.44 ,$61.72 ,$61.72 ,$61.72 ,$8.27 ,$61.72 ,$63.34 ,$63.34 ,$66.60 ,$21.10 ,$62.90 ,$8.27 ,$8.27 ,$41.51 ,$8.27 ,$30.64 ,$7.89 ,$7.53 ,$8.68 ,$62.90 ,$61.20 ,$20.72 ,$66.60 ,$58.09 ,$61.12 ,$8.86 ,$48.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101361,84120,HC PORPHYRINS QN FRACT-90,301,1 ,$193.00 ,$138.96 ,$7.53 ,$193.00 ,$36.78 ,$154.40 ,$14.42 ,$54.04 ,$168.49 ,$177.37 ,$14.42 ,$159.61 ,$14.42 ,$29.71 ,$177.56 ,$36.04 ,$14.42 ,$14.70 ,$160.96 ,$160.96 ,$160.96 ,$14.42 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$36.78 ,$164.05 ,$14.42 ,$14.42 ,$108.27 ,$14.42 ,$79.90 ,$7.89 ,$7.53 ,$15.14 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$159.42 ,$15.43 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101366,84140,HC PREGNENOLONE-90,301,1 ,$111.00 ,$79.92 ,$17.61 ,$111.00 ,$51.68 ,$88.80 ,$20.26 ,$31.08 ,$96.90 ,$102.01 ,$20.26 ,$91.80 ,$20.26 ,$41.75 ,$102.12 ,$50.65 ,$20.26 ,$20.66 ,$92.57 ,$92.57 ,$92.57 ,$20.26 ,$92.57 ,$95.02 ,$95.02 ,$99.90 ,$51.68 ,$94.35 ,$20.26 ,$20.26 ,$62.27 ,$20.26 ,$45.95 ,$18.45 ,$17.61 ,$21.27 ,$94.35 ,$91.80 ,$31.08 ,$99.90 ,$87.14 ,$91.69 ,$21.70 ,$72.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101368,84144,HC PROGESTERONE-90,301,1 ,$115.00 ,$82.80 ,$10.13 ,$115.00 ,$52.15 ,$92.00 ,$20.44 ,$32.20 ,$100.40 ,$105.69 ,$20.44 ,$95.11 ,$20.44 ,$42.14 ,$105.80 ,$51.11 ,$20.44 ,$20.85 ,$95.91 ,$95.91 ,$95.91 ,$20.44 ,$95.91 ,$98.44 ,$98.44 ,$103.50 ,$52.15 ,$97.75 ,$20.44 ,$20.44 ,$64.52 ,$20.44 ,$47.61 ,$10.62 ,$10.13 ,$21.46 ,$97.75 ,$95.11 ,$32.20 ,$103.50 ,$90.28 ,$94.99 ,$21.89 ,$74.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101369,84145,HC PROCALCITONIN (PCT)-90,301,1 ,$524.00 ,$377.28 ,$17.61 ,$524.00 ,$68.05 ,$419.20 ,$26.68 ,$146.72 ,$457.45 ,$481.56 ,$26.68 ,$433.35 ,$26.68 ,$54.98 ,$482.08 ,$66.69 ,$26.68 ,$27.20 ,$437.02 ,$437.02 ,$437.02 ,$26.68 ,$437.02 ,$448.54 ,$448.54 ,$471.60 ,$68.05 ,$445.40 ,$26.68 ,$26.68 ,$293.96 ,$26.68 ,$216.94 ,$18.45 ,$17.61 ,$28.01 ,$445.40 ,$433.35 ,$146.72 ,$471.60 ,$411.34 ,$432.82 ,$28.57 ,$340.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101370,84153,HC PSA TOTAL-90,301,1 ,$47.00 ,$33.84 ,$7.53 ,$47.00 ,$45.98 ,$37.60 ,$18.02 ,$13.16 ,$41.03 ,$43.19 ,$18.02 ,$38.87 ,$18.02 ,$37.15 ,$43.24 ,$45.06 ,$18.02 ,$18.38 ,$39.20 ,$39.20 ,$39.20 ,$18.02 ,$39.20 ,$40.23 ,$40.23 ,$42.30 ,$45.98 ,$39.95 ,$18.02 ,$18.02 ,$26.37 ,$18.02 ,$19.46 ,$7.89 ,$7.53 ,$18.92 ,$39.95 ,$38.87 ,$13.16 ,$42.30 ,$36.90 ,$38.82 ,$19.31 ,$30.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101371,84154,HC PSA FREE-90,301,1 ,$167.00 ,$120.24 ,$7.53 ,$167.00 ,$45.98 ,$133.60 ,$18.02 ,$46.76 ,$145.79 ,$153.47 ,$18.02 ,$138.11 ,$18.02 ,$37.15 ,$153.64 ,$45.06 ,$18.02 ,$18.38 ,$139.28 ,$139.28 ,$139.28 ,$18.02 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$45.98 ,$141.95 ,$18.02 ,$18.02 ,$93.69 ,$18.02 ,$69.14 ,$7.89 ,$7.53 ,$18.92 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$19.31 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101372,84155,HC PROTEIN TOTAL-90,301,1 ,$85.00 ,$61.20 ,$3.35 ,$85.00 ,$9.18 ,$68.00 ,$3.60 ,$23.80 ,$74.21 ,$78.12 ,$3.60 ,$70.30 ,$3.60 ,$7.41 ,$78.20 ,$9.00 ,$3.60 ,$3.67 ,$70.89 ,$70.89 ,$70.89 ,$3.60 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$9.18 ,$72.25 ,$3.60 ,$3.60 ,$47.69 ,$3.60 ,$35.19 ,$3.51 ,$3.35 ,$3.77 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$3.85 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$21.00 ,$15.12 ,$3.35 ,$21.00 ,$9.18 ,$16.80 ,$3.60 ,$5.88 ,$18.33 ,$19.30 ,$3.60 ,$17.37 ,$3.60 ,$7.41 ,$19.32 ,$9.00 ,$3.60 ,$3.67 ,$17.51 ,$17.51 ,$17.51 ,$3.60 ,$17.51 ,$17.98 ,$17.98 ,$18.90 ,$9.18 ,$17.85 ,$3.60 ,$3.60 ,$11.78 ,$3.60 ,$8.69 ,$3.51 ,$3.35 ,$3.77 ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 ,$3.85 ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101374,84157,HC PROTEIN TOTAL OTH SRC-90,301,1 ,$129.00 ,$92.88 ,$3.35 ,$129.00 ,$10.00 ,$103.20 ,$3.92 ,$36.12 ,$112.62 ,$118.55 ,$3.92 ,$106.68 ,$3.92 ,$8.08 ,$118.68 ,$9.80 ,$3.92 ,$4.00 ,$107.59 ,$107.59 ,$107.59 ,$3.92 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$10.00 ,$109.65 ,$3.92 ,$3.92 ,$72.37 ,$3.92 ,$53.41 ,$3.51 ,$3.35 ,$4.12 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$4.19 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101375,84165,HC PROTEIN ELECTROPHORESIS-90,301,1 ,$185.00 ,$133.20 ,$7.53 ,$185.00 ,$26.85 ,$148.00 ,$10.53 ,$51.80 ,$161.51 ,$170.02 ,$10.53 ,$153.00 ,$10.53 ,$21.69 ,$170.20 ,$26.31 ,$10.53 ,$10.73 ,$154.29 ,$154.29 ,$154.29 ,$10.53 ,$154.29 ,$158.36 ,$158.36 ,$166.50 ,$26.85 ,$157.25 ,$10.53 ,$10.53 ,$103.79 ,$10.53 ,$76.59 ,$7.89 ,$7.53 ,$11.05 ,$157.25 ,$153.00 ,$51.80 ,$166.50 ,$145.23 ,$152.81 ,$11.27 ,$120.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101377,84166,HC PROTEIN EP OTH FLUID-90,301,1 ,$185.00 ,$133.20 ,$7.53 ,$185.00 ,$44.58 ,$148.00 ,$17.47 ,$51.80 ,$161.51 ,$170.02 ,$17.47 ,$153.00 ,$17.47 ,$36.02 ,$170.20 ,$43.69 ,$17.47 ,$17.83 ,$154.29 ,$154.29 ,$154.29 ,$17.47 ,$154.29 ,$158.36 ,$158.36 ,$166.50 ,$44.58 ,$157.25 ,$17.47 ,$17.47 ,$103.79 ,$17.47 ,$76.59 ,$7.89 ,$7.53 ,$18.35 ,$157.25 ,$153.00 ,$51.80 ,$166.50 ,$145.23 ,$152.81 ,$18.72 ,$120.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101381,84202,HC PROTOPORPHYRIN-90,301,1 ,$167.00 ,$120.24 ,$7.53 ,$167.00 ,$35.88 ,$133.60 ,$14.06 ,$46.76 ,$145.79 ,$153.47 ,$14.06 ,$138.11 ,$14.06 ,$28.99 ,$153.64 ,$35.16 ,$14.06 ,$14.35 ,$139.28 ,$139.28 ,$139.28 ,$14.06 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$35.88 ,$141.95 ,$14.06 ,$14.06 ,$93.69 ,$14.06 ,$69.14 ,$7.89 ,$7.53 ,$14.77 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$15.06 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101382,84206,HC PROINSULIN-90,301,1 ,$202.00 ,$145.44 ,$17.61 ,$202.00 ,$66.73 ,$161.60 ,$26.16 ,$56.56 ,$176.35 ,$185.64 ,$26.16 ,$167.05 ,$26.16 ,$53.91 ,$185.84 ,$65.40 ,$26.16 ,$26.68 ,$168.47 ,$168.47 ,$168.47 ,$26.16 ,$168.47 ,$172.91 ,$172.91 ,$181.80 ,$66.73 ,$171.70 ,$26.16 ,$26.16 ,$113.32 ,$26.16 ,$83.63 ,$18.45 ,$17.61 ,$27.46 ,$171.70 ,$167.05 ,$56.56 ,$181.80 ,$158.57 ,$166.85 ,$28.01 ,$131.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101383,84207,HC VITAMIN B6-90,301,1 ,$141.00 ,$101.52 ,$7.53 ,$141.00 ,$70.25 ,$112.80 ,$27.54 ,$39.48 ,$123.09 ,$129.58 ,$27.54 ,$116.61 ,$27.54 ,$56.76 ,$129.72 ,$68.84 ,$27.54 ,$28.09 ,$117.59 ,$117.59 ,$117.59 ,$27.54 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$70.25 ,$119.85 ,$27.54 ,$27.54 ,$79.10 ,$27.54 ,$58.37 ,$7.89 ,$7.53 ,$28.92 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$29.50 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101386,84238,HC RECEPTOR ASSAY NON ENDO-90,301,1 ,$125.00 ,$90.00 ,$20.25 ,$125.00 ,$91.43 ,$100.00 ,$35.84 ,$35.00 ,$109.13 ,$114.88 ,$35.84 ,$103.38 ,$35.84 ,$73.87 ,$115.00 ,$89.60 ,$35.84 ,$36.55 ,$104.25 ,$104.25 ,$104.25 ,$35.84 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$91.43 ,$106.25 ,$35.84 ,$35.84 ,$70.13 ,$35.84 ,$51.75 ,$21.22 ,$20.25 ,$37.63 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$38.39 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101387,84244,HC RENIN-90,301,1 ,$188.00 ,$135.36 ,$17.61 ,$188.00 ,$54.98 ,$150.40 ,$21.55 ,$52.64 ,$164.12 ,$172.77 ,$21.55 ,$155.48 ,$21.55 ,$44.42 ,$172.96 ,$53.88 ,$21.55 ,$21.98 ,$156.79 ,$156.79 ,$156.79 ,$21.55 ,$156.79 ,$160.93 ,$160.93 ,$169.20 ,$54.98 ,$159.80 ,$21.55 ,$21.55 ,$105.47 ,$21.55 ,$77.83 ,$18.45 ,$17.61 ,$22.63 ,$159.80 ,$155.48 ,$52.64 ,$169.20 ,$147.58 ,$155.29 ,$23.08 ,$122.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101388,84255,HC SELENIUM-90,301,1 ,$167.00 ,$120.24 ,$7.53 ,$167.00 ,$63.83 ,$133.60 ,$25.02 ,$46.76 ,$145.79 ,$153.47 ,$25.02 ,$138.11 ,$25.02 ,$51.57 ,$153.64 ,$62.55 ,$25.02 ,$25.52 ,$139.28 ,$139.28 ,$139.28 ,$25.02 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$63.83 ,$141.95 ,$25.02 ,$25.02 ,$93.69 ,$25.02 ,$69.14 ,$7.89 ,$7.53 ,$26.27 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$26.79 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$235.00 ,$169.20 ,$7.53 ,$235.00 ,$50.60 ,$188.00 ,$19.84 ,$65.80 ,$205.16 ,$215.97 ,$19.84 ,$194.35 ,$19.84 ,$40.88 ,$216.20 ,$49.59 ,$19.84 ,$20.23 ,$195.99 ,$195.99 ,$195.99 ,$19.84 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$50.60 ,$199.75 ,$19.84 ,$19.84 ,$131.84 ,$19.84 ,$97.29 ,$7.89 ,$7.53 ,$20.82 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$21.25 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$130.00 ,$93.60 ,$7.53 ,$130.00 ,$54.33 ,$104.00 ,$21.30 ,$36.40 ,$113.49 ,$119.47 ,$21.30 ,$107.51 ,$21.30 ,$43.89 ,$119.60 ,$53.24 ,$21.30 ,$21.72 ,$108.42 ,$108.42 ,$108.42 ,$21.30 ,$108.42 ,$111.28 ,$111.28 ,$117.00 ,$54.33 ,$110.50 ,$21.30 ,$21.30 ,$72.93 ,$21.30 ,$53.82 ,$7.89 ,$7.53 ,$22.36 ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 ,$22.80 ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101392,84260,HC SEROTONIN-90,301,1 ,$270.00 ,$194.40 ,$17.61 ,$270.00 ,$77.45 ,$216.00 ,$30.36 ,$75.60 ,$235.71 ,$248.13 ,$30.36 ,$223.29 ,$30.36 ,$62.58 ,$248.40 ,$75.90 ,$30.36 ,$30.97 ,$225.18 ,$225.18 ,$225.18 ,$30.36 ,$225.18 ,$231.12 ,$231.12 ,$243.00 ,$77.45 ,$229.50 ,$30.36 ,$30.36 ,$151.47 ,$30.36 ,$111.78 ,$18.45 ,$17.61 ,$31.88 ,$229.50 ,$223.29 ,$75.60 ,$243.00 ,$211.95 ,$223.02 ,$32.52 ,$175.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$202.00 ,$145.44 ,$3.35 ,$202.00 ,$12.15 ,$161.60 ,$4.76 ,$56.56 ,$176.35 ,$185.64 ,$4.76 ,$167.05 ,$4.76 ,$9.82 ,$185.84 ,$11.91 ,$4.76 ,$4.86 ,$168.47 ,$168.47 ,$168.47 ,$4.76 ,$168.47 ,$172.91 ,$172.91 ,$181.80 ,$12.15 ,$171.70 ,$4.76 ,$4.76 ,$113.32 ,$4.76 ,$83.63 ,$3.51 ,$3.35 ,$5.00 ,$171.70 ,$167.05 ,$56.56 ,$181.80 ,$158.57 ,$166.85 ,$5.11 ,$131.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101396,84305,HC SOMATOMEDIN-90,301,1 ,$287.00 ,$206.64 ,$17.61 ,$287.00 ,$53.15 ,$229.60 ,$20.83 ,$80.36 ,$250.55 ,$263.75 ,$20.83 ,$237.35 ,$20.83 ,$42.95 ,$264.04 ,$52.09 ,$20.83 ,$21.26 ,$239.36 ,$239.36 ,$239.36 ,$20.83 ,$239.36 ,$245.67 ,$245.67 ,$258.30 ,$53.15 ,$243.95 ,$20.83 ,$20.83 ,$161.01 ,$20.83 ,$118.82 ,$18.45 ,$17.61 ,$21.87 ,$243.95 ,$237.35 ,$80.36 ,$258.30 ,$225.30 ,$237.06 ,$22.31 ,$186.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101397,84307,HC SOMATOSTATIN-90,301,1 ,$417.00 ,$300.24 ,$17.61 ,$417.00 ,$45.70 ,$333.60 ,$17.91 ,$116.76 ,$364.04 ,$383.22 ,$17.91 ,$344.86 ,$17.91 ,$36.93 ,$383.64 ,$44.79 ,$17.91 ,$18.28 ,$347.78 ,$347.78 ,$347.78 ,$17.91 ,$347.78 ,$356.95 ,$356.95 ,$375.30 ,$45.70 ,$354.45 ,$17.91 ,$17.91 ,$233.94 ,$17.91 ,$172.64 ,$18.45 ,$17.61 ,$18.81 ,$354.45 ,$344.86 ,$116.76 ,$375.30 ,$327.35 ,$344.44 ,$19.19 ,$271.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$281.00 ,$202.32 ,$7.53 ,$281.00 ,$20.25 ,$224.80 ,$7.94 ,$78.68 ,$245.31 ,$258.24 ,$7.94 ,$232.39 ,$7.94 ,$16.36 ,$258.52 ,$19.84 ,$7.94 ,$8.09 ,$234.35 ,$234.35 ,$234.35 ,$7.94 ,$234.35 ,$240.54 ,$240.54 ,$252.90 ,$20.25 ,$238.85 ,$7.94 ,$7.94 ,$157.64 ,$7.94 ,$116.33 ,$7.89 ,$7.53 ,$8.34 ,$238.85 ,$232.39 ,$78.68 ,$252.90 ,$220.59 ,$232.11 ,$8.51 ,$182.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101402,84376,HC SUGARS SINGLE QL-90,301,1 ,$92.00 ,$66.24 ,$3.35 ,$92.00 ,$13.75 ,$73.60 ,$5.39 ,$25.76 ,$80.32 ,$84.55 ,$5.39 ,$76.08 ,$5.39 ,$11.11 ,$84.64 ,$13.47 ,$5.39 ,$5.50 ,$76.73 ,$76.73 ,$76.73 ,$5.39 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$13.75 ,$78.20 ,$5.39 ,$5.39 ,$51.61 ,$5.39 ,$38.09 ,$3.51 ,$3.35 ,$5.66 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$5.77 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101403,84378,HC SUGARS SINGLE QN-90,301,1 ,$191.00 ,$137.52 ,$7.53 ,$191.00 ,$28.83 ,$152.80 ,$11.30 ,$53.48 ,$166.74 ,$175.53 ,$11.30 ,$157.96 ,$11.30 ,$23.29 ,$175.72 ,$28.25 ,$11.30 ,$11.52 ,$159.29 ,$159.29 ,$159.29 ,$11.30 ,$159.29 ,$163.50 ,$163.50 ,$171.90 ,$28.83 ,$162.35 ,$11.30 ,$11.30 ,$107.15 ,$11.30 ,$79.07 ,$7.89 ,$7.53 ,$11.87 ,$162.35 ,$157.96 ,$53.48 ,$171.90 ,$149.94 ,$157.77 ,$12.10 ,$124.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$237.00 ,$170.64 ,$17.61 ,$237.00 ,$63.68 ,$189.60 ,$24.96 ,$66.36 ,$206.90 ,$217.80 ,$24.96 ,$196.00 ,$24.96 ,$51.45 ,$218.04 ,$62.41 ,$24.96 ,$25.46 ,$197.66 ,$197.66 ,$197.66 ,$24.96 ,$197.66 ,$202.87 ,$202.87 ,$213.30 ,$63.68 ,$201.45 ,$24.96 ,$24.96 ,$132.96 ,$24.96 ,$98.12 ,$18.45 ,$17.61 ,$26.21 ,$201.45 ,$196.00 ,$66.36 ,$213.30 ,$186.05 ,$195.76 ,$26.73 ,$154.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$308.00 ,$221.76 ,$17.61 ,$308.00 ,$64.53 ,$246.40 ,$25.29 ,$86.24 ,$268.88 ,$283.05 ,$25.29 ,$254.72 ,$25.29 ,$52.14 ,$283.36 ,$63.24 ,$25.29 ,$25.80 ,$256.87 ,$256.87 ,$256.87 ,$25.29 ,$256.87 ,$263.65 ,$263.65 ,$277.20 ,$64.53 ,$261.80 ,$25.29 ,$25.29 ,$172.79 ,$25.29 ,$127.51 ,$18.45 ,$17.61 ,$26.56 ,$261.80 ,$254.72 ,$86.24 ,$277.20 ,$241.78 ,$254.41 ,$27.09 ,$200.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101408,84425,HC VITAMIN B1-90,301,1 ,$438.00 ,$315.36 ,$7.53 ,$438.00 ,$53.08 ,$350.40 ,$20.81 ,$122.64 ,$382.37 ,$402.52 ,$20.81 ,$362.23 ,$20.81 ,$42.88 ,$402.96 ,$52.02 ,$20.81 ,$21.22 ,$365.29 ,$365.29 ,$365.29 ,$20.81 ,$365.29 ,$374.93 ,$374.93 ,$394.20 ,$53.08 ,$372.30 ,$20.81 ,$20.81 ,$245.72 ,$20.81 ,$181.33 ,$7.89 ,$7.53 ,$21.84 ,$372.30 ,$362.23 ,$122.64 ,$394.20 ,$343.83 ,$361.79 ,$22.29 ,$284.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101410,84432,HC THYROGLOBULIN-90,301,1 ,$132.00 ,$95.04 ,$15.74 ,$132.00 ,$40.15 ,$105.60 ,$15.74 ,$36.96 ,$115.24 ,$121.31 ,$15.74 ,$109.16 ,$15.74 ,$32.44 ,$121.44 ,$39.35 ,$15.74 ,$16.05 ,$110.09 ,$110.09 ,$110.09 ,$15.74 ,$110.09 ,$112.99 ,$112.99 ,$118.80 ,$40.15 ,$112.20 ,$15.74 ,$15.74 ,$74.05 ,$15.74 ,$54.65 ,$18.45 ,$17.61 ,$16.52 ,$112.20 ,$109.16 ,$36.96 ,$118.80 ,$103.62 ,$109.03 ,$16.86 ,$85.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101415,84442,HC THYROXINE BIND GLOB-90,301,1 ,$112.00 ,$80.64 ,$10.13 ,$112.00 ,$36.95 ,$89.60 ,$14.48 ,$31.36 ,$97.78 ,$102.93 ,$14.48 ,$92.62 ,$14.48 ,$29.86 ,$103.04 ,$36.21 ,$14.48 ,$14.78 ,$93.41 ,$93.41 ,$93.41 ,$14.48 ,$93.41 ,$95.87 ,$95.87 ,$100.80 ,$36.95 ,$95.20 ,$14.48 ,$14.48 ,$62.83 ,$14.48 ,$46.37 ,$10.62 ,$10.13 ,$15.21 ,$95.20 ,$92.62 ,$31.36 ,$100.80 ,$87.92 ,$92.51 ,$15.51 ,$72.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$233.00 ,$167.76 ,$17.61 ,$233.00 ,$127.15 ,$186.40 ,$49.84 ,$65.24 ,$203.41 ,$214.13 ,$49.84 ,$192.69 ,$49.84 ,$102.74 ,$214.36 ,$124.61 ,$49.84 ,$50.84 ,$194.32 ,$194.32 ,$194.32 ,$49.84 ,$194.32 ,$199.45 ,$199.45 ,$209.70 ,$127.15 ,$198.05 ,$49.84 ,$49.84 ,$130.71 ,$49.84 ,$96.46 ,$18.45 ,$17.61 ,$52.33 ,$198.05 ,$192.69 ,$65.24 ,$209.70 ,$182.91 ,$192.46 ,$53.38 ,$151.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101418,84446,HC VITAMIN E-90,301,1 ,$98.00 ,$70.56 ,$7.53 ,$98.00 ,$35.45 ,$78.40 ,$13.90 ,$27.44 ,$85.55 ,$90.06 ,$13.90 ,$81.05 ,$13.90 ,$28.64 ,$90.16 ,$34.74 ,$13.90 ,$14.17 ,$81.73 ,$81.73 ,$81.73 ,$13.90 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$35.45 ,$83.30 ,$13.90 ,$13.90 ,$54.98 ,$13.90 ,$40.57 ,$7.89 ,$7.53 ,$14.59 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$14.89 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101419,84460,HC ALT-90,301,1 ,$129.00 ,$92.88 ,$3.35 ,$129.00 ,$13.25 ,$103.20 ,$5.19 ,$36.12 ,$112.62 ,$118.55 ,$5.19 ,$106.68 ,$5.19 ,$10.71 ,$118.68 ,$12.98 ,$5.19 ,$5.30 ,$107.59 ,$107.59 ,$107.59 ,$5.19 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$13.25 ,$109.65 ,$5.19 ,$5.19 ,$72.37 ,$5.19 ,$53.41 ,$3.51 ,$3.35 ,$5.46 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$5.57 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101420,84466,HC TRANSFERRIN-90,301,1 ,$236.00 ,$169.92 ,$7.53 ,$236.00 ,$31.90 ,$188.80 ,$12.50 ,$66.08 ,$206.03 ,$216.88 ,$12.50 ,$195.17 ,$12.50 ,$25.78 ,$217.12 ,$31.26 ,$12.50 ,$12.76 ,$196.82 ,$196.82 ,$196.82 ,$12.50 ,$196.82 ,$202.02 ,$202.02 ,$212.40 ,$31.90 ,$200.60 ,$12.50 ,$12.50 ,$132.40 ,$12.50 ,$97.70 ,$7.89 ,$7.53 ,$13.13 ,$200.60 ,$195.17 ,$66.08 ,$212.40 ,$185.26 ,$194.94 ,$13.40 ,$153.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101422,84479,HC T3 UPTAKE-90,301,1 ,$117.00 ,$84.24 ,$6.34 ,$117.00 ,$16.18 ,$93.60 ,$6.34 ,$32.76 ,$102.14 ,$107.52 ,$6.34 ,$96.76 ,$6.34 ,$13.07 ,$107.64 ,$15.86 ,$6.34 ,$6.47 ,$97.58 ,$97.58 ,$97.58 ,$6.34 ,$97.58 ,$100.15 ,$100.15 ,$105.30 ,$16.18 ,$99.45 ,$6.34 ,$6.34 ,$65.64 ,$6.34 ,$48.44 ,$10.62 ,$10.13 ,$6.65 ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 ,$96.64 ,$6.79 ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101423,84480,HC T3 TOTAL-90,301,1 ,$304.00 ,$218.88 ,$10.13 ,$304.00 ,$35.45 ,$243.20 ,$13.90 ,$85.12 ,$265.39 ,$279.38 ,$13.90 ,$251.41 ,$13.90 ,$28.64 ,$279.68 ,$34.74 ,$13.90 ,$14.17 ,$253.54 ,$253.54 ,$253.54 ,$13.90 ,$253.54 ,$260.22 ,$260.22 ,$273.60 ,$35.45 ,$258.40 ,$13.90 ,$13.90 ,$170.54 ,$13.90 ,$125.86 ,$10.62 ,$10.13 ,$14.59 ,$258.40 ,$251.41 ,$85.12 ,$273.60 ,$238.64 ,$251.10 ,$14.89 ,$197.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101424,84481,HC T3 FREE-90,301,1 ,$178.00 ,$128.16 ,$10.13 ,$178.00 ,$42.35 ,$142.40 ,$16.60 ,$49.84 ,$155.39 ,$163.58 ,$16.60 ,$147.21 ,$16.60 ,$34.22 ,$163.76 ,$41.50 ,$16.60 ,$16.93 ,$148.45 ,$148.45 ,$148.45 ,$16.60 ,$148.45 ,$152.37 ,$152.37 ,$160.20 ,$42.35 ,$151.30 ,$16.60 ,$16.60 ,$99.86 ,$16.60 ,$73.69 ,$10.62 ,$10.13 ,$17.43 ,$151.30 ,$147.21 ,$49.84 ,$160.20 ,$139.73 ,$147.03 ,$17.78 ,$115.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101425,84482,HC T3 REVERSE-90,301,1 ,$127.00 ,$91.44 ,$10.13 ,$127.00 ,$39.40 ,$101.60 ,$15.44 ,$35.56 ,$110.87 ,$116.71 ,$15.44 ,$105.03 ,$15.44 ,$31.84 ,$116.84 ,$38.61 ,$15.44 ,$15.76 ,$105.92 ,$105.92 ,$105.92 ,$15.44 ,$105.92 ,$108.71 ,$108.71 ,$114.30 ,$39.40 ,$107.95 ,$15.44 ,$15.44 ,$71.25 ,$15.44 ,$52.58 ,$10.62 ,$10.13 ,$16.22 ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 ,$16.54 ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$46.00 ,$33.12 ,$3.35 ,$46.00 ,$12.70 ,$36.80 ,$4.98 ,$12.88 ,$40.16 ,$42.27 ,$4.98 ,$38.04 ,$4.98 ,$10.26 ,$42.32 ,$12.45 ,$4.98 ,$5.08 ,$38.36 ,$38.36 ,$38.36 ,$4.98 ,$38.36 ,$39.38 ,$39.38 ,$41.40 ,$12.70 ,$39.10 ,$4.98 ,$4.98 ,$25.81 ,$4.98 ,$19.04 ,$3.51 ,$3.35 ,$5.22 ,$39.10 ,$38.04 ,$12.88 ,$41.40 ,$36.11 ,$38.00 ,$5.33 ,$29.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$300.00 ,$216.00 ,$15.19 ,$300.00 ,$38.75 ,$240.00 ,$15.19 ,$84.00 ,$261.90 ,$275.70 ,$15.19 ,$248.10 ,$15.19 ,$31.31 ,$276.00 ,$37.97 ,$15.19 ,$15.49 ,$250.20 ,$250.20 ,$250.20 ,$15.19 ,$250.20 ,$256.80 ,$256.80 ,$270.00 ,$38.75 ,$255.00 ,$15.19 ,$15.19 ,$168.30 ,$15.19 ,$124.20 ,$18.45 ,$17.61 ,$15.95 ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 ,$16.27 ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$318.00 ,$228.96 ,$17.61 ,$318.00 ,$88.33 ,$254.40 ,$34.62 ,$89.04 ,$277.61 ,$292.24 ,$34.62 ,$262.99 ,$34.62 ,$71.37 ,$292.56 ,$86.56 ,$34.62 ,$35.32 ,$265.21 ,$265.21 ,$265.21 ,$34.62 ,$265.21 ,$272.21 ,$272.21 ,$286.20 ,$88.33 ,$270.30 ,$34.62 ,$34.62 ,$178.40 ,$34.62 ,$131.65 ,$18.45 ,$17.61 ,$36.36 ,$270.30 ,$262.99 ,$89.04 ,$286.20 ,$249.63 ,$262.67 ,$37.08 ,$206.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101438,84590,HC VITAMIN A-90,301,1 ,$98.00 ,$70.56 ,$7.53 ,$98.00 ,$29.03 ,$78.40 ,$11.38 ,$27.44 ,$85.55 ,$90.06 ,$11.38 ,$81.05 ,$11.38 ,$23.45 ,$90.16 ,$28.45 ,$11.38 ,$11.60 ,$81.73 ,$81.73 ,$81.73 ,$11.38 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$29.03 ,$83.30 ,$11.38 ,$11.38 ,$54.98 ,$11.38 ,$40.57 ,$7.89 ,$7.53 ,$11.95 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$12.18 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101440,84597,HC VITAMIN K-90,301,1 ,$736.00 ,$529.92 ,$7.53 ,$736.00 ,$34.30 ,$588.80 ,$13.45 ,$206.08 ,$642.53 ,$676.38 ,$13.45 ,$608.67 ,$13.45 ,$27.71 ,$677.12 ,$33.61 ,$13.45 ,$13.71 ,$613.82 ,$613.82 ,$613.82 ,$13.45 ,$613.82 ,$630.02 ,$630.02 ,$662.40 ,$34.30 ,$625.60 ,$13.45 ,$13.45 ,$412.90 ,$13.45 ,$304.70 ,$7.89 ,$7.53 ,$14.12 ,$625.60 ,$608.67 ,$206.08 ,$662.40 ,$577.76 ,$607.94 ,$14.40 ,$478.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101442,84630,HC ZINC-90,301,1 ,$163.00 ,$117.36 ,$9.18 ,$163.00 ,$28.48 ,$130.40 ,$11.16 ,$45.64 ,$142.30 ,$149.80 ,$11.16 ,$134.80 ,$11.16 ,$23.01 ,$149.96 ,$27.91 ,$11.16 ,$11.39 ,$135.94 ,$135.94 ,$135.94 ,$11.16 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$28.48 ,$138.55 ,$11.16 ,$11.16 ,$91.44 ,$11.16 ,$67.48 ,$9.61 ,$9.18 ,$11.72 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$11.96 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101443,84681,HC C PEPTIDE-90,301,1 ,$356.00 ,$256.32 ,$7.53 ,$356.00 ,$52.03 ,$284.80 ,$20.39 ,$99.68 ,$310.79 ,$327.16 ,$20.39 ,$294.41 ,$20.39 ,$42.04 ,$327.52 ,$50.99 ,$20.39 ,$20.81 ,$296.90 ,$296.90 ,$296.90 ,$20.39 ,$296.90 ,$304.74 ,$304.74 ,$320.40 ,$52.03 ,$302.60 ,$20.39 ,$20.39 ,$199.72 ,$20.39 ,$147.38 ,$7.89 ,$7.53 ,$21.41 ,$302.60 ,$294.41 ,$99.68 ,$320.40 ,$279.46 ,$294.06 ,$21.84 ,$231.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101444,84702,HC HCG QN-90,301,1 ,$101.00 ,$72.72 ,$10.13 ,$101.00 ,$37.63 ,$80.80 ,$14.75 ,$28.28 ,$88.17 ,$92.82 ,$14.75 ,$83.53 ,$14.75 ,$30.40 ,$92.92 ,$36.88 ,$14.75 ,$15.04 ,$84.23 ,$84.23 ,$84.23 ,$14.75 ,$84.23 ,$86.46 ,$86.46 ,$90.90 ,$37.63 ,$85.85 ,$14.75 ,$14.75 ,$56.66 ,$14.75 ,$41.81 ,$10.62 ,$10.13 ,$15.48 ,$85.85 ,$83.53 ,$28.28 ,$90.90 ,$79.29 ,$83.43 ,$15.80 ,$65.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101450,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T1,301,1 ,$379.00 ,$272.88 ,$20.25 ,$379.00 ,$286.08 ,$303.20 ,$112.14 ,$106.12 ,$330.87 ,$348.30 ,$112.14 ,$313.43 ,$112.14 ,$231.15 ,$348.68 ,$280.36 ,$112.14 ,$114.39 ,$316.09 ,$316.09 ,$316.09 ,$112.14 ,$316.09 ,$324.42 ,$324.42 ,$341.10 ,$286.08 ,$322.15 ,$112.14 ,$112.14 ,$212.62 ,$112.14 ,$156.91 ,$21.22 ,$20.25 ,$117.75 ,$322.15 ,$313.43 ,$106.12 ,$341.10 ,$297.52 ,$313.05 ,$120.10 ,$246.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101451,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T2,301,1 ,$379.00 ,$272.88 ,$20.25 ,$379.00 ,$286.08 ,$303.20 ,$112.14 ,$106.12 ,$330.87 ,$348.30 ,$112.14 ,$313.43 ,$112.14 ,$231.15 ,$348.68 ,$280.36 ,$112.14 ,$114.39 ,$316.09 ,$316.09 ,$316.09 ,$112.14 ,$316.09 ,$324.42 ,$324.42 ,$341.10 ,$286.08 ,$322.15 ,$112.14 ,$112.14 ,$212.62 ,$112.14 ,$156.91 ,$21.22 ,$20.25 ,$117.75 ,$322.15 ,$313.43 ,$106.12 ,$341.10 ,$297.52 ,$313.05 ,$120.10 ,$246.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101452,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T3,301,1 ,$198.00 ,$142.56 ,$20.25 ,$286.08 ,$286.08 ,$158.40 ,$112.14 ,$55.44 ,$172.85 ,$181.96 ,$112.14 ,$163.75 ,$112.14 ,$198.00 ,$182.16 ,$194.04 ,$112.14 ,$114.39 ,$165.13 ,$165.13 ,$165.13 ,$112.14 ,$165.13 ,$169.49 ,$169.49 ,$178.20 ,$198.00 ,$168.30 ,$112.14 ,$112.14 ,$111.08 ,$112.14 ,$81.97 ,$21.22 ,$20.25 ,$117.75 ,$168.30 ,$163.75 ,$55.44 ,$178.20 ,$155.43 ,$163.55 ,$120.10 ,$128.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101455,G0480,HC DRUG SCRN DEFNT 1-7 CLS T1-90,301,1 ,$379.00 ,$272.88 ,$20.25 ,$379.00 ,$286.08 ,$303.20 ,$112.14 ,$106.12 ,$330.87 ,$348.30 ,$112.14 ,$313.43 ,$112.14 ,$231.15 ,$348.68 ,$280.36 ,$112.14 ,$114.39 ,$316.09 ,$316.09 ,$316.09 ,$112.14 ,$316.09 ,$324.42 ,$324.42 ,$341.10 ,$286.08 ,$322.15 ,$112.14 ,$112.14 ,$212.62 ,$112.14 ,$156.91 ,$21.22 ,$20.25 ,$117.75 ,$322.15 ,$313.43 ,$106.12 ,$341.10 ,$297.52 ,$313.05 ,$120.10 ,$246.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$153.00 ,$110.16 ,$7.53 ,$153.00 ,$53.03 ,$122.40 ,$20.79 ,$42.84 ,$133.57 ,$140.61 ,$20.79 ,$126.53 ,$20.79 ,$42.84 ,$140.76 ,$51.97 ,$20.79 ,$21.20 ,$127.60 ,$127.60 ,$127.60 ,$20.79 ,$127.60 ,$130.97 ,$130.97 ,$137.70 ,$53.03 ,$130.05 ,$20.79 ,$20.79 ,$85.83 ,$20.79 ,$63.34 ,$7.89 ,$7.53 ,$21.82 ,$130.05 ,$126.53 ,$42.84 ,$137.70 ,$120.11 ,$126.38 ,$22.27 ,$99.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101476,82610,HC CYSTATIN C -90,301,1 ,$125.00 ,$90.00 ,$7.53 ,$125.00 ,$46.30 ,$100.00 ,$18.15 ,$35.00 ,$109.13 ,$114.88 ,$18.15 ,$103.38 ,$18.15 ,$37.41 ,$115.00 ,$45.37 ,$18.15 ,$18.51 ,$104.25 ,$104.25 ,$104.25 ,$18.15 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$46.30 ,$106.25 ,$18.15 ,$18.15 ,$70.13 ,$18.15 ,$51.75 ,$7.89 ,$7.53 ,$19.06 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$19.43 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101477,83519,HC QN RIA MUSK-90,301,1 ,$244.00 ,$175.68 ,$6.74 ,$244.00 ,$46.00 ,$195.20 ,$18.03 ,$68.32 ,$213.01 ,$224.24 ,$18.03 ,$201.79 ,$18.03 ,$37.17 ,$224.48 ,$45.08 ,$18.03 ,$18.39 ,$203.50 ,$203.50 ,$203.50 ,$18.03 ,$203.50 ,$208.86 ,$208.86 ,$219.60 ,$46.00 ,$207.40 ,$18.03 ,$18.03 ,$136.88 ,$18.03 ,$101.02 ,$7.06 ,$6.74 ,$18.93 ,$207.40 ,$201.79 ,$68.32 ,$219.60 ,$191.54 ,$201.54 ,$19.32 ,$158.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101500,82943,HC GLUCAGON-90,301,1 ,$179.66 ,$129.36 ,$14.00 ,$179.66 ,$35.73 ,$143.73 ,$14.00 ,$50.30 ,$156.84 ,$165.11 ,$14.00 ,$148.58 ,$14.00 ,$28.87 ,$165.29 ,$35.02 ,$14.00 ,$14.29 ,$149.84 ,$149.84 ,$149.84 ,$14.00 ,$149.84 ,$153.79 ,$153.79 ,$161.69 ,$35.73 ,$152.71 ,$14.00 ,$14.00 ,$100.79 ,$14.00 ,$74.38 ,$18.45 ,$17.61 ,$14.70 ,$152.71 ,$148.58 ,$50.30 ,$161.69 ,$141.03 ,$148.40 ,$14.99 ,$116.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101503,G0328,HC OCCULT BLOOD FECAL SCRN - AMB-QW,301,1 ,$85.00 ,$61.20 ,$7.53 ,$85.00 ,$45.13 ,$68.00 ,$17.69 ,$23.80 ,$74.21 ,$78.12 ,$17.69 ,$70.30 ,$17.69 ,$36.46 ,$78.20 ,$44.23 ,$17.69 ,$18.04 ,$70.89 ,$70.89 ,$70.89 ,$17.69 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$45.13 ,$72.25 ,$17.69 ,$17.69 ,$47.69 ,$17.69 ,$35.19 ,$7.89 ,$7.53 ,$18.57 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$18.94 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101509,82330,HC CALCIUM IONIZED STAT -90,301,1 ,$319.00 ,$229.68 ,$7.53 ,$319.00 ,$34.20 ,$255.20 ,$13.41 ,$89.32 ,$278.49 ,$293.16 ,$13.41 ,$263.81 ,$13.41 ,$27.63 ,$293.48 ,$33.52 ,$13.41 ,$13.67 ,$266.05 ,$266.05 ,$266.05 ,$13.41 ,$266.05 ,$273.06 ,$273.06 ,$287.10 ,$34.20 ,$271.15 ,$13.41 ,$13.41 ,$178.96 ,$13.41 ,$132.07 ,$7.89 ,$7.53 ,$14.07 ,$271.15 ,$263.81 ,$89.32 ,$287.10 ,$250.42 ,$263.49 ,$14.36 ,$207.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101511,80345,HC BARBITURATE -90,301,1 ,$113.00 ,$81.36 ,$7.53 ,$113.00 , N/A ,$90.40 , N/A ,$31.64 ,$98.65 ,$103.85 , N/A ,$93.45 , N/A , N/A ,$103.96 , N/A , N/A , N/A ,$94.24 ,$94.24 ,$94.24 , N/A ,$94.24 ,$96.73 ,$96.73 ,$101.70 , N/A ,$96.05 , N/A , N/A ,$63.39 , N/A ,$46.78 ,$7.89 ,$7.53 , N/A ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 , N/A ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101543,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$174.00 ,$125.28 ,$6.87 ,$174.00 ,$119.08 ,$139.20 ,$46.68 ,$48.72 ,$151.90 ,$159.91 ,$46.68 ,$143.90 ,$46.68 ,$96.21 ,$160.08 ,$116.70 ,$46.68 ,$47.61 ,$145.12 ,$145.12 ,$145.12 ,$46.68 ,$145.12 ,$148.94 ,$148.94 ,$156.60 ,$119.08 ,$147.90 ,$46.68 ,$46.68 ,$97.61 ,$46.68 ,$72.04 ,$7.19 ,$6.87 ,$49.01 ,$147.90 ,$143.90 ,$48.72 ,$156.60 ,$136.59 ,$143.72 ,$49.99 ,$113.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101545,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$224.00 ,$161.28 ,$8.64 ,$224.00 ,$36.43 ,$179.20 ,$14.28 ,$62.72 ,$195.55 ,$205.86 ,$14.28 ,$185.25 ,$14.28 ,$29.43 ,$206.08 ,$35.70 ,$14.28 ,$14.56 ,$186.82 ,$186.82 ,$186.82 ,$14.28 ,$186.82 ,$191.74 ,$191.74 ,$201.60 ,$36.43 ,$190.40 ,$14.28 ,$14.28 ,$125.66 ,$14.28 ,$92.74 ,$9.05 ,$8.64 ,$14.99 ,$190.40 ,$185.25 ,$62.72 ,$201.60 ,$175.84 ,$185.02 ,$15.29 ,$145.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101547,80170,HC GENTAMICIN,301,1 ,$217.00 ,$156.24 ,$8.64 ,$217.00 ,$40.95 ,$173.60 ,$16.05 ,$60.76 ,$189.44 ,$199.42 ,$16.05 ,$179.46 ,$16.05 ,$33.09 ,$199.64 ,$40.13 ,$16.05 ,$16.38 ,$180.98 ,$180.98 ,$180.98 ,$16.05 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$40.95 ,$184.45 ,$16.05 ,$16.05 ,$121.74 ,$16.05 ,$89.84 ,$9.05 ,$8.64 ,$16.86 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$17.19 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101548,80178,HC LITHIUM,301,1 ,$107.00 ,$77.04 ,$6.48 ,$107.00 ,$16.53 ,$85.60 ,$6.48 ,$29.96 ,$93.41 ,$98.33 ,$6.48 ,$88.49 ,$6.48 ,$13.35 ,$98.44 ,$16.20 ,$6.48 ,$6.61 ,$89.24 ,$89.24 ,$89.24 ,$6.48 ,$89.24 ,$91.59 ,$91.59 ,$96.30 ,$16.53 ,$90.95 ,$6.48 ,$6.48 ,$60.03 ,$6.48 ,$44.30 ,$9.05 ,$8.64 ,$6.80 ,$90.95 ,$88.49 ,$29.96 ,$96.30 ,$84.00 ,$88.38 ,$6.94 ,$69.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101549,80184,HC PHENOBARBITAL,301,1 ,$157.00 ,$113.04 ,$8.64 ,$157.00 ,$38.25 ,$125.60 ,$14.99 ,$43.96 ,$137.06 ,$144.28 ,$14.99 ,$129.84 ,$14.99 ,$30.91 ,$144.44 ,$37.48 ,$14.99 ,$15.30 ,$130.94 ,$130.94 ,$130.94 ,$14.99 ,$130.94 ,$134.39 ,$134.39 ,$141.30 ,$38.25 ,$133.45 ,$14.99 ,$14.99 ,$88.08 ,$14.99 ,$65.00 ,$9.05 ,$8.64 ,$15.75 ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$129.68 ,$16.06 ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101551,80198,HC THEOPHYLLINE,301,1 ,$202.00 ,$145.44 ,$8.64 ,$202.00 ,$35.35 ,$161.60 ,$13.86 ,$56.56 ,$176.35 ,$185.64 ,$13.86 ,$167.05 ,$13.86 ,$28.56 ,$185.84 ,$34.64 ,$13.86 ,$14.13 ,$168.47 ,$168.47 ,$168.47 ,$13.86 ,$168.47 ,$172.91 ,$172.91 ,$181.80 ,$35.35 ,$171.70 ,$13.86 ,$13.86 ,$113.32 ,$13.86 ,$83.63 ,$9.05 ,$8.64 ,$14.55 ,$171.70 ,$167.05 ,$56.56 ,$181.80 ,$158.57 ,$166.85 ,$14.84 ,$131.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101553,80299,HC THERAPEUTIC DRUG OTHER,301,1 ,$241.00 ,$173.52 ,$8.64 ,$241.00 ,$46.60 ,$192.80 ,$18.27 ,$67.48 ,$210.39 ,$221.48 ,$18.27 ,$199.31 ,$18.27 ,$37.65 ,$221.72 ,$45.67 ,$18.27 ,$18.63 ,$200.99 ,$200.99 ,$200.99 ,$18.27 ,$200.99 ,$206.30 ,$206.30 ,$216.90 ,$46.60 ,$204.85 ,$18.27 ,$18.27 ,$135.20 ,$18.27 ,$99.77 ,$9.05 ,$8.64 ,$19.18 ,$204.85 ,$199.31 ,$67.48 ,$216.90 ,$189.19 ,$199.07 ,$19.56 ,$156.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101555,81479,HC IDH GENE MUTATION ASSAY - 90,301,1 ,"$1,218.00 ",$876.96 ,$26.70 ,"$1,218.00 ", N/A ,$974.40 , N/A ,$341.04 ,"$1,063.31 ","$1,119.34 ", N/A ,"$1,007.29 ", N/A , N/A ,"$1,120.56 ", N/A , N/A , N/A ,"$1,015.81 ","$1,015.81 ","$1,015.81 ", N/A ,"$1,015.81 ","$1,042.61 ","$1,042.61 ","$1,096.20 ", N/A ,"$1,035.30 ", N/A , N/A ,$683.30 , N/A ,$504.25 ,$27.97 ,$26.70 , N/A ,"$1,035.30 ","$1,007.29 ",$341.04 ,"$1,096.20 ",$956.13 ,"$1,006.07 ", N/A ,$791.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101556,82042,HC ALBUMIN OTHER SOURCE,301,1 ,$167.00 ,$120.24 ,$3.35 ,$167.00 ,$19.45 ,$133.60 ,$7.62 ,$46.76 ,$145.79 ,$153.47 ,$7.62 ,$138.11 ,$7.62 ,$15.72 ,$153.64 ,$19.06 ,$7.62 ,$7.78 ,$139.28 ,$139.28 ,$139.28 ,$7.62 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$19.45 ,$141.95 ,$7.62 ,$7.62 ,$93.69 ,$7.62 ,$69.14 ,$3.51 ,$3.35 ,$8.01 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$8.16 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101559,82150,HC AMYLASE,301,1 ,$180.00 ,$129.60 ,$6.35 ,$180.00 ,$16.20 ,$144.00 ,$6.35 ,$50.40 ,$157.14 ,$165.42 ,$6.35 ,$148.86 ,$6.35 ,$13.09 ,$165.60 ,$15.88 ,$6.35 ,$6.48 ,$150.12 ,$150.12 ,$150.12 ,$6.35 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$16.20 ,$153.00 ,$6.35 ,$6.35 ,$100.98 ,$6.35 ,$74.52 ,$7.89 ,$7.53 ,$6.66 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$6.80 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101563,82274,HC OCCULT BLOOD FECAL HGB-QW,301,1 ,$70.00 ,$50.40 ,$7.53 ,$70.00 ,$39.80 ,$56.00 ,$15.60 ,$19.60 ,$61.11 ,$64.33 ,$15.60 ,$57.89 ,$15.60 ,$32.16 ,$64.40 ,$39.00 ,$15.60 ,$15.92 ,$58.38 ,$58.38 ,$58.38 ,$15.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$39.80 ,$59.50 ,$15.60 ,$15.60 ,$39.27 ,$15.60 ,$28.98 ,$7.89 ,$7.53 ,$16.39 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$16.71 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101564,82306,HC VITAMIN D 25 OH,301,1 ,$160.00 ,$115.20 ,$20.25 ,$160.00 ,$74.00 ,$128.00 ,$29.01 ,$44.80 ,$139.68 ,$147.04 ,$29.01 ,$132.32 ,$29.01 ,$59.79 ,$147.20 ,$72.52 ,$29.01 ,$29.59 ,$133.44 ,$133.44 ,$133.44 ,$29.01 ,$133.44 ,$136.96 ,$136.96 ,$144.00 ,$74.00 ,$136.00 ,$29.01 ,$29.01 ,$89.76 ,$29.01 ,$66.24 ,$21.22 ,$20.25 ,$30.46 ,$136.00 ,$132.32 ,$44.80 ,$144.00 ,$125.60 ,$132.16 ,$31.07 ,$104.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101565,82310,HC CALCIUM,301,1 ,$107.00 ,$77.04 ,$3.35 ,$107.00 ,$12.90 ,$85.60 ,$5.06 ,$29.96 ,$93.41 ,$98.33 ,$5.06 ,$88.49 ,$5.06 ,$10.42 ,$98.44 ,$12.64 ,$5.06 ,$5.15 ,$89.24 ,$89.24 ,$89.24 ,$5.06 ,$89.24 ,$91.59 ,$91.59 ,$96.30 ,$12.90 ,$90.95 ,$5.06 ,$5.06 ,$60.03 ,$5.06 ,$44.30 ,$3.51 ,$3.35 ,$5.31 ,$90.95 ,$88.49 ,$29.96 ,$96.30 ,$84.00 ,$88.38 ,$5.42 ,$69.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101566,82340,HC CALCIUM URINE QN TIMED,301,1 ,$59.00 ,$42.48 ,$5.91 ,$59.00 ,$15.08 ,$47.20 ,$5.91 ,$16.52 ,$51.51 ,$54.22 ,$5.91 ,$48.79 ,$5.91 ,$12.18 ,$54.28 ,$14.78 ,$5.91 ,$6.03 ,$49.21 ,$49.21 ,$49.21 ,$5.91 ,$49.21 ,$50.50 ,$50.50 ,$53.10 ,$15.08 ,$50.15 ,$5.91 ,$5.91 ,$33.10 ,$5.91 ,$24.43 ,$7.89 ,$7.53 ,$6.20 ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 ,$6.33 ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101568,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$175.00 ,$126.00 ,$7.53 ,$175.00 ,$47.40 ,$140.00 ,$18.58 ,$49.00 ,$152.78 ,$160.83 ,$18.58 ,$144.73 ,$18.58 ,$38.30 ,$161.00 ,$46.45 ,$18.58 ,$18.95 ,$145.95 ,$145.95 ,$145.95 ,$18.58 ,$145.95 ,$149.80 ,$149.80 ,$157.50 ,$47.40 ,$148.75 ,$18.58 ,$18.58 ,$98.18 ,$18.58 ,$72.45 ,$7.89 ,$7.53 ,$19.51 ,$148.75 ,$144.73 ,$49.00 ,$157.50 ,$137.38 ,$144.55 ,$19.90 ,$113.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101569,82436,HC CHLORIDE URINE,301,1 ,$28.00 ,$20.16 ,$3.35 ,$28.00 ,$14.38 ,$22.40 ,$5.63 ,$7.84 ,$24.44 ,$25.73 ,$5.63 ,$23.16 ,$5.63 ,$11.62 ,$25.76 ,$14.09 ,$5.63 ,$5.75 ,$23.35 ,$23.35 ,$23.35 ,$5.63 ,$23.35 ,$23.97 ,$23.97 ,$25.20 ,$14.38 ,$23.80 ,$5.63 ,$5.63 ,$15.71 ,$5.63 ,$11.59 ,$3.51 ,$3.35 ,$5.92 ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 ,$6.04 ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101571,82533,HC CORTISOL TOTAL,301,1 ,$96.00 ,$69.12 ,$15.97 ,$96.00 ,$40.75 ,$76.80 ,$15.97 ,$26.88 ,$83.81 ,$88.22 ,$15.97 ,$79.39 ,$15.97 ,$32.93 ,$88.32 ,$39.93 ,$15.97 ,$16.30 ,$80.06 ,$80.06 ,$80.06 ,$15.97 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$40.75 ,$81.60 ,$15.97 ,$15.97 ,$53.86 ,$15.97 ,$39.74 ,$18.45 ,$17.61 ,$16.78 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$17.11 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101572,82570,HC CREATININE OTH SOURCE,301,1 ,$43.00 ,$30.96 ,$3.35 ,$43.00 ,$12.95 ,$34.40 ,$5.08 ,$12.04 ,$37.54 ,$39.52 ,$5.08 ,$35.56 ,$5.08 ,$10.46 ,$39.56 ,$12.69 ,$5.08 ,$5.17 ,$35.86 ,$35.86 ,$35.86 ,$5.08 ,$35.86 ,$36.81 ,$36.81 ,$38.70 ,$12.95 ,$36.55 ,$5.08 ,$5.08 ,$24.12 ,$5.08 ,$17.80 ,$3.51 ,$3.35 ,$5.33 ,$36.55 ,$35.56 ,$12.04 ,$38.70 ,$33.76 ,$35.52 ,$5.44 ,$27.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101573,82607,HC VITAMIN B12,301,1 ,$123.00 ,$88.56 ,$10.13 ,$123.00 ,$37.70 ,$98.40 ,$14.78 ,$34.44 ,$107.38 ,$113.04 ,$14.78 ,$101.72 ,$14.78 ,$30.46 ,$113.16 ,$36.95 ,$14.78 ,$15.07 ,$102.58 ,$102.58 ,$102.58 ,$14.78 ,$102.58 ,$105.29 ,$105.29 ,$110.70 ,$37.70 ,$104.55 ,$14.78 ,$14.78 ,$69.00 ,$14.78 ,$50.92 ,$10.62 ,$10.13 ,$15.51 ,$104.55 ,$101.72 ,$34.44 ,$110.70 ,$96.56 ,$101.60 ,$15.83 ,$79.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101574,82670,HC ESTRADIOL,301,1 ,$379.00 ,$272.88 ,$17.61 ,$379.00 ,$69.85 ,$303.20 ,$27.38 ,$106.12 ,$330.87 ,$348.30 ,$27.38 ,$313.43 ,$27.38 ,$56.44 ,$348.68 ,$68.45 ,$27.38 ,$27.93 ,$316.09 ,$316.09 ,$316.09 ,$27.38 ,$316.09 ,$324.42 ,$324.42 ,$341.10 ,$69.85 ,$322.15 ,$27.38 ,$27.38 ,$212.62 ,$27.38 ,$156.91 ,$18.45 ,$17.61 ,$28.75 ,$322.15 ,$313.43 ,$106.12 ,$341.10 ,$297.52 ,$313.05 ,$29.32 ,$246.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101575,82728,HC FERRITIN,301,1 ,$275.00 ,$198.00 ,$7.53 ,$275.00 ,$34.08 ,$220.00 ,$13.36 ,$77.00 ,$240.08 ,$252.73 ,$13.36 ,$227.43 ,$13.36 ,$27.53 ,$253.00 ,$33.40 ,$13.36 ,$13.62 ,$229.35 ,$229.35 ,$229.35 ,$13.36 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$34.08 ,$233.75 ,$13.36 ,$13.36 ,$154.28 ,$13.36 ,$113.85 ,$7.89 ,$7.53 ,$14.02 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$14.31 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101577,82746,HC FOLIC ACID SERUM,301,1 ,$119.00 ,$85.68 ,$7.53 ,$119.00 ,$36.75 ,$95.20 ,$14.41 ,$33.32 ,$103.89 ,$109.36 ,$14.41 ,$98.41 ,$14.41 ,$29.69 ,$109.48 ,$36.01 ,$14.41 ,$14.69 ,$99.25 ,$99.25 ,$99.25 ,$14.41 ,$99.25 ,$101.86 ,$101.86 ,$107.10 ,$36.75 ,$101.15 ,$14.41 ,$14.41 ,$66.76 ,$14.41 ,$49.27 ,$7.89 ,$7.53 ,$15.13 ,$101.15 ,$98.41 ,$33.32 ,$107.10 ,$93.42 ,$98.29 ,$15.43 ,$77.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101579,82784,HC GAMMAGLOBULIN,301,1 ,$156.00 ,$112.32 ,$7.53 ,$156.00 ,$23.25 ,$124.80 ,$9.11 ,$43.68 ,$136.19 ,$143.36 ,$9.11 ,$129.01 ,$9.11 ,$18.79 ,$143.52 ,$22.78 ,$9.11 ,$9.30 ,$130.10 ,$130.10 ,$130.10 ,$9.11 ,$130.10 ,$133.54 ,$133.54 ,$140.40 ,$23.25 ,$132.60 ,$9.11 ,$9.11 ,$87.52 ,$9.11 ,$64.58 ,$7.89 ,$7.53 ,$9.57 ,$132.60 ,$129.01 ,$43.68 ,$140.40 ,$122.46 ,$128.86 ,$9.76 ,$101.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101580,82785,HC GAMMAGLOBULIN IGE,301,1 ,$260.00 ,$187.20 ,$7.53 ,$260.00 ,$41.15 ,$208.00 ,$16.13 ,$72.80 ,$226.98 ,$238.94 ,$16.13 ,$215.02 ,$16.13 ,$33.25 ,$239.20 ,$40.33 ,$16.13 ,$16.45 ,$216.84 ,$216.84 ,$216.84 ,$16.13 ,$216.84 ,$222.56 ,$222.56 ,$234.00 ,$41.15 ,$221.00 ,$16.13 ,$16.13 ,$145.86 ,$16.13 ,$107.64 ,$7.89 ,$7.53 ,$16.93 ,$221.00 ,$215.02 ,$72.80 ,$234.00 ,$204.10 ,$214.76 ,$17.28 ,$169.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101581,82945,HC GLUCOSE BODY FLUID,301,1 ,$116.00 ,$83.52 ,$3.35 ,$116.00 ,$9.83 ,$92.80 ,$3.85 ,$32.48 ,$101.27 ,$106.60 ,$3.85 ,$95.93 ,$3.85 ,$7.94 ,$106.72 ,$9.63 ,$3.85 ,$3.93 ,$96.74 ,$96.74 ,$96.74 ,$3.85 ,$96.74 ,$99.30 ,$99.30 ,$104.40 ,$9.83 ,$98.60 ,$3.85 ,$3.85 ,$65.08 ,$3.85 ,$48.02 ,$3.51 ,$3.35 ,$4.05 ,$98.60 ,$95.93 ,$32.48 ,$104.40 ,$91.06 ,$95.82 ,$4.13 ,$75.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101584,82977,HC GGT / GGTP,301,1 ,$135.00 ,$97.20 ,$3.35 ,$135.00 ,$18.00 ,$108.00 ,$7.06 ,$37.80 ,$117.86 ,$124.07 ,$7.06 ,$111.65 ,$7.06 ,$14.54 ,$124.20 ,$17.64 ,$7.06 ,$7.19 ,$112.59 ,$112.59 ,$112.59 ,$7.06 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$18.00 ,$114.75 ,$7.06 ,$7.06 ,$75.74 ,$7.06 ,$55.89 ,$3.51 ,$3.35 ,$7.41 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$7.56 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101585,83001,HC FSH,301,1 ,$129.00 ,$92.88 ,$17.61 ,$129.00 ,$46.45 ,$103.20 ,$18.21 ,$36.12 ,$112.62 ,$118.55 ,$18.21 ,$106.68 ,$18.21 ,$37.53 ,$118.68 ,$45.52 ,$18.21 ,$18.57 ,$107.59 ,$107.59 ,$107.59 ,$18.21 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$46.45 ,$109.65 ,$18.21 ,$18.21 ,$72.37 ,$18.21 ,$53.41 ,$18.45 ,$17.61 ,$19.12 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$19.50 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101586,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$129.00 ,$92.88 ,$17.61 ,$129.00 ,$46.30 ,$103.20 ,$18.15 ,$36.12 ,$112.62 ,$118.55 ,$18.15 ,$106.68 ,$18.15 ,$37.41 ,$118.68 ,$45.37 ,$18.15 ,$18.51 ,$107.59 ,$107.59 ,$107.59 ,$18.15 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$46.30 ,$109.65 ,$18.15 ,$18.15 ,$72.37 ,$18.15 ,$53.41 ,$18.45 ,$17.61 ,$19.06 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$19.43 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101587,83010,HC HAPTOGLOBIN,301,1 ,$59.00 ,$42.48 ,$7.53 ,$59.00 ,$31.45 ,$47.20 ,$12.33 ,$16.52 ,$51.51 ,$54.22 ,$12.33 ,$48.79 ,$12.33 ,$25.41 ,$54.28 ,$30.82 ,$12.33 ,$12.57 ,$49.21 ,$49.21 ,$49.21 ,$12.33 ,$49.21 ,$50.50 ,$50.50 ,$53.10 ,$31.45 ,$50.15 ,$12.33 ,$12.33 ,$33.10 ,$12.33 ,$24.43 ,$7.89 ,$7.53 ,$12.95 ,$50.15 ,$48.79 ,$16.52 ,$53.10 ,$46.32 ,$48.73 ,$13.20 ,$38.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101591,83090,HC HOMOCYSTEINE,301,1 ,$161.00 ,$115.92 ,$17.56 ,$161.00 ,$44.80 ,$128.80 ,$17.56 ,$45.08 ,$140.55 ,$147.96 ,$17.56 ,$133.15 ,$17.56 ,$36.20 ,$148.12 ,$43.90 ,$17.56 ,$17.91 ,$134.27 ,$134.27 ,$134.27 ,$17.56 ,$134.27 ,$137.82 ,$137.82 ,$144.90 ,$44.80 ,$136.85 ,$17.56 ,$17.56 ,$90.32 ,$17.56 ,$66.65 ,$18.45 ,$17.61 ,$18.44 ,$136.85 ,$133.15 ,$45.08 ,$144.90 ,$126.39 ,$132.99 ,$18.81 ,$104.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101592,83540,HC IRON TOTAL,301,1 ,$122.00 ,$87.84 ,$3.35 ,$122.00 ,$16.18 ,$97.60 ,$6.34 ,$34.16 ,$106.51 ,$112.12 ,$6.34 ,$100.89 ,$6.34 ,$13.07 ,$112.24 ,$15.86 ,$6.34 ,$6.47 ,$101.75 ,$101.75 ,$101.75 ,$6.34 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$16.18 ,$103.70 ,$6.34 ,$6.34 ,$68.44 ,$6.34 ,$50.51 ,$3.51 ,$3.35 ,$6.65 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$6.79 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101593,83550,HC IRON BINDING CAPACITY,301,1 ,$62.00 ,$44.64 ,$7.53 ,$62.00 ,$21.85 ,$49.60 ,$8.57 ,$17.36 ,$54.13 ,$56.98 ,$8.57 ,$51.27 ,$8.57 ,$17.65 ,$57.04 ,$21.41 ,$8.57 ,$8.73 ,$51.71 ,$51.71 ,$51.71 ,$8.57 ,$51.71 ,$53.07 ,$53.07 ,$55.80 ,$21.85 ,$52.70 ,$8.57 ,$8.57 ,$34.78 ,$8.57 ,$25.67 ,$7.89 ,$7.53 ,$9.00 ,$52.70 ,$51.27 ,$17.36 ,$55.80 ,$48.67 ,$51.21 ,$9.17 ,$40.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101594,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$128.00 ,$92.16 ,$3.35 ,$128.00 ,$15.10 ,$102.40 ,$5.92 ,$35.84 ,$111.74 ,$117.63 ,$5.92 ,$105.86 ,$5.92 ,$12.20 ,$117.76 ,$14.80 ,$5.92 ,$6.04 ,$106.75 ,$106.75 ,$106.75 ,$5.92 ,$106.75 ,$109.57 ,$109.57 ,$115.20 ,$15.10 ,$108.80 ,$5.92 ,$5.92 ,$71.81 ,$5.92 ,$52.99 ,$3.51 ,$3.35 ,$6.21 ,$108.80 ,$105.86 ,$35.84 ,$115.20 ,$100.48 ,$105.73 ,$6.34 ,$83.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101597,83874,HC MYOGLOBIN,301,1 ,$199.00 ,$143.28 ,$7.53 ,$199.00 ,$32.30 ,$159.20 ,$12.66 ,$55.72 ,$173.73 ,$182.88 ,$12.66 ,$164.57 ,$12.66 ,$26.10 ,$183.08 ,$31.65 ,$12.66 ,$12.92 ,$165.97 ,$165.97 ,$165.97 ,$12.66 ,$165.97 ,$170.34 ,$170.34 ,$179.10 ,$32.30 ,$169.15 ,$12.66 ,$12.66 ,$111.64 ,$12.66 ,$82.39 ,$7.89 ,$7.53 ,$13.30 ,$169.15 ,$164.57 ,$55.72 ,$179.10 ,$156.22 ,$164.37 ,$13.56 ,$129.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101598,83930,HC OSMOLALITY BLOOD,301,1 ,$159.00 ,$114.48 ,$3.35 ,$159.00 ,$16.53 ,$127.20 ,$6.48 ,$44.52 ,$138.81 ,$146.12 ,$6.48 ,$131.49 ,$6.48 ,$13.35 ,$146.28 ,$16.20 ,$6.48 ,$6.61 ,$132.61 ,$132.61 ,$132.61 ,$6.48 ,$132.61 ,$136.10 ,$136.10 ,$143.10 ,$16.53 ,$135.15 ,$6.48 ,$6.48 ,$89.20 ,$6.48 ,$65.83 ,$3.51 ,$3.35 ,$6.80 ,$135.15 ,$131.49 ,$44.52 ,$143.10 ,$124.82 ,$131.33 ,$6.94 ,$103.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101599,83935,HC OSMOLALITY URINE,301,1 ,$139.00 ,$100.08 ,$3.35 ,$139.00 ,$17.05 ,$111.20 ,$6.68 ,$38.92 ,$121.35 ,$127.74 ,$6.68 ,$114.95 ,$6.68 ,$13.78 ,$127.88 ,$16.71 ,$6.68 ,$6.82 ,$115.93 ,$115.93 ,$115.93 ,$6.68 ,$115.93 ,$118.98 ,$118.98 ,$125.10 ,$17.05 ,$118.15 ,$6.68 ,$6.68 ,$77.98 ,$6.68 ,$57.55 ,$3.51 ,$3.35 ,$7.02 ,$118.15 ,$114.95 ,$38.92 ,$125.10 ,$109.12 ,$114.81 ,$7.15 ,$90.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101600,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$136.00 ,$97.92 ,$17.61 ,$136.00 ,$103.20 ,$108.80 ,$40.45 ,$38.08 ,$118.73 ,$124.98 ,$40.45 ,$112.47 ,$40.45 ,$83.39 ,$125.12 ,$101.14 ,$40.45 ,$41.27 ,$113.42 ,$113.42 ,$113.42 ,$40.45 ,$113.42 ,$116.42 ,$116.42 ,$122.40 ,$103.20 ,$115.60 ,$40.45 ,$40.45 ,$76.30 ,$40.45 ,$56.30 ,$18.45 ,$17.61 ,$42.47 ,$115.60 ,$112.47 ,$38.08 ,$122.40 ,$106.76 ,$112.34 ,$43.33 ,$88.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101602,84105,HC PHOSPHORUS UR,301,1 ,$50.00 ,$36.00 ,$3.35 ,$50.00 ,$14.45 ,$40.00 ,$5.66 ,$14.00 ,$43.65 ,$45.95 ,$5.66 ,$41.35 ,$5.66 ,$11.68 ,$46.00 ,$14.16 ,$5.66 ,$5.78 ,$41.70 ,$41.70 ,$41.70 ,$5.66 ,$41.70 ,$42.80 ,$42.80 ,$45.00 ,$14.45 ,$42.50 ,$5.66 ,$5.66 ,$28.05 ,$5.66 ,$20.70 ,$3.51 ,$3.35 ,$5.95 ,$42.50 ,$41.35 ,$14.00 ,$45.00 ,$39.25 ,$41.30 ,$6.07 ,$32.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101604,84133,HC POTASSIUM UR,301,1 ,$35.00 ,$25.20 ,$3.35 ,$35.00 ,$11.83 ,$28.00 ,$4.64 ,$9.80 ,$30.56 ,$32.17 ,$4.64 ,$28.95 ,$4.64 ,$9.55 ,$32.20 ,$11.59 ,$4.64 ,$4.72 ,$29.19 ,$29.19 ,$29.19 ,$4.64 ,$29.19 ,$29.96 ,$29.96 ,$31.50 ,$11.83 ,$29.75 ,$4.64 ,$4.64 ,$19.64 ,$4.64 ,$14.49 ,$3.51 ,$3.35 ,$4.87 ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 ,$4.97 ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101605,84134,HC PREALBUMIN,301,1 ,$165.00 ,$118.80 ,$7.53 ,$165.00 ,$36.48 ,$132.00 ,$14.30 ,$46.20 ,$144.05 ,$151.64 ,$14.30 ,$136.46 ,$14.30 ,$29.47 ,$151.80 ,$35.75 ,$14.30 ,$14.58 ,$137.61 ,$137.61 ,$137.61 ,$14.30 ,$137.61 ,$141.24 ,$141.24 ,$148.50 ,$36.48 ,$140.25 ,$14.30 ,$14.30 ,$92.57 ,$14.30 ,$68.31 ,$7.89 ,$7.53 ,$15.01 ,$140.25 ,$136.46 ,$46.20 ,$148.50 ,$129.53 ,$136.29 ,$15.32 ,$107.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101606,84144,HC PROGESTERONE,301,1 ,$115.00 ,$82.80 ,$10.13 ,$115.00 ,$52.15 ,$92.00 ,$20.44 ,$32.20 ,$100.40 ,$105.69 ,$20.44 ,$95.11 ,$20.44 ,$42.14 ,$105.80 ,$51.11 ,$20.44 ,$20.85 ,$95.91 ,$95.91 ,$95.91 ,$20.44 ,$95.91 ,$98.44 ,$98.44 ,$103.50 ,$52.15 ,$97.75 ,$20.44 ,$20.44 ,$64.52 ,$20.44 ,$47.61 ,$10.62 ,$10.13 ,$21.46 ,$97.75 ,$95.11 ,$32.20 ,$103.50 ,$90.28 ,$94.99 ,$21.89 ,$74.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101607,84145,HC PROCALCITONIN (PCT),301,1 ,$524.00 ,$377.28 ,$17.61 ,$524.00 ,$68.05 ,$419.20 ,$26.68 ,$146.72 ,$457.45 ,$481.56 ,$26.68 ,$433.35 ,$26.68 ,$54.98 ,$482.08 ,$66.69 ,$26.68 ,$27.20 ,$437.02 ,$437.02 ,$437.02 ,$26.68 ,$437.02 ,$448.54 ,$448.54 ,$471.60 ,$68.05 ,$445.40 ,$26.68 ,$26.68 ,$293.96 ,$26.68 ,$216.94 ,$18.45 ,$17.61 ,$28.01 ,$445.40 ,$433.35 ,$146.72 ,$471.60 ,$411.34 ,$432.82 ,$28.57 ,$340.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101608,84146,HC PROLACTIN,301,1 ,$139.00 ,$100.08 ,$17.61 ,$139.00 ,$48.45 ,$111.20 ,$18.99 ,$38.92 ,$121.35 ,$127.74 ,$18.99 ,$114.95 ,$18.99 ,$39.15 ,$127.88 ,$47.48 ,$18.99 ,$19.37 ,$115.93 ,$115.93 ,$115.93 ,$18.99 ,$115.93 ,$118.98 ,$118.98 ,$125.10 ,$48.45 ,$118.15 ,$18.99 ,$18.99 ,$77.98 ,$18.99 ,$57.55 ,$18.45 ,$17.61 ,$19.94 ,$118.15 ,$114.95 ,$38.92 ,$125.10 ,$109.12 ,$114.81 ,$20.34 ,$90.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101609,84153,HC PSA TOTAL,301,1 ,$275.00 ,$198.00 ,$7.53 ,$275.00 ,$45.98 ,$220.00 ,$18.02 ,$77.00 ,$240.08 ,$252.73 ,$18.02 ,$227.43 ,$18.02 ,$37.15 ,$253.00 ,$45.06 ,$18.02 ,$18.38 ,$229.35 ,$229.35 ,$229.35 ,$18.02 ,$229.35 ,$235.40 ,$235.40 ,$247.50 ,$45.98 ,$233.75 ,$18.02 ,$18.02 ,$154.28 ,$18.02 ,$113.85 ,$7.89 ,$7.53 ,$18.92 ,$233.75 ,$227.43 ,$77.00 ,$247.50 ,$215.88 ,$227.15 ,$19.31 ,$178.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101610,84154,HC PSA FREE,301,1 ,$167.00 ,$120.24 ,$7.53 ,$167.00 ,$45.98 ,$133.60 ,$18.02 ,$46.76 ,$145.79 ,$153.47 ,$18.02 ,$138.11 ,$18.02 ,$37.15 ,$153.64 ,$45.06 ,$18.02 ,$18.38 ,$139.28 ,$139.28 ,$139.28 ,$18.02 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$45.98 ,$141.95 ,$18.02 ,$18.02 ,$93.69 ,$18.02 ,$69.14 ,$7.89 ,$7.53 ,$18.92 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$19.31 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101611,84155,HC PROTEIN TOTAL,301,1 ,$85.00 ,$61.20 ,$3.35 ,$85.00 ,$9.18 ,$68.00 ,$3.60 ,$23.80 ,$74.21 ,$78.12 ,$3.60 ,$70.30 ,$3.60 ,$7.41 ,$78.20 ,$9.00 ,$3.60 ,$3.67 ,$70.89 ,$70.89 ,$70.89 ,$3.60 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$9.18 ,$72.25 ,$3.60 ,$3.60 ,$47.69 ,$3.60 ,$35.19 ,$3.51 ,$3.35 ,$3.77 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$3.85 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101612,84156,HC PROTEIN TOTAL URINE,301,1 ,$21.00 ,$15.12 ,$3.35 ,$21.00 ,$9.18 ,$16.80 ,$3.60 ,$5.88 ,$18.33 ,$19.30 ,$3.60 ,$17.37 ,$3.60 ,$7.41 ,$19.32 ,$9.00 ,$3.60 ,$3.67 ,$17.51 ,$17.51 ,$17.51 ,$3.60 ,$17.51 ,$17.98 ,$17.98 ,$18.90 ,$9.18 ,$17.85 ,$3.60 ,$3.60 ,$11.78 ,$3.60 ,$8.69 ,$3.51 ,$3.35 ,$3.77 ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 ,$3.85 ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101613,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$129.00 ,$92.88 ,$3.35 ,$129.00 ,$10.00 ,$103.20 ,$3.92 ,$36.12 ,$112.62 ,$118.55 ,$3.92 ,$106.68 ,$3.92 ,$8.08 ,$118.68 ,$9.80 ,$3.92 ,$4.00 ,$107.59 ,$107.59 ,$107.59 ,$3.92 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$10.00 ,$109.65 ,$3.92 ,$3.92 ,$72.37 ,$3.92 ,$53.41 ,$3.51 ,$3.35 ,$4.12 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$4.19 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101614,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$185.00 ,$133.20 ,$7.53 ,$185.00 ,$26.85 ,$148.00 ,$10.53 ,$51.80 ,$161.51 ,$170.02 ,$10.53 ,$153.00 ,$10.53 ,$21.69 ,$170.20 ,$26.31 ,$10.53 ,$10.73 ,$154.29 ,$154.29 ,$154.29 ,$10.53 ,$154.29 ,$158.36 ,$158.36 ,$166.50 ,$26.85 ,$157.25 ,$10.53 ,$10.53 ,$103.79 ,$10.53 ,$76.59 ,$7.89 ,$7.53 ,$11.05 ,$157.25 ,$153.00 ,$51.80 ,$166.50 ,$145.23 ,$152.81 ,$11.27 ,$120.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101615,84166,HC PROTEIN EP OTH FLUID,301,1 ,$185.00 ,$133.20 ,$7.53 ,$185.00 ,$44.58 ,$148.00 ,$17.47 ,$51.80 ,$161.51 ,$170.02 ,$17.47 ,$153.00 ,$17.47 ,$36.02 ,$170.20 ,$43.69 ,$17.47 ,$17.83 ,$154.29 ,$154.29 ,$154.29 ,$17.47 ,$154.29 ,$158.36 ,$158.36 ,$166.50 ,$44.58 ,$157.25 ,$17.47 ,$17.47 ,$103.79 ,$17.47 ,$76.59 ,$7.89 ,$7.53 ,$18.35 ,$157.25 ,$153.00 ,$51.80 ,$166.50 ,$145.23 ,$152.81 ,$18.72 ,$120.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101616,84270,HC SEX HORMONE BIND GLOB,301,1 ,$130.00 ,$93.60 ,$7.53 ,$130.00 ,$54.33 ,$104.00 ,$21.30 ,$36.40 ,$113.49 ,$119.47 ,$21.30 ,$107.51 ,$21.30 ,$43.89 ,$119.60 ,$53.24 ,$21.30 ,$21.72 ,$108.42 ,$108.42 ,$108.42 ,$21.30 ,$108.42 ,$111.28 ,$111.28 ,$117.00 ,$54.33 ,$110.50 ,$21.30 ,$21.30 ,$72.93 ,$21.30 ,$53.82 ,$7.89 ,$7.53 ,$22.36 ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 ,$22.80 ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101617,84300,HC SODIUM URINE,301,1 ,$47.00 ,$33.84 ,$3.35 ,$47.00 ,$12.65 ,$37.60 ,$4.96 ,$13.16 ,$41.03 ,$43.19 ,$4.96 ,$38.87 ,$4.96 ,$10.22 ,$43.24 ,$12.40 ,$4.96 ,$5.06 ,$39.20 ,$39.20 ,$39.20 ,$4.96 ,$39.20 ,$40.23 ,$40.23 ,$42.30 ,$12.65 ,$39.95 ,$4.96 ,$4.96 ,$26.37 ,$4.96 ,$19.46 ,$3.51 ,$3.35 ,$5.20 ,$39.95 ,$38.87 ,$13.16 ,$42.30 ,$36.90 ,$38.82 ,$5.31 ,$30.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101620,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$113.00 ,$81.36 ,$6.73 ,$113.00 ,$17.18 ,$90.40 ,$6.73 ,$31.64 ,$98.65 ,$103.85 ,$6.73 ,$93.45 ,$6.73 ,$13.88 ,$103.96 ,$16.84 ,$6.73 ,$6.87 ,$94.24 ,$94.24 ,$94.24 ,$6.73 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$17.18 ,$96.05 ,$6.73 ,$6.73 ,$63.39 ,$6.73 ,$46.78 ,$10.62 ,$10.13 ,$7.07 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$7.21 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101622,84466,HC TRANSFERRIN,301,1 ,$236.00 ,$169.92 ,$7.53 ,$236.00 ,$31.90 ,$188.80 ,$12.50 ,$66.08 ,$206.03 ,$216.88 ,$12.50 ,$195.17 ,$12.50 ,$25.78 ,$217.12 ,$31.26 ,$12.50 ,$12.76 ,$196.82 ,$196.82 ,$196.82 ,$12.50 ,$196.82 ,$202.02 ,$202.02 ,$212.40 ,$31.90 ,$200.60 ,$12.50 ,$12.50 ,$132.40 ,$12.50 ,$97.70 ,$7.89 ,$7.53 ,$13.13 ,$200.60 ,$195.17 ,$66.08 ,$212.40 ,$185.26 ,$194.94 ,$13.40 ,$153.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101623,84478,HC TRIGLYCERIDES,301,1 ,$113.00 ,$81.36 ,$3.35 ,$113.00 ,$14.35 ,$90.40 ,$5.63 ,$31.64 ,$98.65 ,$103.85 ,$5.63 ,$93.45 ,$5.63 ,$11.59 ,$103.96 ,$14.06 ,$5.63 ,$5.73 ,$94.24 ,$94.24 ,$94.24 ,$5.63 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$14.35 ,$96.05 ,$5.63 ,$5.63 ,$63.39 ,$5.63 ,$46.78 ,$3.51 ,$3.35 ,$5.91 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$6.03 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101624,84480,HC T3 TOTAL,301,1 ,$304.00 ,$218.88 ,$10.13 ,$304.00 ,$35.45 ,$243.20 ,$13.90 ,$85.12 ,$265.39 ,$279.38 ,$13.90 ,$251.41 ,$13.90 ,$28.64 ,$279.68 ,$34.74 ,$13.90 ,$14.17 ,$253.54 ,$253.54 ,$253.54 ,$13.90 ,$253.54 ,$260.22 ,$260.22 ,$273.60 ,$35.45 ,$258.40 ,$13.90 ,$13.90 ,$170.54 ,$13.90 ,$125.86 ,$10.62 ,$10.13 ,$14.59 ,$258.40 ,$251.41 ,$85.12 ,$273.60 ,$238.64 ,$251.10 ,$14.89 ,$197.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101625,84481,HC T3 FREE,301,1 ,$178.00 ,$128.16 ,$10.13 ,$178.00 ,$42.35 ,$142.40 ,$16.60 ,$49.84 ,$155.39 ,$163.58 ,$16.60 ,$147.21 ,$16.60 ,$34.22 ,$163.76 ,$41.50 ,$16.60 ,$16.93 ,$148.45 ,$148.45 ,$148.45 ,$16.60 ,$148.45 ,$152.37 ,$152.37 ,$160.20 ,$42.35 ,$151.30 ,$16.60 ,$16.60 ,$99.86 ,$16.60 ,$73.69 ,$10.62 ,$10.13 ,$17.43 ,$151.30 ,$147.21 ,$49.84 ,$160.20 ,$139.73 ,$147.03 ,$17.78 ,$115.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101630,84702,HC HCG QN,301,1 ,$218.00 ,$156.96 ,$10.13 ,$218.00 ,$37.63 ,$174.40 ,$14.75 ,$61.04 ,$190.31 ,$200.34 ,$14.75 ,$180.29 ,$14.75 ,$30.40 ,$200.56 ,$36.88 ,$14.75 ,$15.04 ,$181.81 ,$181.81 ,$181.81 ,$14.75 ,$181.81 ,$186.61 ,$186.61 ,$196.20 ,$37.63 ,$185.30 ,$14.75 ,$14.75 ,$122.30 ,$14.75 ,$90.25 ,$10.62 ,$10.13 ,$15.48 ,$185.30 ,$180.29 ,$61.04 ,$196.20 ,$171.13 ,$180.07 ,$15.80 ,$141.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101632,G0328,HC OCCULT BLOOD FECAL SCRN - AMB-QW,301,1 ,$85.00 ,$61.20 ,$7.53 ,$85.00 ,$45.13 ,$68.00 ,$17.69 ,$23.80 ,$74.21 ,$78.12 ,$17.69 ,$70.30 ,$17.69 ,$36.46 ,$78.20 ,$44.23 ,$17.69 ,$18.04 ,$70.89 ,$70.89 ,$70.89 ,$17.69 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$45.13 ,$72.25 ,$17.69 ,$17.69 ,$47.69 ,$17.69 ,$35.19 ,$7.89 ,$7.53 ,$18.57 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$18.94 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101634,80348,HC BUPRENORPHINE -90,301,1 ,$67.00 ,$48.24 ,$7.53 ,$67.00 , N/A ,$53.60 , N/A ,$18.76 ,$58.49 ,$61.57 , N/A ,$55.41 , N/A , N/A ,$61.64 , N/A , N/A , N/A ,$55.88 ,$55.88 ,$55.88 , N/A ,$55.88 ,$57.35 ,$57.35 ,$60.30 , N/A ,$56.95 , N/A , N/A ,$37.59 , N/A ,$27.74 ,$7.89 ,$7.53 , N/A ,$56.95 ,$55.41 ,$18.76 ,$60.30 ,$52.60 ,$55.34 , N/A ,$43.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101636,83735,HC MAGNESIUM,301,1 ,$173.00 ,$124.56 ,$3.35 ,$173.00 ,$16.75 ,$138.40 ,$6.57 ,$48.44 ,$151.03 ,$158.99 ,$6.57 ,$143.07 ,$6.57 ,$13.53 ,$159.16 ,$16.41 ,$6.57 ,$6.69 ,$144.28 ,$144.28 ,$144.28 ,$6.57 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$16.75 ,$147.05 ,$6.57 ,$6.57 ,$97.05 ,$6.57 ,$71.62 ,$3.51 ,$3.35 ,$6.90 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$7.04 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101642,84999,HC OSMOLALITY FECAL-90,301,1 ,$259.00 ,$186.48 ,$7.53 ,$259.00 , N/A ,$207.20 , N/A ,$72.52 ,$226.11 ,$238.02 , N/A ,$214.19 , N/A , N/A ,$238.28 , N/A , N/A , N/A ,$216.01 ,$216.01 ,$216.01 , N/A ,$216.01 ,$221.70 ,$221.70 ,$233.10 , N/A ,$220.15 , N/A , N/A ,$145.30 , N/A ,$107.23 ,$7.89 ,$7.53 , N/A ,$220.15 ,$214.19 ,$72.52 ,$233.10 ,$203.32 ,$213.93 , N/A ,$168.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101643,81596,HC CHRONIC HEP C VIRUS ASSAYS-90,301,1 ,$447.00 ,$321.84 ,$26.70 ,$447.00 ,$180.48 ,$357.60 ,$70.75 ,$125.16 ,$390.23 ,$410.79 ,$70.75 ,$369.67 ,$70.75 ,$145.82 ,$411.24 ,$176.87 ,$70.75 ,$72.16 ,$372.80 ,$372.80 ,$372.80 ,$70.75 ,$372.80 ,$382.63 ,$382.63 ,$402.30 ,$180.48 ,$379.95 ,$70.75 ,$70.75 ,$250.77 ,$70.75 ,$185.06 ,$27.97 ,$26.70 ,$74.28 ,$379.95 ,$369.67 ,$125.16 ,$402.30 ,$350.90 ,$369.22 ,$75.77 ,$290.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101650,83516,HC MLT NON INFECT QL/SQ,301,1 ,$172.00 ,$123.84 ,$6.74 ,$172.00 ,$28.83 ,$137.60 ,$11.30 ,$48.16 ,$150.16 ,$158.07 ,$11.30 ,$142.24 ,$11.30 ,$23.29 ,$158.24 ,$28.25 ,$11.30 ,$11.52 ,$143.45 ,$143.45 ,$143.45 ,$11.30 ,$143.45 ,$147.23 ,$147.23 ,$154.80 ,$28.83 ,$146.20 ,$11.30 ,$11.30 ,$96.49 ,$11.30 ,$71.21 ,$7.06 ,$6.74 ,$11.87 ,$146.20 ,$142.24 ,$48.16 ,$154.80 ,$135.02 ,$142.07 ,$12.10 ,$111.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101653,82642,HC DIHYDROTESTOSTERONE-90,301,1 ,$74.00 ,$53.28 ,$10.13 ,$74.00 ,$73.20 ,$59.20 ,$28.69 ,$20.72 ,$64.60 ,$68.01 ,$28.69 ,$61.20 ,$28.69 ,$59.15 ,$68.08 ,$71.74 ,$28.69 ,$29.27 ,$61.72 ,$61.72 ,$61.72 ,$28.69 ,$61.72 ,$63.34 ,$63.34 ,$66.60 ,$73.20 ,$62.90 ,$28.69 ,$28.69 ,$41.51 ,$28.69 ,$30.64 ,$10.62 ,$10.13 ,$30.13 ,$62.90 ,$61.20 ,$20.72 ,$66.60 ,$58.09 ,$61.12 ,$30.73 ,$48.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101670,83930,HC OSMOLALITY BLOOD -90,301,1 ,$159.00 ,$114.48 ,$3.35 ,$159.00 ,$16.53 ,$127.20 ,$6.48 ,$44.52 ,$138.81 ,$146.12 ,$6.48 ,$131.49 ,$6.48 ,$13.35 ,$146.28 ,$16.20 ,$6.48 ,$6.61 ,$132.61 ,$132.61 ,$132.61 ,$6.48 ,$132.61 ,$136.10 ,$136.10 ,$143.10 ,$16.53 ,$135.15 ,$6.48 ,$6.48 ,$89.20 ,$6.48 ,$65.83 ,$3.51 ,$3.35 ,$6.80 ,$135.15 ,$131.49 ,$44.52 ,$143.10 ,$124.82 ,$131.33 ,$6.94 ,$103.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101671,80299,HC VORICONAZOLE-90,301,1 ,$194.00 ,$139.68 ,$8.64 ,$194.00 ,$46.60 ,$155.20 ,$18.27 ,$54.32 ,$169.36 ,$178.29 ,$18.27 ,$160.44 ,$18.27 ,$37.65 ,$178.48 ,$45.67 ,$18.27 ,$18.63 ,$161.80 ,$161.80 ,$161.80 ,$18.27 ,$161.80 ,$166.06 ,$166.06 ,$174.60 ,$46.60 ,$164.90 ,$18.27 ,$18.27 ,$108.83 ,$18.27 ,$80.32 ,$9.05 ,$8.64 ,$19.18 ,$164.90 ,$160.44 ,$54.32 ,$174.60 ,$152.29 ,$160.24 ,$19.56 ,$126.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101685,80235,HC LACOSAMIDE -90,301,1 ,$240.00 ,$172.80 ,$8.64 ,$240.00 ,$67.78 ,$192.00 ,$26.57 ,$67.20 ,$209.52 ,$220.56 ,$26.57 ,$198.48 ,$26.57 ,$54.76 ,$220.80 ,$66.42 ,$26.57 ,$27.10 ,$200.16 ,$200.16 ,$200.16 ,$26.57 ,$200.16 ,$205.44 ,$205.44 ,$216.00 ,$67.78 ,$204.00 ,$26.57 ,$26.57 ,$134.64 ,$26.57 ,$99.36 ,$9.05 ,$8.64 ,$27.90 ,$204.00 ,$198.48 ,$67.20 ,$216.00 ,$188.40 ,$198.24 ,$28.45 ,$156.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101686,83721,HC CHOLESTEROL LDL -90,301,1 ,$113.00 ,$81.36 ,$7.53 ,$113.00 ,$26.25 ,$90.40 ,$10.29 ,$31.64 ,$98.65 ,$103.85 ,$10.29 ,$93.45 ,$10.29 ,$21.21 ,$103.96 ,$25.72 ,$10.29 ,$10.50 ,$94.24 ,$94.24 ,$94.24 ,$10.29 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$26.25 ,$96.05 ,$10.29 ,$10.29 ,$63.39 ,$10.29 ,$46.78 ,$7.89 ,$7.53 ,$10.81 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$11.02 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101693,80326,HC DRUG SCREEN QUANT AMPHETAMINES >5-90,301,1 ,$128.00 ,$92.16 ,$20.25 ,$128.00 , N/A ,$102.40 , N/A ,$35.84 ,$111.74 ,$117.63 , N/A ,$105.86 , N/A , N/A ,$117.76 , N/A , N/A , N/A ,$106.75 ,$106.75 ,$106.75 , N/A ,$106.75 ,$109.57 ,$109.57 ,$115.20 , N/A ,$108.80 , N/A , N/A ,$71.81 , N/A ,$52.99 ,$21.22 ,$20.25 , N/A ,$108.80 ,$105.86 ,$35.84 ,$115.20 ,$100.48 ,$105.73 , N/A ,$83.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101705,80145,HC DRUG ASSAY ADALIMUMAB -90,301,1 ,$119.00 ,$85.68 ,$8.64 ,$119.00 ,$96.43 ,$95.20 ,$37.80 ,$33.32 ,$103.89 ,$109.36 ,$37.80 ,$98.41 ,$37.80 ,$77.91 ,$109.48 ,$94.50 ,$37.80 ,$38.55 ,$99.25 ,$99.25 ,$99.25 ,$37.80 ,$99.25 ,$101.86 ,$101.86 ,$107.10 ,$96.43 ,$101.15 ,$37.80 ,$37.80 ,$66.76 ,$37.80 ,$49.27 ,$9.05 ,$8.64 ,$39.69 ,$101.15 ,$98.41 ,$33.32 ,$107.10 ,$93.42 ,$98.29 ,$40.48 ,$77.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101716,80187,HC POSACONAZOLE -90,301,1 ,$268.00 ,$192.96 ,$8.64 ,$268.00 ,$67.78 ,$214.40 ,$26.57 ,$75.04 ,$233.96 ,$246.29 ,$26.57 ,$221.64 ,$26.57 ,$54.76 ,$246.56 ,$66.42 ,$26.57 ,$27.10 ,$223.51 ,$223.51 ,$223.51 ,$26.57 ,$223.51 ,$229.41 ,$229.41 ,$241.20 ,$67.78 ,$227.80 ,$26.57 ,$26.57 ,$150.35 ,$26.57 ,$110.95 ,$9.05 ,$8.64 ,$27.90 ,$227.80 ,$221.64 ,$75.04 ,$241.20 ,$210.38 ,$221.37 ,$28.45 ,$174.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101723,82397,HC ANTIMULLERIAN ASSAY-90,301,1 ,$94.00 ,$67.68 ,$7.53 ,$94.00 ,$35.30 ,$75.20 ,$13.84 ,$26.32 ,$82.06 ,$86.39 ,$13.84 ,$77.74 ,$13.84 ,$28.52 ,$86.48 ,$34.59 ,$13.84 ,$14.11 ,$78.40 ,$78.40 ,$78.40 ,$13.84 ,$78.40 ,$80.46 ,$80.46 ,$84.60 ,$35.30 ,$79.90 ,$13.84 ,$13.84 ,$52.73 ,$13.84 ,$38.92 ,$7.89 ,$7.53 ,$14.53 ,$79.90 ,$77.74 ,$26.32 ,$84.60 ,$73.79 ,$77.64 ,$14.82 ,$61.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101734,82553,HC CREATINE KINASE MB FRAC-90,301,1 ,$254.00 ,$182.88 ,$7.53 ,$254.00 ,$28.88 ,$203.20 ,$11.32 ,$71.12 ,$221.74 ,$233.43 ,$11.32 ,$210.06 ,$11.32 ,$23.33 ,$233.68 ,$28.30 ,$11.32 ,$11.54 ,$211.84 ,$211.84 ,$211.84 ,$11.32 ,$211.84 ,$217.42 ,$217.42 ,$228.60 ,$28.88 ,$215.90 ,$11.32 ,$11.32 ,$142.49 ,$11.32 ,$105.16 ,$7.89 ,$7.53 ,$11.89 ,$215.90 ,$210.06 ,$71.12 ,$228.60 ,$199.39 ,$209.80 ,$12.12 ,$165.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101742,82382,HC CATECHOLAMINE URINE 24 HR,301,1 ,$261.00 ,$187.92 ,$17.61 ,$261.00 ,$68.25 ,$208.80 ,$26.75 ,$73.08 ,$227.85 ,$239.86 ,$26.75 ,$215.85 ,$26.75 ,$55.15 ,$240.12 ,$66.88 ,$26.75 ,$27.29 ,$217.67 ,$217.67 ,$217.67 ,$26.75 ,$217.67 ,$223.42 ,$223.42 ,$234.90 ,$68.25 ,$221.85 ,$26.75 ,$26.75 ,$146.42 ,$26.75 ,$108.05 ,$18.45 ,$17.61 ,$28.10 ,$221.85 ,$215.85 ,$73.08 ,$234.90 ,$204.89 ,$215.59 ,$28.66 ,$169.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101756,83721,HC CHOLESTEROL LDL LEVEL,301,1 ,$113.00 ,$81.36 ,$7.53 ,$113.00 ,$26.25 ,$90.40 ,$10.29 ,$31.64 ,$98.65 ,$103.85 ,$10.29 ,$93.45 ,$10.29 ,$21.21 ,$103.96 ,$25.72 ,$10.29 ,$10.50 ,$94.24 ,$94.24 ,$94.24 ,$10.29 ,$94.24 ,$96.73 ,$96.73 ,$101.70 ,$26.25 ,$96.05 ,$10.29 ,$10.29 ,$63.39 ,$10.29 ,$46.78 ,$7.89 ,$7.53 ,$10.81 ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 ,$11.02 ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101757,84315,HC SPEC GRAVITY NON UR,301,1 ,$103.00 ,$74.16 ,$3.21 ,$103.00 ,$8.20 ,$82.40 ,$3.21 ,$28.84 ,$89.92 ,$94.66 ,$3.21 ,$85.18 ,$3.21 ,$6.63 ,$94.76 ,$8.04 ,$3.21 ,$3.28 ,$85.90 ,$85.90 ,$85.90 ,$3.21 ,$85.90 ,$88.17 ,$88.17 ,$92.70 ,$8.20 ,$87.55 ,$3.21 ,$3.21 ,$57.78 ,$3.21 ,$42.64 ,$3.51 ,$3.35 ,$3.37 ,$87.55 ,$85.18 ,$28.84 ,$92.70 ,$80.86 ,$85.08 ,$3.44 ,$66.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101758,82045,HC MICROALBUMIN URNINE QN,301,1 ,$30.00 ,$21.60 ,$8.40 ,$75.00 ,$75.00 ,$24.00 ,$29.40 ,$8.40 ,$26.19 ,$27.57 ,$29.40 ,$24.81 ,$29.40 ,$30.00 ,$27.60 ,$29.40 ,$29.40 ,$29.99 ,$25.02 ,$25.02 ,$25.02 ,$29.40 ,$25.02 ,$25.68 ,$25.68 ,$27.00 ,$30.00 ,$25.50 ,$29.40 ,$29.40 ,$16.83 ,$29.40 ,$12.42 ,$21.22 ,$20.25 ,$29.40 ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 ,$31.49 ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101759,82575,HC CREATININE CLEARANCE,301,1 ,$259.00 ,$186.48 ,$7.53 ,$259.00 ,$23.65 ,$207.20 ,$9.27 ,$72.52 ,$226.11 ,$238.02 ,$9.27 ,$214.19 ,$9.27 ,$19.11 ,$238.28 ,$23.18 ,$9.27 ,$9.46 ,$216.01 ,$216.01 ,$216.01 ,$9.27 ,$216.01 ,$221.70 ,$221.70 ,$233.10 ,$23.65 ,$220.15 ,$9.27 ,$9.27 ,$145.30 ,$9.27 ,$107.23 ,$7.89 ,$7.53 ,$9.73 ,$220.15 ,$214.19 ,$72.52 ,$233.10 ,$203.32 ,$213.93 ,$9.93 ,$168.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101769,0003M,HC NASH FIBROSURE- 90,301,1 ,$561.00 ,$403.92 ,$6.87 ,"$1,258.50 ","$1,258.50 ",$448.80 ,$493.33 ,$157.08 ,$489.75 ,$515.56 ,$493.33 ,$463.95 ,$493.33 ,$561.00 ,$516.12 ,$549.78 ,$493.33 ,$503.20 ,$467.87 ,$467.87 ,$467.87 ,$493.33 ,$467.87 ,$480.22 ,$480.22 ,$504.90 ,$561.00 ,$476.85 ,$493.33 ,$493.33 ,$314.72 ,$493.33 ,$232.25 ,$7.19 ,$6.87 ,$518.00 ,$476.85 ,$463.95 ,$157.08 ,$504.90 ,$440.39 ,$463.39 ,$528.36 ,$364.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101770,83521,HC IMMUNOGLOBULIN LIGHT CHAINS- 90,301,1 ,$174.00 ,$125.28 ,$7.53 ,$174.00 ,$43.18 ,$139.20 ,$16.92 ,$48.72 ,$151.90 ,$159.91 ,$16.92 ,$143.90 ,$16.92 ,$34.89 ,$160.08 ,$42.32 ,$16.92 ,$17.27 ,$145.12 ,$145.12 ,$145.12 ,$16.92 ,$145.12 ,$148.94 ,$148.94 ,$156.60 ,$43.18 ,$147.90 ,$16.92 ,$16.92 ,$97.61 ,$16.92 ,$72.04 ,$7.89 ,$7.53 ,$17.77 ,$147.90 ,$143.90 ,$48.72 ,$156.60 ,$136.59 ,$143.72 ,$18.13 ,$113.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101771,82653,HC EL-1 FECAL QUANTITATIVE-90,301,1 ,$333.00 ,$239.76 ,$7.53 ,$333.00 ,$57.43 ,$266.40 ,$22.51 ,$93.24 ,$290.71 ,$306.03 ,$22.51 ,$275.39 ,$22.51 ,$46.40 ,$306.36 ,$56.28 ,$22.51 ,$22.96 ,$277.72 ,$277.72 ,$277.72 ,$22.51 ,$277.72 ,$285.05 ,$285.05 ,$299.70 ,$57.43 ,$283.05 ,$22.51 ,$22.51 ,$186.81 ,$22.51 ,$137.86 ,$7.89 ,$7.53 ,$23.64 ,$283.05 ,$275.39 ,$93.24 ,$299.70 ,$261.41 ,$275.06 ,$24.11 ,$216.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101788,84146,HC ASSAY OF PROLACTIN-90,301,1 ,$139.00 ,$100.08 ,$17.61 ,$139.00 ,$48.45 ,$111.20 ,$18.99 ,$38.92 ,$121.35 ,$127.74 ,$18.99 ,$114.95 ,$18.99 ,$39.15 ,$127.88 ,$47.48 ,$18.99 ,$19.37 ,$115.93 ,$115.93 ,$115.93 ,$18.99 ,$115.93 ,$118.98 ,$118.98 ,$125.10 ,$48.45 ,$118.15 ,$18.99 ,$18.99 ,$77.98 ,$18.99 ,$57.55 ,$18.45 ,$17.61 ,$19.94 ,$118.15 ,$114.95 ,$38.92 ,$125.10 ,$109.12 ,$114.81 ,$20.34 ,$90.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101799,84260,HC ASSAY OF SEROTONIN-90,301,1 ,$35.00 ,$25.20 ,$9.80 ,$77.45 ,$77.45 ,$28.00 ,$30.36 ,$9.80 ,$30.56 ,$32.17 ,$30.36 ,$28.95 ,$30.36 ,$35.00 ,$32.20 ,$34.30 ,$30.36 ,$30.97 ,$29.19 ,$29.19 ,$29.19 ,$30.36 ,$29.19 ,$29.96 ,$29.96 ,$31.50 ,$35.00 ,$29.75 ,$30.36 ,$30.36 ,$19.64 ,$30.36 ,$14.49 ,$18.45 ,$17.61 ,$31.88 ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 ,$32.52 ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101800,80186,HC ASSAY OF PHENYTOIN FREE-90,301,1 ,$23.00 ,$16.56 ,$6.44 ,$34.40 ,$34.40 ,$18.40 ,$13.48 ,$6.44 ,$20.08 ,$21.14 ,$13.48 ,$19.02 ,$13.48 ,$23.00 ,$21.16 ,$22.54 ,$13.48 ,$13.76 ,$19.18 ,$19.18 ,$19.18 ,$13.48 ,$19.18 ,$19.69 ,$19.69 ,$20.70 ,$23.00 ,$19.55 ,$13.48 ,$13.48 ,$12.90 ,$13.48 ,$9.52 ,$9.05 ,$8.64 ,$14.16 ,$19.55 ,$19.02 ,$6.44 ,$20.70 ,$18.06 ,$19.00 ,$14.45 ,$14.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30101826,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$75.00 ,$54.00 ,$3.35 ,$75.00 ,$13.30 ,$60.00 ,$5.21 ,$21.00 ,$65.48 ,$68.93 ,$5.21 ,$62.03 ,$5.21 ,$10.75 ,$69.00 ,$13.03 ,$5.21 ,$5.32 ,$62.55 ,$62.55 ,$62.55 ,$5.21 ,$62.55 ,$64.20 ,$64.20 ,$67.50 ,$13.30 ,$63.75 ,$5.21 ,$5.21 ,$42.08 ,$5.21 ,$31.05 ,$3.51 ,$3.35 ,$5.48 ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$61.95 ,$5.59 ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200123,86140,HC C-REACTIVE PROTEIN,302,1 ,$145.00 ,$104.40 ,$5.08 ,$145.00 ,$12.95 ,$116.00 ,$5.08 ,$40.60 ,$126.59 ,$133.26 ,$5.08 ,$119.92 ,$5.08 ,$10.46 ,$133.40 ,$12.69 ,$5.08 ,$5.17 ,$120.93 ,$120.93 ,$120.93 ,$5.08 ,$120.93 ,$124.12 ,$124.12 ,$130.50 ,$12.95 ,$123.25 ,$5.08 ,$5.08 ,$81.35 ,$5.08 ,$60.03 ,$7.06 ,$6.74 ,$5.33 ,$123.25 ,$119.92 ,$40.60 ,$130.50 ,$113.83 ,$119.77 ,$5.44 ,$94.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$138.00 ,$99.36 ,$5.08 ,$138.00 ,$12.95 ,$110.40 ,$5.08 ,$38.64 ,$120.47 ,$126.82 ,$5.08 ,$114.13 ,$5.08 ,$10.46 ,$126.96 ,$12.69 ,$5.08 ,$5.17 ,$115.09 ,$115.09 ,$115.09 ,$5.08 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$12.95 ,$117.30 ,$5.08 ,$5.08 ,$77.42 ,$5.08 ,$57.13 ,$7.06 ,$6.74 ,$5.33 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$5.44 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200197,86430,HC RHEUMATOID FACTOR,302,1 ,$107.00 ,$77.04 ,$6.02 ,$107.00 ,$15.35 ,$85.60 ,$6.02 ,$29.96 ,$93.41 ,$98.33 ,$6.02 ,$88.49 ,$6.02 ,$12.40 ,$98.44 ,$15.04 ,$6.02 ,$6.13 ,$89.24 ,$89.24 ,$89.24 ,$6.02 ,$89.24 ,$91.59 ,$91.59 ,$96.30 ,$15.35 ,$90.95 ,$6.02 ,$6.02 ,$60.03 ,$6.02 ,$44.30 ,$7.06 ,$6.74 ,$6.32 ,$90.95 ,$88.49 ,$29.96 ,$96.30 ,$84.00 ,$88.38 ,$6.45 ,$69.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200251,86677,HC H PYLORI AB,302,1 ,$315.00 ,$226.80 ,$11.61 ,$315.00 ,$42.13 ,$252.00 ,$16.51 ,$88.20 ,$275.00 ,$289.49 ,$16.51 ,$260.51 ,$16.51 ,$34.04 ,$289.80 ,$41.29 ,$16.51 ,$16.85 ,$262.71 ,$262.71 ,$262.71 ,$16.51 ,$262.71 ,$269.64 ,$269.64 ,$283.50 ,$42.13 ,$267.75 ,$16.51 ,$16.51 ,$176.72 ,$16.51 ,$130.41 ,$12.17 ,$11.61 ,$17.34 ,$267.75 ,$260.51 ,$88.20 ,$283.50 ,$247.28 ,$260.19 ,$17.69 ,$204.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200286,86747,HC PARVOVIRUS AB,302,1 ,$47.00 ,$33.84 ,$11.61 ,$47.00 ,$37.58 ,$37.60 ,$14.73 ,$13.16 ,$41.03 ,$43.19 ,$14.73 ,$38.87 ,$14.73 ,$30.36 ,$43.24 ,$36.83 ,$14.73 ,$15.02 ,$39.20 ,$39.20 ,$39.20 ,$14.73 ,$39.20 ,$40.23 ,$40.23 ,$42.30 ,$37.58 ,$39.95 ,$14.73 ,$14.73 ,$26.37 ,$14.73 ,$19.46 ,$12.17 ,$11.61 ,$15.46 ,$39.95 ,$38.87 ,$13.16 ,$42.30 ,$36.90 ,$38.82 ,$15.78 ,$30.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200559,86850,HC AB SCREEN,302,1 ,$96.00 ,$69.12 ,$6.74 ,$113.75 ,$113.75 ,$76.80 ,$44.59 ,$26.88 ,$83.81 ,$88.22 ,$44.59 ,$79.39 ,$44.59 ,$91.91 ,$88.32 ,$94.08 ,$44.59 ,$45.48 ,$80.06 ,$80.06 ,$80.06 ,$44.59 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$96.00 ,$81.60 ,$44.59 ,$44.59 ,$53.86 ,$44.59 ,$39.74 ,$7.06 ,$6.74 ,$46.82 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$47.76 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200560,86860,HC ELUTION,302,1 ,$176.00 ,$126.72 ,$6.74 ,$356.75 ,$356.75 ,$140.80 ,$139.85 ,$49.28 ,$153.65 ,$161.74 ,$139.85 ,$145.55 ,$139.85 ,$176.00 ,$161.92 ,$172.48 ,$139.85 ,$142.64 ,$146.78 ,$146.78 ,$146.78 ,$139.85 ,$146.78 ,$150.66 ,$150.66 ,$158.40 ,$176.00 ,$149.60 ,$139.85 ,$139.85 ,$98.74 ,$139.85 ,$72.86 ,$7.06 ,$6.74 ,$146.84 ,$149.60 ,$145.55 ,$49.28 ,$158.40 ,$138.16 ,$145.38 ,$149.77 ,$114.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200561,86870,HC RBC AB ID PANEL,302,1 ,$283.00 ,$203.76 ,$6.74 ,$735.30 ,$735.30 ,$226.40 ,$277.34 ,$79.24 ,$247.06 ,$260.08 ,$277.34 ,$234.04 ,$277.34 ,$283.00 ,$260.36 ,$277.34 ,$288.24 ,$282.89 ,$236.02 ,$236.02 ,$236.02 ,$277.34 ,$236.02 ,$242.25 ,$242.25 ,$254.70 ,$283.00 ,$240.55 ,$277.34 ,$277.34 ,$158.76 ,$288.24 ,$117.16 ,$7.06 ,$6.74 ,$277.34 ,$240.55 ,$234.04 ,$79.24 ,$254.70 ,$222.16 ,$233.76 ,$308.71 ,$183.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200562,86880,HC COOMBS DIRECT,302,1 ,$114.00 ,$82.08 ,$6.74 ,$130.40 ,$130.40 ,$91.20 ,$51.12 ,$31.92 ,$99.52 ,$104.77 ,$51.12 ,$94.28 ,$51.12 ,$105.37 ,$104.88 ,$111.72 ,$51.12 ,$52.14 ,$95.08 ,$95.08 ,$95.08 ,$51.12 ,$95.08 ,$97.58 ,$97.58 ,$102.60 ,$114.00 ,$96.90 ,$51.12 ,$51.12 ,$63.95 ,$51.12 ,$47.20 ,$7.06 ,$6.74 ,$53.67 ,$96.90 ,$94.28 ,$31.92 ,$102.60 ,$89.49 ,$94.16 ,$54.75 ,$74.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200563,86885,HC INDIRECT COOMBS,302,1 ,$142.00 ,$102.24 ,$6.74 ,$356.75 ,$356.75 ,$113.60 ,$139.16 ,$39.76 ,$123.97 ,$130.50 ,$139.16 ,$117.43 ,$139.16 ,$142.00 ,$130.64 ,$139.16 ,$139.85 ,$141.94 ,$118.43 ,$118.43 ,$118.43 ,$139.16 ,$118.43 ,$121.55 ,$121.55 ,$127.80 ,$142.00 ,$120.70 ,$139.16 ,$139.16 ,$79.66 ,$139.85 ,$58.79 ,$7.06 ,$6.74 ,$139.16 ,$120.70 ,$117.43 ,$39.76 ,$127.80 ,$111.47 ,$117.29 ,$149.77 ,$92.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200565,86900,HC BLOOD TYPING ABO,302,1 ,$70.00 ,$50.40 ,$4.18 ,$263.43 ,$263.43 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$103.26 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$103.26 ,$28.98 ,$4.38 ,$4.18 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$110.59 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200566,86901,HC BLOOD TYPING RH,302,1 ,$70.00 ,$50.40 ,$4.18 ,$77.05 ,$77.05 ,$56.00 ,$30.20 ,$19.60 ,$61.11 ,$64.33 ,$30.20 ,$57.89 ,$30.20 ,$62.25 ,$64.40 ,$68.60 ,$30.20 ,$30.81 ,$58.38 ,$58.38 ,$58.38 ,$30.20 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$30.20 ,$30.20 ,$39.27 ,$30.20 ,$28.98 ,$4.38 ,$4.18 ,$31.71 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$32.35 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$90.00 ,$64.80 ,$4.18 ,$735.30 ,$735.30 ,$72.00 ,$88.20 ,$25.20 ,$78.57 ,$82.71 ,$88.20 ,$74.43 ,$88.20 ,$90.00 ,$82.80 ,$88.20 ,$288.24 ,$89.96 ,$75.06 ,$75.06 ,$75.06 ,$88.20 ,$75.06 ,$77.04 ,$77.04 ,$81.00 ,$90.00 ,$76.50 ,$88.20 ,$88.20 ,$50.49 ,$288.24 ,$37.26 ,$4.38 ,$4.18 ,$88.20 ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 ,$308.71 ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$73.00 ,$52.56 ,$4.18 ,$356.75 ,$356.75 ,$58.40 ,$71.54 ,$20.44 ,$63.73 ,$67.09 ,$71.54 ,$60.37 ,$71.54 ,$73.00 ,$67.16 ,$71.54 ,$139.85 ,$72.97 ,$60.88 ,$60.88 ,$60.88 ,$71.54 ,$60.88 ,$62.49 ,$62.49 ,$65.70 ,$73.00 ,$62.05 ,$71.54 ,$71.54 ,$40.95 ,$139.85 ,$30.22 ,$4.38 ,$4.18 ,$71.54 ,$62.05 ,$60.37 ,$20.44 ,$65.70 ,$57.31 ,$60.30 ,$149.77 ,$47.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200571,86922,HC CROSSMATCH AHG,302,1 ,$191.00 ,$137.52 ,$27.21 ,$356.75 ,$356.75 ,$152.80 ,$139.85 ,$53.48 ,$166.74 ,$175.53 ,$139.85 ,$157.96 ,$139.85 ,$191.00 ,$175.72 ,$187.18 ,$139.85 ,$142.64 ,$159.29 ,$159.29 ,$159.29 ,$139.85 ,$159.29 ,$163.50 ,$163.50 ,$171.90 ,$191.00 ,$162.35 ,$139.85 ,$139.85 ,$107.15 ,$139.85 ,$79.07 ,$28.50 ,$27.21 ,$146.84 ,$162.35 ,$157.96 ,$53.48 ,$171.90 ,$149.94 ,$157.77 ,$149.77 ,$124.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$125.00 ,$90.00 ,$4.18 ,$125.00 ,$77.05 ,$100.00 ,$30.20 ,$35.00 ,$109.13 ,$114.88 ,$30.20 ,$103.38 ,$30.20 ,$62.25 ,$115.00 ,$75.51 ,$30.20 ,$30.81 ,$104.25 ,$104.25 ,$104.25 ,$30.20 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$77.05 ,$106.25 ,$30.20 ,$30.20 ,$70.13 ,$30.20 ,$51.75 ,$4.38 ,$4.18 ,$31.71 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$32.35 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200839,86003,HC ALLERGEN IGE QN EA - 90,302,1 ,$10.00 ,$7.20 ,$2.80 ,$13.05 ,$13.05 ,$8.00 ,$5.12 ,$2.80 ,$8.73 ,$9.19 ,$5.12 ,$8.27 ,$5.12 ,$10.00 ,$9.20 ,$9.80 ,$5.12 ,$5.21 ,$8.34 ,$8.34 ,$8.34 ,$5.12 ,$8.34 ,$8.56 ,$8.56 ,$9.00 ,$10.00 ,$8.50 ,$5.12 ,$5.12 ,$5.61 ,$5.12 ,$4.14 ,$7.06 ,$6.74 ,$5.37 ,$8.50 ,$8.27 ,$2.80 ,$9.00 ,$7.85 ,$8.26 ,$5.48 ,$6.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200843,86000,HC AGGLUTININS FEBRILE EA AG-90,302,1 ,$403.00 ,$290.16 ,$6.74 ,$403.00 ,$17.45 ,$322.40 ,$6.84 ,$112.84 ,$351.82 ,$370.36 ,$6.84 ,$333.28 ,$6.84 ,$14.10 ,$370.76 ,$17.10 ,$6.84 ,$6.98 ,$336.10 ,$336.10 ,$336.10 ,$6.84 ,$336.10 ,$344.97 ,$344.97 ,$362.70 ,$17.45 ,$342.55 ,$6.84 ,$6.84 ,$226.08 ,$6.84 ,$166.84 ,$7.06 ,$6.74 ,$7.18 ,$342.55 ,$333.28 ,$112.84 ,$362.70 ,$316.36 ,$332.88 ,$7.33 ,$261.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$237.00 ,$170.64 ,$5.12 ,$237.00 ,$13.05 ,$189.60 ,$5.12 ,$66.36 ,$206.90 ,$217.80 ,$5.12 ,$196.00 ,$5.12 ,$10.54 ,$218.04 ,$12.79 ,$5.12 ,$5.21 ,$197.66 ,$197.66 ,$197.66 ,$5.12 ,$197.66 ,$202.87 ,$202.87 ,$213.30 ,$13.05 ,$201.45 ,$5.12 ,$5.12 ,$132.96 ,$5.12 ,$98.12 ,$7.06 ,$6.74 ,$5.37 ,$201.45 ,$196.00 ,$66.36 ,$213.30 ,$186.05 ,$195.76 ,$5.48 ,$154.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200847,86021,HC LEUKO AB ID-90,302,1 ,$302.00 ,$217.44 ,$6.74 ,$302.00 ,$37.63 ,$241.60 ,$14.75 ,$84.56 ,$263.65 ,$277.54 ,$14.75 ,$249.75 ,$14.75 ,$30.40 ,$277.84 ,$36.88 ,$14.75 ,$15.04 ,$251.87 ,$251.87 ,$251.87 ,$14.75 ,$251.87 ,$258.51 ,$258.51 ,$271.80 ,$37.63 ,$256.70 ,$14.75 ,$14.75 ,$169.42 ,$14.75 ,$125.03 ,$7.06 ,$6.74 ,$15.48 ,$256.70 ,$249.75 ,$84.56 ,$271.80 ,$237.07 ,$249.45 ,$15.80 ,$196.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200851,86022,HC PLATELET AB ID-90,302,1 ,$122.00 ,$87.84 ,$6.74 ,$122.00 ,$45.93 ,$97.60 ,$18.00 ,$34.16 ,$106.51 ,$112.12 ,$18.00 ,$100.89 ,$18.00 ,$37.11 ,$112.24 ,$45.01 ,$18.00 ,$18.37 ,$101.75 ,$101.75 ,$101.75 ,$18.00 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$45.93 ,$103.70 ,$18.00 ,$18.00 ,$68.44 ,$18.00 ,$50.51 ,$7.06 ,$6.74 ,$18.90 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$19.28 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200857,86023,HC PLATELET ASSOC AB ID IGG-90,302,1 ,$742.00 ,$534.24 ,$6.74 ,$742.00 ,$31.15 ,$593.60 ,$12.21 ,$207.76 ,$647.77 ,$681.90 ,$12.21 ,$613.63 ,$12.21 ,$25.17 ,$682.64 ,$30.53 ,$12.21 ,$12.46 ,$618.83 ,$618.83 ,$618.83 ,$12.21 ,$618.83 ,$635.15 ,$635.15 ,$667.80 ,$31.15 ,$630.70 ,$12.21 ,$12.21 ,$416.26 ,$12.21 ,$307.19 ,$7.06 ,$6.74 ,$12.82 ,$630.70 ,$613.63 ,$207.76 ,$667.80 ,$582.47 ,$612.89 ,$13.07 ,$482.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200858,86038,HC ANA SCREEN-90,302,1 ,$122.00 ,$87.84 ,$6.74 ,$122.00 ,$30.23 ,$97.60 ,$11.85 ,$34.16 ,$106.51 ,$112.12 ,$11.85 ,$100.89 ,$11.85 ,$24.42 ,$112.24 ,$29.63 ,$11.85 ,$12.08 ,$101.75 ,$101.75 ,$101.75 ,$11.85 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$30.23 ,$103.70 ,$11.85 ,$11.85 ,$68.44 ,$11.85 ,$50.51 ,$7.06 ,$6.74 ,$12.44 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$12.69 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200859,86039,HC ANA TITER-90,302,1 ,$202.00 ,$145.44 ,$6.74 ,$202.00 ,$27.90 ,$161.60 ,$10.94 ,$56.56 ,$176.35 ,$185.64 ,$10.94 ,$167.05 ,$10.94 ,$22.54 ,$185.84 ,$27.34 ,$10.94 ,$11.15 ,$168.47 ,$168.47 ,$168.47 ,$10.94 ,$168.47 ,$172.91 ,$172.91 ,$181.80 ,$27.90 ,$171.70 ,$10.94 ,$10.94 ,$113.32 ,$10.94 ,$83.63 ,$7.06 ,$6.74 ,$11.49 ,$171.70 ,$167.05 ,$56.56 ,$181.80 ,$158.57 ,$166.85 ,$11.71 ,$131.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200860,86060,HC ASO-90,302,1 ,$166.00 ,$119.52 ,$6.74 ,$166.00 ,$18.25 ,$132.80 ,$7.15 ,$46.48 ,$144.92 ,$152.55 ,$7.15 ,$137.28 ,$7.15 ,$14.75 ,$152.72 ,$17.88 ,$7.15 ,$7.30 ,$138.44 ,$138.44 ,$138.44 ,$7.15 ,$138.44 ,$142.10 ,$142.10 ,$149.40 ,$18.25 ,$141.10 ,$7.15 ,$7.15 ,$93.13 ,$7.15 ,$68.72 ,$7.06 ,$6.74 ,$7.52 ,$141.10 ,$137.28 ,$46.48 ,$149.40 ,$130.31 ,$137.12 ,$7.66 ,$107.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$96.00 ,$69.12 ,$7.53 ,$96.00 ,$63.63 ,$76.80 ,$24.94 ,$26.88 ,$83.81 ,$88.22 ,$24.94 ,$79.39 ,$24.94 ,$51.41 ,$88.32 ,$62.36 ,$24.94 ,$25.44 ,$80.06 ,$80.06 ,$80.06 ,$24.94 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$63.63 ,$81.60 ,$24.94 ,$24.94 ,$53.86 ,$24.94 ,$39.74 ,$7.89 ,$7.53 ,$26.19 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$26.71 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$419.00 ,$301.68 ,$11.61 ,$419.00 ,$63.63 ,$335.20 ,$24.94 ,$117.32 ,$365.79 ,$385.06 ,$24.94 ,$346.51 ,$24.94 ,$51.41 ,$385.48 ,$62.36 ,$24.94 ,$25.44 ,$349.45 ,$349.45 ,$349.45 ,$24.94 ,$349.45 ,$358.66 ,$358.66 ,$377.10 ,$63.63 ,$356.15 ,$24.94 ,$24.94 ,$235.06 ,$24.94 ,$173.47 ,$12.17 ,$11.61 ,$26.19 ,$356.15 ,$346.51 ,$117.32 ,$377.10 ,$328.92 ,$346.09 ,$26.71 ,$272.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$31.00 ,$22.32 ,$7.53 ,$40.18 ,$40.18 ,$24.80 ,$15.75 ,$8.68 ,$27.06 ,$28.49 ,$15.75 ,$25.64 ,$15.75 ,$31.00 ,$28.52 ,$30.38 ,$15.75 ,$16.06 ,$25.85 ,$25.85 ,$25.85 ,$15.75 ,$25.85 ,$26.54 ,$26.54 ,$27.90 ,$31.00 ,$26.35 ,$15.75 ,$15.75 ,$17.39 ,$15.75 ,$12.83 ,$7.89 ,$7.53 ,$16.53 ,$26.35 ,$25.64 ,$8.68 ,$27.90 ,$24.34 ,$25.61 ,$16.87 ,$20.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$126.00 ,$90.72 ,$6.74 ,$126.00 ,$20.15 ,$100.80 ,$7.90 ,$35.28 ,$110.00 ,$115.79 ,$7.90 ,$104.20 ,$7.90 ,$16.28 ,$115.92 ,$19.75 ,$7.90 ,$8.06 ,$105.08 ,$105.08 ,$105.08 ,$7.90 ,$105.08 ,$107.86 ,$107.86 ,$113.40 ,$20.15 ,$107.10 ,$7.90 ,$7.90 ,$70.69 ,$7.90 ,$52.16 ,$7.06 ,$6.74 ,$8.29 ,$107.10 ,$104.20 ,$35.28 ,$113.40 ,$98.91 ,$104.08 ,$8.46 ,$81.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$291.00 ,$209.52 ,$6.74 ,$291.00 ,$30.00 ,$232.80 ,$11.76 ,$81.48 ,$254.04 ,$267.43 ,$11.76 ,$240.66 ,$11.76 ,$24.24 ,$267.72 ,$29.40 ,$11.76 ,$12.00 ,$242.69 ,$242.69 ,$242.69 ,$11.76 ,$242.69 ,$249.10 ,$249.10 ,$261.90 ,$30.00 ,$247.35 ,$11.76 ,$11.76 ,$163.25 ,$11.76 ,$120.47 ,$7.06 ,$6.74 ,$12.35 ,$247.35 ,$240.66 ,$81.48 ,$261.90 ,$228.44 ,$240.37 ,$12.59 ,$189.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$423.00 ,$304.56 ,$6.74 ,$423.00 ,$50.80 ,$338.40 ,$19.91 ,$118.44 ,$369.28 ,$388.74 ,$19.91 ,$349.82 ,$19.91 ,$41.05 ,$389.16 ,$49.78 ,$19.91 ,$20.32 ,$352.78 ,$352.78 ,$352.78 ,$19.91 ,$352.78 ,$362.09 ,$362.09 ,$380.70 ,$50.80 ,$359.55 ,$19.91 ,$19.91 ,$237.30 ,$19.91 ,$175.12 ,$7.06 ,$6.74 ,$20.91 ,$359.55 ,$349.82 ,$118.44 ,$380.70 ,$332.06 ,$349.40 ,$21.32 ,$274.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200873,86200,HC CCP AB-90,302,1 ,$163.00 ,$117.36 ,$6.74 ,$163.00 ,$32.38 ,$130.40 ,$12.69 ,$45.64 ,$142.30 ,$149.80 ,$12.69 ,$134.80 ,$12.69 ,$26.16 ,$149.96 ,$31.73 ,$12.69 ,$12.95 ,$135.94 ,$135.94 ,$135.94 ,$12.69 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$32.38 ,$138.55 ,$12.69 ,$12.69 ,$91.44 ,$12.69 ,$67.48 ,$7.06 ,$6.74 ,$13.33 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$13.59 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$65.00 ,$46.80 ,$6.74 ,$65.00 ,$33.13 ,$52.00 ,$12.98 ,$18.20 ,$56.75 ,$59.74 ,$12.98 ,$53.76 ,$12.98 ,$26.77 ,$59.80 ,$32.47 ,$12.98 ,$13.25 ,$54.21 ,$54.21 ,$54.21 ,$12.98 ,$54.21 ,$55.64 ,$55.64 ,$58.50 ,$33.13 ,$55.25 ,$12.98 ,$12.98 ,$36.47 ,$12.98 ,$26.91 ,$7.06 ,$6.74 ,$13.63 ,$55.25 ,$53.76 ,$18.20 ,$58.50 ,$51.03 ,$53.69 ,$13.91 ,$42.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200875,86225,HC DNA DOUBLE STRAND AB-90,302,1 ,$97.00 ,$69.84 ,$6.74 ,$97.00 ,$34.35 ,$77.60 ,$13.47 ,$27.16 ,$84.68 ,$89.14 ,$13.47 ,$80.22 ,$13.47 ,$27.75 ,$89.24 ,$33.66 ,$13.47 ,$13.73 ,$80.90 ,$80.90 ,$80.90 ,$13.47 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$34.35 ,$82.45 ,$13.47 ,$13.47 ,$54.42 ,$13.47 ,$40.16 ,$7.06 ,$6.74 ,$14.14 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$14.43 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200876,86226,HC DNA SINGLE STRAND AB-90,302,1 ,$138.00 ,$99.36 ,$6.74 ,$138.00 ,$30.28 ,$110.40 ,$11.87 ,$38.64 ,$120.47 ,$126.82 ,$11.87 ,$114.13 ,$11.87 ,$24.46 ,$126.96 ,$29.67 ,$11.87 ,$12.10 ,$115.09 ,$115.09 ,$115.09 ,$11.87 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$30.28 ,$117.30 ,$11.87 ,$11.87 ,$77.42 ,$11.87 ,$57.13 ,$7.06 ,$6.74 ,$12.47 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$12.71 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200877,86235,HC ENA AB-90,302,1 ,$171.00 ,$123.12 ,$11.61 ,$171.00 ,$44.83 ,$136.80 ,$17.57 ,$47.88 ,$149.28 ,$157.15 ,$17.57 ,$141.42 ,$17.57 ,$36.22 ,$157.32 ,$43.93 ,$17.57 ,$17.92 ,$142.61 ,$142.61 ,$142.61 ,$17.57 ,$142.61 ,$146.38 ,$146.38 ,$153.90 ,$44.83 ,$145.35 ,$17.57 ,$17.57 ,$95.93 ,$17.57 ,$70.79 ,$12.17 ,$11.61 ,$18.45 ,$145.35 ,$141.42 ,$47.88 ,$153.90 ,$134.24 ,$141.25 ,$18.82 ,$111.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200878,86255,HC FLUOR AB SCR-90,302,1 ,$248.00 ,$178.56 ,$11.61 ,$248.00 ,$30.13 ,$198.40 ,$11.81 ,$69.44 ,$216.50 ,$227.91 ,$11.81 ,$205.10 ,$11.81 ,$24.34 ,$228.16 ,$29.53 ,$11.81 ,$12.04 ,$206.83 ,$206.83 ,$206.83 ,$11.81 ,$206.83 ,$212.29 ,$212.29 ,$223.20 ,$30.13 ,$210.80 ,$11.81 ,$11.81 ,$139.13 ,$11.81 ,$102.67 ,$12.17 ,$11.61 ,$12.40 ,$210.80 ,$205.10 ,$69.44 ,$223.20 ,$194.68 ,$204.85 ,$12.65 ,$161.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200879,86256,HC FLUOR AB TITER-90,302,1 ,$298.00 ,$214.56 ,$11.61 ,$298.00 ,$30.13 ,$238.40 ,$11.81 ,$83.44 ,$260.15 ,$273.86 ,$11.81 ,$246.45 ,$11.81 ,$24.34 ,$274.16 ,$29.53 ,$11.81 ,$12.04 ,$248.53 ,$248.53 ,$248.53 ,$11.81 ,$248.53 ,$255.09 ,$255.09 ,$268.20 ,$30.13 ,$253.30 ,$11.81 ,$11.81 ,$167.18 ,$11.81 ,$123.37 ,$12.17 ,$11.61 ,$12.40 ,$253.30 ,$246.45 ,$83.44 ,$268.20 ,$233.93 ,$246.15 ,$12.65 ,$193.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$372.00 ,$267.84 ,$17.86 ,$372.00 ,$52.03 ,$297.60 ,$20.39 ,$104.16 ,$324.76 ,$341.87 ,$20.39 ,$307.64 ,$20.39 ,$42.04 ,$342.24 ,$50.99 ,$20.39 ,$20.81 ,$310.25 ,$310.25 ,$310.25 ,$20.39 ,$310.25 ,$318.43 ,$318.43 ,$334.80 ,$52.03 ,$316.20 ,$20.39 ,$20.39 ,$208.69 ,$20.39 ,$154.01 ,$18.71 ,$17.86 ,$21.41 ,$316.20 ,$307.64 ,$104.16 ,$334.80 ,$292.02 ,$307.27 ,$21.84 ,$241.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200881,86301,HC TUMOR AG CA 19-9  -90,302,1 ,$279.00 ,$200.88 ,$17.86 ,$279.00 ,$52.03 ,$223.20 ,$20.39 ,$78.12 ,$243.57 ,$256.40 ,$20.39 ,$230.73 ,$20.39 ,$42.04 ,$256.68 ,$50.99 ,$20.39 ,$20.81 ,$232.69 ,$232.69 ,$232.69 ,$20.39 ,$232.69 ,$238.82 ,$238.82 ,$251.10 ,$52.03 ,$237.15 ,$20.39 ,$20.39 ,$156.52 ,$20.39 ,$115.51 ,$18.71 ,$17.86 ,$21.41 ,$237.15 ,$230.73 ,$78.12 ,$251.10 ,$219.02 ,$230.45 ,$21.84 ,$181.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200882,86304,HC TUMOR AG CA 125 -90,302,1 ,$328.00 ,$236.16 ,$17.86 ,$328.00 ,$52.03 ,$262.40 ,$20.39 ,$91.84 ,$286.34 ,$301.43 ,$20.39 ,$271.26 ,$20.39 ,$42.04 ,$301.76 ,$50.99 ,$20.39 ,$20.81 ,$273.55 ,$273.55 ,$273.55 ,$20.39 ,$273.55 ,$280.77 ,$280.77 ,$295.20 ,$52.03 ,$278.80 ,$20.39 ,$20.39 ,$184.01 ,$20.39 ,$135.79 ,$18.71 ,$17.86 ,$21.41 ,$278.80 ,$271.26 ,$91.84 ,$295.20 ,$257.48 ,$270.93 ,$21.84 ,$213.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200883,86305,HC HE4 OVARIAN CANCER-90,302,1 ,$492.00 ,$354.24 ,$17.86 ,$492.00 ,$52.03 ,$393.60 ,$20.39 ,$137.76 ,$429.52 ,$452.15 ,$20.39 ,$406.88 ,$20.39 ,$42.04 ,$452.64 ,$50.99 ,$20.39 ,$20.81 ,$410.33 ,$410.33 ,$410.33 ,$20.39 ,$410.33 ,$421.15 ,$421.15 ,$442.80 ,$52.03 ,$418.20 ,$20.39 ,$20.39 ,$276.01 ,$20.39 ,$203.69 ,$18.71 ,$17.86 ,$21.41 ,$418.20 ,$406.88 ,$137.76 ,$442.80 ,$386.22 ,$406.39 ,$21.84 ,$319.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200886,86632,HC CHLAMYDIA AB IGM-90,302,1 ,$677.00 ,$487.44 ,$5.38 ,$677.00 ,$31.70 ,$541.60 ,$12.43 ,$189.56 ,$591.02 ,$622.16 ,$12.43 ,$559.88 ,$12.43 ,$25.61 ,$622.84 ,$31.07 ,$12.43 ,$12.67 ,$564.62 ,$564.62 ,$564.62 ,$12.43 ,$564.62 ,$579.51 ,$579.51 ,$609.30 ,$31.70 ,$575.45 ,$12.43 ,$12.43 ,$379.80 ,$12.43 ,$280.28 ,$5.63 ,$5.38 ,$13.04 ,$575.45 ,$559.88 ,$189.56 ,$609.30 ,$531.45 ,$559.20 ,$13.31 ,$440.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$145.00 ,$104.40 ,$11.24 ,$145.00 ,$28.68 ,$116.00 ,$11.24 ,$40.60 ,$126.59 ,$133.26 ,$11.24 ,$119.92 ,$11.24 ,$23.17 ,$133.40 ,$28.11 ,$11.24 ,$11.47 ,$120.93 ,$120.93 ,$120.93 ,$11.24 ,$120.93 ,$124.12 ,$124.12 ,$130.50 ,$28.68 ,$123.25 ,$11.24 ,$11.24 ,$81.35 ,$11.24 ,$60.03 ,$12.17 ,$11.61 ,$11.80 ,$123.25 ,$119.92 ,$40.60 ,$130.50 ,$113.83 ,$119.77 ,$12.03 ,$94.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200888,86638,HC Q FEVER AB-90,302,1 ,$623.00 ,$448.56 ,$11.61 ,$623.00 ,$30.30 ,$498.40 ,$11.88 ,$174.44 ,$543.88 ,$572.54 ,$11.88 ,$515.22 ,$11.88 ,$24.48 ,$573.16 ,$29.69 ,$11.88 ,$12.11 ,$519.58 ,$519.58 ,$519.58 ,$11.88 ,$519.58 ,$533.29 ,$533.29 ,$560.70 ,$30.30 ,$529.55 ,$11.88 ,$11.88 ,$349.50 ,$11.88 ,$257.92 ,$12.17 ,$11.61 ,$12.48 ,$529.55 ,$515.22 ,$174.44 ,$560.70 ,$489.06 ,$514.60 ,$12.72 ,$404.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200890,86644,HC CMV AB-90,302,1 ,$217.00 ,$156.24 ,$11.61 ,$217.00 ,$35.98 ,$173.60 ,$14.10 ,$60.76 ,$189.44 ,$199.42 ,$14.10 ,$179.46 ,$14.10 ,$29.07 ,$199.64 ,$35.26 ,$14.10 ,$14.39 ,$180.98 ,$180.98 ,$180.98 ,$14.10 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$35.98 ,$184.45 ,$14.10 ,$14.10 ,$121.74 ,$14.10 ,$89.84 ,$12.17 ,$11.61 ,$14.81 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$15.10 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200891,86645,HC CMV AB IGM-90,302,1 ,$217.00 ,$156.24 ,$11.61 ,$217.00 ,$42.13 ,$173.60 ,$16.51 ,$60.76 ,$189.44 ,$199.42 ,$16.51 ,$179.46 ,$16.51 ,$34.04 ,$199.64 ,$41.29 ,$16.51 ,$16.85 ,$180.98 ,$180.98 ,$180.98 ,$16.51 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$42.13 ,$184.45 ,$16.51 ,$16.51 ,$121.74 ,$16.51 ,$89.84 ,$12.17 ,$11.61 ,$17.34 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$17.69 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200892,86648,HC DIPTHERIA-90,302,1 ,$167.00 ,$120.24 ,$11.61 ,$167.00 ,$38.03 ,$133.60 ,$14.91 ,$46.76 ,$145.79 ,$153.47 ,$14.91 ,$138.11 ,$14.91 ,$30.72 ,$153.64 ,$37.27 ,$14.91 ,$15.20 ,$139.28 ,$139.28 ,$139.28 ,$14.91 ,$139.28 ,$142.95 ,$142.95 ,$150.30 ,$38.03 ,$141.95 ,$14.91 ,$14.91 ,$93.69 ,$14.91 ,$69.14 ,$12.17 ,$11.61 ,$15.65 ,$141.95 ,$138.11 ,$46.76 ,$150.30 ,$131.10 ,$137.94 ,$15.96 ,$108.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$344.00 ,$247.68 ,$11.61 ,$344.00 ,$32.58 ,$275.20 ,$12.77 ,$96.32 ,$300.31 ,$316.14 ,$12.77 ,$284.49 ,$12.77 ,$26.32 ,$316.48 ,$31.93 ,$12.77 ,$13.02 ,$286.90 ,$286.90 ,$286.90 ,$12.77 ,$286.90 ,$294.46 ,$294.46 ,$309.60 ,$32.58 ,$292.40 ,$12.77 ,$12.77 ,$192.98 ,$12.77 ,$142.42 ,$12.17 ,$11.61 ,$13.41 ,$292.40 ,$284.49 ,$96.32 ,$309.60 ,$270.04 ,$284.14 ,$13.68 ,$223.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200898,86663,HC EBV EARLY AG-90,302,1 ,$53.00 ,$38.16 ,$11.61 ,$53.00 ,$32.80 ,$42.40 ,$12.86 ,$14.84 ,$46.27 ,$48.71 ,$12.86 ,$43.83 ,$12.86 ,$26.50 ,$48.76 ,$32.14 ,$12.86 ,$13.11 ,$44.20 ,$44.20 ,$44.20 ,$12.86 ,$44.20 ,$45.37 ,$45.37 ,$47.70 ,$32.80 ,$45.05 ,$12.86 ,$12.86 ,$29.73 ,$12.86 ,$21.94 ,$12.17 ,$11.61 ,$13.50 ,$45.05 ,$43.83 ,$14.84 ,$47.70 ,$41.61 ,$43.78 ,$13.77 ,$34.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$53.00 ,$38.16 ,$11.61 ,$53.00 ,$38.23 ,$42.40 ,$14.98 ,$14.84 ,$46.27 ,$48.71 ,$14.98 ,$43.83 ,$14.98 ,$30.89 ,$48.76 ,$37.47 ,$14.98 ,$15.29 ,$44.20 ,$44.20 ,$44.20 ,$14.98 ,$44.20 ,$45.37 ,$45.37 ,$47.70 ,$38.23 ,$45.05 ,$14.98 ,$14.98 ,$29.73 ,$14.98 ,$21.94 ,$12.17 ,$11.61 ,$15.73 ,$45.05 ,$43.83 ,$14.84 ,$47.70 ,$41.61 ,$43.78 ,$16.05 ,$34.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$53.00 ,$38.16 ,$11.61 ,$53.00 ,$45.35 ,$42.40 ,$17.78 ,$14.84 ,$46.27 ,$48.71 ,$17.78 ,$43.83 ,$17.78 ,$36.64 ,$48.76 ,$44.44 ,$17.78 ,$18.13 ,$44.20 ,$44.20 ,$44.20 ,$17.78 ,$44.20 ,$45.37 ,$45.37 ,$47.70 ,$45.35 ,$45.05 ,$17.78 ,$17.78 ,$29.73 ,$17.78 ,$21.94 ,$12.17 ,$11.61 ,$18.67 ,$45.05 ,$43.83 ,$14.84 ,$47.70 ,$41.61 ,$43.78 ,$19.04 ,$34.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200901,86666,HC EHRLICHIA AB-90,302,1 ,$229.00 ,$164.88 ,$9.98 ,$229.00 ,$25.45 ,$183.20 ,$9.98 ,$64.12 ,$199.92 ,$210.45 ,$9.98 ,$189.38 ,$9.98 ,$20.56 ,$210.68 ,$24.94 ,$9.98 ,$10.17 ,$190.99 ,$190.99 ,$190.99 ,$9.98 ,$190.99 ,$196.02 ,$196.02 ,$206.10 ,$25.45 ,$194.65 ,$9.98 ,$9.98 ,$128.47 ,$9.98 ,$94.81 ,$12.17 ,$11.61 ,$10.48 ,$194.65 ,$189.38 ,$64.12 ,$206.10 ,$179.77 ,$189.15 ,$10.68 ,$148.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$398.00 ,$286.56 ,$6.74 ,$398.00 ,$30.63 ,$318.40 ,$12.00 ,$111.44 ,$347.45 ,$365.76 ,$12.00 ,$329.15 ,$12.00 ,$24.75 ,$366.16 ,$30.02 ,$12.00 ,$12.25 ,$331.93 ,$331.93 ,$331.93 ,$12.00 ,$331.93 ,$340.69 ,$340.69 ,$358.20 ,$30.63 ,$338.30 ,$12.00 ,$12.00 ,$223.28 ,$12.00 ,$164.77 ,$7.06 ,$6.74 ,$12.60 ,$338.30 ,$329.15 ,$111.44 ,$358.20 ,$312.43 ,$328.75 ,$12.86 ,$258.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200907,86684,HC HAEMOPHILUS INFLUENZA AB-90,302,1 ,$400.00 ,$288.00 ,$6.74 ,$400.00 ,$39.60 ,$320.00 ,$15.52 ,$112.00 ,$349.20 ,$367.60 ,$15.52 ,$330.80 ,$15.52 ,$32.00 ,$368.00 ,$38.81 ,$15.52 ,$15.84 ,$333.60 ,$333.60 ,$333.60 ,$15.52 ,$333.60 ,$342.40 ,$342.40 ,$360.00 ,$39.60 ,$340.00 ,$15.52 ,$15.52 ,$224.40 ,$15.52 ,$165.60 ,$7.06 ,$6.74 ,$16.30 ,$340.00 ,$330.80 ,$112.00 ,$360.00 ,$314.00 ,$330.40 ,$16.62 ,$260.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$218.00 ,$156.96 ,$11.61 ,$218.00 ,$32.98 ,$174.40 ,$12.93 ,$61.04 ,$190.31 ,$200.34 ,$12.93 ,$180.29 ,$12.93 ,$26.64 ,$200.56 ,$32.32 ,$12.93 ,$13.18 ,$181.81 ,$181.81 ,$181.81 ,$12.93 ,$181.81 ,$186.61 ,$186.61 ,$196.20 ,$32.98 ,$185.30 ,$12.93 ,$12.93 ,$122.30 ,$12.93 ,$90.25 ,$12.17 ,$11.61 ,$13.57 ,$185.30 ,$180.29 ,$61.04 ,$196.20 ,$171.13 ,$180.07 ,$13.85 ,$141.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$218.00 ,$156.96 ,$6.74 ,$218.00 ,$48.38 ,$174.40 ,$18.96 ,$61.04 ,$190.31 ,$200.34 ,$18.96 ,$180.29 ,$18.96 ,$39.09 ,$200.56 ,$47.41 ,$18.96 ,$19.35 ,$181.81 ,$181.81 ,$181.81 ,$18.96 ,$181.81 ,$186.61 ,$186.61 ,$196.20 ,$48.38 ,$185.30 ,$18.96 ,$18.96 ,$122.30 ,$18.96 ,$90.25 ,$7.06 ,$6.74 ,$19.91 ,$185.30 ,$180.29 ,$61.04 ,$196.20 ,$171.13 ,$180.07 ,$20.31 ,$141.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$273.00 ,$196.56 ,$11.61 ,$273.00 ,$34.48 ,$218.40 ,$13.51 ,$76.44 ,$238.33 ,$250.89 ,$13.51 ,$225.77 ,$13.51 ,$27.86 ,$251.16 ,$33.79 ,$13.51 ,$13.79 ,$227.68 ,$227.68 ,$227.68 ,$13.51 ,$227.68 ,$233.69 ,$233.69 ,$245.70 ,$34.48 ,$232.05 ,$13.51 ,$13.51 ,$153.15 ,$13.51 ,$113.02 ,$12.17 ,$11.61 ,$14.19 ,$232.05 ,$225.77 ,$76.44 ,$245.70 ,$214.31 ,$225.50 ,$14.47 ,$177.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200915,86701,HC HIV-1 AB-90,302,1 ,$278.00 ,$200.16 ,$6.74 ,$278.00 ,$22.23 ,$222.40 ,$8.71 ,$77.84 ,$242.69 ,$255.48 ,$8.71 ,$229.91 ,$8.71 ,$17.96 ,$255.76 ,$21.79 ,$8.71 ,$8.89 ,$231.85 ,$231.85 ,$231.85 ,$8.71 ,$231.85 ,$237.97 ,$237.97 ,$250.20 ,$22.23 ,$236.30 ,$8.71 ,$8.71 ,$155.96 ,$8.71 ,$115.09 ,$7.06 ,$6.74 ,$9.14 ,$236.30 ,$229.91 ,$77.84 ,$250.20 ,$218.23 ,$229.63 ,$9.33 ,$180.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200918,86702,HC HIV-2 AB-90,302,1 ,$174.00 ,$125.28 ,$6.74 ,$174.00 ,$33.80 ,$139.20 ,$13.25 ,$48.72 ,$151.90 ,$159.91 ,$13.25 ,$143.90 ,$13.25 ,$27.31 ,$160.08 ,$33.12 ,$13.25 ,$13.51 ,$145.12 ,$145.12 ,$145.12 ,$13.25 ,$145.12 ,$148.94 ,$148.94 ,$156.60 ,$33.80 ,$147.90 ,$13.25 ,$13.25 ,$97.61 ,$13.25 ,$72.04 ,$7.06 ,$6.74 ,$13.92 ,$147.90 ,$143.90 ,$48.72 ,$156.60 ,$136.59 ,$143.72 ,$14.19 ,$113.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200919,86704,HC HEP CORE AB-90,302,1 ,$290.00 ,$208.80 ,$6.74 ,$290.00 ,$30.13 ,$232.00 ,$11.81 ,$81.20 ,$253.17 ,$266.51 ,$11.81 ,$239.83 ,$11.81 ,$24.34 ,$266.80 ,$29.53 ,$11.81 ,$12.04 ,$241.86 ,$241.86 ,$241.86 ,$11.81 ,$241.86 ,$248.24 ,$248.24 ,$261.00 ,$30.13 ,$246.50 ,$11.81 ,$11.81 ,$162.69 ,$11.81 ,$120.06 ,$7.06 ,$6.74 ,$12.40 ,$246.50 ,$239.83 ,$81.20 ,$261.00 ,$227.65 ,$239.54 ,$12.65 ,$188.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200921,86706,HC HEP B SURFACE AB-90,302,1 ,$253.00 ,$182.16 ,$6.74 ,$253.00 ,$26.85 ,$202.40 ,$10.53 ,$70.84 ,$220.87 ,$232.51 ,$10.53 ,$209.23 ,$10.53 ,$21.69 ,$232.76 ,$26.31 ,$10.53 ,$10.73 ,$211.00 ,$211.00 ,$211.00 ,$10.53 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$26.85 ,$215.05 ,$10.53 ,$10.53 ,$141.93 ,$10.53 ,$104.74 ,$7.06 ,$6.74 ,$11.05 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$11.27 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200923,86707,HC HEP B E AB-90,302,1 ,$102.00 ,$73.44 ,$6.74 ,$102.00 ,$28.93 ,$81.60 ,$11.34 ,$28.56 ,$89.05 ,$93.74 ,$11.34 ,$84.35 ,$11.34 ,$23.37 ,$93.84 ,$28.35 ,$11.34 ,$11.56 ,$85.07 ,$85.07 ,$85.07 ,$11.34 ,$85.07 ,$87.31 ,$87.31 ,$91.80 ,$28.93 ,$86.70 ,$11.34 ,$11.34 ,$57.22 ,$11.34 ,$42.23 ,$7.06 ,$6.74 ,$11.91 ,$86.70 ,$84.35 ,$28.56 ,$91.80 ,$80.07 ,$84.25 ,$12.14 ,$66.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$269.00 ,$193.68 ,$6.74 ,$269.00 ,$30.98 ,$215.20 ,$12.14 ,$75.32 ,$234.84 ,$247.21 ,$12.14 ,$222.46 ,$12.14 ,$25.03 ,$247.48 ,$30.36 ,$12.14 ,$12.39 ,$224.35 ,$224.35 ,$224.35 ,$12.14 ,$224.35 ,$230.26 ,$230.26 ,$242.10 ,$30.98 ,$228.65 ,$12.14 ,$12.14 ,$150.91 ,$12.14 ,$111.37 ,$7.06 ,$6.74 ,$12.75 ,$228.65 ,$222.46 ,$75.32 ,$242.10 ,$211.17 ,$222.19 ,$13.00 ,$174.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200925,86709,HC HEP A AB IGM-90,302,1 ,$156.00 ,$112.32 ,$6.74 ,$156.00 ,$28.15 ,$124.80 ,$11.03 ,$43.68 ,$136.19 ,$143.36 ,$11.03 ,$129.01 ,$11.03 ,$22.75 ,$143.52 ,$27.59 ,$11.03 ,$11.26 ,$130.10 ,$130.10 ,$130.10 ,$11.03 ,$130.10 ,$133.54 ,$133.54 ,$140.40 ,$28.15 ,$132.60 ,$11.03 ,$11.03 ,$87.52 ,$11.03 ,$64.58 ,$7.06 ,$6.74 ,$11.58 ,$132.60 ,$129.01 ,$43.68 ,$140.40 ,$122.46 ,$128.86 ,$11.82 ,$101.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200926,86710,HC INFLUENZA AB-90,302,1 ,$480.00 ,$345.60 ,$6.74 ,$480.00 ,$33.88 ,$384.00 ,$13.28 ,$134.40 ,$419.04 ,$441.12 ,$13.28 ,$396.96 ,$13.28 ,$27.37 ,$441.60 ,$33.20 ,$13.28 ,$13.54 ,$400.32 ,$400.32 ,$400.32 ,$13.28 ,$400.32 ,$410.88 ,$410.88 ,$432.00 ,$33.88 ,$408.00 ,$13.28 ,$13.28 ,$269.28 ,$13.28 ,$198.72 ,$7.06 ,$6.74 ,$13.95 ,$408.00 ,$396.96 ,$134.40 ,$432.00 ,$376.80 ,$396.48 ,$14.22 ,$312.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200931,86735,HC MUMPS AB-90,302,1 ,$232.00 ,$167.04 ,$6.74 ,$232.00 ,$32.63 ,$185.60 ,$12.79 ,$64.96 ,$202.54 ,$213.21 ,$12.79 ,$191.86 ,$12.79 ,$26.36 ,$213.44 ,$31.98 ,$12.79 ,$13.04 ,$193.49 ,$193.49 ,$193.49 ,$12.79 ,$193.49 ,$198.59 ,$198.59 ,$208.80 ,$32.63 ,$197.20 ,$12.79 ,$12.79 ,$130.15 ,$12.79 ,$96.05 ,$7.06 ,$6.74 ,$13.43 ,$197.20 ,$191.86 ,$64.96 ,$208.80 ,$182.12 ,$191.63 ,$13.70 ,$150.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$198.00 ,$142.56 ,$11.61 ,$198.00 ,$33.10 ,$158.40 ,$12.98 ,$55.44 ,$172.85 ,$181.96 ,$12.98 ,$163.75 ,$12.98 ,$26.74 ,$182.16 ,$32.44 ,$12.98 ,$13.23 ,$165.13 ,$165.13 ,$165.13 ,$12.98 ,$165.13 ,$169.49 ,$169.49 ,$178.20 ,$33.10 ,$168.30 ,$12.98 ,$12.98 ,$111.08 ,$12.98 ,$81.97 ,$12.17 ,$11.61 ,$13.62 ,$168.30 ,$163.75 ,$55.44 ,$178.20 ,$155.43 ,$163.55 ,$13.90 ,$128.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$380.00 ,$273.60 ,$11.61 ,$380.00 ,$37.58 ,$304.00 ,$14.73 ,$106.40 ,$331.74 ,$349.22 ,$14.73 ,$314.26 ,$14.73 ,$30.36 ,$349.60 ,$36.83 ,$14.73 ,$15.02 ,$316.92 ,$316.92 ,$316.92 ,$14.73 ,$316.92 ,$325.28 ,$325.28 ,$342.00 ,$37.58 ,$323.00 ,$14.73 ,$14.73 ,$213.18 ,$14.73 ,$157.32 ,$12.17 ,$11.61 ,$15.46 ,$323.00 ,$314.26 ,$106.40 ,$342.00 ,$298.30 ,$313.88 ,$15.78 ,$247.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200937,86753,HC PROTOZOA AB-90,302,1 ,$124.00 ,$89.28 ,$6.74 ,$124.00 ,$30.98 ,$99.20 ,$12.14 ,$34.72 ,$108.25 ,$113.96 ,$12.14 ,$102.55 ,$12.14 ,$25.03 ,$114.08 ,$30.36 ,$12.14 ,$12.39 ,$103.42 ,$103.42 ,$103.42 ,$12.14 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$30.98 ,$105.40 ,$12.14 ,$12.14 ,$69.56 ,$12.14 ,$51.34 ,$7.06 ,$6.74 ,$12.75 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$13.00 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200938,86756,HC RSV AB-90,302,1 ,$232.00 ,$167.04 ,$11.61 ,$232.00 ,$39.73 ,$185.60 ,$15.57 ,$64.96 ,$202.54 ,$213.21 ,$15.57 ,$191.86 ,$15.57 ,$32.10 ,$213.44 ,$38.94 ,$15.57 ,$15.89 ,$193.49 ,$193.49 ,$193.49 ,$15.57 ,$193.49 ,$198.59 ,$198.59 ,$208.80 ,$39.73 ,$197.20 ,$15.57 ,$15.57 ,$130.15 ,$15.57 ,$96.05 ,$12.17 ,$11.61 ,$16.35 ,$197.20 ,$191.86 ,$64.96 ,$208.80 ,$182.12 ,$191.63 ,$16.68 ,$150.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200940,86762,HC RUBELLA AB-90,302,1 ,$54.00 ,$38.88 ,$6.74 ,$54.00 ,$35.98 ,$43.20 ,$14.10 ,$15.12 ,$47.14 ,$49.63 ,$14.10 ,$44.66 ,$14.10 ,$29.07 ,$49.68 ,$35.26 ,$14.10 ,$14.39 ,$45.04 ,$45.04 ,$45.04 ,$14.10 ,$45.04 ,$46.22 ,$46.22 ,$48.60 ,$35.98 ,$45.90 ,$14.10 ,$14.10 ,$30.29 ,$14.10 ,$22.36 ,$7.06 ,$6.74 ,$14.81 ,$45.90 ,$44.66 ,$15.12 ,$48.60 ,$42.39 ,$44.60 ,$15.10 ,$35.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200941,86765,HC RUBEOLA AB-90,302,1 ,$94.00 ,$67.68 ,$6.74 ,$94.00 ,$32.20 ,$75.20 ,$12.62 ,$26.32 ,$82.06 ,$86.39 ,$12.62 ,$77.74 ,$12.62 ,$26.02 ,$86.48 ,$31.56 ,$12.62 ,$12.88 ,$78.40 ,$78.40 ,$78.40 ,$12.62 ,$78.40 ,$80.46 ,$80.46 ,$84.60 ,$32.20 ,$79.90 ,$12.62 ,$12.62 ,$52.73 ,$12.62 ,$38.92 ,$7.06 ,$6.74 ,$13.25 ,$79.90 ,$77.74 ,$26.32 ,$84.60 ,$73.79 ,$77.64 ,$13.51 ,$61.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200943,86774,HC TETANUS AB-90,302,1 ,$419.00 ,$301.68 ,$11.61 ,$419.00 ,$37.00 ,$335.20 ,$14.50 ,$117.32 ,$365.79 ,$385.06 ,$14.50 ,$346.51 ,$14.50 ,$29.90 ,$385.48 ,$36.26 ,$14.50 ,$14.80 ,$349.45 ,$349.45 ,$349.45 ,$14.50 ,$349.45 ,$358.66 ,$358.66 ,$377.10 ,$37.00 ,$356.15 ,$14.50 ,$14.50 ,$235.06 ,$14.50 ,$173.47 ,$12.17 ,$11.61 ,$15.23 ,$356.15 ,$346.51 ,$117.32 ,$377.10 ,$328.92 ,$346.09 ,$15.53 ,$272.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$115.00 ,$82.80 ,$11.61 ,$115.00 ,$36.03 ,$92.00 ,$14.12 ,$32.20 ,$100.40 ,$105.69 ,$14.12 ,$95.11 ,$14.12 ,$29.11 ,$105.80 ,$35.31 ,$14.12 ,$14.41 ,$95.91 ,$95.91 ,$95.91 ,$14.12 ,$95.91 ,$98.44 ,$98.44 ,$103.50 ,$36.03 ,$97.75 ,$14.12 ,$14.12 ,$64.52 ,$14.12 ,$47.61 ,$12.17 ,$11.61 ,$14.83 ,$97.75 ,$95.11 ,$32.20 ,$103.50 ,$90.28 ,$94.99 ,$15.12 ,$74.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$263.00 ,$189.36 ,$11.61 ,$263.00 ,$33.10 ,$210.40 ,$12.98 ,$73.64 ,$229.60 ,$241.70 ,$12.98 ,$217.50 ,$12.98 ,$26.74 ,$241.96 ,$32.44 ,$12.98 ,$13.23 ,$219.34 ,$219.34 ,$219.34 ,$12.98 ,$219.34 ,$225.13 ,$225.13 ,$236.70 ,$33.10 ,$223.55 ,$12.98 ,$12.98 ,$147.54 ,$12.98 ,$108.88 ,$12.17 ,$11.61 ,$13.62 ,$223.55 ,$217.50 ,$73.64 ,$236.70 ,$206.46 ,$217.24 ,$13.90 ,$170.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$279.00 ,$200.88 ,$6.74 ,$279.00 ,$32.20 ,$223.20 ,$12.62 ,$78.12 ,$243.57 ,$256.40 ,$12.62 ,$230.73 ,$12.62 ,$26.02 ,$256.68 ,$31.56 ,$12.62 ,$12.88 ,$232.69 ,$232.69 ,$232.69 ,$12.62 ,$232.69 ,$238.82 ,$238.82 ,$251.10 ,$32.20 ,$237.15 ,$12.62 ,$12.62 ,$156.52 ,$12.62 ,$115.51 ,$7.06 ,$6.74 ,$13.25 ,$237.15 ,$230.73 ,$78.12 ,$251.10 ,$219.02 ,$230.45 ,$13.51 ,$181.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200949,86788,HC WEST NILE VIRUS AB IGM-90,302,1 ,$103.00 ,$74.16 ,$11.61 ,$103.00 ,$42.13 ,$82.40 ,$16.51 ,$28.84 ,$89.92 ,$94.66 ,$16.51 ,$85.18 ,$16.51 ,$34.04 ,$94.76 ,$41.29 ,$16.51 ,$16.85 ,$85.90 ,$85.90 ,$85.90 ,$16.51 ,$85.90 ,$88.17 ,$88.17 ,$92.70 ,$42.13 ,$87.55 ,$16.51 ,$16.51 ,$57.78 ,$16.51 ,$42.64 ,$12.17 ,$11.61 ,$17.34 ,$87.55 ,$85.18 ,$28.84 ,$92.70 ,$80.86 ,$85.08 ,$17.69 ,$66.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200950,86789,HC WEST NILE AB-90,302,1 ,$152.00 ,$109.44 ,$11.61 ,$152.00 ,$35.98 ,$121.60 ,$14.10 ,$42.56 ,$132.70 ,$139.69 ,$14.10 ,$125.70 ,$14.10 ,$29.07 ,$139.84 ,$35.26 ,$14.10 ,$14.39 ,$126.77 ,$126.77 ,$126.77 ,$14.10 ,$126.77 ,$130.11 ,$130.11 ,$136.80 ,$35.98 ,$129.20 ,$14.10 ,$14.10 ,$85.27 ,$14.10 ,$62.93 ,$12.17 ,$11.61 ,$14.81 ,$129.20 ,$125.70 ,$42.56 ,$136.80 ,$119.32 ,$125.55 ,$15.10 ,$98.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200951,86790,HC VIRUS AB NOT SPECIFIED-90,302,1 ,$436.00 ,$313.92 ,$6.74 ,$436.00 ,$32.20 ,$348.80 ,$12.62 ,$122.08 ,$380.63 ,$400.68 ,$12.62 ,$360.57 ,$12.62 ,$26.02 ,$401.12 ,$31.56 ,$12.62 ,$12.88 ,$363.62 ,$363.62 ,$363.62 ,$12.62 ,$363.62 ,$373.22 ,$373.22 ,$392.40 ,$32.20 ,$370.60 ,$12.62 ,$12.62 ,$244.60 ,$12.62 ,$180.50 ,$7.06 ,$6.74 ,$13.25 ,$370.60 ,$360.57 ,$122.08 ,$392.40 ,$342.26 ,$360.14 ,$13.51 ,$283.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$98.00 ,$70.56 ,$15.59 ,$98.00 ,$39.78 ,$78.40 ,$15.59 ,$27.44 ,$85.55 ,$90.06 ,$15.59 ,$81.05 ,$15.59 ,$32.14 ,$90.16 ,$38.98 ,$15.59 ,$15.91 ,$81.73 ,$81.73 ,$81.73 ,$15.59 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$39.78 ,$83.30 ,$15.59 ,$15.59 ,$54.98 ,$15.59 ,$40.57 ,$18.45 ,$17.61 ,$16.38 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$16.70 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200954,86803,HC HEP C AB-90,302,1 ,$131.00 ,$94.32 ,$11.61 ,$131.00 ,$35.68 ,$104.80 ,$13.98 ,$36.68 ,$114.36 ,$120.39 ,$13.98 ,$108.34 ,$13.98 ,$28.83 ,$120.52 ,$34.97 ,$13.98 ,$14.27 ,$109.25 ,$109.25 ,$109.25 ,$13.98 ,$109.25 ,$112.14 ,$112.14 ,$117.90 ,$35.68 ,$111.35 ,$13.98 ,$13.98 ,$73.49 ,$13.98 ,$54.23 ,$12.17 ,$11.61 ,$14.68 ,$111.35 ,$108.34 ,$36.68 ,$117.90 ,$102.84 ,$108.21 ,$14.97 ,$85.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$412.00 ,$296.64 ,$25.29 ,$412.00 ,$64.53 ,$329.60 ,$25.29 ,$115.36 ,$359.68 ,$378.63 ,$25.29 ,$340.72 ,$25.29 ,$52.14 ,$379.04 ,$63.24 ,$25.29 ,$25.80 ,$343.61 ,$343.61 ,$343.61 ,$25.29 ,$343.61 ,$352.67 ,$352.67 ,$370.80 ,$64.53 ,$350.20 ,$25.29 ,$25.29 ,$231.13 ,$25.29 ,$170.57 ,$28.50 ,$27.21 ,$26.56 ,$350.20 ,$340.72 ,$115.36 ,$370.80 ,$323.42 ,$340.31 ,$27.09 ,$267.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200966,86850,HC AB SCREEN-90,302,1 ,$96.00 ,$69.12 ,$6.74 ,$113.75 ,$113.75 ,$76.80 ,$44.59 ,$26.88 ,$83.81 ,$88.22 ,$44.59 ,$79.39 ,$44.59 ,$91.91 ,$88.32 ,$94.08 ,$44.59 ,$45.48 ,$80.06 ,$80.06 ,$80.06 ,$44.59 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$96.00 ,$81.60 ,$44.59 ,$44.59 ,$53.86 ,$44.59 ,$39.74 ,$7.06 ,$6.74 ,$46.82 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$47.76 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200970,86860,HC ELUTION-90,302,1 ,$176.00 ,$126.72 ,$6.74 ,$356.75 ,$356.75 ,$140.80 ,$139.85 ,$49.28 ,$153.65 ,$161.74 ,$139.85 ,$145.55 ,$139.85 ,$176.00 ,$161.92 ,$172.48 ,$139.85 ,$142.64 ,$146.78 ,$146.78 ,$146.78 ,$139.85 ,$146.78 ,$150.66 ,$150.66 ,$158.40 ,$176.00 ,$149.60 ,$139.85 ,$139.85 ,$98.74 ,$139.85 ,$72.86 ,$7.06 ,$6.74 ,$146.84 ,$149.60 ,$145.55 ,$49.28 ,$158.40 ,$138.16 ,$145.38 ,$149.77 ,$114.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200972,86870,HC RBC AB ID PANEL-90,302,1 ,$144.00 ,$103.68 ,$6.74 ,$735.30 ,$735.30 ,$115.20 ,$141.12 ,$40.32 ,$125.71 ,$132.34 ,$141.12 ,$119.09 ,$141.12 ,$144.00 ,$132.48 ,$141.12 ,$288.24 ,$143.94 ,$120.10 ,$120.10 ,$120.10 ,$141.12 ,$120.10 ,$123.26 ,$123.26 ,$129.60 ,$144.00 ,$122.40 ,$141.12 ,$141.12 ,$80.78 ,$288.24 ,$59.62 ,$7.06 ,$6.74 ,$141.12 ,$122.40 ,$119.09 ,$40.32 ,$129.60 ,$113.04 ,$118.94 ,$308.71 ,$93.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200976,86880,HC COOMBS DIRECT-90,302,1 ,$79.00 ,$56.88 ,$6.74 ,$130.40 ,$130.40 ,$63.20 ,$51.12 ,$22.12 ,$68.97 ,$72.60 ,$51.12 ,$65.33 ,$51.12 ,$79.00 ,$72.68 ,$77.42 ,$51.12 ,$52.14 ,$65.89 ,$65.89 ,$65.89 ,$51.12 ,$65.89 ,$67.62 ,$67.62 ,$71.10 ,$79.00 ,$67.15 ,$51.12 ,$51.12 ,$44.32 ,$51.12 ,$32.71 ,$7.06 ,$6.74 ,$53.67 ,$67.15 ,$65.33 ,$22.12 ,$71.10 ,$62.02 ,$65.25 ,$54.75 ,$51.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200978,86886,HC INDIRECT TITER-90,302,1 ,$156.00 ,$112.32 ,$6.74 ,$356.75 ,$356.75 ,$124.80 ,$139.85 ,$43.68 ,$136.19 ,$143.36 ,$139.85 ,$129.01 ,$139.85 ,$156.00 ,$143.52 ,$152.88 ,$139.85 ,$142.64 ,$130.10 ,$130.10 ,$130.10 ,$139.85 ,$130.10 ,$133.54 ,$133.54 ,$140.40 ,$156.00 ,$132.60 ,$139.85 ,$139.85 ,$87.52 ,$139.85 ,$64.58 ,$7.06 ,$6.74 ,$146.84 ,$132.60 ,$129.01 ,$43.68 ,$140.40 ,$122.46 ,$128.86 ,$149.77 ,$101.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200981,86900,HC BLOOD TYPING ABO-90,302,1 ,$70.00 ,$50.40 ,$4.18 ,$263.43 ,$263.43 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$103.26 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$103.26 ,$28.98 ,$4.38 ,$4.18 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$110.59 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200983,86901,HC BLOOD TYPING RH-90,302,1 ,$70.00 ,$50.40 ,$4.18 ,$77.05 ,$77.05 ,$56.00 ,$30.20 ,$19.60 ,$61.11 ,$64.33 ,$30.20 ,$57.89 ,$30.20 ,$62.25 ,$64.40 ,$68.60 ,$30.20 ,$30.81 ,$58.38 ,$58.38 ,$58.38 ,$30.20 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$30.20 ,$30.20 ,$39.27 ,$30.20 ,$28.98 ,$4.38 ,$4.18 ,$31.71 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$32.35 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200989,86902,HC RBC AG SCR RGT SERUM-90,302,1 ,$121.00 ,$87.12 ,$4.18 ,$735.30 ,$735.30 ,$96.80 ,$118.58 ,$33.88 ,$105.63 ,$111.20 ,$118.58 ,$100.07 ,$118.58 ,$121.00 ,$111.32 ,$118.58 ,$288.24 ,$120.95 ,$100.91 ,$100.91 ,$100.91 ,$118.58 ,$100.91 ,$103.58 ,$103.58 ,$108.90 ,$121.00 ,$102.85 ,$118.58 ,$118.58 ,$67.88 ,$288.24 ,$50.09 ,$4.38 ,$4.18 ,$118.58 ,$102.85 ,$100.07 ,$33.88 ,$108.90 ,$94.99 ,$99.95 ,$308.71 ,$78.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30200998,86906,HC RH PHENOTYPE COMPLETE-90,302,1 ,$97.00 ,$69.84 ,$4.18 ,$97.00 ,$77.05 ,$77.60 ,$30.20 ,$27.16 ,$84.68 ,$89.14 ,$30.20 ,$80.22 ,$30.20 ,$62.25 ,$89.24 ,$75.51 ,$30.20 ,$30.81 ,$80.90 ,$80.90 ,$80.90 ,$30.20 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$77.05 ,$82.45 ,$30.20 ,$30.20 ,$54.42 ,$30.20 ,$40.16 ,$4.38 ,$4.18 ,$31.71 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$32.35 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201000,86922,HC CROSSMATCH AHG-90,302,1 ,$191.00 ,$137.52 ,$27.21 ,$356.75 ,$356.75 ,$152.80 ,$139.85 ,$53.48 ,$166.74 ,$175.53 ,$139.85 ,$157.96 ,$139.85 ,$191.00 ,$175.72 ,$187.18 ,$139.85 ,$142.64 ,$159.29 ,$159.29 ,$159.29 ,$139.85 ,$159.29 ,$163.50 ,$163.50 ,$171.90 ,$191.00 ,$162.35 ,$139.85 ,$139.85 ,$107.15 ,$139.85 ,$79.07 ,$28.50 ,$27.21 ,$146.84 ,$162.35 ,$157.96 ,$53.48 ,$171.90 ,$149.94 ,$157.77 ,$149.77 ,$124.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201001,86940,HC HEOLYSIN AGG AUTO SCREEN-90,302,1 ,$150.00 ,$108.00 ,$8.59 ,$150.00 ,$21.93 ,$120.00 ,$8.59 ,$42.00 ,$130.95 ,$137.85 ,$8.59 ,$124.05 ,$8.59 ,$17.72 ,$138.00 ,$21.49 ,$8.59 ,$8.77 ,$125.10 ,$125.10 ,$125.10 ,$8.59 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$21.93 ,$127.50 ,$8.59 ,$8.59 ,$84.15 ,$8.59 ,$62.10 ,$12.17 ,$11.61 ,$9.03 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$9.20 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201003,86970,HC RBC PRETREAT CHEM-90,302,1 ,$206.00 ,$148.32 ,$27.21 ,$206.00 ,$77.05 ,$164.80 ,$30.20 ,$57.68 ,$179.84 ,$189.31 ,$30.20 ,$170.36 ,$30.20 ,$62.25 ,$189.52 ,$75.51 ,$30.20 ,$30.81 ,$171.80 ,$171.80 ,$171.80 ,$30.20 ,$171.80 ,$176.34 ,$176.34 ,$185.40 ,$77.05 ,$175.10 ,$30.20 ,$30.20 ,$115.57 ,$30.20 ,$85.28 ,$28.50 ,$27.21 ,$31.71 ,$175.10 ,$170.36 ,$57.68 ,$185.40 ,$161.71 ,$170.16 ,$32.35 ,$133.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201004,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$96.00 ,$69.12 ,$26.88 ,$735.30 ,$735.30 ,$76.80 ,$94.08 ,$26.88 ,$83.81 ,$88.22 ,$94.08 ,$79.39 ,$94.08 ,$96.00 ,$88.32 ,$94.08 ,$288.24 ,$95.96 ,$80.06 ,$80.06 ,$80.06 ,$94.08 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$96.00 ,$81.60 ,$94.08 ,$94.08 ,$53.86 ,$288.24 ,$39.74 ,$28.50 ,$27.21 ,$94.08 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$308.71 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201005,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$96.00 ,$69.12 ,$26.88 ,$735.30 ,$735.30 ,$76.80 ,$94.08 ,$26.88 ,$83.81 ,$88.22 ,$94.08 ,$79.39 ,$94.08 ,$96.00 ,$88.32 ,$94.08 ,$288.24 ,$95.96 ,$80.06 ,$80.06 ,$80.06 ,$94.08 ,$80.06 ,$82.18 ,$82.18 ,$86.40 ,$96.00 ,$81.60 ,$94.08 ,$94.08 ,$53.86 ,$288.24 ,$39.74 ,$28.50 ,$27.21 ,$94.08 ,$81.60 ,$79.39 ,$26.88 ,$86.40 ,$75.36 ,$79.30 ,$308.71 ,$62.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201007,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$88.00 ,$63.36 ,$24.64 ,$356.75 ,$356.75 ,$70.40 ,$86.24 ,$24.64 ,$76.82 ,$80.87 ,$86.24 ,$72.78 ,$86.24 ,$88.00 ,$80.96 ,$86.24 ,$139.85 ,$87.96 ,$73.39 ,$73.39 ,$73.39 ,$86.24 ,$73.39 ,$75.33 ,$75.33 ,$79.20 ,$88.00 ,$74.80 ,$86.24 ,$86.24 ,$49.37 ,$139.85 ,$36.43 ,$28.50 ,$27.21 ,$86.24 ,$74.80 ,$72.78 ,$24.64 ,$79.20 ,$69.08 ,$72.69 ,$149.77 ,$57.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201009,86975,HC INCUBATION OF SERUM W/DRUG-90,302,1 ,$205.00 ,$147.60 ,$27.21 ,$856.60 ,$856.60 ,$164.00 ,$200.90 ,$57.40 ,$178.97 ,$188.40 ,$200.90 ,$169.54 ,$200.90 ,$205.00 ,$188.60 ,$200.90 ,$335.79 ,$204.92 ,$170.97 ,$170.97 ,$170.97 ,$200.90 ,$170.97 ,$175.48 ,$175.48 ,$184.50 ,$205.00 ,$174.25 ,$200.90 ,$200.90 ,$115.01 ,$335.79 ,$84.87 ,$28.50 ,$27.21 ,$200.90 ,$174.25 ,$169.54 ,$57.40 ,$184.50 ,$160.93 ,$169.33 ,$359.62 ,$133.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201011,86976,HC RBC PRETREAT SERUM DIL-90,302,1 ,$10.00 ,$7.20 ,$2.80 ,$56.63 ,$56.63 ,$8.00 ,$9.80 ,$2.80 ,$8.73 ,$9.19 ,$9.80 ,$8.27 ,$9.80 ,$10.00 ,$9.20 ,$9.80 ,$22.20 ,$10.00 ,$8.34 ,$8.34 ,$8.34 ,$9.80 ,$8.34 ,$8.56 ,$8.56 ,$9.00 ,$10.00 ,$8.50 ,$9.80 ,$9.80 ,$5.61 ,$22.20 ,$4.14 ,$10.00 ,$10.00 ,$9.80 ,$8.50 ,$8.27 ,$2.80 ,$9.00 ,$7.85 ,$8.26 ,$23.77 ,$6.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201016,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT-90,302,1 ,$74.00 ,$53.28 ,$20.72 ,$356.75 ,$356.75 ,$59.20 ,$72.52 ,$20.72 ,$64.60 ,$68.01 ,$72.52 ,$61.20 ,$72.52 ,$74.00 ,$68.08 ,$72.52 ,$139.85 ,$73.97 ,$61.72 ,$61.72 ,$61.72 ,$72.52 ,$61.72 ,$63.34 ,$63.34 ,$66.60 ,$74.00 ,$62.90 ,$72.52 ,$72.52 ,$41.51 ,$139.85 ,$30.64 ,$28.50 ,$27.21 ,$72.52 ,$62.90 ,$61.20 ,$20.72 ,$66.60 ,$58.09 ,$61.12 ,$149.77 ,$48.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201020,86978,HC RBC PRETREAT ABSOR-90,302,1 ,$125.00 ,$90.00 ,$4.18 ,$125.00 ,$77.05 ,$100.00 ,$30.20 ,$35.00 ,$109.13 ,$114.88 ,$30.20 ,$103.38 ,$30.20 ,$62.25 ,$115.00 ,$75.51 ,$30.20 ,$30.81 ,$104.25 ,$104.25 ,$104.25 ,$30.20 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$77.05 ,$106.25 ,$30.20 ,$30.20 ,$70.13 ,$30.20 ,$51.75 ,$4.38 ,$4.18 ,$31.71 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$32.35 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201022,87801,HC INFECT MLT  ORG AMP-90,302,1 ,$632.00 ,$455.04 ,$5.38 ,$632.00 ,$175.50 ,$505.60 ,$68.80 ,$176.96 ,$551.74 ,$580.81 ,$68.80 ,$522.66 ,$68.80 ,$141.80 ,$581.44 ,$171.99 ,$68.80 ,$70.17 ,$527.09 ,$527.09 ,$527.09 ,$68.80 ,$527.09 ,$540.99 ,$540.99 ,$568.80 ,$175.50 ,$537.20 ,$68.80 ,$68.80 ,$354.55 ,$68.80 ,$261.65 ,$5.63 ,$5.38 ,$72.24 ,$537.20 ,$522.66 ,$176.96 ,$568.80 ,$496.12 ,$522.03 ,$73.68 ,$410.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$222.00 ,$159.84 ,$7.53 ,$222.00 ,$52.03 ,$177.60 ,$20.39 ,$62.16 ,$193.81 ,$204.02 ,$20.39 ,$183.59 ,$20.39 ,$42.04 ,$204.24 ,$50.99 ,$20.39 ,$20.81 ,$185.15 ,$185.15 ,$185.15 ,$20.39 ,$185.15 ,$190.03 ,$190.03 ,$199.80 ,$52.03 ,$188.70 ,$20.39 ,$20.39 ,$124.54 ,$20.39 ,$91.91 ,$7.89 ,$7.53 ,$21.41 ,$188.70 ,$183.59 ,$62.16 ,$199.80 ,$174.27 ,$183.37 ,$21.84 ,$144.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201029,86331,HC IMMUNODIFF EL EA AG AB QL-90,302,1 ,$211.00 ,$151.92 ,$11.61 ,$211.00 ,$29.95 ,$168.80 ,$11.74 ,$59.08 ,$184.20 ,$193.91 ,$11.74 ,$174.50 ,$11.74 ,$24.20 ,$194.12 ,$29.35 ,$11.74 ,$11.98 ,$175.97 ,$175.97 ,$175.97 ,$11.74 ,$175.97 ,$180.62 ,$180.62 ,$189.90 ,$29.95 ,$179.35 ,$11.74 ,$11.74 ,$118.37 ,$11.74 ,$87.35 ,$12.17 ,$11.61 ,$12.33 ,$179.35 ,$174.50 ,$59.08 ,$189.90 ,$165.64 ,$174.29 ,$12.57 ,$137.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$468.00 ,$336.96 ,$11.61 ,$468.00 ,$55.85 ,$374.40 ,$21.89 ,$131.04 ,$408.56 ,$430.09 ,$21.89 ,$387.04 ,$21.89 ,$45.13 ,$430.56 ,$54.73 ,$21.89 ,$22.33 ,$390.31 ,$390.31 ,$390.31 ,$21.89 ,$390.31 ,$400.61 ,$400.61 ,$421.20 ,$55.85 ,$397.80 ,$21.89 ,$21.89 ,$262.55 ,$21.89 ,$193.75 ,$12.17 ,$11.61 ,$22.99 ,$397.80 ,$387.04 ,$131.04 ,$421.20 ,$367.38 ,$386.57 ,$23.45 ,$304.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201032,86335,HC IMMUNOFIX ELECTRO OTH-90,302,1 ,$393.00 ,$282.96 ,$11.61 ,$393.00 ,$73.38 ,$314.40 ,$28.76 ,$110.04 ,$343.09 ,$361.17 ,$28.76 ,$325.01 ,$28.76 ,$59.29 ,$361.56 ,$71.91 ,$28.76 ,$29.34 ,$327.76 ,$327.76 ,$327.76 ,$28.76 ,$327.76 ,$336.41 ,$336.41 ,$353.70 ,$73.38 ,$334.05 ,$28.76 ,$28.76 ,$220.47 ,$28.76 ,$162.70 ,$12.17 ,$11.61 ,$30.20 ,$334.05 ,$325.01 ,$110.04 ,$353.70 ,$308.51 ,$324.62 ,$30.80 ,$255.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201033,86336,HC INHIBIN A-90,302,1 ,$105.00 ,$75.60 ,$7.53 ,$105.00 ,$38.98 ,$84.00 ,$15.28 ,$29.40 ,$91.67 ,$96.50 ,$15.28 ,$86.84 ,$15.28 ,$31.49 ,$96.60 ,$38.20 ,$15.28 ,$15.58 ,$87.57 ,$87.57 ,$87.57 ,$15.28 ,$87.57 ,$89.88 ,$89.88 ,$94.50 ,$38.98 ,$89.25 ,$15.28 ,$15.28 ,$58.91 ,$15.28 ,$43.47 ,$7.89 ,$7.53 ,$16.04 ,$89.25 ,$86.84 ,$29.40 ,$94.50 ,$82.43 ,$86.73 ,$16.37 ,$68.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201034,86337,HC INSULIN AB-90,302,1 ,$252.00 ,$181.44 ,$17.61 ,$252.00 ,$53.53 ,$201.60 ,$20.98 ,$70.56 ,$220.00 ,$231.59 ,$20.98 ,$208.40 ,$20.98 ,$43.25 ,$231.84 ,$52.46 ,$20.98 ,$21.40 ,$210.17 ,$210.17 ,$210.17 ,$20.98 ,$210.17 ,$215.71 ,$215.71 ,$226.80 ,$53.53 ,$214.20 ,$20.98 ,$20.98 ,$141.37 ,$20.98 ,$104.33 ,$18.45 ,$17.61 ,$22.03 ,$214.20 ,$208.40 ,$70.56 ,$226.80 ,$197.82 ,$208.15 ,$22.47 ,$163.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$236.00 ,$169.92 ,$14.78 ,$236.00 ,$37.70 ,$188.80 ,$14.78 ,$66.08 ,$206.03 ,$216.88 ,$14.78 ,$195.17 ,$14.78 ,$30.46 ,$217.12 ,$36.95 ,$14.78 ,$15.07 ,$196.82 ,$196.82 ,$196.82 ,$14.78 ,$196.82 ,$202.02 ,$202.02 ,$212.40 ,$37.70 ,$200.60 ,$14.78 ,$14.78 ,$132.40 ,$14.78 ,$97.70 ,$18.45 ,$17.61 ,$15.51 ,$200.60 ,$195.17 ,$66.08 ,$212.40 ,$185.26 ,$194.94 ,$15.83 ,$153.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201036,86341,HC ISLET CELL AB-90,302,1 ,$129.00 ,$92.88 ,$11.61 ,$129.00 ,$58.93 ,$103.20 ,$23.10 ,$36.12 ,$112.62 ,$118.55 ,$23.10 ,$106.68 ,$23.10 ,$47.61 ,$118.68 ,$57.75 ,$23.10 ,$23.56 ,$107.59 ,$107.59 ,$107.59 ,$23.10 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$58.93 ,$109.65 ,$23.10 ,$23.10 ,$72.37 ,$23.10 ,$53.41 ,$12.17 ,$11.61 ,$24.25 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$24.74 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$250.00 ,$180.00 ,$11.61 ,$250.00 ,$94.33 ,$200.00 ,$36.98 ,$70.00 ,$218.25 ,$229.75 ,$36.98 ,$206.75 ,$36.98 ,$76.21 ,$230.00 ,$92.44 ,$36.98 ,$37.71 ,$208.50 ,$208.50 ,$208.50 ,$36.98 ,$208.50 ,$214.00 ,$214.00 ,$225.00 ,$94.33 ,$212.50 ,$36.98 ,$36.98 ,$140.25 ,$36.98 ,$103.50 ,$12.17 ,$11.61 ,$38.83 ,$212.50 ,$206.75 ,$70.00 ,$225.00 ,$196.25 ,$206.50 ,$39.60 ,$162.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201042,86357,HC CD8 TOTAL COUNT-90,302,1 ,$323.00 ,$232.56 ,$11.61 ,$323.00 ,$94.33 ,$258.40 ,$36.98 ,$90.44 ,$281.98 ,$296.84 ,$36.98 ,$267.12 ,$36.98 ,$76.21 ,$297.16 ,$92.44 ,$36.98 ,$37.71 ,$269.38 ,$269.38 ,$269.38 ,$36.98 ,$269.38 ,$276.49 ,$276.49 ,$290.70 ,$94.33 ,$274.55 ,$36.98 ,$36.98 ,$181.20 ,$36.98 ,$133.72 ,$12.17 ,$11.61 ,$38.83 ,$274.55 ,$267.12 ,$90.44 ,$290.70 ,$253.56 ,$266.80 ,$39.60 ,$209.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$243.00 ,$174.96 ,$11.61 ,$243.00 ,$94.33 ,$194.40 ,$36.98 ,$68.04 ,$212.14 ,$223.32 ,$36.98 ,$200.96 ,$36.98 ,$76.21 ,$223.56 ,$92.44 ,$36.98 ,$37.71 ,$202.66 ,$202.66 ,$202.66 ,$36.98 ,$202.66 ,$208.01 ,$208.01 ,$218.70 ,$94.33 ,$206.55 ,$36.98 ,$36.98 ,$136.32 ,$36.98 ,$100.60 ,$12.17 ,$11.61 ,$38.83 ,$206.55 ,$200.96 ,$68.04 ,$218.70 ,$190.76 ,$200.72 ,$39.60 ,$157.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$67.00 ,$48.24 ,$11.61 ,$117.45 ,$117.45 ,$53.60 ,$46.04 ,$18.76 ,$58.49 ,$61.57 ,$46.04 ,$55.41 ,$46.04 ,$67.00 ,$61.64 ,$65.66 ,$46.04 ,$46.96 ,$55.88 ,$55.88 ,$55.88 ,$46.04 ,$55.88 ,$57.35 ,$57.35 ,$60.30 ,$67.00 ,$56.95 ,$46.04 ,$46.04 ,$37.59 ,$46.04 ,$27.74 ,$12.17 ,$11.61 ,$48.34 ,$56.95 ,$55.41 ,$18.76 ,$60.30 ,$52.60 ,$55.34 ,$49.31 ,$43.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201046,86361,HC T CELLS CD4 COUNT-90,302,1 ,$160.00 ,$115.20 ,$11.61 ,$160.00 ,$66.95 ,$128.00 ,$26.24 ,$44.80 ,$139.68 ,$147.04 ,$26.24 ,$132.32 ,$26.24 ,$54.10 ,$147.20 ,$65.61 ,$26.24 ,$26.77 ,$133.44 ,$133.44 ,$133.44 ,$26.24 ,$133.44 ,$136.96 ,$136.96 ,$144.00 ,$66.95 ,$136.00 ,$26.24 ,$26.24 ,$89.76 ,$26.24 ,$66.24 ,$12.17 ,$11.61 ,$27.56 ,$136.00 ,$132.32 ,$44.80 ,$144.00 ,$125.60 ,$132.16 ,$28.11 ,$104.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201047,86376,HC MICROSOMAL AB-90,302,1 ,$105.00 ,$75.60 ,$14.26 ,$105.00 ,$36.38 ,$84.00 ,$14.26 ,$29.40 ,$91.67 ,$96.50 ,$14.26 ,$86.84 ,$14.26 ,$29.39 ,$96.60 ,$35.65 ,$14.26 ,$14.54 ,$87.57 ,$87.57 ,$87.57 ,$14.26 ,$87.57 ,$89.88 ,$89.88 ,$94.50 ,$36.38 ,$89.25 ,$14.26 ,$14.26 ,$58.91 ,$14.26 ,$43.47 ,$18.45 ,$17.61 ,$14.97 ,$89.25 ,$86.84 ,$29.40 ,$94.50 ,$82.43 ,$86.73 ,$15.27 ,$68.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201049,86403,HC PARTICLE AGG SCREEN-90,302,1 ,$212.00 ,$152.64 ,$6.74 ,$212.00 ,$28.85 ,$169.60 ,$11.31 ,$59.36 ,$185.08 ,$194.83 ,$11.31 ,$175.32 ,$11.31 ,$23.31 ,$195.04 ,$28.27 ,$11.31 ,$11.53 ,$176.81 ,$176.81 ,$176.81 ,$11.31 ,$176.81 ,$181.47 ,$181.47 ,$190.80 ,$28.85 ,$180.20 ,$11.31 ,$11.31 ,$118.93 ,$11.31 ,$87.77 ,$7.06 ,$6.74 ,$11.88 ,$180.20 ,$175.32 ,$59.36 ,$190.80 ,$166.42 ,$175.11 ,$12.11 ,$137.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201051,86406,HC PARTICLE AGGLUT TITER-90,302,1 ,$173.00 ,$124.56 ,$6.74 ,$173.00 ,$26.60 ,$138.40 ,$10.43 ,$48.44 ,$151.03 ,$158.99 ,$10.43 ,$143.07 ,$10.43 ,$21.49 ,$159.16 ,$26.07 ,$10.43 ,$10.63 ,$144.28 ,$144.28 ,$144.28 ,$10.43 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$26.60 ,$147.05 ,$10.43 ,$10.43 ,$97.05 ,$10.43 ,$71.62 ,$7.06 ,$6.74 ,$10.95 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$11.17 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201052,86431,HC RHEUMATOID FACTOR QN-90,302,1 ,$161.00 ,$115.92 ,$5.56 ,$161.00 ,$14.18 ,$128.80 ,$5.56 ,$45.08 ,$140.55 ,$147.96 ,$5.56 ,$133.15 ,$5.56 ,$11.45 ,$148.12 ,$13.90 ,$5.56 ,$5.66 ,$134.27 ,$134.27 ,$134.27 ,$5.56 ,$134.27 ,$137.82 ,$137.82 ,$144.90 ,$14.18 ,$136.85 ,$5.56 ,$5.56 ,$90.32 ,$5.56 ,$66.65 ,$7.06 ,$6.74 ,$5.83 ,$136.85 ,$133.15 ,$45.08 ,$144.90 ,$126.39 ,$132.99 ,$5.95 ,$104.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201053,86480,HC TB QUANTIFERON GOLD-90,302,1 ,$217.00 ,$156.24 ,$11.61 ,$217.00 ,$154.95 ,$173.60 ,$60.74 ,$60.76 ,$189.44 ,$199.42 ,$60.74 ,$179.46 ,$60.74 ,$125.20 ,$199.64 ,$151.85 ,$60.74 ,$61.96 ,$180.98 ,$180.98 ,$180.98 ,$60.74 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$154.95 ,$184.45 ,$60.74 ,$60.74 ,$121.74 ,$60.74 ,$89.84 ,$12.17 ,$11.61 ,$63.78 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$65.05 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$81.00 ,$58.32 ,$4.18 ,$81.00 ,$10.68 ,$64.80 ,$4.18 ,$22.68 ,$70.71 ,$74.44 ,$4.18 ,$66.99 ,$4.18 ,$8.63 ,$74.52 ,$10.47 ,$4.18 ,$4.27 ,$67.55 ,$67.55 ,$67.55 ,$4.18 ,$67.55 ,$69.34 ,$69.34 ,$72.90 ,$10.68 ,$68.85 ,$4.18 ,$4.18 ,$45.44 ,$4.18 ,$33.53 ,$7.06 ,$6.74 ,$4.39 ,$68.85 ,$66.99 ,$22.68 ,$72.90 ,$63.59 ,$66.91 ,$4.48 ,$52.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$252.00 ,$181.44 ,$11.61 ,$252.00 ,$32.18 ,$201.60 ,$12.61 ,$70.56 ,$220.00 ,$231.59 ,$12.61 ,$208.40 ,$12.61 ,$26.00 ,$231.84 ,$31.54 ,$12.61 ,$12.87 ,$210.17 ,$210.17 ,$210.17 ,$12.61 ,$210.17 ,$215.71 ,$215.71 ,$226.80 ,$32.18 ,$214.20 ,$12.61 ,$12.61 ,$141.37 ,$12.61 ,$104.33 ,$12.17 ,$11.61 ,$13.24 ,$214.20 ,$208.40 ,$70.56 ,$226.80 ,$197.82 ,$208.15 ,$13.50 ,$163.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$353.00 ,$254.16 ,$11.61 ,$353.00 ,$37.63 ,$282.40 ,$14.75 ,$98.84 ,$308.17 ,$324.41 ,$14.75 ,$291.93 ,$14.75 ,$30.40 ,$324.76 ,$36.88 ,$14.75 ,$15.04 ,$294.40 ,$294.40 ,$294.40 ,$14.75 ,$294.40 ,$302.17 ,$302.17 ,$317.70 ,$37.63 ,$300.05 ,$14.75 ,$14.75 ,$198.03 ,$14.75 ,$146.14 ,$12.17 ,$11.61 ,$15.48 ,$300.05 ,$291.93 ,$98.84 ,$317.70 ,$277.11 ,$291.58 ,$15.80 ,$229.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201057,86609,HC BACTERIUM AB NOS-90,302,1 ,$408.00 ,$293.76 ,$12.62 ,$408.00 ,$32.20 ,$326.40 ,$12.62 ,$114.24 ,$356.18 ,$374.95 ,$12.62 ,$337.42 ,$12.62 ,$26.02 ,$375.36 ,$31.56 ,$12.62 ,$12.88 ,$340.27 ,$340.27 ,$340.27 ,$12.62 ,$340.27 ,$349.25 ,$349.25 ,$367.20 ,$32.20 ,$346.80 ,$12.62 ,$12.62 ,$228.89 ,$12.62 ,$168.91 ,$18.71 ,$17.86 ,$13.25 ,$346.80 ,$337.42 ,$114.24 ,$367.20 ,$320.28 ,$337.01 ,$13.51 ,$265.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$163.00 ,$117.36 ,$9.98 ,$163.00 ,$25.45 ,$130.40 ,$9.98 ,$45.64 ,$142.30 ,$149.80 ,$9.98 ,$134.80 ,$9.98 ,$20.56 ,$149.96 ,$24.94 ,$9.98 ,$10.17 ,$135.94 ,$135.94 ,$135.94 ,$9.98 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$25.45 ,$138.55 ,$9.98 ,$9.98 ,$91.44 ,$9.98 ,$67.48 ,$12.17 ,$11.61 ,$10.48 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$10.68 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201059,86611,HC BARTONELLA SCREEN AB IGG-90,302,1 ,$163.00 ,$117.36 ,$9.98 ,$163.00 ,$25.45 ,$130.40 ,$9.98 ,$45.64 ,$142.30 ,$149.80 ,$9.98 ,$134.80 ,$9.98 ,$20.56 ,$149.96 ,$24.94 ,$9.98 ,$10.17 ,$135.94 ,$135.94 ,$135.94 ,$9.98 ,$135.94 ,$139.53 ,$139.53 ,$146.70 ,$25.45 ,$138.55 ,$9.98 ,$9.98 ,$91.44 ,$9.98 ,$67.48 ,$12.17 ,$11.61 ,$10.48 ,$138.55 ,$134.80 ,$45.64 ,$146.70 ,$127.96 ,$134.64 ,$10.68 ,$105.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$133.00 ,$95.76 ,$11.61 ,$133.00 ,$32.25 ,$106.40 ,$12.64 ,$37.24 ,$116.11 ,$122.23 ,$12.64 ,$109.99 ,$12.64 ,$26.06 ,$122.36 ,$31.60 ,$12.64 ,$12.90 ,$110.92 ,$110.92 ,$110.92 ,$12.64 ,$110.92 ,$113.85 ,$113.85 ,$119.70 ,$32.25 ,$113.05 ,$12.64 ,$12.64 ,$74.61 ,$12.64 ,$55.06 ,$12.17 ,$11.61 ,$13.28 ,$113.05 ,$109.99 ,$37.24 ,$119.70 ,$104.41 ,$109.86 ,$13.54 ,$86.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$239.00 ,$172.08 ,$11.61 ,$239.00 ,$38.73 ,$191.20 ,$15.18 ,$66.92 ,$208.65 ,$219.64 ,$15.18 ,$197.65 ,$15.18 ,$31.29 ,$219.88 ,$37.96 ,$15.18 ,$15.48 ,$199.33 ,$199.33 ,$199.33 ,$15.18 ,$199.33 ,$204.58 ,$204.58 ,$215.10 ,$38.73 ,$203.15 ,$15.18 ,$15.18 ,$134.08 ,$15.18 ,$98.95 ,$12.17 ,$11.61 ,$15.93 ,$203.15 ,$197.65 ,$66.92 ,$215.10 ,$187.62 ,$197.41 ,$16.26 ,$155.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201063,86618,HC LYME AB-90,302,1 ,$147.00 ,$105.84 ,$11.61 ,$147.00 ,$42.58 ,$117.60 ,$16.69 ,$41.16 ,$128.33 ,$135.09 ,$16.69 ,$121.57 ,$16.69 ,$34.40 ,$135.24 ,$41.73 ,$16.69 ,$17.02 ,$122.60 ,$122.60 ,$122.60 ,$16.69 ,$122.60 ,$125.83 ,$125.83 ,$132.30 ,$42.58 ,$124.95 ,$16.69 ,$16.69 ,$82.47 ,$16.69 ,$60.86 ,$12.17 ,$11.61 ,$17.52 ,$124.95 ,$121.57 ,$41.16 ,$132.30 ,$115.40 ,$121.42 ,$17.88 ,$95.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201066,86628,HC CANDIDA AB-90,302,1 ,$122.00 ,$87.84 ,$5.38 ,$122.00 ,$30.03 ,$97.60 ,$11.77 ,$34.16 ,$106.51 ,$112.12 ,$11.77 ,$100.89 ,$11.77 ,$24.26 ,$112.24 ,$29.43 ,$11.77 ,$12.00 ,$101.75 ,$101.75 ,$101.75 ,$11.77 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$30.03 ,$103.70 ,$11.77 ,$11.77 ,$68.44 ,$11.77 ,$50.51 ,$5.63 ,$5.38 ,$12.36 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$12.60 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201067,86631,HC CHLAMYDIA AB-90,302,1 ,$211.00 ,$151.92 ,$5.38 ,$211.00 ,$29.55 ,$168.80 ,$11.58 ,$59.08 ,$184.20 ,$193.91 ,$11.58 ,$174.50 ,$11.58 ,$23.88 ,$194.12 ,$28.96 ,$11.58 ,$11.82 ,$175.97 ,$175.97 ,$175.97 ,$11.58 ,$175.97 ,$180.62 ,$180.62 ,$189.90 ,$29.55 ,$179.35 ,$11.58 ,$11.58 ,$118.37 ,$11.58 ,$87.35 ,$5.63 ,$5.38 ,$12.16 ,$179.35 ,$174.50 ,$59.08 ,$189.90 ,$165.64 ,$174.29 ,$12.41 ,$137.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201079,86711,HC AB JOHN CUNNINGHAM VIRUS-90,302,1 ,$33.00 ,$23.76 ,$6.74 ,$42.23 ,$42.23 ,$26.40 ,$16.55 ,$9.24 ,$28.81 ,$30.33 ,$16.55 ,$27.29 ,$16.55 ,$33.00 ,$30.36 ,$32.34 ,$16.55 ,$16.89 ,$27.52 ,$27.52 ,$27.52 ,$16.55 ,$27.52 ,$28.25 ,$28.25 ,$29.70 ,$33.00 ,$28.05 ,$16.55 ,$16.55 ,$18.51 ,$16.55 ,$13.66 ,$7.06 ,$6.74 ,$17.38 ,$28.05 ,$27.29 ,$9.24 ,$29.70 ,$25.91 ,$27.26 ,$17.73 ,$21.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201092,86593,HC SYPHILIS VDRL RPR QN-90,302,1 ,$58.00 ,$41.76 ,$4.31 ,$58.00 ,$11.00 ,$46.40 ,$4.31 ,$16.24 ,$50.63 ,$53.30 ,$4.31 ,$47.97 ,$4.31 ,$8.89 ,$53.36 ,$10.78 ,$4.31 ,$4.40 ,$48.37 ,$48.37 ,$48.37 ,$4.31 ,$48.37 ,$49.65 ,$49.65 ,$52.20 ,$11.00 ,$49.30 ,$4.31 ,$4.31 ,$32.54 ,$4.31 ,$24.01 ,$7.06 ,$6.74 ,$4.53 ,$49.30 ,$47.97 ,$16.24 ,$52.20 ,$45.53 ,$47.91 ,$4.62 ,$37.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201093,86003,HC ALLERGEN IGE QN EA,302,1 ,$237.00 ,$170.64 ,$5.12 ,$237.00 ,$13.05 ,$189.60 ,$5.12 ,$66.36 ,$206.90 ,$217.80 ,$5.12 ,$196.00 ,$5.12 ,$10.54 ,$218.04 ,$12.79 ,$5.12 ,$5.21 ,$197.66 ,$197.66 ,$197.66 ,$5.12 ,$197.66 ,$202.87 ,$202.87 ,$213.30 ,$13.05 ,$201.45 ,$5.12 ,$5.12 ,$132.96 ,$5.12 ,$98.12 ,$7.06 ,$6.74 ,$5.37 ,$201.45 ,$196.00 ,$66.36 ,$213.30 ,$186.05 ,$195.76 ,$5.48 ,$154.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201096,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$145.00 ,$104.40 ,$6.74 ,$145.00 ,$32.38 ,$116.00 ,$12.69 ,$40.60 ,$126.59 ,$133.26 ,$12.69 ,$119.92 ,$12.69 ,$26.16 ,$133.40 ,$31.73 ,$12.69 ,$12.95 ,$120.93 ,$120.93 ,$120.93 ,$12.69 ,$120.93 ,$124.12 ,$124.12 ,$130.50 ,$32.38 ,$123.25 ,$12.69 ,$12.69 ,$81.35 ,$12.69 ,$60.03 ,$7.06 ,$6.74 ,$13.33 ,$123.25 ,$119.92 ,$40.60 ,$130.50 ,$113.83 ,$119.77 ,$13.59 ,$94.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201098,86225,HC DNA DOUBLE STRAND AB,302,1 ,$97.00 ,$69.84 ,$6.74 ,$97.00 ,$34.35 ,$77.60 ,$13.47 ,$27.16 ,$84.68 ,$89.14 ,$13.47 ,$80.22 ,$13.47 ,$27.75 ,$89.24 ,$33.66 ,$13.47 ,$13.73 ,$80.90 ,$80.90 ,$80.90 ,$13.47 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$34.35 ,$82.45 ,$13.47 ,$13.47 ,$54.42 ,$13.47 ,$40.16 ,$7.06 ,$6.74 ,$14.14 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$14.43 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201099,86235,HC ENA AB,302,1 ,$303.00 ,$218.16 ,$11.61 ,$303.00 ,$44.83 ,$242.40 ,$17.57 ,$84.84 ,$264.52 ,$278.46 ,$17.57 ,$250.58 ,$17.57 ,$36.22 ,$278.76 ,$43.93 ,$17.57 ,$17.92 ,$252.70 ,$252.70 ,$252.70 ,$17.57 ,$252.70 ,$259.37 ,$259.37 ,$272.70 ,$44.83 ,$257.55 ,$17.57 ,$17.57 ,$169.98 ,$17.57 ,$125.44 ,$12.17 ,$11.61 ,$18.45 ,$257.55 ,$250.58 ,$84.84 ,$272.70 ,$237.86 ,$250.28 ,$18.82 ,$196.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201100,86300,HC TUMOR AG CA 15-3 (27.29),302,1 ,$372.00 ,$267.84 ,$17.86 ,$372.00 ,$52.03 ,$297.60 ,$20.39 ,$104.16 ,$324.76 ,$341.87 ,$20.39 ,$307.64 ,$20.39 ,$42.04 ,$342.24 ,$50.99 ,$20.39 ,$20.81 ,$310.25 ,$310.25 ,$310.25 ,$20.39 ,$310.25 ,$318.43 ,$318.43 ,$334.80 ,$52.03 ,$316.20 ,$20.39 ,$20.39 ,$208.69 ,$20.39 ,$154.01 ,$18.71 ,$17.86 ,$21.41 ,$316.20 ,$307.64 ,$104.16 ,$334.80 ,$292.02 ,$307.27 ,$21.84 ,$241.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201101,86304,HC TUMOR AG CA 125,302,1 ,$328.00 ,$236.16 ,$17.86 ,$328.00 ,$52.03 ,$262.40 ,$20.39 ,$91.84 ,$286.34 ,$301.43 ,$20.39 ,$271.26 ,$20.39 ,$42.04 ,$301.76 ,$50.99 ,$20.39 ,$20.81 ,$273.55 ,$273.55 ,$273.55 ,$20.39 ,$273.55 ,$280.77 ,$280.77 ,$295.20 ,$52.03 ,$278.80 ,$20.39 ,$20.39 ,$184.01 ,$20.39 ,$135.79 ,$18.71 ,$17.86 ,$21.41 ,$278.80 ,$271.26 ,$91.84 ,$295.20 ,$257.48 ,$270.93 ,$21.84 ,$213.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201102,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$468.00 ,$336.96 ,$11.61 ,$468.00 ,$55.85 ,$374.40 ,$21.89 ,$131.04 ,$408.56 ,$430.09 ,$21.89 ,$387.04 ,$21.89 ,$45.13 ,$430.56 ,$54.73 ,$21.89 ,$22.33 ,$390.31 ,$390.31 ,$390.31 ,$21.89 ,$390.31 ,$400.61 ,$400.61 ,$421.20 ,$55.85 ,$397.80 ,$21.89 ,$21.89 ,$262.55 ,$21.89 ,$193.75 ,$12.17 ,$11.61 ,$22.99 ,$397.80 ,$387.04 ,$131.04 ,$421.20 ,$367.38 ,$386.57 ,$23.45 ,$304.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201103,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$393.00 ,$282.96 ,$11.61 ,$393.00 ,$73.38 ,$314.40 ,$28.76 ,$110.04 ,$343.09 ,$361.17 ,$28.76 ,$325.01 ,$28.76 ,$59.29 ,$361.56 ,$71.91 ,$28.76 ,$29.34 ,$327.76 ,$327.76 ,$327.76 ,$28.76 ,$327.76 ,$336.41 ,$336.41 ,$353.70 ,$73.38 ,$334.05 ,$28.76 ,$28.76 ,$220.47 ,$28.76 ,$162.70 ,$12.17 ,$11.61 ,$30.20 ,$334.05 ,$325.01 ,$110.04 ,$353.70 ,$308.51 ,$324.62 ,$30.80 ,$255.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201106,86376,HC MICROSOMAL AB,302,1 ,$105.00 ,$75.60 ,$14.26 ,$105.00 ,$36.38 ,$84.00 ,$14.26 ,$29.40 ,$91.67 ,$96.50 ,$14.26 ,$86.84 ,$14.26 ,$29.39 ,$96.60 ,$35.65 ,$14.26 ,$14.54 ,$87.57 ,$87.57 ,$87.57 ,$14.26 ,$87.57 ,$89.88 ,$89.88 ,$94.50 ,$36.38 ,$89.25 ,$14.26 ,$14.26 ,$58.91 ,$14.26 ,$43.47 ,$18.45 ,$17.61 ,$14.97 ,$89.25 ,$86.84 ,$29.40 ,$94.50 ,$82.43 ,$86.73 ,$15.27 ,$68.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201108,86431,HC RHEUMATOID FACTOR QN,302,1 ,$161.00 ,$115.92 ,$5.56 ,$161.00 ,$14.18 ,$128.80 ,$5.56 ,$45.08 ,$140.55 ,$147.96 ,$5.56 ,$133.15 ,$5.56 ,$11.45 ,$148.12 ,$13.90 ,$5.56 ,$5.66 ,$134.27 ,$134.27 ,$134.27 ,$5.56 ,$134.27 ,$137.82 ,$137.82 ,$144.90 ,$14.18 ,$136.85 ,$5.56 ,$5.56 ,$90.32 ,$5.56 ,$66.65 ,$7.06 ,$6.74 ,$5.83 ,$136.85 ,$133.15 ,$45.08 ,$144.90 ,$126.39 ,$132.99 ,$5.95 ,$104.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201109,86480,HC TB QUANTIFERON GOLD,302,1 ,$217.00 ,$156.24 ,$11.61 ,$217.00 ,$154.95 ,$173.60 ,$60.74 ,$60.76 ,$189.44 ,$199.42 ,$60.74 ,$179.46 ,$60.74 ,$125.20 ,$199.64 ,$151.85 ,$60.74 ,$61.96 ,$180.98 ,$180.98 ,$180.98 ,$60.74 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$154.95 ,$184.45 ,$60.74 ,$60.74 ,$121.74 ,$60.74 ,$89.84 ,$12.17 ,$11.61 ,$63.78 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$65.05 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201117,86644,HC CMV AB,302,1 ,$217.00 ,$156.24 ,$11.61 ,$217.00 ,$35.98 ,$173.60 ,$14.10 ,$60.76 ,$189.44 ,$199.42 ,$14.10 ,$179.46 ,$14.10 ,$29.07 ,$199.64 ,$35.26 ,$14.10 ,$14.39 ,$180.98 ,$180.98 ,$180.98 ,$14.10 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$35.98 ,$184.45 ,$14.10 ,$14.10 ,$121.74 ,$14.10 ,$89.84 ,$12.17 ,$11.61 ,$14.81 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$15.10 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201118,86645,HC CMV AB IGM,302,1 ,$217.00 ,$156.24 ,$11.61 ,$217.00 ,$42.13 ,$173.60 ,$16.51 ,$60.76 ,$189.44 ,$199.42 ,$16.51 ,$179.46 ,$16.51 ,$34.04 ,$199.64 ,$41.29 ,$16.51 ,$16.85 ,$180.98 ,$180.98 ,$180.98 ,$16.51 ,$180.98 ,$185.75 ,$185.75 ,$195.30 ,$42.13 ,$184.45 ,$16.51 ,$16.51 ,$121.74 ,$16.51 ,$89.84 ,$12.17 ,$11.61 ,$17.34 ,$184.45 ,$179.46 ,$60.76 ,$195.30 ,$170.35 ,$179.24 ,$17.69 ,$141.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201119,86677,HC H PYLORI AB,302,1 ,$315.00 ,$226.80 ,$11.61 ,$315.00 ,$42.13 ,$252.00 ,$16.51 ,$88.20 ,$275.00 ,$289.49 ,$16.51 ,$260.51 ,$16.51 ,$34.04 ,$289.80 ,$41.29 ,$16.51 ,$16.85 ,$262.71 ,$262.71 ,$262.71 ,$16.51 ,$262.71 ,$269.64 ,$269.64 ,$283.50 ,$42.13 ,$267.75 ,$16.51 ,$16.51 ,$176.72 ,$16.51 ,$130.41 ,$12.17 ,$11.61 ,$17.34 ,$267.75 ,$260.51 ,$88.20 ,$283.50 ,$247.28 ,$260.19 ,$17.69 ,$204.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201121,86704,HC HEP CORE AB,302,1 ,$290.00 ,$208.80 ,$6.74 ,$290.00 ,$30.13 ,$232.00 ,$11.81 ,$81.20 ,$253.17 ,$266.51 ,$11.81 ,$239.83 ,$11.81 ,$24.34 ,$266.80 ,$29.53 ,$11.81 ,$12.04 ,$241.86 ,$241.86 ,$241.86 ,$11.81 ,$241.86 ,$248.24 ,$248.24 ,$261.00 ,$30.13 ,$246.50 ,$11.81 ,$11.81 ,$162.69 ,$11.81 ,$120.06 ,$7.06 ,$6.74 ,$12.40 ,$246.50 ,$239.83 ,$81.20 ,$261.00 ,$227.65 ,$239.54 ,$12.65 ,$188.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201122,86705,HC HEP B CORE IGM,302,1 ,$129.00 ,$92.88 ,$6.74 ,$129.00 ,$29.43 ,$103.20 ,$11.53 ,$36.12 ,$112.62 ,$118.55 ,$11.53 ,$106.68 ,$11.53 ,$23.78 ,$118.68 ,$28.84 ,$11.53 ,$11.77 ,$107.59 ,$107.59 ,$107.59 ,$11.53 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$29.43 ,$109.65 ,$11.53 ,$11.53 ,$72.37 ,$11.53 ,$53.41 ,$7.06 ,$6.74 ,$12.11 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$12.36 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201123,86706,HC HEP B SURFACE AB,302,1 ,$253.00 ,$182.16 ,$6.74 ,$253.00 ,$26.85 ,$202.40 ,$10.53 ,$70.84 ,$220.87 ,$232.51 ,$10.53 ,$209.23 ,$10.53 ,$21.69 ,$232.76 ,$26.31 ,$10.53 ,$10.73 ,$211.00 ,$211.00 ,$211.00 ,$10.53 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$26.85 ,$215.05 ,$10.53 ,$10.53 ,$141.93 ,$10.53 ,$104.74 ,$7.06 ,$6.74 ,$11.05 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$11.27 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201124,86708,HC HEP A AB TOTAL,302,1 ,$269.00 ,$193.68 ,$6.74 ,$269.00 ,$30.98 ,$215.20 ,$12.14 ,$75.32 ,$234.84 ,$247.21 ,$12.14 ,$222.46 ,$12.14 ,$25.03 ,$247.48 ,$30.36 ,$12.14 ,$12.39 ,$224.35 ,$224.35 ,$224.35 ,$12.14 ,$224.35 ,$230.26 ,$230.26 ,$242.10 ,$30.98 ,$228.65 ,$12.14 ,$12.14 ,$150.91 ,$12.14 ,$111.37 ,$7.06 ,$6.74 ,$12.75 ,$228.65 ,$222.46 ,$75.32 ,$242.10 ,$211.17 ,$222.19 ,$13.00 ,$174.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201125,86709,HC HEP A AB (HAAB) IGM,302,1 ,$156.00 ,$112.32 ,$6.74 ,$156.00 ,$28.15 ,$124.80 ,$11.03 ,$43.68 ,$136.19 ,$143.36 ,$11.03 ,$129.01 ,$11.03 ,$22.75 ,$143.52 ,$27.59 ,$11.03 ,$11.26 ,$130.10 ,$130.10 ,$130.10 ,$11.03 ,$130.10 ,$133.54 ,$133.54 ,$140.40 ,$28.15 ,$132.60 ,$11.03 ,$11.03 ,$87.52 ,$11.03 ,$64.58 ,$7.06 ,$6.74 ,$11.58 ,$132.60 ,$129.01 ,$43.68 ,$140.40 ,$122.46 ,$128.86 ,$11.82 ,$101.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201126,86735,HC MUMPS AB,302,1 ,$232.00 ,$167.04 ,$6.74 ,$232.00 ,$32.63 ,$185.60 ,$12.79 ,$64.96 ,$202.54 ,$213.21 ,$12.79 ,$191.86 ,$12.79 ,$26.36 ,$213.44 ,$31.98 ,$12.79 ,$13.04 ,$193.49 ,$193.49 ,$193.49 ,$12.79 ,$193.49 ,$198.59 ,$198.59 ,$208.80 ,$32.63 ,$197.20 ,$12.79 ,$12.79 ,$130.15 ,$12.79 ,$96.05 ,$7.06 ,$6.74 ,$13.43 ,$197.20 ,$191.86 ,$64.96 ,$208.80 ,$182.12 ,$191.63 ,$13.70 ,$150.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201127,86762,HC RUBELLA AB,302,1 ,$54.00 ,$38.88 ,$6.74 ,$54.00 ,$35.98 ,$43.20 ,$14.10 ,$15.12 ,$47.14 ,$49.63 ,$14.10 ,$44.66 ,$14.10 ,$29.07 ,$49.68 ,$35.26 ,$14.10 ,$14.39 ,$45.04 ,$45.04 ,$45.04 ,$14.10 ,$45.04 ,$46.22 ,$46.22 ,$48.60 ,$35.98 ,$45.90 ,$14.10 ,$14.10 ,$30.29 ,$14.10 ,$22.36 ,$7.06 ,$6.74 ,$14.81 ,$45.90 ,$44.66 ,$15.12 ,$48.60 ,$42.39 ,$44.60 ,$15.10 ,$35.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201128,86765,HC RUBEOLA AB,302,1 ,$94.00 ,$67.68 ,$6.74 ,$94.00 ,$32.20 ,$75.20 ,$12.62 ,$26.32 ,$82.06 ,$86.39 ,$12.62 ,$77.74 ,$12.62 ,$26.02 ,$86.48 ,$31.56 ,$12.62 ,$12.88 ,$78.40 ,$78.40 ,$78.40 ,$12.62 ,$78.40 ,$80.46 ,$80.46 ,$84.60 ,$32.20 ,$79.90 ,$12.62 ,$12.62 ,$52.73 ,$12.62 ,$38.92 ,$7.06 ,$6.74 ,$13.25 ,$79.90 ,$77.74 ,$26.32 ,$84.60 ,$73.79 ,$77.64 ,$13.51 ,$61.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201129,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$263.00 ,$189.36 ,$11.61 ,$263.00 ,$33.10 ,$210.40 ,$12.98 ,$73.64 ,$229.60 ,$241.70 ,$12.98 ,$217.50 ,$12.98 ,$26.74 ,$241.96 ,$32.44 ,$12.98 ,$13.23 ,$219.34 ,$219.34 ,$219.34 ,$12.98 ,$219.34 ,$225.13 ,$225.13 ,$236.70 ,$33.10 ,$223.55 ,$12.98 ,$12.98 ,$147.54 ,$12.98 ,$108.88 ,$12.17 ,$11.61 ,$13.62 ,$223.55 ,$217.50 ,$73.64 ,$236.70 ,$206.46 ,$217.24 ,$13.90 ,$170.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201130,86787,HC VARICELLA ZOSTER AB,302,1 ,$279.00 ,$200.88 ,$6.74 ,$279.00 ,$32.20 ,$223.20 ,$12.62 ,$78.12 ,$243.57 ,$256.40 ,$12.62 ,$230.73 ,$12.62 ,$26.02 ,$256.68 ,$31.56 ,$12.62 ,$12.88 ,$232.69 ,$232.69 ,$232.69 ,$12.62 ,$232.69 ,$238.82 ,$238.82 ,$251.10 ,$32.20 ,$237.15 ,$12.62 ,$12.62 ,$156.52 ,$12.62 ,$115.51 ,$7.06 ,$6.74 ,$13.25 ,$237.15 ,$230.73 ,$78.12 ,$251.10 ,$219.02 ,$230.45 ,$13.51 ,$181.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201131,86800,HC THYROGLOBULIN AB,302,1 ,$98.00 ,$70.56 ,$15.59 ,$98.00 ,$39.78 ,$78.40 ,$15.59 ,$27.44 ,$85.55 ,$90.06 ,$15.59 ,$81.05 ,$15.59 ,$32.14 ,$90.16 ,$38.98 ,$15.59 ,$15.91 ,$81.73 ,$81.73 ,$81.73 ,$15.59 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$39.78 ,$83.30 ,$15.59 ,$15.59 ,$54.98 ,$15.59 ,$40.57 ,$18.45 ,$17.61 ,$16.38 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$16.70 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201132,86803,HC HEP C AB,302,1 ,$131.00 ,$94.32 ,$11.61 ,$131.00 ,$35.68 ,$104.80 ,$13.98 ,$36.68 ,$114.36 ,$120.39 ,$13.98 ,$108.34 ,$13.98 ,$28.83 ,$120.52 ,$34.97 ,$13.98 ,$14.27 ,$109.25 ,$109.25 ,$109.25 ,$13.98 ,$109.25 ,$112.14 ,$112.14 ,$117.90 ,$35.68 ,$111.35 ,$13.98 ,$13.98 ,$73.49 ,$13.98 ,$54.23 ,$12.17 ,$11.61 ,$14.68 ,$111.35 ,$108.34 ,$36.68 ,$117.90 ,$102.84 ,$108.21 ,$14.97 ,$85.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201134,86902,HC RBC AG SCR RGT SERUM T1-90,302,1 ,$253.00 ,$182.16 ,$4.18 ,$735.30 ,$735.30 ,$202.40 ,$247.94 ,$70.84 ,$220.87 ,$232.51 ,$247.94 ,$209.23 ,$247.94 ,$253.00 ,$232.76 ,$247.94 ,$288.24 ,$252.90 ,$211.00 ,$211.00 ,$211.00 ,$247.94 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$253.00 ,$215.05 ,$247.94 ,$247.94 ,$141.93 ,$288.24 ,$104.74 ,$4.38 ,$4.18 ,$247.94 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$308.71 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201135,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$253.00 ,$182.16 ,$4.18 ,$735.30 ,$735.30 ,$202.40 ,$247.94 ,$70.84 ,$220.87 ,$232.51 ,$247.94 ,$209.23 ,$247.94 ,$253.00 ,$232.76 ,$247.94 ,$288.24 ,$252.90 ,$211.00 ,$211.00 ,$211.00 ,$247.94 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$253.00 ,$215.05 ,$247.94 ,$247.94 ,$141.93 ,$288.24 ,$104.74 ,$4.38 ,$4.18 ,$247.94 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$308.71 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201136,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$253.00 ,$182.16 ,$4.18 ,$735.30 ,$735.30 ,$202.40 ,$247.94 ,$70.84 ,$220.87 ,$232.51 ,$247.94 ,$209.23 ,$247.94 ,$253.00 ,$232.76 ,$247.94 ,$288.24 ,$252.90 ,$211.00 ,$211.00 ,$211.00 ,$247.94 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$253.00 ,$215.05 ,$247.94 ,$247.94 ,$141.93 ,$288.24 ,$104.74 ,$4.38 ,$4.18 ,$247.94 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$308.71 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201137,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$253.00 ,$182.16 ,$4.18 ,$735.30 ,$735.30 ,$202.40 ,$247.94 ,$70.84 ,$220.87 ,$232.51 ,$247.94 ,$209.23 ,$247.94 ,$253.00 ,$232.76 ,$247.94 ,$288.24 ,$252.90 ,$211.00 ,$211.00 ,$211.00 ,$247.94 ,$211.00 ,$216.57 ,$216.57 ,$227.70 ,$253.00 ,$215.05 ,$247.94 ,$247.94 ,$141.93 ,$288.24 ,$104.74 ,$4.38 ,$4.18 ,$247.94 ,$215.05 ,$209.23 ,$70.84 ,$227.70 ,$198.61 ,$208.98 ,$308.71 ,$164.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201138,86905,HC RBC AG TYPING NON ABO/RH T1-90,302,1 ,$209.00 ,$150.48 ,$4.18 ,$735.30 ,$735.30 ,$167.20 ,$204.82 ,$58.52 ,$182.46 ,$192.07 ,$204.82 ,$172.84 ,$204.82 ,$209.00 ,$192.28 ,$204.82 ,$288.24 ,$208.92 ,$174.31 ,$174.31 ,$174.31 ,$204.82 ,$174.31 ,$178.90 ,$178.90 ,$188.10 ,$209.00 ,$177.65 ,$204.82 ,$204.82 ,$117.25 ,$288.24 ,$86.53 ,$4.38 ,$4.18 ,$204.82 ,$177.65 ,$172.84 ,$58.52 ,$188.10 ,$164.07 ,$172.63 ,$308.71 ,$135.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201139,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$209.00 ,$150.48 ,$4.18 ,$735.30 ,$735.30 ,$167.20 ,$204.82 ,$58.52 ,$182.46 ,$192.07 ,$204.82 ,$172.84 ,$204.82 ,$209.00 ,$192.28 ,$204.82 ,$288.24 ,$208.92 ,$174.31 ,$174.31 ,$174.31 ,$204.82 ,$174.31 ,$178.90 ,$178.90 ,$188.10 ,$209.00 ,$177.65 ,$204.82 ,$204.82 ,$117.25 ,$288.24 ,$86.53 ,$4.38 ,$4.18 ,$204.82 ,$177.65 ,$172.84 ,$58.52 ,$188.10 ,$164.07 ,$172.63 ,$308.71 ,$135.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201140,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$209.00 ,$150.48 ,$4.18 ,$735.30 ,$735.30 ,$167.20 ,$204.82 ,$58.52 ,$182.46 ,$192.07 ,$204.82 ,$172.84 ,$204.82 ,$209.00 ,$192.28 ,$204.82 ,$288.24 ,$208.92 ,$174.31 ,$174.31 ,$174.31 ,$204.82 ,$174.31 ,$178.90 ,$178.90 ,$188.10 ,$209.00 ,$177.65 ,$204.82 ,$204.82 ,$117.25 ,$288.24 ,$86.53 ,$4.38 ,$4.18 ,$204.82 ,$177.65 ,$172.84 ,$58.52 ,$188.10 ,$164.07 ,$172.63 ,$308.71 ,$135.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201141,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$209.00 ,$150.48 ,$4.18 ,$735.30 ,$735.30 ,$167.20 ,$204.82 ,$58.52 ,$182.46 ,$192.07 ,$204.82 ,$172.84 ,$204.82 ,$209.00 ,$192.28 ,$204.82 ,$288.24 ,$208.92 ,$174.31 ,$174.31 ,$174.31 ,$204.82 ,$174.31 ,$178.90 ,$178.90 ,$188.10 ,$209.00 ,$177.65 ,$204.82 ,$204.82 ,$117.25 ,$288.24 ,$86.53 ,$4.38 ,$4.18 ,$204.82 ,$177.65 ,$172.84 ,$58.52 ,$188.10 ,$164.07 ,$172.63 ,$308.71 ,$135.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201147,86870,HC RBC AB ID PANEL SERUM-90,302,1 ,$144.00 ,$103.68 ,$6.74 ,$735.30 ,$735.30 ,$115.20 ,$141.12 ,$40.32 ,$125.71 ,$132.34 ,$141.12 ,$119.09 ,$141.12 ,$144.00 ,$132.48 ,$141.12 ,$288.24 ,$143.94 ,$120.10 ,$120.10 ,$120.10 ,$141.12 ,$120.10 ,$123.26 ,$123.26 ,$129.60 ,$144.00 ,$122.40 ,$141.12 ,$141.12 ,$80.78 ,$288.24 ,$59.62 ,$7.06 ,$6.74 ,$141.12 ,$122.40 ,$119.09 ,$40.32 ,$129.60 ,$113.04 ,$118.94 ,$308.71 ,$93.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201148,83986,HC PH BODY FLUID,302,1 ,$40.00 ,$28.80 ,$3.35 ,$40.00 ,$8.95 ,$32.00 ,$3.51 ,$11.20 ,$34.92 ,$36.76 ,$3.51 ,$33.08 ,$3.51 ,$7.23 ,$36.80 ,$8.77 ,$3.51 ,$3.58 ,$33.36 ,$33.36 ,$33.36 ,$3.51 ,$33.36 ,$34.24 ,$34.24 ,$36.00 ,$8.95 ,$34.00 ,$3.51 ,$3.51 ,$22.44 ,$3.51 ,$16.56 ,$3.51 ,$3.35 ,$3.68 ,$34.00 ,$33.08 ,$11.20 ,$36.00 ,$31.40 ,$33.04 ,$3.75 ,$26.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201174,86160,HC COMPLIMENT AG,302,1 ,$291.00 ,$209.52 ,$6.74 ,$291.00 ,$30.00 ,$232.80 ,$11.76 ,$81.48 ,$254.04 ,$267.43 ,$11.76 ,$240.66 ,$11.76 ,$24.24 ,$267.72 ,$29.40 ,$11.76 ,$12.00 ,$242.69 ,$242.69 ,$242.69 ,$11.76 ,$242.69 ,$249.10 ,$249.10 ,$261.90 ,$30.00 ,$247.35 ,$11.76 ,$11.76 ,$163.25 ,$11.76 ,$120.47 ,$7.06 ,$6.74 ,$12.35 ,$247.35 ,$240.66 ,$81.48 ,$261.90 ,$228.44 ,$240.37 ,$12.59 ,$189.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201175,86850,HC MV AB,302,1 ,$173.00 ,$124.56 ,$6.74 ,$173.00 ,$113.75 ,$138.40 ,$44.59 ,$48.44 ,$151.03 ,$158.99 ,$44.59 ,$143.07 ,$44.59 ,$91.91 ,$159.16 ,$111.47 ,$44.59 ,$45.48 ,$144.28 ,$144.28 ,$144.28 ,$44.59 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$113.75 ,$147.05 ,$44.59 ,$44.59 ,$97.05 ,$44.59 ,$71.62 ,$7.06 ,$6.74 ,$46.82 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$47.76 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201176,86778,HC TOXOPLASMA AB IGM,302,1 ,$240.00 ,$172.80 ,$11.61 ,$240.00 ,$36.03 ,$192.00 ,$14.12 ,$67.20 ,$209.52 ,$220.56 ,$14.12 ,$198.48 ,$14.12 ,$29.11 ,$220.80 ,$35.31 ,$14.12 ,$14.41 ,$200.16 ,$200.16 ,$200.16 ,$14.12 ,$200.16 ,$205.44 ,$205.44 ,$216.00 ,$36.03 ,$204.00 ,$14.12 ,$14.12 ,$134.64 ,$14.12 ,$99.36 ,$12.17 ,$11.61 ,$14.83 ,$204.00 ,$198.48 ,$67.20 ,$216.00 ,$188.40 ,$198.24 ,$15.12 ,$156.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201177,86777,HC TOXAPLASMA AB,302,1 ,$173.00 ,$124.56 ,$11.61 ,$173.00 ,$35.98 ,$138.40 ,$14.10 ,$48.44 ,$151.03 ,$158.99 ,$14.10 ,$143.07 ,$14.10 ,$29.07 ,$159.16 ,$35.26 ,$14.10 ,$14.39 ,$144.28 ,$144.28 ,$144.28 ,$14.10 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$35.98 ,$147.05 ,$14.10 ,$14.10 ,$97.05 ,$14.10 ,$71.62 ,$12.17 ,$11.61 ,$14.81 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$15.10 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201178,86140,HC C-REACTIVE PROTEIN,302,1 ,$145.00 ,$104.40 ,$5.08 ,$145.00 ,$12.95 ,$116.00 ,$5.08 ,$40.60 ,$126.59 ,$133.26 ,$5.08 ,$119.92 ,$5.08 ,$10.46 ,$133.40 ,$12.69 ,$5.08 ,$5.17 ,$120.93 ,$120.93 ,$120.93 ,$5.08 ,$120.93 ,$124.12 ,$124.12 ,$130.50 ,$12.95 ,$123.25 ,$5.08 ,$5.08 ,$81.35 ,$5.08 ,$60.03 ,$7.06 ,$6.74 ,$5.33 ,$123.25 ,$119.92 ,$40.60 ,$130.50 ,$113.83 ,$119.77 ,$5.44 ,$94.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201189,86015,HC ACTIN SMOOTH MUSC ANTIBODY- 90,302,1 ,$125.00 ,$90.00 ,$6.74 ,$125.00 ,$30.13 ,$100.00 ,$11.81 ,$35.00 ,$109.13 ,$114.88 ,$11.81 ,$103.38 ,$11.81 ,$24.34 ,$115.00 ,$29.53 ,$11.81 ,$12.04 ,$104.25 ,$104.25 ,$104.25 ,$11.81 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$30.13 ,$106.25 ,$11.81 ,$11.81 ,$70.13 ,$11.81 ,$51.75 ,$7.06 ,$6.74 ,$12.40 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$12.65 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201190,86036,HC ANTINEUTROPHIL CYTO ANTB SCREEN- 90,302,1 ,$230.00 ,$165.60 ,$6.74 ,$230.00 ,$30.13 ,$184.00 ,$11.81 ,$64.40 ,$200.79 ,$211.37 ,$11.81 ,$190.21 ,$11.81 ,$24.34 ,$211.60 ,$29.53 ,$11.81 ,$12.04 ,$191.82 ,$191.82 ,$191.82 ,$11.81 ,$191.82 ,$196.88 ,$196.88 ,$207.00 ,$30.13 ,$195.50 ,$11.81 ,$11.81 ,$129.03 ,$11.81 ,$95.22 ,$7.06 ,$6.74 ,$12.40 ,$195.50 ,$190.21 ,$64.40 ,$207.00 ,$180.55 ,$189.98 ,$12.65 ,$149.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201192,86364,HC TISS TRANSGLUTAMINASE EA IMMUNO- 90,302,1 ,$125.00 ,$90.00 ,$6.74 ,$125.00 ,$28.83 ,$100.00 ,$11.30 ,$35.00 ,$109.13 ,$114.88 ,$11.30 ,$103.38 ,$11.30 ,$23.29 ,$115.00 ,$28.25 ,$11.30 ,$11.52 ,$104.25 ,$104.25 ,$104.25 ,$11.30 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$28.83 ,$106.25 ,$11.30 ,$11.30 ,$70.13 ,$11.30 ,$51.75 ,$7.06 ,$6.74 ,$11.87 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$12.10 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201193,86231,HC EMA EACH IG CLASS- 90,302,1 ,$190.00 ,$136.80 ,$6.74 ,$190.00 ,$30.23 ,$152.00 ,$11.85 ,$53.20 ,$165.87 ,$174.61 ,$11.85 ,$157.13 ,$11.85 ,$24.42 ,$174.80 ,$29.63 ,$11.85 ,$12.08 ,$158.46 ,$158.46 ,$158.46 ,$11.85 ,$158.46 ,$162.64 ,$162.64 ,$171.00 ,$30.23 ,$161.50 ,$11.85 ,$11.85 ,$106.59 ,$11.85 ,$78.66 ,$7.06 ,$6.74 ,$12.44 ,$161.50 ,$157.13 ,$53.20 ,$171.00 ,$149.15 ,$156.94 ,$12.69 ,$123.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201195,86381,HC MITOCHONDRIAL ANTIBODY- 90,302,1 ,$190.00 ,$136.80 ,$6.74 ,$190.00 ,$63.63 ,$152.00 ,$24.94 ,$53.20 ,$165.87 ,$174.61 ,$24.94 ,$157.13 ,$24.94 ,$51.41 ,$174.80 ,$62.36 ,$24.94 ,$25.44 ,$158.46 ,$158.46 ,$158.46 ,$24.94 ,$158.46 ,$162.64 ,$162.64 ,$171.00 ,$63.63 ,$161.50 ,$24.94 ,$24.94 ,$106.59 ,$24.94 ,$78.66 ,$7.06 ,$6.74 ,$26.19 ,$161.50 ,$157.13 ,$53.20 ,$171.00 ,$149.15 ,$156.94 ,$26.71 ,$123.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201201,86596,HC VOLTAGE GTG CALCIUM CHNL- 90,302,1 ,$81.00 ,$58.32 ,$6.74 ,$81.00 ,$30.13 ,$64.80 ,$11.81 ,$22.68 ,$70.71 ,$74.44 ,$11.81 ,$66.99 ,$11.81 ,$24.34 ,$74.52 ,$29.53 ,$11.81 ,$12.04 ,$67.55 ,$67.55 ,$67.55 ,$11.81 ,$67.55 ,$69.34 ,$69.34 ,$72.90 ,$30.13 ,$68.85 ,$11.81 ,$11.81 ,$45.44 ,$11.81 ,$33.53 ,$7.06 ,$6.74 ,$12.40 ,$68.85 ,$66.99 ,$22.68 ,$72.90 ,$63.59 ,$66.91 ,$12.65 ,$52.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201224,80323,HC ALKALOIDS NOS-90,302,1 ,$87.00 ,$62.64 ,$20.25 ,$87.00 , N/A ,$69.60 , N/A ,$24.36 ,$75.95 ,$79.95 , N/A ,$71.95 , N/A , N/A ,$80.04 , N/A , N/A , N/A ,$72.56 ,$72.56 ,$72.56 , N/A ,$72.56 ,$74.47 ,$74.47 ,$78.30 , N/A ,$73.95 , N/A , N/A ,$48.81 , N/A ,$36.02 ,$21.22 ,$20.25 , N/A ,$73.95 ,$71.95 ,$24.36 ,$78.30 ,$68.30 ,$71.86 , N/A ,$56.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30201240,86362,HC MOG-IGG1 ANTB CBA IMFLUOR ASSAY EACH-90,302,1 ,"$1,180.00 ",$849.60 ,$6.74 ,"$1,180.00 ",$30.13 ,$944.00 ,$11.81 ,$330.40 ,"$1,030.14 ","$1,084.42 ",$11.81 ,$975.86 ,$11.81 ,$24.34 ,"$1,085.60 ",$29.53 ,$11.81 ,$12.04 ,$984.12 ,$984.12 ,$984.12 ,$11.81 ,$984.12 ,"$1,010.08 ","$1,010.08 ","$1,062.00 ",$30.13 ,"$1,003.00 ",$11.81 ,$11.81 ,$661.98 ,$11.81 ,$488.52 ,$7.06 ,$6.74 ,$12.40 ,"$1,003.00 ",$975.86 ,$330.40 ,"$1,062.00 ",$926.30 ,$974.68 ,$12.65 ,$767.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$39.00 ,$28.08 ,$3.72 ,$39.00 ,$9.50 ,$31.20 ,$3.72 ,$10.92 ,$34.05 ,$35.84 ,$3.72 ,$32.25 ,$3.72 ,$7.68 ,$35.88 ,$9.31 ,$3.72 ,$3.80 ,$32.53 ,$32.53 ,$32.53 ,$3.72 ,$32.53 ,$33.38 ,$33.38 ,$35.10 ,$9.50 ,$33.15 ,$3.72 ,$3.72 ,$21.88 ,$3.72 ,$16.15 ,$4.90 ,$4.67 ,$3.91 ,$33.15 ,$32.25 ,$10.92 ,$35.10 ,$30.62 ,$32.21 ,$3.99 ,$25.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500104,85014,HC HEMATOCRIT,305,1 ,$44.00 ,$31.68 ,$2.32 ,$44.00 ,$5.93 ,$35.20 ,$2.32 ,$12.32 ,$38.41 ,$40.44 ,$2.32 ,$36.39 ,$2.32 ,$4.79 ,$40.48 ,$5.81 ,$2.32 ,$2.37 ,$36.70 ,$36.70 ,$36.70 ,$2.32 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$5.93 ,$37.40 ,$2.32 ,$2.32 ,$24.68 ,$2.32 ,$18.22 ,$4.90 ,$4.67 ,$2.44 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$2.49 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500106,85018,HC HGB,305,1 ,$44.00 ,$31.68 ,$2.32 ,$44.00 ,$5.93 ,$35.20 ,$2.32 ,$12.32 ,$38.41 ,$40.44 ,$2.32 ,$36.39 ,$2.32 ,$4.79 ,$40.48 ,$5.81 ,$2.32 ,$2.37 ,$36.70 ,$36.70 ,$36.70 ,$2.32 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$5.93 ,$37.40 ,$2.32 ,$2.32 ,$24.68 ,$2.32 ,$18.22 ,$4.90 ,$4.67 ,$2.44 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$2.49 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$100.00 ,$72.00 ,$4.67 ,$100.00 ,$19.43 ,$80.00 ,$7.61 ,$28.00 ,$87.30 ,$91.90 ,$7.61 ,$82.70 ,$7.61 ,$15.70 ,$92.00 ,$19.04 ,$7.61 ,$7.77 ,$83.40 ,$83.40 ,$83.40 ,$7.61 ,$83.40 ,$85.60 ,$85.60 ,$90.00 ,$19.43 ,$85.00 ,$7.61 ,$7.61 ,$56.10 ,$7.61 ,$41.40 ,$4.90 ,$4.67 ,$8.00 ,$85.00 ,$82.70 ,$28.00 ,$90.00 ,$78.50 ,$82.60 ,$8.15 ,$65.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500108,85027,HC CBC W/O DIFF,305,1 ,$95.00 ,$68.40 ,$4.67 ,$95.00 ,$16.18 ,$76.00 ,$6.34 ,$26.60 ,$82.94 ,$87.31 ,$6.34 ,$78.57 ,$6.34 ,$13.07 ,$87.40 ,$15.86 ,$6.34 ,$6.47 ,$79.23 ,$79.23 ,$79.23 ,$6.34 ,$79.23 ,$81.32 ,$81.32 ,$85.50 ,$16.18 ,$80.75 ,$6.34 ,$6.34 ,$53.30 ,$6.34 ,$39.33 ,$4.90 ,$4.67 ,$6.65 ,$80.75 ,$78.57 ,$26.60 ,$85.50 ,$74.58 ,$78.47 ,$6.79 ,$61.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500111,85045,HC RETIC COUNT AUTO,305,1 ,$97.00 ,$69.84 ,$3.91 ,$97.00 ,$9.98 ,$77.60 ,$3.91 ,$27.16 ,$84.68 ,$89.14 ,$3.91 ,$80.22 ,$3.91 ,$8.06 ,$89.24 ,$9.78 ,$3.91 ,$3.99 ,$80.90 ,$80.90 ,$80.90 ,$3.91 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$9.98 ,$82.45 ,$3.91 ,$3.91 ,$54.42 ,$3.91 ,$40.16 ,$4.90 ,$4.67 ,$4.11 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$4.18 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$98.00 ,$70.56 ,$4.39 ,$98.00 ,$11.20 ,$78.40 ,$4.39 ,$27.44 ,$85.55 ,$90.06 ,$4.39 ,$81.05 ,$4.39 ,$9.05 ,$90.16 ,$10.98 ,$4.39 ,$4.48 ,$81.73 ,$81.73 ,$81.73 ,$4.39 ,$81.73 ,$83.89 ,$83.89 ,$88.20 ,$11.20 ,$83.30 ,$4.39 ,$4.39 ,$54.98 ,$4.39 ,$40.57 ,$4.90 ,$4.67 ,$4.61 ,$83.30 ,$81.05 ,$27.44 ,$88.20 ,$76.93 ,$80.95 ,$4.70 ,$63.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500115,85060,HC BLOOD SMEAR INTERP,305,1 ,$92.00 ,$66.24 ,$25.76 ,$92.00 , N/A ,$73.60 , N/A ,$25.76 ,$80.32 ,$84.55 , N/A ,$76.08 , N/A , N/A ,$84.64 , N/A , N/A , N/A ,$76.73 ,$76.73 ,$76.73 , N/A ,$76.73 ,$78.75 ,$78.75 ,$82.80 , N/A ,$78.20 , N/A , N/A ,$51.61 , N/A ,$38.09 , N/A , N/A , N/A ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 , N/A ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500175,85379,HC D DIMER QN,305,1 ,$65.00 ,$46.80 ,$8.11 ,$65.00 ,$25.45 ,$52.00 ,$9.98 ,$18.20 ,$56.75 ,$59.74 ,$9.98 ,$53.76 ,$9.98 ,$20.56 ,$59.80 ,$24.94 ,$9.98 ,$10.17 ,$54.21 ,$54.21 ,$54.21 ,$9.98 ,$54.21 ,$55.64 ,$55.64 ,$58.50 ,$25.45 ,$55.25 ,$9.98 ,$9.98 ,$36.47 ,$9.98 ,$26.91 ,$8.49 ,$8.11 ,$10.48 ,$55.25 ,$53.76 ,$18.20 ,$58.50 ,$51.03 ,$53.69 ,$10.68 ,$42.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500176,85384,HC FIBRINOGEN,305,1 ,$132.00 ,$95.04 ,$2.73 ,$132.00 ,$24.30 ,$105.60 ,$9.53 ,$36.96 ,$115.24 ,$121.31 ,$9.53 ,$109.16 ,$9.53 ,$19.63 ,$121.44 ,$23.81 ,$9.53 ,$9.71 ,$110.09 ,$110.09 ,$110.09 ,$9.53 ,$110.09 ,$112.99 ,$112.99 ,$118.80 ,$24.30 ,$112.20 ,$9.53 ,$9.53 ,$74.05 ,$9.53 ,$54.65 ,$2.86 ,$2.73 ,$10.01 ,$112.20 ,$109.16 ,$36.96 ,$118.80 ,$103.62 ,$109.03 ,$10.20 ,$85.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$91.00 ,$65.52 ,$2.73 ,$91.00 ,$10.73 ,$72.80 ,$4.20 ,$25.48 ,$79.44 ,$83.63 ,$4.20 ,$75.26 ,$4.20 ,$8.67 ,$83.72 ,$10.52 ,$4.20 ,$4.29 ,$75.89 ,$75.89 ,$75.89 ,$4.20 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$10.73 ,$77.35 ,$4.20 ,$4.20 ,$51.05 ,$4.20 ,$37.67 ,$2.86 ,$2.73 ,$4.41 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$4.50 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500204,85651,HC SED RATE RBC NON AUTO,305,1 ,$91.00 ,$65.52 ,$4.18 ,$91.00 ,$10.68 ,$72.80 ,$4.18 ,$25.48 ,$79.44 ,$83.63 ,$4.18 ,$75.26 ,$4.18 ,$8.63 ,$83.72 ,$10.47 ,$4.18 ,$4.27 ,$75.89 ,$75.89 ,$75.89 ,$4.18 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$10.68 ,$77.35 ,$4.18 ,$4.18 ,$51.05 ,$4.18 ,$37.67 ,$4.90 ,$4.67 ,$4.39 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$4.48 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500205,85652,HC SED RATE AUTO,305,1 ,$91.00 ,$65.52 ,$2.65 ,$91.00 ,$6.75 ,$72.80 ,$2.65 ,$25.48 ,$79.44 ,$83.63 ,$2.65 ,$75.26 ,$2.65 ,$5.45 ,$83.72 ,$6.61 ,$2.65 ,$2.69 ,$75.89 ,$75.89 ,$75.89 ,$2.65 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$6.75 ,$77.35 ,$2.65 ,$2.65 ,$51.05 ,$2.65 ,$37.67 ,$4.90 ,$4.67 ,$2.78 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$2.83 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500206,85660,HC SICKLE CELL RBC,305,1 ,$63.00 ,$45.36 ,$4.67 ,$63.00 ,$13.78 ,$50.40 ,$5.40 ,$17.64 ,$55.00 ,$57.90 ,$5.40 ,$52.10 ,$5.40 ,$11.13 ,$57.96 ,$13.50 ,$5.40 ,$5.51 ,$52.54 ,$52.54 ,$52.54 ,$5.40 ,$52.54 ,$53.93 ,$53.93 ,$56.70 ,$13.78 ,$53.55 ,$5.40 ,$5.40 ,$35.34 ,$5.40 ,$26.08 ,$4.90 ,$4.67 ,$5.67 ,$53.55 ,$52.10 ,$17.64 ,$56.70 ,$49.46 ,$52.04 ,$5.78 ,$40.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500208,85705,HC HEX PHOSPHOLIPID NEUT,305,1 ,$519.00 ,$373.68 ,$8.11 ,$519.00 ,$24.08 ,$415.20 ,$9.44 ,$145.32 ,$453.09 ,$476.96 ,$9.44 ,$429.21 ,$9.44 ,$19.45 ,$477.48 ,$23.60 ,$9.44 ,$9.62 ,$432.85 ,$432.85 ,$432.85 ,$9.44 ,$432.85 ,$444.26 ,$444.26 ,$467.10 ,$24.08 ,$441.15 ,$9.44 ,$9.44 ,$291.16 ,$9.44 ,$214.87 ,$8.49 ,$8.11 ,$9.91 ,$441.15 ,$429.21 ,$145.32 ,$467.10 ,$407.42 ,$428.69 ,$10.10 ,$337.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500211,85730,HC PTT,305,1 ,$130.00 ,$93.60 ,$2.73 ,$130.00 ,$15.03 ,$104.00 ,$5.89 ,$36.40 ,$113.49 ,$119.47 ,$5.89 ,$107.51 ,$5.89 ,$12.14 ,$119.60 ,$14.73 ,$5.89 ,$6.01 ,$108.42 ,$108.42 ,$108.42 ,$5.89 ,$108.42 ,$111.28 ,$111.28 ,$117.00 ,$15.03 ,$110.50 ,$5.89 ,$5.89 ,$72.93 ,$5.89 ,$53.82 ,$2.86 ,$2.73 ,$6.18 ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 ,$6.31 ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500234,85014,HC HEMATOCRIT-90,305,1 ,$44.00 ,$31.68 ,$2.32 ,$44.00 ,$5.93 ,$35.20 ,$2.32 ,$12.32 ,$38.41 ,$40.44 ,$2.32 ,$36.39 ,$2.32 ,$4.79 ,$40.48 ,$5.81 ,$2.32 ,$2.37 ,$36.70 ,$36.70 ,$36.70 ,$2.32 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$5.93 ,$37.40 ,$2.32 ,$2.32 ,$24.68 ,$2.32 ,$18.22 ,$4.90 ,$4.67 ,$2.44 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$2.49 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500238,85018,HC HGB-90,305,1 ,$44.00 ,$31.68 ,$2.32 ,$44.00 ,$5.93 ,$35.20 ,$2.32 ,$12.32 ,$38.41 ,$40.44 ,$2.32 ,$36.39 ,$2.32 ,$4.79 ,$40.48 ,$5.81 ,$2.32 ,$2.37 ,$36.70 ,$36.70 ,$36.70 ,$2.32 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$5.93 ,$37.40 ,$2.32 ,$2.32 ,$24.68 ,$2.32 ,$18.22 ,$4.90 ,$4.67 ,$2.44 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$2.49 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$52.00 ,$37.44 ,$2.96 ,$52.00 ,$7.55 ,$41.60 ,$2.96 ,$14.56 ,$45.40 ,$47.79 ,$2.96 ,$43.00 ,$2.96 ,$6.10 ,$47.84 ,$7.40 ,$2.96 ,$3.02 ,$43.37 ,$43.37 ,$43.37 ,$2.96 ,$43.37 ,$44.51 ,$44.51 ,$46.80 ,$7.55 ,$44.20 ,$2.96 ,$2.96 ,$29.17 ,$2.96 ,$21.53 ,$4.90 ,$4.67 ,$3.11 ,$44.20 ,$43.00 ,$14.56 ,$46.80 ,$40.82 ,$42.95 ,$3.17 ,$33.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500249,85210,HC FACTOR II PROTHROM SPEC-90,305,1 ,$130.00 ,$93.60 ,$2.73 ,$130.00 ,$32.45 ,$104.00 ,$12.72 ,$36.40 ,$113.49 ,$119.47 ,$12.72 ,$107.51 ,$12.72 ,$26.22 ,$119.60 ,$31.80 ,$12.72 ,$12.98 ,$108.42 ,$108.42 ,$108.42 ,$12.72 ,$108.42 ,$111.28 ,$111.28 ,$117.00 ,$32.45 ,$110.50 ,$12.72 ,$12.72 ,$72.93 ,$12.72 ,$53.82 ,$2.86 ,$2.73 ,$13.36 ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 ,$13.62 ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500250,85220,HC FACTOR V CLOTTING FACTOR-90,305,1 ,$647.00 ,$465.84 ,$8.11 ,$647.00 ,$44.13 ,$517.60 ,$17.30 ,$181.16 ,$564.83 ,$594.59 ,$17.30 ,$535.07 ,$17.30 ,$35.65 ,$595.24 ,$43.25 ,$17.30 ,$17.64 ,$539.60 ,$539.60 ,$539.60 ,$17.30 ,$539.60 ,$553.83 ,$553.83 ,$582.30 ,$44.13 ,$549.95 ,$17.30 ,$17.30 ,$362.97 ,$17.30 ,$267.86 ,$8.49 ,$8.11 ,$18.16 ,$549.95 ,$535.07 ,$181.16 ,$582.30 ,$507.90 ,$534.42 ,$18.52 ,$420.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500251,85230,HC FACTOR VII PROCONVERTIN-90,305,1 ,$733.00 ,$527.76 ,$8.11 ,$733.00 ,$44.75 ,$586.40 ,$17.54 ,$205.24 ,$639.91 ,$673.63 ,$17.54 ,$606.19 ,$17.54 ,$36.16 ,$674.36 ,$43.85 ,$17.54 ,$17.89 ,$611.32 ,$611.32 ,$611.32 ,$17.54 ,$611.32 ,$627.45 ,$627.45 ,$659.70 ,$44.75 ,$623.05 ,$17.54 ,$17.54 ,$411.21 ,$17.54 ,$303.46 ,$8.49 ,$8.11 ,$18.42 ,$623.05 ,$606.19 ,$205.24 ,$659.70 ,$575.41 ,$605.46 ,$18.79 ,$476.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500252,85240,HC FACTOR VIII AHG 1 STAGE-90,305,1 ,$245.00 ,$176.40 ,$8.11 ,$245.00 ,$44.75 ,$196.00 ,$17.54 ,$68.60 ,$213.89 ,$225.16 ,$17.54 ,$202.62 ,$17.54 ,$36.16 ,$225.40 ,$43.85 ,$17.54 ,$17.89 ,$204.33 ,$204.33 ,$204.33 ,$17.54 ,$204.33 ,$209.72 ,$209.72 ,$220.50 ,$44.75 ,$208.25 ,$17.54 ,$17.54 ,$137.45 ,$17.54 ,$101.43 ,$8.49 ,$8.11 ,$18.42 ,$208.25 ,$202.62 ,$68.60 ,$220.50 ,$192.33 ,$202.37 ,$18.79 ,$159.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500253,85245,HC FACTOR VIII VW RISTOCTN-90,305,1 ,$197.00 ,$141.84 ,$8.11 ,$197.00 ,$57.35 ,$157.60 ,$22.48 ,$55.16 ,$171.98 ,$181.04 ,$22.48 ,$162.92 ,$22.48 ,$46.34 ,$181.24 ,$56.20 ,$22.48 ,$22.93 ,$164.30 ,$164.30 ,$164.30 ,$22.48 ,$164.30 ,$168.63 ,$168.63 ,$177.30 ,$57.35 ,$167.45 ,$22.48 ,$22.48 ,$110.52 ,$22.48 ,$81.56 ,$8.49 ,$8.11 ,$23.61 ,$167.45 ,$162.92 ,$55.16 ,$177.30 ,$154.65 ,$162.72 ,$24.08 ,$128.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500254,85246,HC FACTOR VIII VW ANTIGEN-90,305,1 ,$310.00 ,$223.20 ,$8.11 ,$310.00 ,$57.35 ,$248.00 ,$22.48 ,$86.80 ,$270.63 ,$284.89 ,$22.48 ,$256.37 ,$22.48 ,$46.34 ,$285.20 ,$56.20 ,$22.48 ,$22.93 ,$258.54 ,$258.54 ,$258.54 ,$22.48 ,$258.54 ,$265.36 ,$265.36 ,$279.00 ,$57.35 ,$263.50 ,$22.48 ,$22.48 ,$173.91 ,$22.48 ,$128.34 ,$8.49 ,$8.11 ,$23.61 ,$263.50 ,$256.37 ,$86.80 ,$279.00 ,$243.35 ,$256.06 ,$24.08 ,$201.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500255,85247,HC FACTOR VIII VW MULTIM ANALY-90,305,1 ,$331.00 ,$238.32 ,$8.11 ,$331.00 ,$57.35 ,$264.80 ,$22.48 ,$92.68 ,$288.96 ,$304.19 ,$22.48 ,$273.74 ,$22.48 ,$46.34 ,$304.52 ,$56.20 ,$22.48 ,$22.93 ,$276.05 ,$276.05 ,$276.05 ,$22.48 ,$276.05 ,$283.34 ,$283.34 ,$297.90 ,$57.35 ,$281.35 ,$22.48 ,$22.48 ,$185.69 ,$22.48 ,$137.03 ,$8.49 ,$8.11 ,$23.61 ,$281.35 ,$273.74 ,$92.68 ,$297.90 ,$259.84 ,$273.41 ,$24.08 ,$215.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500256,85250,HC FACTOR IX (PTC OR CHRISTMAS)-90,305,1 ,$194.00 ,$139.68 ,$8.11 ,$194.00 ,$47.60 ,$155.20 ,$18.66 ,$54.32 ,$169.36 ,$178.29 ,$18.66 ,$160.44 ,$18.66 ,$38.46 ,$178.48 ,$46.65 ,$18.66 ,$19.03 ,$161.80 ,$161.80 ,$161.80 ,$18.66 ,$161.80 ,$166.06 ,$166.06 ,$174.60 ,$47.60 ,$164.90 ,$18.66 ,$18.66 ,$108.83 ,$18.66 ,$80.32 ,$8.49 ,$8.11 ,$19.59 ,$164.90 ,$160.44 ,$54.32 ,$174.60 ,$152.29 ,$160.24 ,$19.98 ,$126.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500257,85260,HC FACTOR X (STUART-POWER)-90,305,1 ,$618.00 ,$444.96 ,$8.11 ,$618.00 ,$44.75 ,$494.40 ,$17.54 ,$173.04 ,$539.51 ,$567.94 ,$17.54 ,$511.09 ,$17.54 ,$36.16 ,$568.56 ,$43.85 ,$17.54 ,$17.89 ,$515.41 ,$515.41 ,$515.41 ,$17.54 ,$515.41 ,$529.01 ,$529.01 ,$556.20 ,$44.75 ,$525.30 ,$17.54 ,$17.54 ,$346.70 ,$17.54 ,$255.85 ,$8.49 ,$8.11 ,$18.42 ,$525.30 ,$511.09 ,$173.04 ,$556.20 ,$485.13 ,$510.47 ,$18.79 ,$401.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500258,85270,HC FACTOR XI (PTA)-90,305,1 ,$170.00 ,$122.40 ,$8.11 ,$170.00 ,$44.75 ,$136.00 ,$17.54 ,$47.60 ,$148.41 ,$156.23 ,$17.54 ,$140.59 ,$17.54 ,$36.16 ,$156.40 ,$43.85 ,$17.54 ,$17.89 ,$141.78 ,$141.78 ,$141.78 ,$17.54 ,$141.78 ,$145.52 ,$145.52 ,$153.00 ,$44.75 ,$144.50 ,$17.54 ,$17.54 ,$95.37 ,$17.54 ,$70.38 ,$8.49 ,$8.11 ,$18.42 ,$144.50 ,$140.59 ,$47.60 ,$153.00 ,$133.45 ,$140.42 ,$18.79 ,$110.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500259,85280,HC FACTOR XII HAGEMAN-90,305,1 ,$170.00 ,$122.40 ,$8.11 ,$170.00 ,$48.38 ,$136.00 ,$18.96 ,$47.60 ,$148.41 ,$156.23 ,$18.96 ,$140.59 ,$18.96 ,$39.09 ,$156.40 ,$47.41 ,$18.96 ,$19.35 ,$141.78 ,$141.78 ,$141.78 ,$18.96 ,$141.78 ,$145.52 ,$145.52 ,$153.00 ,$48.38 ,$144.50 ,$18.96 ,$18.96 ,$95.37 ,$18.96 ,$70.38 ,$8.49 ,$8.11 ,$19.91 ,$144.50 ,$140.59 ,$47.60 ,$153.00 ,$133.45 ,$140.42 ,$20.31 ,$110.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$294.00 ,$211.68 ,$8.11 ,$294.00 ,$29.63 ,$235.20 ,$11.61 ,$82.32 ,$256.66 ,$270.19 ,$11.61 ,$243.14 ,$11.61 ,$23.94 ,$270.48 ,$29.04 ,$11.61 ,$11.85 ,$245.20 ,$245.20 ,$245.20 ,$11.61 ,$245.20 ,$251.66 ,$251.66 ,$264.60 ,$29.63 ,$249.90 ,$11.61 ,$11.61 ,$164.93 ,$11.61 ,$121.72 ,$8.49 ,$8.11 ,$12.19 ,$249.90 ,$243.14 ,$82.32 ,$264.60 ,$230.79 ,$242.84 ,$12.44 ,$191.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$88.00 ,$63.36 ,$8.11 ,$88.00 ,$27.03 ,$70.40 ,$10.59 ,$24.64 ,$76.82 ,$80.87 ,$10.59 ,$72.78 ,$10.59 ,$21.84 ,$80.96 ,$26.49 ,$10.59 ,$10.81 ,$73.39 ,$73.39 ,$73.39 ,$10.59 ,$73.39 ,$75.33 ,$75.33 ,$79.20 ,$27.03 ,$74.80 ,$10.59 ,$10.59 ,$49.37 ,$10.59 ,$36.43 ,$8.49 ,$8.11 ,$11.12 ,$74.80 ,$72.78 ,$24.64 ,$79.20 ,$69.08 ,$72.69 ,$11.35 ,$57.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500263,85302,HC PROTEIN C AG-90,305,1 ,$278.00 ,$200.16 ,$8.11 ,$278.00 ,$30.03 ,$222.40 ,$11.77 ,$77.84 ,$242.69 ,$255.48 ,$11.77 ,$229.91 ,$11.77 ,$24.26 ,$255.76 ,$29.43 ,$11.77 ,$12.00 ,$231.85 ,$231.85 ,$231.85 ,$11.77 ,$231.85 ,$237.97 ,$237.97 ,$250.20 ,$30.03 ,$236.30 ,$11.77 ,$11.77 ,$155.96 ,$11.77 ,$115.09 ,$8.49 ,$8.11 ,$12.36 ,$236.30 ,$229.91 ,$77.84 ,$250.20 ,$218.23 ,$229.63 ,$12.60 ,$180.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$564.00 ,$406.08 ,$8.11 ,$564.00 ,$34.60 ,$451.20 ,$13.56 ,$157.92 ,$492.37 ,$518.32 ,$13.56 ,$466.43 ,$13.56 ,$27.96 ,$518.88 ,$33.91 ,$13.56 ,$13.84 ,$470.38 ,$470.38 ,$470.38 ,$13.56 ,$470.38 ,$482.78 ,$482.78 ,$507.60 ,$34.60 ,$479.40 ,$13.56 ,$13.56 ,$316.40 ,$13.56 ,$233.50 ,$8.49 ,$8.11 ,$14.24 ,$479.40 ,$466.43 ,$157.92 ,$507.60 ,$442.74 ,$465.86 ,$14.52 ,$366.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$100.00 ,$72.00 ,$8.11 ,$100.00 ,$29.03 ,$80.00 ,$11.38 ,$28.00 ,$87.30 ,$91.90 ,$11.38 ,$82.70 ,$11.38 ,$23.45 ,$92.00 ,$28.45 ,$11.38 ,$11.60 ,$83.40 ,$83.40 ,$83.40 ,$11.38 ,$83.40 ,$85.60 ,$85.60 ,$90.00 ,$29.03 ,$85.00 ,$11.38 ,$11.38 ,$56.10 ,$11.38 ,$41.40 ,$8.49 ,$8.11 ,$11.95 ,$85.00 ,$82.70 ,$28.00 ,$90.00 ,$78.50 ,$82.60 ,$12.18 ,$65.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500266,85306,HC PROTEIN S FREE-90,305,1 ,$263.00 ,$189.36 ,$8.11 ,$263.00 ,$38.30 ,$210.40 ,$15.01 ,$73.64 ,$229.60 ,$241.70 ,$15.01 ,$217.50 ,$15.01 ,$30.95 ,$241.96 ,$37.53 ,$15.01 ,$15.32 ,$219.34 ,$219.34 ,$219.34 ,$15.01 ,$219.34 ,$225.13 ,$225.13 ,$236.70 ,$38.30 ,$223.55 ,$15.01 ,$15.01 ,$147.54 ,$15.01 ,$108.88 ,$8.49 ,$8.11 ,$15.77 ,$223.55 ,$217.50 ,$73.64 ,$236.70 ,$206.46 ,$217.24 ,$16.08 ,$170.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$132.00 ,$95.04 ,$7.53 ,$132.00 ,$38.30 ,$105.60 ,$15.01 ,$36.96 ,$115.24 ,$121.31 ,$15.01 ,$109.16 ,$15.01 ,$30.95 ,$121.44 ,$37.53 ,$15.01 ,$15.32 ,$110.09 ,$110.09 ,$110.09 ,$15.01 ,$110.09 ,$112.99 ,$112.99 ,$118.80 ,$38.30 ,$112.20 ,$15.01 ,$15.01 ,$74.05 ,$15.01 ,$54.65 ,$7.89 ,$7.53 ,$15.77 ,$112.20 ,$109.16 ,$36.96 ,$118.80 ,$103.62 ,$109.03 ,$16.08 ,$85.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500269,85362,HC FDP/FSP AGGLUT SQ-90,305,1 ,$173.00 ,$124.56 ,$2.73 ,$173.00 ,$17.23 ,$138.40 ,$6.75 ,$48.44 ,$151.03 ,$158.99 ,$6.75 ,$143.07 ,$6.75 ,$13.92 ,$159.16 ,$16.89 ,$6.75 ,$6.89 ,$144.28 ,$144.28 ,$144.28 ,$6.75 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$17.23 ,$147.05 ,$6.75 ,$6.75 ,$97.05 ,$6.75 ,$71.62 ,$2.86 ,$2.73 ,$7.09 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$7.23 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500283,85520,HC HEPARIN ASSAY-90,305,1 ,$227.00 ,$163.44 ,$8.11 ,$227.00 ,$32.73 ,$181.60 ,$12.83 ,$63.56 ,$198.17 ,$208.61 ,$12.83 ,$187.73 ,$12.83 ,$26.44 ,$208.84 ,$32.08 ,$12.83 ,$13.08 ,$189.32 ,$189.32 ,$189.32 ,$12.83 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$32.73 ,$192.95 ,$12.83 ,$12.83 ,$127.35 ,$12.83 ,$93.98 ,$8.49 ,$8.11 ,$13.47 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$13.74 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$206.00 ,$148.32 ,$8.11 ,$206.00 ,$44.95 ,$164.80 ,$17.62 ,$57.68 ,$179.84 ,$189.31 ,$17.62 ,$170.36 ,$17.62 ,$36.32 ,$189.52 ,$44.05 ,$17.62 ,$17.97 ,$171.80 ,$171.80 ,$171.80 ,$17.62 ,$171.80 ,$176.34 ,$176.34 ,$185.40 ,$44.95 ,$175.10 ,$17.62 ,$17.62 ,$115.57 ,$17.62 ,$85.28 ,$8.49 ,$8.11 ,$18.50 ,$175.10 ,$170.36 ,$57.68 ,$185.40 ,$161.71 ,$170.16 ,$18.87 ,$133.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$457.00 ,$329.04 ,$8.11 ,$457.00 ,$44.95 ,$365.60 ,$17.62 ,$127.96 ,$398.96 ,$419.98 ,$17.62 ,$377.94 ,$17.62 ,$36.32 ,$420.44 ,$44.05 ,$17.62 ,$17.97 ,$381.14 ,$381.14 ,$381.14 ,$17.62 ,$381.14 ,$391.19 ,$391.19 ,$411.30 ,$44.95 ,$388.45 ,$17.62 ,$17.62 ,$256.38 ,$17.62 ,$189.20 ,$8.49 ,$8.11 ,$18.50 ,$388.45 ,$377.94 ,$127.96 ,$411.30 ,$358.75 ,$377.48 ,$18.87 ,$297.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500292,85610,HC PROTHROMBIN TIME (PT)-90,305,1 ,$108.00 ,$77.76 ,$2.73 ,$108.00 ,$10.73 ,$86.40 ,$4.20 ,$30.24 ,$94.28 ,$99.25 ,$4.20 ,$89.32 ,$4.20 ,$8.67 ,$99.36 ,$10.52 ,$4.20 ,$4.29 ,$90.07 ,$90.07 ,$90.07 ,$4.20 ,$90.07 ,$92.45 ,$92.45 ,$97.20 ,$10.73 ,$91.80 ,$4.20 ,$4.20 ,$60.59 ,$4.20 ,$44.71 ,$2.86 ,$2.73 ,$4.41 ,$91.80 ,$89.32 ,$30.24 ,$97.20 ,$84.78 ,$89.21 ,$4.50 ,$70.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$46.00 ,$33.12 ,$8.11 ,$46.00 ,$23.95 ,$36.80 ,$9.39 ,$12.88 ,$40.16 ,$42.27 ,$9.39 ,$38.04 ,$9.39 ,$19.35 ,$42.32 ,$23.47 ,$9.39 ,$9.57 ,$38.36 ,$38.36 ,$38.36 ,$9.39 ,$38.36 ,$39.38 ,$39.38 ,$41.40 ,$23.95 ,$39.10 ,$9.39 ,$9.39 ,$25.81 ,$9.39 ,$19.04 ,$8.49 ,$8.11 ,$9.86 ,$39.10 ,$38.04 ,$12.88 ,$41.40 ,$36.11 ,$38.00 ,$10.05 ,$29.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500301,85660,HC SICKLE CELL RBC-90,305,1 ,$63.00 ,$45.36 ,$4.67 ,$63.00 ,$13.78 ,$50.40 ,$5.40 ,$17.64 ,$55.00 ,$57.90 ,$5.40 ,$52.10 ,$5.40 ,$11.13 ,$57.96 ,$13.50 ,$5.40 ,$5.51 ,$52.54 ,$52.54 ,$52.54 ,$5.40 ,$52.54 ,$53.93 ,$53.93 ,$56.70 ,$13.78 ,$53.55 ,$5.40 ,$5.40 ,$35.34 ,$5.40 ,$26.08 ,$4.90 ,$4.67 ,$5.67 ,$53.55 ,$52.10 ,$17.64 ,$56.70 ,$49.46 ,$52.04 ,$5.78 ,$40.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$176.00 ,$126.72 ,$2.73 ,$176.00 ,$14.43 ,$140.80 ,$5.65 ,$49.28 ,$153.65 ,$161.74 ,$5.65 ,$145.55 ,$5.65 ,$11.66 ,$161.92 ,$14.14 ,$5.65 ,$5.77 ,$146.78 ,$146.78 ,$146.78 ,$5.65 ,$146.78 ,$150.66 ,$150.66 ,$158.40 ,$14.43 ,$149.60 ,$5.65 ,$5.65 ,$98.74 ,$5.65 ,$72.86 ,$2.86 ,$2.73 ,$5.94 ,$149.60 ,$145.55 ,$49.28 ,$158.40 ,$138.16 ,$145.38 ,$6.06 ,$114.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500305,85730,HC PTT-90,305,1 ,$130.00 ,$93.60 ,$2.73 ,$130.00 ,$15.03 ,$104.00 ,$5.89 ,$36.40 ,$113.49 ,$119.47 ,$5.89 ,$107.51 ,$5.89 ,$12.14 ,$119.60 ,$14.73 ,$5.89 ,$6.01 ,$108.42 ,$108.42 ,$108.42 ,$5.89 ,$108.42 ,$111.28 ,$111.28 ,$117.00 ,$15.03 ,$110.50 ,$5.89 ,$5.89 ,$72.93 ,$5.89 ,$53.82 ,$2.86 ,$2.73 ,$6.18 ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 ,$6.31 ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500310,85810,HC VISCOSITY-90,305,1 ,$240.00 ,$172.80 ,$7.11 ,$240.00 ,$29.18 ,$192.00 ,$11.44 ,$67.20 ,$209.52 ,$220.56 ,$11.44 ,$198.48 ,$11.44 ,$23.57 ,$220.80 ,$28.60 ,$11.44 ,$11.66 ,$200.16 ,$200.16 ,$200.16 ,$11.44 ,$200.16 ,$205.44 ,$205.44 ,$216.00 ,$29.18 ,$204.00 ,$11.44 ,$11.44 ,$134.64 ,$11.44 ,$99.36 ,$7.45 ,$7.11 ,$12.00 ,$204.00 ,$198.48 ,$67.20 ,$216.00 ,$188.40 ,$198.24 ,$12.25 ,$156.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500341,85046,HC BLOOD COUNT RETICULOCYTES AUTO,305,1 ,$97.00 ,$69.84 ,$4.67 ,$97.00 ,$13.93 ,$77.60 ,$5.46 ,$27.16 ,$84.68 ,$89.14 ,$5.46 ,$80.22 ,$5.46 ,$11.25 ,$89.24 ,$13.65 ,$5.46 ,$5.57 ,$80.90 ,$80.90 ,$80.90 ,$5.46 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$13.93 ,$82.45 ,$5.46 ,$5.46 ,$54.42 ,$5.46 ,$40.16 ,$4.90 ,$4.67 ,$5.73 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$5.85 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500830,85362,HC FDP/FSP AGGLUT SQ,305,1 ,$173.00 ,$124.56 ,$2.73 ,$173.00 ,$17.23 ,$138.40 ,$6.75 ,$48.44 ,$151.03 ,$158.99 ,$6.75 ,$143.07 ,$6.75 ,$13.92 ,$159.16 ,$16.89 ,$6.75 ,$6.89 ,$144.28 ,$144.28 ,$144.28 ,$6.75 ,$144.28 ,$148.09 ,$148.09 ,$155.70 ,$17.23 ,$147.05 ,$6.75 ,$6.75 ,$97.05 ,$6.75 ,$71.62 ,$2.86 ,$2.73 ,$7.09 ,$147.05 ,$143.07 ,$48.44 ,$155.70 ,$135.81 ,$142.90 ,$7.23 ,$112.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500831,85384,HC FIBRINOGEN,305,1 ,$132.00 ,$95.04 ,$2.73 ,$132.00 ,$24.30 ,$105.60 ,$9.53 ,$36.96 ,$115.24 ,$121.31 ,$9.53 ,$109.16 ,$9.53 ,$19.63 ,$121.44 ,$23.81 ,$9.53 ,$9.71 ,$110.09 ,$110.09 ,$110.09 ,$9.53 ,$110.09 ,$112.99 ,$112.99 ,$118.80 ,$24.30 ,$112.20 ,$9.53 ,$9.53 ,$74.05 ,$9.53 ,$54.65 ,$2.86 ,$2.73 ,$10.01 ,$112.20 ,$109.16 ,$36.96 ,$118.80 ,$103.62 ,$109.03 ,$10.20 ,$85.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30500833,85520,HC HEPARIN ASSAY,305,1 ,$227.00 ,$163.44 ,$8.11 ,$227.00 ,$32.73 ,$181.60 ,$12.83 ,$63.56 ,$198.17 ,$208.61 ,$12.83 ,$187.73 ,$12.83 ,$26.44 ,$208.84 ,$32.08 ,$12.83 ,$13.08 ,$189.32 ,$189.32 ,$189.32 ,$12.83 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$32.73 ,$192.95 ,$12.83 ,$12.83 ,$127.35 ,$12.83 ,$93.98 ,$8.49 ,$8.11 ,$13.47 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$13.74 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600102,87040,HC BLOOD CULTURE,306,1 ,$327.00 ,$235.44 ,$10.11 ,$327.00 ,$25.80 ,$261.60 ,$10.11 ,$91.56 ,$285.47 ,$300.51 ,$10.11 ,$270.43 ,$10.11 ,$20.85 ,$300.84 ,$25.28 ,$10.11 ,$10.32 ,$272.72 ,$272.72 ,$272.72 ,$10.11 ,$272.72 ,$279.91 ,$279.91 ,$294.30 ,$25.80 ,$277.95 ,$10.11 ,$10.11 ,$183.45 ,$10.11 ,$135.38 ,$18.71 ,$17.86 ,$10.62 ,$277.95 ,$270.43 ,$91.56 ,$294.30 ,$256.70 ,$270.10 ,$10.83 ,$212.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600109,87070,HC BODY FLUID CULTURE,306,1 ,$207.00 ,$149.04 ,$5.38 ,$207.00 ,$21.55 ,$165.60 ,$8.45 ,$57.96 ,$180.71 ,$190.23 ,$8.45 ,$171.19 ,$8.45 ,$17.41 ,$190.44 ,$21.12 ,$8.45 ,$8.61 ,$172.64 ,$172.64 ,$172.64 ,$8.45 ,$172.64 ,$177.19 ,$177.19 ,$186.30 ,$21.55 ,$175.95 ,$8.45 ,$8.45 ,$116.13 ,$8.45 ,$85.70 ,$5.63 ,$5.38 ,$8.87 ,$175.95 ,$171.19 ,$57.96 ,$186.30 ,$162.50 ,$170.98 ,$9.05 ,$134.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600138,87102,HC CULTURE FUNGUS OTHER,306,1 ,$278.00 ,$200.16 ,$5.38 ,$278.00 ,$21.03 ,$222.40 ,$8.24 ,$77.84 ,$242.69 ,$255.48 ,$8.24 ,$229.91 ,$8.24 ,$16.99 ,$255.76 ,$20.61 ,$8.24 ,$8.41 ,$231.85 ,$231.85 ,$231.85 ,$8.24 ,$231.85 ,$237.97 ,$237.97 ,$250.20 ,$21.03 ,$236.30 ,$8.24 ,$8.24 ,$155.96 ,$8.24 ,$115.09 ,$5.63 ,$5.38 ,$8.65 ,$236.30 ,$229.91 ,$77.84 ,$250.20 ,$218.23 ,$229.63 ,$8.83 ,$180.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600145,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$148.00 ,$106.56 ,$10.11 ,$148.00 ,$25.80 ,$118.40 ,$10.11 ,$41.44 ,$129.20 ,$136.01 ,$10.11 ,$122.40 ,$10.11 ,$20.85 ,$136.16 ,$25.28 ,$10.11 ,$10.32 ,$123.43 ,$123.43 ,$123.43 ,$10.11 ,$123.43 ,$126.69 ,$126.69 ,$133.20 ,$25.80 ,$125.80 ,$10.11 ,$10.11 ,$83.03 ,$10.11 ,$61.27 ,$18.71 ,$17.86 ,$10.62 ,$125.80 ,$122.40 ,$41.44 ,$133.20 ,$116.18 ,$122.25 ,$10.83 ,$96.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600161,87168,HC EXAM ARTHROPOD,306,1 ,$44.00 ,$31.68 ,$4.18 ,$44.00 ,$10.68 ,$35.20 ,$4.18 ,$12.32 ,$38.41 ,$40.44 ,$4.18 ,$36.39 ,$4.18 ,$8.63 ,$40.48 ,$10.47 ,$4.18 ,$4.27 ,$36.70 ,$36.70 ,$36.70 ,$4.18 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$10.68 ,$37.40 ,$4.18 ,$4.18 ,$24.68 ,$4.18 ,$18.22 ,$5.63 ,$5.38 ,$4.39 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$4.48 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600163,87172,HC PINWORM EXAM,306,1 ,$79.00 ,$56.88 ,$4.18 ,$79.00 ,$10.68 ,$63.20 ,$4.18 ,$22.12 ,$68.97 ,$72.60 ,$4.18 ,$65.33 ,$4.18 ,$8.63 ,$72.68 ,$10.47 ,$4.18 ,$4.27 ,$65.89 ,$65.89 ,$65.89 ,$4.18 ,$65.89 ,$67.62 ,$67.62 ,$71.10 ,$10.68 ,$67.15 ,$4.18 ,$4.18 ,$44.32 ,$4.18 ,$32.71 ,$5.63 ,$5.38 ,$4.39 ,$67.15 ,$65.33 ,$22.12 ,$71.10 ,$62.02 ,$65.25 ,$4.48 ,$51.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600172,87186,HC SENSITIVITY MIC,306,1 ,$177.00 ,$127.44 ,$5.38 ,$177.00 ,$21.63 ,$141.60 ,$8.48 ,$49.56 ,$154.52 ,$162.66 ,$8.48 ,$146.38 ,$8.48 ,$17.47 ,$162.84 ,$21.20 ,$8.48 ,$8.64 ,$147.62 ,$147.62 ,$147.62 ,$8.48 ,$147.62 ,$151.51 ,$151.51 ,$159.30 ,$21.63 ,$150.45 ,$8.48 ,$8.48 ,$99.30 ,$8.48 ,$73.28 ,$5.63 ,$5.38 ,$8.90 ,$150.45 ,$146.38 ,$49.56 ,$159.30 ,$138.95 ,$146.20 ,$9.07 ,$115.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$16.00 ,$11.52 ,$4.18 ,$16.00 ,$10.68 ,$12.80 ,$4.18 ,$4.48 ,$13.97 ,$14.70 ,$4.18 ,$13.23 ,$4.18 ,$8.63 ,$14.72 ,$10.47 ,$4.18 ,$4.27 ,$13.34 ,$13.34 ,$13.34 ,$4.18 ,$13.34 ,$13.70 ,$13.70 ,$14.40 ,$10.68 ,$13.60 ,$4.18 ,$4.18 ,$8.98 ,$4.18 ,$6.62 ,$5.63 ,$5.38 ,$4.39 ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 ,$4.48 ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600183,87210,HC SMEAR WET MOUNT,306,1 ,$97.00 ,$69.84 ,$5.38 ,$97.00 ,$14.55 ,$77.60 ,$5.70 ,$27.16 ,$84.68 ,$89.14 ,$5.70 ,$80.22 ,$5.70 ,$11.76 ,$89.24 ,$14.26 ,$5.70 ,$5.82 ,$80.90 ,$80.90 ,$80.90 ,$5.70 ,$80.90 ,$83.03 ,$83.03 ,$87.30 ,$14.55 ,$82.45 ,$5.70 ,$5.70 ,$54.42 ,$5.70 ,$40.16 ,$5.63 ,$5.38 ,$5.99 ,$82.45 ,$80.22 ,$27.16 ,$87.30 ,$76.15 ,$80.12 ,$6.11 ,$63.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600185,87220,HC TISSUE KOH PREP,306,1 ,$91.00 ,$65.52 ,$4.18 ,$91.00 ,$10.68 ,$72.80 ,$4.18 ,$25.48 ,$79.44 ,$83.63 ,$4.18 ,$75.26 ,$4.18 ,$8.63 ,$83.72 ,$10.47 ,$4.18 ,$4.27 ,$75.89 ,$75.89 ,$75.89 ,$4.18 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$10.68 ,$77.35 ,$4.18 ,$4.18 ,$51.05 ,$4.18 ,$37.67 ,$5.63 ,$5.38 ,$4.39 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$4.48 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$392.00 ,$282.24 ,$6.74 ,$392.00 ,$29.95 ,$313.60 ,$11.74 ,$109.76 ,$342.22 ,$360.25 ,$11.74 ,$324.18 ,$11.74 ,$24.20 ,$360.64 ,$29.35 ,$11.74 ,$11.98 ,$326.93 ,$326.93 ,$326.93 ,$11.74 ,$326.93 ,$335.55 ,$335.55 ,$352.80 ,$29.95 ,$333.20 ,$11.74 ,$11.74 ,$219.91 ,$11.74 ,$162.29 ,$7.06 ,$6.74 ,$12.33 ,$333.20 ,$324.18 ,$109.76 ,$352.80 ,$307.72 ,$323.79 ,$12.57 ,$254.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600217,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$375.00 ,$270.00 ,$6.74 ,$375.00 ,$35.95 ,$300.00 ,$14.09 ,$105.00 ,$327.38 ,$344.63 ,$14.09 ,$310.13 ,$14.09 ,$29.05 ,$345.00 ,$35.23 ,$14.09 ,$14.38 ,$312.75 ,$312.75 ,$312.75 ,$14.09 ,$312.75 ,$321.00 ,$321.00 ,$337.50 ,$35.95 ,$318.75 ,$14.09 ,$14.09 ,$210.38 ,$14.09 ,$155.25 ,$7.06 ,$6.74 ,$14.80 ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 ,$15.09 ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$60.00 ,$43.20 ,$11.61 ,$60.00 ,$35.33 ,$48.00 ,$13.85 ,$16.80 ,$52.38 ,$55.14 ,$13.85 ,$49.62 ,$13.85 ,$28.54 ,$55.20 ,$34.62 ,$13.85 ,$14.12 ,$50.04 ,$50.04 ,$50.04 ,$13.85 ,$50.04 ,$51.36 ,$51.36 ,$54.00 ,$35.33 ,$51.00 ,$13.85 ,$13.85 ,$33.66 ,$13.85 ,$24.84 ,$12.17 ,$11.61 ,$14.54 ,$51.00 ,$49.62 ,$16.80 ,$54.00 ,$47.10 ,$49.56 ,$14.83 ,$39.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600226,87420,HC RSV AG QL,306,1 ,$586.00 ,$421.92 ,$13.63 ,$586.00 ,$34.78 ,$468.80 ,$13.63 ,$164.08 ,$511.58 ,$538.53 ,$13.63 ,$484.62 ,$13.63 ,$28.10 ,$539.12 ,$34.08 ,$13.63 ,$13.91 ,$488.72 ,$488.72 ,$488.72 ,$13.63 ,$488.72 ,$501.62 ,$501.62 ,$527.40 ,$34.78 ,$498.10 ,$13.63 ,$13.63 ,$328.75 ,$13.63 ,$242.60 ,$18.71 ,$17.86 ,$14.32 ,$498.10 ,$484.62 ,$164.08 ,$527.40 ,$460.01 ,$484.04 ,$14.60 ,$380.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600227,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$301.00 ,$216.72 ,$6.74 ,$301.00 ,$29.95 ,$240.80 ,$11.74 ,$84.28 ,$262.77 ,$276.62 ,$11.74 ,$248.93 ,$11.74 ,$24.20 ,$276.92 ,$29.35 ,$11.74 ,$11.98 ,$251.03 ,$251.03 ,$251.03 ,$11.74 ,$251.03 ,$257.66 ,$257.66 ,$270.90 ,$29.95 ,$255.85 ,$11.74 ,$11.74 ,$168.86 ,$11.74 ,$124.61 ,$7.06 ,$6.74 ,$12.33 ,$255.85 ,$248.93 ,$84.28 ,$270.90 ,$236.29 ,$248.63 ,$12.57 ,$195.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$150.00 ,$108.00 ,$6.74 ,$150.00 ,$93.18 ,$120.00 ,$36.52 ,$42.00 ,$130.95 ,$137.85 ,$36.52 ,$124.05 ,$36.52 ,$75.29 ,$138.00 ,$91.32 ,$36.52 ,$37.26 ,$125.10 ,$125.10 ,$125.10 ,$36.52 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$93.18 ,$127.50 ,$36.52 ,$36.52 ,$84.15 ,$36.52 ,$62.10 ,$7.06 ,$6.74 ,$38.35 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$39.12 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600252,87624,HC HPV AMP,306,1 ,$151.00 ,$108.72 ,$17.86 ,$151.00 ,$87.73 ,$120.80 ,$34.39 ,$42.28 ,$131.82 ,$138.77 ,$34.39 ,$124.88 ,$34.39 ,$70.88 ,$138.92 ,$85.98 ,$34.39 ,$35.07 ,$125.93 ,$125.93 ,$125.93 ,$34.39 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$87.73 ,$128.35 ,$34.39 ,$34.39 ,$84.71 ,$34.39 ,$62.51 ,$18.71 ,$17.86 ,$36.10 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$36.83 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600255,87641,HC MRSA AMP,306,1 ,$256.00 ,$184.32 ,$17.86 ,$256.00 ,$87.73 ,$204.80 ,$34.39 ,$71.68 ,$223.49 ,$235.26 ,$34.39 ,$211.71 ,$34.39 ,$70.88 ,$235.52 ,$85.98 ,$34.39 ,$35.07 ,$213.50 ,$213.50 ,$213.50 ,$34.39 ,$213.50 ,$219.14 ,$219.14 ,$230.40 ,$87.73 ,$217.60 ,$34.39 ,$34.39 ,$143.62 ,$34.39 ,$105.98 ,$18.71 ,$17.86 ,$36.10 ,$217.60 ,$211.71 ,$71.68 ,$230.40 ,$200.96 ,$211.46 ,$36.83 ,$166.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600270,87880,HC OPTICAL STREP,306,1 ,$130.00 ,$93.60 ,$5.38 ,$130.00 ,$41.33 ,$104.00 ,$16.20 ,$36.40 ,$113.49 ,$119.47 ,$16.20 ,$107.51 ,$16.20 ,$33.39 ,$119.60 ,$40.50 ,$16.20 ,$16.52 ,$108.42 ,$108.42 ,$108.42 ,$16.20 ,$108.42 ,$111.28 ,$111.28 ,$117.00 ,$41.33 ,$110.50 ,$16.20 ,$16.20 ,$72.93 ,$16.20 ,$53.82 ,$5.63 ,$5.38 ,$17.01 ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$107.38 ,$17.35 ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600283,87804,HC QL INFLUENZA A/B,306,1 ,$72.00 ,$51.84 ,$5.38 ,$72.00 ,$41.38 ,$57.60 ,$16.22 ,$20.16 ,$62.86 ,$66.17 ,$16.22 ,$59.54 ,$16.22 ,$33.43 ,$66.24 ,$40.55 ,$16.22 ,$16.54 ,$60.05 ,$60.05 ,$60.05 ,$16.22 ,$60.05 ,$61.63 ,$61.63 ,$64.80 ,$41.38 ,$61.20 ,$16.22 ,$16.22 ,$40.39 ,$16.22 ,$29.81 ,$5.63 ,$5.38 ,$17.03 ,$61.20 ,$59.54 ,$20.16 ,$64.80 ,$56.52 ,$59.47 ,$17.38 ,$46.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600303,87176,HC HOMOGENIZATION TISSUE,306,1 ,$90.00 ,$64.80 ,$5.38 ,$90.00 ,$14.70 ,$72.00 ,$5.76 ,$25.20 ,$78.57 ,$82.71 ,$5.76 ,$74.43 ,$5.76 ,$11.88 ,$82.80 ,$14.41 ,$5.76 ,$5.88 ,$75.06 ,$75.06 ,$75.06 ,$5.76 ,$75.06 ,$77.04 ,$77.04 ,$81.00 ,$14.70 ,$76.50 ,$5.76 ,$5.76 ,$50.49 ,$5.76 ,$37.26 ,$5.63 ,$5.38 ,$6.05 ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 ,$6.17 ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600307,87250,HC VIRUS ISOLATION CMV CULTURE,306,1 ,$127.00 ,$91.44 ,$17.86 ,$127.00 ,$48.90 ,$101.60 ,$19.17 ,$35.56 ,$110.87 ,$116.71 ,$19.17 ,$105.03 ,$19.17 ,$39.51 ,$116.84 ,$47.92 ,$19.17 ,$19.55 ,$105.92 ,$105.92 ,$105.92 ,$19.17 ,$105.92 ,$108.71 ,$108.71 ,$114.30 ,$48.90 ,$107.95 ,$19.17 ,$19.17 ,$71.25 ,$19.17 ,$52.58 ,$18.71 ,$17.86 ,$20.13 ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 ,$20.53 ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600318,87449,HC EIA QL MLT AG INF,306,1 ,$300.00 ,$216.00 ,$6.74 ,$300.00 ,$29.95 ,$240.00 ,$11.74 ,$84.00 ,$261.90 ,$275.70 ,$11.74 ,$248.10 ,$11.74 ,$24.20 ,$276.00 ,$29.35 ,$11.74 ,$11.98 ,$250.20 ,$250.20 ,$250.20 ,$11.74 ,$250.20 ,$256.80 ,$256.80 ,$270.00 ,$29.95 ,$255.00 ,$11.74 ,$11.74 ,$168.30 ,$11.74 ,$124.20 ,$7.06 ,$6.74 ,$12.33 ,$255.00 ,$248.10 ,$84.00 ,$270.00 ,$235.50 ,$247.80 ,$12.57 ,$195.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600348,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,"$1,751.00 ","$1,260.72 ",$17.86 ,"$1,751.00 ","$1,041.95 ","$1,400.80 ",$408.44 ,$490.28 ,"$1,528.62 ","$1,609.17 ",$408.44 ,"$1,448.08 ",$408.44 ,$841.90 ,"$1,610.92 ","$1,021.11 ",$408.44 ,$416.62 ,"$1,460.33 ","$1,460.33 ","$1,460.33 ",$408.44 ,"$1,460.33 ","$1,498.86 ","$1,498.86 ","$1,575.90 ","$1,041.95 ","$1,488.35 ",$408.44 ,$408.44 ,$982.31 ,$408.44 ,$724.91 ,$18.71 ,$17.86 ,$428.87 ,"$1,488.35 ","$1,448.08 ",$490.28 ,"$1,575.90 ","$1,374.54 ","$1,446.33 ",$437.44 ,"$1,138.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600356,87077,HC CULTURE AEROBIC ID ADDL-90,306,1 ,$131.00 ,$94.32 ,$5.38 ,$131.00 ,$20.20 ,$104.80 ,$7.92 ,$36.68 ,$114.36 ,$120.39 ,$7.92 ,$108.34 ,$7.92 ,$16.32 ,$120.52 ,$19.80 ,$7.92 ,$8.08 ,$109.25 ,$109.25 ,$109.25 ,$7.92 ,$109.25 ,$112.14 ,$112.14 ,$117.90 ,$20.20 ,$111.35 ,$7.92 ,$7.92 ,$73.49 ,$7.92 ,$54.23 ,$5.63 ,$5.38 ,$8.31 ,$111.35 ,$108.34 ,$36.68 ,$117.90 ,$102.84 ,$108.21 ,$8.48 ,$85.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600359,87081,HC CULTURE SCR PRESUMP PATHOGENS-90,306,1 ,$157.00 ,$113.04 ,$5.38 ,$157.00 ,$16.58 ,$125.60 ,$6.50 ,$43.96 ,$137.06 ,$144.28 ,$6.50 ,$129.84 ,$6.50 ,$13.39 ,$144.44 ,$16.25 ,$6.50 ,$6.62 ,$130.94 ,$130.94 ,$130.94 ,$6.50 ,$130.94 ,$134.39 ,$134.39 ,$141.30 ,$16.58 ,$133.45 ,$6.50 ,$6.50 ,$88.08 ,$6.50 ,$65.00 ,$5.63 ,$5.38 ,$6.82 ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$129.68 ,$6.96 ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$157.00 ,$113.04 ,$5.38 ,$157.00 ,$16.58 ,$125.60 ,$6.50 ,$43.96 ,$137.06 ,$144.28 ,$6.50 ,$129.84 ,$6.50 ,$13.39 ,$144.44 ,$16.25 ,$6.50 ,$6.62 ,$130.94 ,$130.94 ,$130.94 ,$6.50 ,$130.94 ,$134.39 ,$134.39 ,$141.30 ,$16.58 ,$133.45 ,$6.50 ,$6.50 ,$88.08 ,$6.50 ,$65.00 ,$5.63 ,$5.38 ,$6.82 ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$129.68 ,$6.96 ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$91.00 ,$65.52 ,$10.58 ,$91.00 ,$27.00 ,$72.80 ,$10.58 ,$25.48 ,$79.44 ,$83.63 ,$10.58 ,$75.26 ,$10.58 ,$21.82 ,$83.72 ,$26.46 ,$10.58 ,$10.80 ,$75.89 ,$75.89 ,$75.89 ,$10.58 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$27.00 ,$77.35 ,$10.58 ,$10.58 ,$51.05 ,$10.58 ,$37.67 ,$18.71 ,$17.86 ,$11.11 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$11.34 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$91.00 ,$65.52 ,$5.46 ,$91.00 ,$13.93 ,$72.80 ,$5.46 ,$25.48 ,$79.44 ,$83.63 ,$5.46 ,$75.26 ,$5.46 ,$11.25 ,$83.72 ,$13.65 ,$5.46 ,$5.57 ,$75.89 ,$75.89 ,$75.89 ,$5.46 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$13.93 ,$77.35 ,$5.46 ,$5.46 ,$51.05 ,$5.46 ,$37.67 ,$18.71 ,$17.86 ,$5.73 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$5.85 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600377,87153,HC ID NUCLEAR ACID SEQ METH ID-90,306,1 ,$518.00 ,$372.96 ,$17.86 ,$518.00 ,$288.40 ,$414.40 ,$113.05 ,$145.04 ,$452.21 ,$476.04 ,$113.05 ,$428.39 ,$113.05 ,$233.03 ,$476.56 ,$282.63 ,$113.05 ,$115.32 ,$432.01 ,$432.01 ,$432.01 ,$113.05 ,$432.01 ,$443.41 ,$443.41 ,$466.20 ,$288.40 ,$440.30 ,$113.05 ,$113.05 ,$290.60 ,$113.05 ,$214.45 ,$18.71 ,$17.86 ,$118.71 ,$440.30 ,$428.39 ,$145.04 ,$466.20 ,$406.63 ,$427.87 ,$121.08 ,$336.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$92.00 ,$66.24 ,$5.38 ,$92.00 ,$22.25 ,$73.60 ,$8.72 ,$25.76 ,$80.32 ,$84.55 ,$8.72 ,$76.08 ,$8.72 ,$17.98 ,$84.64 ,$21.80 ,$8.72 ,$8.90 ,$76.73 ,$76.73 ,$76.73 ,$8.72 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$22.25 ,$78.20 ,$8.72 ,$8.72 ,$51.61 ,$8.72 ,$38.09 ,$5.63 ,$5.38 ,$9.16 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$9.34 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600383,87185,HC BETA LACTAMASE-90,306,1 ,$70.00 ,$50.40 ,$4.65 ,$70.00 ,$11.88 ,$56.00 ,$4.65 ,$19.60 ,$61.11 ,$64.33 ,$4.65 ,$57.89 ,$4.65 ,$9.60 ,$64.40 ,$11.64 ,$4.65 ,$4.75 ,$58.38 ,$58.38 ,$58.38 ,$4.65 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$11.88 ,$59.50 ,$4.65 ,$4.65 ,$39.27 ,$4.65 ,$28.98 ,$5.63 ,$5.38 ,$4.89 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$4.99 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600388,87186,HC SENSITIVITY MIC INIT PLATE-90,306,1 ,$181.00 ,$130.32 ,$5.38 ,$181.00 ,$21.63 ,$144.80 ,$8.48 ,$50.68 ,$158.01 ,$166.34 ,$8.48 ,$149.69 ,$8.48 ,$17.47 ,$166.52 ,$21.20 ,$8.48 ,$8.64 ,$150.95 ,$150.95 ,$150.95 ,$8.48 ,$150.95 ,$154.94 ,$154.94 ,$162.90 ,$21.63 ,$153.85 ,$8.48 ,$8.48 ,$101.54 ,$8.48 ,$74.93 ,$5.63 ,$5.38 ,$8.90 ,$153.85 ,$149.69 ,$50.68 ,$162.90 ,$142.09 ,$149.51 ,$9.07 ,$117.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600392,87190,HC SENSITIVITY AFB-90,306,1 ,$138.00 ,$99.36 ,$5.38 ,$138.00 ,$18.28 ,$110.40 ,$7.16 ,$38.64 ,$120.47 ,$126.82 ,$7.16 ,$114.13 ,$7.16 ,$14.77 ,$126.96 ,$17.91 ,$7.16 ,$7.31 ,$115.09 ,$115.09 ,$115.09 ,$7.16 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$18.28 ,$117.30 ,$7.16 ,$7.16 ,$77.42 ,$7.16 ,$57.13 ,$5.63 ,$5.38 ,$7.53 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$7.67 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$439.00 ,$316.08 ,$5.28 ,$439.00 ,$13.48 ,$351.20 ,$5.28 ,$122.92 ,$383.25 ,$403.44 ,$5.28 ,$363.05 ,$5.28 ,$10.89 ,$403.88 ,$13.21 ,$5.28 ,$5.39 ,$366.13 ,$366.13 ,$366.13 ,$5.28 ,$366.13 ,$375.78 ,$375.78 ,$395.10 ,$13.48 ,$373.15 ,$5.28 ,$5.28 ,$246.28 ,$5.28 ,$181.75 ,$5.63 ,$5.38 ,$5.55 ,$373.15 ,$363.05 ,$122.92 ,$395.10 ,$344.62 ,$362.61 ,$5.65 ,$285.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$94.00 ,$67.68 ,$5.38 ,$94.00 ,$14.98 ,$75.20 ,$5.87 ,$26.32 ,$82.06 ,$86.39 ,$5.87 ,$77.74 ,$5.87 ,$12.10 ,$86.48 ,$14.68 ,$5.87 ,$5.99 ,$78.40 ,$78.40 ,$78.40 ,$5.87 ,$78.40 ,$80.46 ,$80.46 ,$84.60 ,$14.98 ,$79.90 ,$5.87 ,$5.87 ,$52.73 ,$5.87 ,$38.92 ,$5.63 ,$5.38 ,$6.16 ,$79.90 ,$77.74 ,$26.32 ,$84.60 ,$73.79 ,$77.64 ,$6.29 ,$61.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600399,87209,HC OVA  AND  PARASITE W/STAIN-90,306,1 ,$68.00 ,$48.96 ,$17.62 ,$68.00 ,$44.95 ,$54.40 ,$17.62 ,$19.04 ,$59.36 ,$62.49 ,$17.62 ,$56.24 ,$17.62 ,$36.32 ,$62.56 ,$44.05 ,$17.62 ,$17.97 ,$56.71 ,$56.71 ,$56.71 ,$17.62 ,$56.71 ,$58.21 ,$58.21 ,$61.20 ,$44.95 ,$57.80 ,$17.62 ,$17.62 ,$38.15 ,$17.62 ,$28.15 ,$18.71 ,$17.86 ,$18.50 ,$57.80 ,$56.24 ,$19.04 ,$61.20 ,$53.38 ,$56.17 ,$18.87 ,$44.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600402,87252,HC CULTURE VIRUS ID TISSUE-90,306,1 ,$332.00 ,$239.04 ,$17.86 ,$332.00 ,$65.18 ,$265.60 ,$25.55 ,$92.96 ,$289.84 ,$305.11 ,$25.55 ,$274.56 ,$25.55 ,$52.66 ,$305.44 ,$63.88 ,$25.55 ,$26.06 ,$276.89 ,$276.89 ,$276.89 ,$25.55 ,$276.89 ,$284.19 ,$284.19 ,$298.80 ,$65.18 ,$282.20 ,$25.55 ,$25.55 ,$186.25 ,$25.55 ,$137.45 ,$18.71 ,$17.86 ,$26.82 ,$282.20 ,$274.56 ,$92.96 ,$298.80 ,$260.62 ,$274.23 ,$27.36 ,$215.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$207.00 ,$149.04 ,$17.86 ,$207.00 ,$48.90 ,$165.60 ,$19.17 ,$57.96 ,$180.71 ,$190.23 ,$19.17 ,$171.19 ,$19.17 ,$39.51 ,$190.44 ,$47.92 ,$19.17 ,$19.55 ,$172.64 ,$172.64 ,$172.64 ,$19.17 ,$172.64 ,$177.19 ,$177.19 ,$186.30 ,$48.90 ,$175.95 ,$19.17 ,$19.17 ,$116.13 ,$19.17 ,$85.70 ,$18.71 ,$17.86 ,$20.13 ,$175.95 ,$171.19 ,$57.96 ,$186.30 ,$162.50 ,$170.98 ,$20.53 ,$134.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600414,87299,HC ANTIBODY DETECT IF NOS-90,306,1 ,$111.00 ,$79.92 ,$6.74 ,$111.00 ,$40.25 ,$88.80 ,$15.78 ,$31.08 ,$96.90 ,$102.01 ,$15.78 ,$91.80 ,$15.78 ,$32.52 ,$102.12 ,$39.44 ,$15.78 ,$16.09 ,$92.57 ,$92.57 ,$92.57 ,$15.78 ,$92.57 ,$95.02 ,$95.02 ,$99.90 ,$40.25 ,$94.35 ,$15.78 ,$15.78 ,$62.27 ,$15.78 ,$45.95 ,$7.06 ,$6.74 ,$16.57 ,$94.35 ,$91.80 ,$31.08 ,$99.90 ,$87.14 ,$91.69 ,$16.90 ,$72.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600421,87340,HC EIA QL HEPATITIS B AG-90,306,1 ,$222.00 ,$159.84 ,$6.74 ,$222.00 ,$25.83 ,$177.60 ,$10.12 ,$62.16 ,$193.81 ,$204.02 ,$10.12 ,$183.59 ,$10.12 ,$20.87 ,$204.24 ,$25.31 ,$10.12 ,$10.33 ,$185.15 ,$185.15 ,$185.15 ,$10.12 ,$185.15 ,$190.03 ,$190.03 ,$199.80 ,$25.83 ,$188.70 ,$10.12 ,$10.12 ,$124.54 ,$10.12 ,$91.91 ,$7.06 ,$6.74 ,$10.63 ,$188.70 ,$183.59 ,$62.16 ,$199.80 ,$174.27 ,$183.37 ,$10.84 ,$144.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$138.00 ,$99.36 ,$6.74 ,$138.00 ,$28.83 ,$110.40 ,$11.30 ,$38.64 ,$120.47 ,$126.82 ,$11.30 ,$114.13 ,$11.30 ,$23.29 ,$126.96 ,$28.25 ,$11.30 ,$11.52 ,$115.09 ,$115.09 ,$115.09 ,$11.30 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$28.83 ,$117.30 ,$11.30 ,$11.30 ,$77.42 ,$11.30 ,$57.13 ,$7.06 ,$6.74 ,$11.87 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$12.10 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$631.00 ,$454.32 ,$6.74 ,$631.00 ,$33.13 ,$504.80 ,$12.98 ,$176.68 ,$550.86 ,$579.89 ,$12.98 ,$521.84 ,$12.98 ,$26.77 ,$580.52 ,$32.47 ,$12.98 ,$13.25 ,$526.25 ,$526.25 ,$526.25 ,$12.98 ,$526.25 ,$540.14 ,$540.14 ,$567.90 ,$33.13 ,$536.35 ,$12.98 ,$12.98 ,$353.99 ,$12.98 ,$261.23 ,$7.06 ,$6.74 ,$13.63 ,$536.35 ,$521.84 ,$176.68 ,$567.90 ,$495.34 ,$521.21 ,$13.91 ,$410.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$382.00 ,$275.04 ,$6.74 ,$382.00 ,$29.95 ,$305.60 ,$11.74 ,$106.96 ,$333.49 ,$351.06 ,$11.74 ,$315.91 ,$11.74 ,$24.20 ,$351.44 ,$29.35 ,$11.74 ,$11.98 ,$318.59 ,$318.59 ,$318.59 ,$11.74 ,$318.59 ,$326.99 ,$326.99 ,$343.80 ,$29.95 ,$324.70 ,$11.74 ,$11.74 ,$214.30 ,$11.74 ,$158.15 ,$7.06 ,$6.74 ,$12.33 ,$324.70 ,$315.91 ,$106.96 ,$343.80 ,$299.87 ,$315.53 ,$12.57 ,$248.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$265.00 ,$190.80 ,$6.74 ,$265.00 ,$87.73 ,$212.00 ,$34.39 ,$74.20 ,$231.35 ,$243.54 ,$34.39 ,$219.16 ,$34.39 ,$70.88 ,$243.80 ,$85.98 ,$34.39 ,$35.07 ,$221.01 ,$221.01 ,$221.01 ,$34.39 ,$221.01 ,$226.84 ,$226.84 ,$238.50 ,$87.73 ,$225.25 ,$34.39 ,$34.39 ,$148.67 ,$34.39 ,$109.71 ,$7.06 ,$6.74 ,$36.10 ,$225.25 ,$219.16 ,$74.20 ,$238.50 ,$208.03 ,$218.89 ,$36.83 ,$172.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$85.00 ,$61.20 ,$17.86 ,$87.73 ,$87.73 ,$68.00 ,$34.39 ,$23.80 ,$74.21 ,$78.12 ,$34.39 ,$70.30 ,$34.39 ,$70.88 ,$78.20 ,$83.30 ,$34.39 ,$35.07 ,$70.89 ,$70.89 ,$70.89 ,$34.39 ,$70.89 ,$72.76 ,$72.76 ,$76.50 ,$85.00 ,$72.25 ,$34.39 ,$34.39 ,$47.69 ,$34.39 ,$35.19 ,$18.71 ,$17.86 ,$36.10 ,$72.25 ,$70.30 ,$23.80 ,$76.50 ,$66.73 ,$70.21 ,$36.83 ,$55.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600443,87497,HC CMV QN-90,306,1 ,"$1,009.00 ",$726.48 ,$17.86 ,"$1,009.00 ",$107.10 ,$807.20 ,$41.98 ,$282.52 ,$880.86 ,$927.27 ,$41.98 ,$834.44 ,$41.98 ,$86.54 ,$928.28 ,$104.96 ,$41.98 ,$42.83 ,$841.51 ,$841.51 ,$841.51 ,$41.98 ,$841.51 ,$863.70 ,$863.70 ,$908.10 ,$107.10 ,$857.65 ,$41.98 ,$41.98 ,$566.05 ,$41.98 ,$417.73 ,$18.71 ,$17.86 ,$44.08 ,$857.65 ,$834.44 ,$282.52 ,$908.10 ,$792.07 ,$833.43 ,$44.96 ,$655.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600444,87498,HC ENTEROVIRUS AMP PROBE-90,306,1 ,$403.00 ,$290.16 ,$17.86 ,$403.00 ,$87.73 ,$322.40 ,$34.39 ,$112.84 ,$351.82 ,$370.36 ,$34.39 ,$333.28 ,$34.39 ,$70.88 ,$370.76 ,$85.98 ,$34.39 ,$35.07 ,$336.10 ,$336.10 ,$336.10 ,$34.39 ,$336.10 ,$344.97 ,$344.97 ,$362.70 ,$87.73 ,$342.55 ,$34.39 ,$34.39 ,$226.08 ,$34.39 ,$166.84 ,$18.71 ,$17.86 ,$36.10 ,$342.55 ,$333.28 ,$112.84 ,$362.70 ,$316.36 ,$332.88 ,$36.83 ,$261.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600448,87517,HC HEPATITIS B QN-90,306,1 ,$508.00 ,$365.76 ,$17.86 ,$508.00 ,$107.10 ,$406.40 ,$41.98 ,$142.24 ,$443.48 ,$466.85 ,$41.98 ,$420.12 ,$41.98 ,$86.54 ,$467.36 ,$104.96 ,$41.98 ,$42.83 ,$423.67 ,$423.67 ,$423.67 ,$41.98 ,$423.67 ,$434.85 ,$434.85 ,$457.20 ,$107.10 ,$431.80 ,$41.98 ,$41.98 ,$284.99 ,$41.98 ,$210.31 ,$18.71 ,$17.86 ,$44.08 ,$431.80 ,$420.12 ,$142.24 ,$457.20 ,$398.78 ,$419.61 ,$44.96 ,$330.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600449,87521,HC HEPATITIS C PROBE AND RVRS TRNSC-90,306,1 ,"$1,202.00 ",$865.44 ,$17.86 ,"$1,202.00 ",$87.73 ,$961.60 ,$34.39 ,$336.56 ,"$1,049.35 ","$1,104.64 ",$34.39 ,$994.05 ,$34.39 ,$70.88 ,"$1,105.84 ",$85.98 ,$34.39 ,$35.07 ,"$1,002.47 ","$1,002.47 ","$1,002.47 ",$34.39 ,"$1,002.47 ","$1,028.91 ","$1,028.91 ","$1,081.80 ",$87.73 ,"$1,021.70 ",$34.39 ,$34.39 ,$674.32 ,$34.39 ,$497.63 ,$18.71 ,$17.86 ,$36.10 ,"$1,021.70 ",$994.05 ,$336.56 ,"$1,081.80 ",$943.57 ,$992.85 ,$36.83 ,$781.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600451,87522,HC HEPATITIS C QN-90,306,1 ,$927.00 ,$667.44 ,$17.86 ,$927.00 ,$107.10 ,$741.60 ,$41.98 ,$259.56 ,$809.27 ,$851.91 ,$41.98 ,$766.63 ,$41.98 ,$86.54 ,$852.84 ,$104.96 ,$41.98 ,$42.83 ,$773.12 ,$773.12 ,$773.12 ,$41.98 ,$773.12 ,$793.51 ,$793.51 ,$834.30 ,$107.10 ,$787.95 ,$41.98 ,$41.98 ,$520.05 ,$41.98 ,$383.78 ,$18.71 ,$17.86 ,$44.08 ,$787.95 ,$766.63 ,$259.56 ,$834.30 ,$727.70 ,$765.70 ,$44.96 ,$602.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$525.00 ,$378.00 ,$17.86 ,$525.00 ,$87.73 ,$420.00 ,$34.39 ,$147.00 ,$458.33 ,$482.48 ,$34.39 ,$434.18 ,$34.39 ,$70.88 ,$483.00 ,$85.98 ,$34.39 ,$35.07 ,$437.85 ,$437.85 ,$437.85 ,$34.39 ,$437.85 ,$449.40 ,$449.40 ,$472.50 ,$87.73 ,$446.25 ,$34.39 ,$34.39 ,$294.53 ,$34.39 ,$217.35 ,$18.71 ,$17.86 ,$36.10 ,$446.25 ,$434.18 ,$147.00 ,$472.50 ,$412.13 ,$433.65 ,$36.83 ,$341.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600458,87536,HC HIV-1 QN-90,306,1 ,$384.00 ,$276.48 ,$17.86 ,$384.00 ,$212.75 ,$307.20 ,$83.40 ,$107.52 ,$335.23 ,$352.90 ,$83.40 ,$317.57 ,$83.40 ,$171.90 ,$353.28 ,$208.49 ,$83.40 ,$85.06 ,$320.26 ,$320.26 ,$320.26 ,$83.40 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$212.75 ,$326.40 ,$83.40 ,$83.40 ,$215.42 ,$83.40 ,$158.98 ,$18.71 ,$17.86 ,$87.57 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 ,$317.18 ,$89.32 ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600460,87591,HC NEISSERIA AMP-90,306,1 ,$117.00 ,$84.24 ,$17.86 ,$117.00 ,$87.73 ,$93.60 ,$34.39 ,$32.76 ,$102.14 ,$107.52 ,$34.39 ,$96.76 ,$34.39 ,$70.88 ,$107.64 ,$85.98 ,$34.39 ,$35.07 ,$97.58 ,$97.58 ,$97.58 ,$34.39 ,$97.58 ,$100.15 ,$100.15 ,$105.30 ,$87.73 ,$99.45 ,$34.39 ,$34.39 ,$65.64 ,$34.39 ,$48.44 ,$18.71 ,$17.86 ,$36.10 ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 ,$96.64 ,$36.83 ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600465,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS-90,306,1 ,$789.00 ,$568.08 ,$17.86 ,"$1,041.95 ","$1,041.95 ",$631.20 ,$408.44 ,$220.92 ,$688.80 ,$725.09 ,$408.44 ,$652.50 ,$408.44 ,$789.00 ,$725.88 ,$773.22 ,$408.44 ,$416.62 ,$658.03 ,$658.03 ,$658.03 ,$408.44 ,$658.03 ,$675.38 ,$675.38 ,$710.10 ,$789.00 ,$670.65 ,$408.44 ,$408.44 ,$442.63 ,$408.44 ,$326.65 ,$18.71 ,$17.86 ,$428.87 ,$670.65 ,$652.50 ,$220.92 ,$710.10 ,$619.37 ,$651.71 ,$437.44 ,$512.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600471,87798,HC INFECT AMP-90,306,1 ,$327.00 ,$235.44 ,$17.86 ,$327.00 ,$87.73 ,$261.60 ,$34.39 ,$91.56 ,$285.47 ,$300.51 ,$34.39 ,$270.43 ,$34.39 ,$70.88 ,$300.84 ,$85.98 ,$34.39 ,$35.07 ,$272.72 ,$272.72 ,$272.72 ,$34.39 ,$272.72 ,$279.91 ,$279.91 ,$294.30 ,$87.73 ,$277.95 ,$34.39 ,$34.39 ,$183.45 ,$34.39 ,$135.38 ,$18.71 ,$17.86 ,$36.10 ,$277.95 ,$270.43 ,$91.56 ,$294.30 ,$256.70 ,$270.10 ,$36.83 ,$212.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600475,87798,HC PROBE VZV DNA QUAL RT PCR-90,306,1 ,$546.00 ,$393.12 ,$17.86 ,$546.00 ,$87.73 ,$436.80 ,$34.39 ,$152.88 ,$476.66 ,$501.77 ,$34.39 ,$451.54 ,$34.39 ,$70.88 ,$502.32 ,$85.98 ,$34.39 ,$35.07 ,$455.36 ,$455.36 ,$455.36 ,$34.39 ,$455.36 ,$467.38 ,$467.38 ,$491.40 ,$87.73 ,$464.10 ,$34.39 ,$34.39 ,$306.31 ,$34.39 ,$226.04 ,$18.71 ,$17.86 ,$36.10 ,$464.10 ,$451.54 ,$152.88 ,$491.40 ,$428.61 ,$451.00 ,$36.83 ,$354.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600478,87799,HC INFECT AGENT QN-90,306,1 ,$439.00 ,$316.08 ,$17.86 ,$439.00 ,$107.10 ,$351.20 ,$41.98 ,$122.92 ,$383.25 ,$403.44 ,$41.98 ,$363.05 ,$41.98 ,$86.54 ,$403.88 ,$104.96 ,$41.98 ,$42.83 ,$366.13 ,$366.13 ,$366.13 ,$41.98 ,$366.13 ,$375.78 ,$375.78 ,$395.10 ,$107.10 ,$373.15 ,$41.98 ,$41.98 ,$246.28 ,$41.98 ,$181.75 ,$18.71 ,$17.86 ,$44.08 ,$373.15 ,$363.05 ,$122.92 ,$395.10 ,$344.62 ,$362.61 ,$44.96 ,$285.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600480,87899,HC INFECT AGENT DETECT OPTICAL-90,306,1 ,$89.00 ,$64.08 ,$5.38 ,$89.00 ,$40.18 ,$71.20 ,$15.75 ,$24.92 ,$77.70 ,$81.79 ,$15.75 ,$73.60 ,$15.75 ,$32.46 ,$81.88 ,$39.38 ,$15.75 ,$16.06 ,$74.23 ,$74.23 ,$74.23 ,$15.75 ,$74.23 ,$76.18 ,$76.18 ,$80.10 ,$40.18 ,$75.65 ,$15.75 ,$15.75 ,$49.93 ,$15.75 ,$36.85 ,$5.63 ,$5.38 ,$16.53 ,$75.65 ,$73.60 ,$24.92 ,$80.10 ,$69.87 ,$73.51 ,$16.87 ,$57.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600483,87902,HC GENTOYPE HEP C-90,306,1 ,$883.00 ,$635.76 ,$17.86 ,$883.00 ,$643.63 ,$706.40 ,$252.30 ,$247.24 ,$770.86 ,$811.48 ,$252.30 ,$730.24 ,$252.30 ,$520.05 ,$812.36 ,$630.76 ,$252.30 ,$257.35 ,$736.42 ,$736.42 ,$736.42 ,$252.30 ,$736.42 ,$755.85 ,$755.85 ,$794.70 ,$643.63 ,$750.55 ,$252.30 ,$252.30 ,$495.36 ,$252.30 ,$365.56 ,$18.71 ,$17.86 ,$264.91 ,$750.55 ,$730.24 ,$247.24 ,$794.70 ,$693.16 ,$729.36 ,$270.22 ,$573.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600492,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS-90,306,1 ,$857.00 ,$617.04 ,$17.86 ,"$1,041.95 ","$1,041.95 ",$685.60 ,$408.44 ,$239.96 ,$748.16 ,$787.58 ,$408.44 ,$708.74 ,$408.44 ,$841.90 ,$788.44 ,$839.86 ,$408.44 ,$416.62 ,$714.74 ,$714.74 ,$714.74 ,$408.44 ,$714.74 ,$733.59 ,$733.59 ,$771.30 ,$857.00 ,$728.45 ,$408.44 ,$408.44 ,$480.78 ,$408.44 ,$354.80 ,$18.71 ,$17.86 ,$428.87 ,$728.45 ,$708.74 ,$239.96 ,$771.30 ,$672.75 ,$707.88 ,$437.44 ,$557.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600503,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB-90,306,1 ,$77.00 ,$55.44 ,$6.74 ,$77.00 ,$60.20 ,$61.60 ,$23.60 ,$21.56 ,$67.22 ,$70.76 ,$23.60 ,$63.68 ,$23.60 ,$48.64 ,$70.84 ,$59.00 ,$23.60 ,$24.07 ,$64.22 ,$64.22 ,$64.22 ,$23.60 ,$64.22 ,$65.91 ,$65.91 ,$69.30 ,$60.20 ,$65.45 ,$23.60 ,$23.60 ,$43.20 ,$23.60 ,$31.88 ,$7.06 ,$6.74 ,$24.77 ,$65.45 ,$63.68 ,$21.56 ,$69.30 ,$60.45 ,$63.60 ,$25.27 ,$50.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600505,87329,HC EIA QL GIARDIA AG-90,306,1 ,$187.00 ,$134.64 ,$6.74 ,$187.00 ,$29.95 ,$149.60 ,$11.74 ,$52.36 ,$163.25 ,$171.85 ,$11.74 ,$154.65 ,$11.74 ,$24.20 ,$172.04 ,$29.35 ,$11.74 ,$11.98 ,$155.96 ,$155.96 ,$155.96 ,$11.74 ,$155.96 ,$160.07 ,$160.07 ,$168.30 ,$29.95 ,$158.95 ,$11.74 ,$11.74 ,$104.91 ,$11.74 ,$77.42 ,$7.06 ,$6.74 ,$12.33 ,$158.95 ,$154.65 ,$52.36 ,$168.30 ,$146.80 ,$154.46 ,$12.57 ,$121.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600509,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$60.00 ,$43.20 ,$16.80 ,$87.73 ,$87.73 ,$48.00 ,$34.39 ,$16.80 ,$52.38 ,$55.14 ,$34.39 ,$49.62 ,$34.39 ,$60.00 ,$55.20 ,$58.80 ,$34.39 ,$35.07 ,$50.04 ,$50.04 ,$50.04 ,$34.39 ,$50.04 ,$51.36 ,$51.36 ,$54.00 ,$60.00 ,$51.00 ,$34.39 ,$34.39 ,$33.66 ,$34.39 ,$24.84 ,$18.71 ,$17.86 ,$36.10 ,$51.00 ,$49.62 ,$16.80 ,$54.00 ,$47.10 ,$49.56 ,$36.83 ,$39.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600516,87040,HC BACTERIA BLOOD CULTURE T1,306,1 ,$327.00 ,$235.44 ,$10.11 ,$327.00 ,$25.80 ,$261.60 ,$10.11 ,$91.56 ,$285.47 ,$300.51 ,$10.11 ,$270.43 ,$10.11 ,$20.85 ,$300.84 ,$25.28 ,$10.11 ,$10.32 ,$272.72 ,$272.72 ,$272.72 ,$10.11 ,$272.72 ,$279.91 ,$279.91 ,$294.30 ,$25.80 ,$277.95 ,$10.11 ,$10.11 ,$183.45 ,$10.11 ,$135.38 ,$18.71 ,$17.86 ,$10.62 ,$277.95 ,$270.43 ,$91.56 ,$294.30 ,$256.70 ,$270.10 ,$10.83 ,$212.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600517,87045,HC STOOL CULTURE,306,1 ,$191.00 ,$137.52 ,$5.38 ,$191.00 ,$23.60 ,$152.80 ,$9.25 ,$53.48 ,$166.74 ,$175.53 ,$9.25 ,$157.96 ,$9.25 ,$19.07 ,$175.72 ,$23.13 ,$9.25 ,$9.44 ,$159.29 ,$159.29 ,$159.29 ,$9.25 ,$159.29 ,$163.50 ,$163.50 ,$171.90 ,$23.60 ,$162.35 ,$9.25 ,$9.25 ,$107.15 ,$9.25 ,$79.07 ,$5.63 ,$5.38 ,$9.71 ,$162.35 ,$157.96 ,$53.48 ,$171.90 ,$149.94 ,$157.77 ,$9.91 ,$124.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600518,87046,HC STOOL CULTURE OTH SRC,306,1 ,$12.00 ,$8.64 ,$3.36 ,$23.60 ,$23.60 ,$9.60 ,$9.25 ,$3.36 ,$10.48 ,$11.03 ,$9.25 ,$9.92 ,$9.25 ,$12.00 ,$11.04 ,$11.76 ,$9.25 ,$9.44 ,$10.01 ,$10.01 ,$10.01 ,$9.25 ,$10.01 ,$10.27 ,$10.27 ,$10.80 ,$12.00 ,$10.20 ,$9.25 ,$9.25 ,$6.73 ,$9.25 ,$4.97 ,$5.63 ,$5.38 ,$9.71 ,$10.20 ,$9.92 ,$3.36 ,$10.80 ,$9.42 ,$9.91 ,$9.91 ,$7.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600519,87070,HC BODY FLUID CULTURE,306,1 ,$207.00 ,$149.04 ,$5.38 ,$207.00 ,$21.55 ,$165.60 ,$8.45 ,$57.96 ,$180.71 ,$190.23 ,$8.45 ,$171.19 ,$8.45 ,$17.41 ,$190.44 ,$21.12 ,$8.45 ,$8.61 ,$172.64 ,$172.64 ,$172.64 ,$8.45 ,$172.64 ,$177.19 ,$177.19 ,$186.30 ,$21.55 ,$175.95 ,$8.45 ,$8.45 ,$116.13 ,$8.45 ,$85.70 ,$5.63 ,$5.38 ,$8.87 ,$175.95 ,$171.19 ,$57.96 ,$186.30 ,$162.50 ,$170.98 ,$9.05 ,$134.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600522,87075,HC CULTURE ANAEROBIC,306,1 ,$273.00 ,$196.56 ,$5.38 ,$273.00 ,$23.68 ,$218.40 ,$9.28 ,$76.44 ,$238.33 ,$250.89 ,$9.28 ,$225.77 ,$9.28 ,$19.13 ,$251.16 ,$23.21 ,$9.28 ,$9.47 ,$227.68 ,$227.68 ,$227.68 ,$9.28 ,$227.68 ,$233.69 ,$233.69 ,$245.70 ,$23.68 ,$232.05 ,$9.28 ,$9.28 ,$153.15 ,$9.28 ,$113.02 ,$5.63 ,$5.38 ,$9.74 ,$232.05 ,$225.77 ,$76.44 ,$245.70 ,$214.31 ,$225.50 ,$9.94 ,$177.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600523,87076,HC CULTURE ANAEROBIC ID,306,1 ,$106.00 ,$76.32 ,$5.38 ,$106.00 ,$20.20 ,$84.80 ,$7.92 ,$29.68 ,$92.54 ,$97.41 ,$7.92 ,$87.66 ,$7.92 ,$16.32 ,$97.52 ,$19.80 ,$7.92 ,$8.08 ,$88.40 ,$88.40 ,$88.40 ,$7.92 ,$88.40 ,$90.74 ,$90.74 ,$95.40 ,$20.20 ,$90.10 ,$7.92 ,$7.92 ,$59.47 ,$7.92 ,$43.88 ,$5.63 ,$5.38 ,$8.31 ,$90.10 ,$87.66 ,$29.68 ,$95.40 ,$83.21 ,$87.56 ,$8.48 ,$68.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600524,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$37.00 ,$26.64 ,$5.38 ,$37.00 ,$20.20 ,$29.60 ,$7.92 ,$10.36 ,$32.30 ,$34.00 ,$7.92 ,$30.60 ,$7.92 ,$16.32 ,$34.04 ,$19.80 ,$7.92 ,$8.08 ,$30.86 ,$30.86 ,$30.86 ,$7.92 ,$30.86 ,$31.67 ,$31.67 ,$33.30 ,$20.20 ,$31.45 ,$7.92 ,$7.92 ,$20.76 ,$7.92 ,$15.32 ,$5.63 ,$5.38 ,$8.31 ,$31.45 ,$30.60 ,$10.36 ,$33.30 ,$29.05 ,$30.56 ,$8.48 ,$24.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600526,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$157.00 ,$113.04 ,$5.38 ,$157.00 ,$16.58 ,$125.60 ,$6.50 ,$43.96 ,$137.06 ,$144.28 ,$6.50 ,$129.84 ,$6.50 ,$13.39 ,$144.44 ,$16.25 ,$6.50 ,$6.62 ,$130.94 ,$130.94 ,$130.94 ,$6.50 ,$130.94 ,$134.39 ,$134.39 ,$141.30 ,$16.58 ,$133.45 ,$6.50 ,$6.50 ,$88.08 ,$6.50 ,$65.00 ,$5.63 ,$5.38 ,$6.82 ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$129.68 ,$6.96 ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600527,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$175.00 ,$126.00 ,$5.38 ,$175.00 ,$20.18 ,$140.00 ,$7.91 ,$49.00 ,$152.78 ,$160.83 ,$7.91 ,$144.73 ,$7.91 ,$16.30 ,$161.00 ,$19.78 ,$7.91 ,$8.07 ,$145.95 ,$145.95 ,$145.95 ,$7.91 ,$145.95 ,$149.80 ,$149.80 ,$157.50 ,$20.18 ,$148.75 ,$7.91 ,$7.91 ,$98.18 ,$7.91 ,$72.45 ,$5.63 ,$5.38 ,$8.30 ,$148.75 ,$144.73 ,$49.00 ,$157.50 ,$137.38 ,$144.55 ,$8.47 ,$113.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600528,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$55.00 ,$39.60 ,$5.38 ,$55.00 ,$20.23 ,$44.00 ,$7.93 ,$15.40 ,$48.02 ,$50.55 ,$7.93 ,$45.49 ,$7.93 ,$16.34 ,$50.60 ,$19.83 ,$7.93 ,$8.08 ,$45.87 ,$45.87 ,$45.87 ,$7.93 ,$45.87 ,$47.08 ,$47.08 ,$49.50 ,$20.23 ,$46.75 ,$7.93 ,$7.93 ,$30.86 ,$7.93 ,$22.77 ,$5.63 ,$5.38 ,$8.32 ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$45.43 ,$8.49 ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600529,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL -90,306,1 ,$234.00 ,$168.48 ,$5.38 ,$234.00 ,$19.28 ,$187.20 ,$7.56 ,$65.52 ,$204.28 ,$215.05 ,$7.56 ,$193.52 ,$7.56 ,$15.57 ,$215.28 ,$18.89 ,$7.56 ,$7.70 ,$195.16 ,$195.16 ,$195.16 ,$7.56 ,$195.16 ,$200.30 ,$200.30 ,$210.60 ,$19.28 ,$198.90 ,$7.56 ,$7.56 ,$131.27 ,$7.56 ,$96.88 ,$5.63 ,$5.38 ,$7.94 ,$198.90 ,$193.52 ,$65.52 ,$210.60 ,$183.69 ,$193.28 ,$8.09 ,$152.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600533,87106,HC CULTURE FUNGUS ID YEAST,306,1 ,$79.00 ,$56.88 ,$5.38 ,$79.00 ,$25.80 ,$63.20 ,$10.11 ,$22.12 ,$68.97 ,$72.60 ,$10.11 ,$65.33 ,$10.11 ,$20.85 ,$72.68 ,$25.28 ,$10.11 ,$10.32 ,$65.89 ,$65.89 ,$65.89 ,$10.11 ,$65.89 ,$67.62 ,$67.62 ,$71.10 ,$25.80 ,$67.15 ,$10.11 ,$10.11 ,$44.32 ,$10.11 ,$32.71 ,$5.63 ,$5.38 ,$10.62 ,$67.15 ,$65.33 ,$22.12 ,$71.10 ,$62.02 ,$65.25 ,$10.83 ,$51.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600534,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$148.00 ,$106.56 ,$10.11 ,$148.00 ,$25.80 ,$118.40 ,$10.11 ,$41.44 ,$129.20 ,$136.01 ,$10.11 ,$122.40 ,$10.11 ,$20.85 ,$136.16 ,$25.28 ,$10.11 ,$10.32 ,$123.43 ,$123.43 ,$123.43 ,$10.11 ,$123.43 ,$126.69 ,$126.69 ,$133.20 ,$25.80 ,$125.80 ,$10.11 ,$10.11 ,$83.03 ,$10.11 ,$61.27 ,$18.71 ,$17.86 ,$10.62 ,$125.80 ,$122.40 ,$41.44 ,$133.20 ,$116.18 ,$122.25 ,$10.83 ,$96.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600536,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$56.00 ,$40.32 ,$5.08 ,$56.00 ,$12.95 ,$44.80 ,$5.08 ,$15.68 ,$48.89 ,$51.46 ,$5.08 ,$46.31 ,$5.08 ,$10.46 ,$51.52 ,$12.69 ,$5.08 ,$5.17 ,$46.70 ,$46.70 ,$46.70 ,$5.08 ,$46.70 ,$47.94 ,$47.94 ,$50.40 ,$12.95 ,$47.60 ,$5.08 ,$5.08 ,$31.42 ,$5.08 ,$23.18 ,$5.63 ,$5.38 ,$5.33 ,$47.60 ,$46.31 ,$15.68 ,$50.40 ,$43.96 ,$46.26 ,$5.44 ,$36.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600537,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$209.00 ,$150.48 ,$5.38 ,$209.00 ,$50.13 ,$167.20 ,$19.65 ,$58.52 ,$182.46 ,$192.07 ,$19.65 ,$172.84 ,$19.65 ,$40.50 ,$192.28 ,$49.13 ,$19.65 ,$20.04 ,$174.31 ,$174.31 ,$174.31 ,$19.65 ,$174.31 ,$178.90 ,$178.90 ,$188.10 ,$50.13 ,$177.65 ,$19.65 ,$19.65 ,$117.25 ,$19.65 ,$86.53 ,$5.63 ,$5.38 ,$20.63 ,$177.65 ,$172.84 ,$58.52 ,$188.10 ,$164.07 ,$172.63 ,$21.04 ,$135.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600539,87153,HC ID NUCLEAR ACID SEQ METH ID,306,1 ,$518.00 ,$372.96 ,$17.86 ,$518.00 ,$288.40 ,$414.40 ,$113.05 ,$145.04 ,$452.21 ,$476.04 ,$113.05 ,$428.39 ,$113.05 ,$233.03 ,$476.56 ,$282.63 ,$113.05 ,$115.32 ,$432.01 ,$432.01 ,$432.01 ,$113.05 ,$432.01 ,$443.41 ,$443.41 ,$466.20 ,$288.40 ,$440.30 ,$113.05 ,$113.05 ,$290.60 ,$113.05 ,$214.45 ,$18.71 ,$17.86 ,$118.71 ,$440.30 ,$428.39 ,$145.04 ,$466.20 ,$406.63 ,$427.87 ,$121.08 ,$336.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600544,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$91.00 ,$65.52 ,$4.65 ,$91.00 ,$11.88 ,$72.80 ,$4.65 ,$25.48 ,$79.44 ,$83.63 ,$4.65 ,$75.26 ,$4.65 ,$9.60 ,$83.72 ,$11.64 ,$4.65 ,$4.75 ,$75.89 ,$75.89 ,$75.89 ,$4.65 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$11.88 ,$77.35 ,$4.65 ,$4.65 ,$51.05 ,$4.65 ,$37.67 ,$5.63 ,$5.38 ,$4.89 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$4.99 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600545,87184,HC SENSITIVITY DISK KB,306,1 ,$91.00 ,$65.52 ,$5.38 ,$91.00 ,$18.70 ,$72.80 ,$7.33 ,$25.48 ,$79.44 ,$83.63 ,$7.33 ,$75.26 ,$7.33 ,$15.11 ,$83.72 ,$18.33 ,$7.33 ,$7.48 ,$75.89 ,$75.89 ,$75.89 ,$7.33 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$18.70 ,$77.35 ,$7.33 ,$7.33 ,$51.05 ,$7.33 ,$37.67 ,$5.63 ,$5.38 ,$7.69 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$7.85 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600546,87185,HC BETA LACTAMASE,306,1 ,$38.00 ,$27.36 ,$4.65 ,$38.00 ,$11.88 ,$30.40 ,$4.65 ,$10.64 ,$33.17 ,$34.92 ,$4.65 ,$31.43 ,$4.65 ,$9.60 ,$34.96 ,$11.64 ,$4.65 ,$4.75 ,$31.69 ,$31.69 ,$31.69 ,$4.65 ,$31.69 ,$32.53 ,$32.53 ,$34.20 ,$11.88 ,$32.30 ,$4.65 ,$4.65 ,$21.32 ,$4.65 ,$15.73 ,$5.63 ,$5.38 ,$4.89 ,$32.30 ,$31.43 ,$10.64 ,$34.20 ,$29.83 ,$31.39 ,$4.99 ,$24.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600547,87186,HC SENSITIVITY MIC,306,1 ,$176.00 ,$126.72 ,$5.38 ,$176.00 ,$21.63 ,$140.80 ,$8.48 ,$49.28 ,$153.65 ,$161.74 ,$8.48 ,$145.55 ,$8.48 ,$17.47 ,$161.92 ,$21.20 ,$8.48 ,$8.64 ,$146.78 ,$146.78 ,$146.78 ,$8.48 ,$146.78 ,$150.66 ,$150.66 ,$158.40 ,$21.63 ,$149.60 ,$8.48 ,$8.48 ,$98.74 ,$8.48 ,$72.86 ,$5.63 ,$5.38 ,$8.90 ,$149.60 ,$145.55 ,$49.28 ,$158.40 ,$138.16 ,$145.38 ,$9.07 ,$114.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600548,87188,HC MACROTUBE DIL METH 4DRG PNL,306,1 ,$186.00 ,$133.92 ,$5.38 ,$186.00 ,$16.60 ,$148.80 ,$6.51 ,$52.08 ,$162.38 ,$170.93 ,$6.51 ,$153.82 ,$6.51 ,$13.41 ,$171.12 ,$16.27 ,$6.51 ,$6.63 ,$155.12 ,$155.12 ,$155.12 ,$6.51 ,$155.12 ,$159.22 ,$159.22 ,$167.40 ,$16.60 ,$158.10 ,$6.51 ,$6.51 ,$104.35 ,$6.51 ,$77.00 ,$5.63 ,$5.38 ,$6.83 ,$158.10 ,$153.82 ,$52.08 ,$167.40 ,$146.01 ,$153.64 ,$6.97 ,$120.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600549,87188,HC MACROTUBE DIL METH EA AGNT,306,1 ,$186.00 ,$133.92 ,$5.38 ,$186.00 ,$16.60 ,$148.80 ,$6.51 ,$52.08 ,$162.38 ,$170.93 ,$6.51 ,$153.82 ,$6.51 ,$13.41 ,$171.12 ,$16.27 ,$6.51 ,$6.63 ,$155.12 ,$155.12 ,$155.12 ,$6.51 ,$155.12 ,$159.22 ,$159.22 ,$167.40 ,$16.60 ,$158.10 ,$6.51 ,$6.51 ,$104.35 ,$6.51 ,$77.00 ,$5.63 ,$5.38 ,$6.83 ,$158.10 ,$153.82 ,$52.08 ,$167.40 ,$146.01 ,$153.64 ,$6.97 ,$120.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600550,87190,HC SENSITIVITY AFB,306,1 ,$138.00 ,$99.36 ,$5.38 ,$138.00 ,$18.28 ,$110.40 ,$7.16 ,$38.64 ,$120.47 ,$126.82 ,$7.16 ,$114.13 ,$7.16 ,$14.77 ,$126.96 ,$17.91 ,$7.16 ,$7.31 ,$115.09 ,$115.09 ,$115.09 ,$7.16 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$18.28 ,$117.30 ,$7.16 ,$7.16 ,$77.42 ,$7.16 ,$57.13 ,$5.63 ,$5.38 ,$7.53 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$7.67 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600551,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$127.00 ,$91.44 ,$4.18 ,$127.00 ,$10.68 ,$101.60 ,$4.18 ,$35.56 ,$110.87 ,$116.71 ,$4.18 ,$105.03 ,$4.18 ,$8.63 ,$116.84 ,$10.47 ,$4.18 ,$4.27 ,$105.92 ,$105.92 ,$105.92 ,$4.18 ,$105.92 ,$108.71 ,$108.71 ,$114.30 ,$10.68 ,$107.95 ,$4.18 ,$4.18 ,$71.25 ,$4.18 ,$52.58 ,$5.63 ,$5.38 ,$4.39 ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 ,$4.48 ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600552,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$92.00 ,$66.24 ,$5.28 ,$92.00 ,$13.48 ,$73.60 ,$5.28 ,$25.76 ,$80.32 ,$84.55 ,$5.28 ,$76.08 ,$5.28 ,$10.89 ,$84.64 ,$13.21 ,$5.28 ,$5.39 ,$76.73 ,$76.73 ,$76.73 ,$5.28 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$13.48 ,$78.20 ,$5.28 ,$5.28 ,$51.61 ,$5.28 ,$38.09 ,$5.63 ,$5.38 ,$5.55 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$5.65 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$261.00 ,$187.92 ,$17.86 ,$261.00 ,$84.65 ,$208.80 ,$33.18 ,$73.08 ,$227.85 ,$239.86 ,$33.18 ,$215.85 ,$33.18 ,$68.40 ,$240.12 ,$82.96 ,$33.18 ,$33.85 ,$217.67 ,$217.67 ,$217.67 ,$33.18 ,$217.67 ,$223.42 ,$223.42 ,$234.90 ,$84.65 ,$221.85 ,$33.18 ,$33.18 ,$146.42 ,$33.18 ,$108.05 ,$18.71 ,$17.86 ,$34.84 ,$221.85 ,$215.85 ,$73.08 ,$234.90 ,$204.89 ,$215.59 ,$35.53 ,$169.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600558,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$375.00 ,$270.00 ,$6.74 ,$375.00 ,$35.95 ,$300.00 ,$14.09 ,$105.00 ,$327.38 ,$344.63 ,$14.09 ,$310.13 ,$14.09 ,$29.05 ,$345.00 ,$35.23 ,$14.09 ,$14.38 ,$312.75 ,$312.75 ,$312.75 ,$14.09 ,$312.75 ,$321.00 ,$321.00 ,$337.50 ,$35.95 ,$318.75 ,$14.09 ,$14.09 ,$210.38 ,$14.09 ,$155.25 ,$7.06 ,$6.74 ,$14.80 ,$318.75 ,$310.13 ,$105.00 ,$337.50 ,$294.38 ,$309.75 ,$15.09 ,$243.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600559,87340,HC EIA QL HEPATITIS B AG,306,1 ,$222.00 ,$159.84 ,$6.74 ,$222.00 ,$25.83 ,$177.60 ,$10.12 ,$62.16 ,$193.81 ,$204.02 ,$10.12 ,$183.59 ,$10.12 ,$20.87 ,$204.24 ,$25.31 ,$10.12 ,$10.33 ,$185.15 ,$185.15 ,$185.15 ,$10.12 ,$185.15 ,$190.03 ,$190.03 ,$199.80 ,$25.83 ,$188.70 ,$10.12 ,$10.12 ,$124.54 ,$10.12 ,$91.91 ,$7.06 ,$6.74 ,$10.63 ,$188.70 ,$183.59 ,$62.16 ,$199.80 ,$174.27 ,$183.37 ,$10.84 ,$144.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600561,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB,306,1 ,$77.00 ,$55.44 ,$6.74 ,$77.00 ,$60.20 ,$61.60 ,$23.60 ,$21.56 ,$67.22 ,$70.76 ,$23.60 ,$63.68 ,$23.60 ,$48.64 ,$70.84 ,$59.00 ,$23.60 ,$24.07 ,$64.22 ,$64.22 ,$64.22 ,$23.60 ,$64.22 ,$65.91 ,$65.91 ,$69.30 ,$60.20 ,$65.45 ,$23.60 ,$23.60 ,$43.20 ,$23.60 ,$31.88 ,$7.06 ,$6.74 ,$24.77 ,$65.45 ,$63.68 ,$21.56 ,$69.30 ,$60.45 ,$63.60 ,$25.27 ,$50.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600567,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,"$1,751.00 ","$1,260.72 ",$17.86 ,"$1,751.00 ","$1,041.95 ","$1,400.80 ",$408.44 ,$490.28 ,"$1,528.62 ","$1,609.17 ",$408.44 ,"$1,448.08 ",$408.44 ,$841.90 ,"$1,610.92 ","$1,021.11 ",$408.44 ,$416.62 ,"$1,460.33 ","$1,460.33 ","$1,460.33 ",$408.44 ,"$1,460.33 ","$1,498.86 ","$1,498.86 ","$1,575.90 ","$1,041.95 ","$1,488.35 ",$408.44 ,$408.44 ,$982.31 ,$408.44 ,$724.91 ,$18.71 ,$17.86 ,$428.87 ,"$1,488.35 ","$1,448.08 ",$490.28 ,"$1,575.90 ","$1,374.54 ","$1,446.33 ",$437.44 ,"$1,138.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600568,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$248.00 ,$178.56 ,$17.86 ,$248.00 ,$87.73 ,$198.40 ,$34.39 ,$69.44 ,$216.50 ,$227.91 ,$34.39 ,$205.10 ,$34.39 ,$70.88 ,$228.16 ,$85.98 ,$34.39 ,$35.07 ,$206.83 ,$206.83 ,$206.83 ,$34.39 ,$206.83 ,$212.29 ,$212.29 ,$223.20 ,$87.73 ,$210.80 ,$34.39 ,$34.39 ,$139.13 ,$34.39 ,$102.67 ,$18.71 ,$17.86 ,$36.10 ,$210.80 ,$205.10 ,$69.44 ,$223.20 ,$194.68 ,$204.85 ,$36.83 ,$161.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600570,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$265.00 ,$190.80 ,$6.74 ,$265.00 ,$87.73 ,$212.00 ,$34.39 ,$74.20 ,$231.35 ,$243.54 ,$34.39 ,$219.16 ,$34.39 ,$70.88 ,$243.80 ,$85.98 ,$34.39 ,$35.07 ,$221.01 ,$221.01 ,$221.01 ,$34.39 ,$221.01 ,$226.84 ,$226.84 ,$238.50 ,$87.73 ,$225.25 ,$34.39 ,$34.39 ,$148.67 ,$34.39 ,$109.71 ,$7.06 ,$6.74 ,$36.10 ,$225.25 ,$219.16 ,$74.20 ,$238.50 ,$208.03 ,$218.89 ,$36.83 ,$172.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600571,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$857.00 ,$617.04 ,$17.86 ,"$1,041.95 ","$1,041.95 ",$685.60 ,$408.44 ,$239.96 ,$748.16 ,$787.58 ,$408.44 ,$708.74 ,$408.44 ,$841.90 ,$788.44 ,$839.86 ,$408.44 ,$416.62 ,$714.74 ,$714.74 ,$714.74 ,$408.44 ,$714.74 ,$733.59 ,$733.59 ,$771.30 ,$857.00 ,$728.45 ,$408.44 ,$408.44 ,$480.78 ,$408.44 ,$354.80 ,$18.71 ,$17.86 ,$428.87 ,$728.45 ,$708.74 ,$239.96 ,$771.30 ,$672.75 ,$707.88 ,$437.44 ,$557.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600573,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$283.00 ,$203.76 ,$17.86 ,$283.00 ,$87.73 ,$226.40 ,$34.39 ,$79.24 ,$247.06 ,$260.08 ,$34.39 ,$234.04 ,$34.39 ,$70.88 ,$260.36 ,$85.98 ,$34.39 ,$35.07 ,$236.02 ,$236.02 ,$236.02 ,$34.39 ,$236.02 ,$242.25 ,$242.25 ,$254.70 ,$87.73 ,$240.55 ,$34.39 ,$34.39 ,$158.76 ,$34.39 ,$117.16 ,$18.71 ,$17.86 ,$36.10 ,$240.55 ,$234.04 ,$79.24 ,$254.70 ,$222.16 ,$233.76 ,$36.83 ,$183.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600575,87591,HC NEISSERIA AMP,306,1 ,$117.00 ,$84.24 ,$17.86 ,$117.00 ,$87.73 ,$93.60 ,$34.39 ,$32.76 ,$102.14 ,$107.52 ,$34.39 ,$96.76 ,$34.39 ,$70.88 ,$107.64 ,$85.98 ,$34.39 ,$35.07 ,$97.58 ,$97.58 ,$97.58 ,$34.39 ,$97.58 ,$100.15 ,$100.15 ,$105.30 ,$87.73 ,$99.45 ,$34.39 ,$34.39 ,$65.64 ,$34.39 ,$48.44 ,$18.71 ,$17.86 ,$36.10 ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 ,$96.64 ,$36.83 ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600576,87624,HC HPV HIGH RISK ALL OTHERS,306,1 ,$151.00 ,$108.72 ,$17.86 ,$151.00 ,$87.73 ,$120.80 ,$34.39 ,$42.28 ,$131.82 ,$138.77 ,$34.39 ,$124.88 ,$34.39 ,$70.88 ,$138.92 ,$85.98 ,$34.39 ,$35.07 ,$125.93 ,$125.93 ,$125.93 ,$34.39 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$87.73 ,$128.35 ,$34.39 ,$34.39 ,$84.71 ,$34.39 ,$62.51 ,$18.71 ,$17.86 ,$36.10 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$36.83 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600577,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,$789.00 ,$568.08 ,$17.86 ,"$1,041.95 ","$1,041.95 ",$631.20 ,$408.44 ,$220.92 ,$688.80 ,$725.09 ,$408.44 ,$652.50 ,$408.44 ,$789.00 ,$725.88 ,$773.22 ,$408.44 ,$416.62 ,$658.03 ,$658.03 ,$658.03 ,$408.44 ,$658.03 ,$675.38 ,$675.38 ,$710.10 ,$789.00 ,$670.65 ,$408.44 ,$408.44 ,$442.63 ,$408.44 ,$326.65 ,$18.71 ,$17.86 ,$428.87 ,$670.65 ,$652.50 ,$220.92 ,$710.10 ,$619.37 ,$651.71 ,$437.44 ,$512.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600578,87641,HC MRSA AMP,306,1 ,$256.00 ,$184.32 ,$17.86 ,$256.00 ,$87.73 ,$204.80 ,$34.39 ,$71.68 ,$223.49 ,$235.26 ,$34.39 ,$211.71 ,$34.39 ,$70.88 ,$235.52 ,$85.98 ,$34.39 ,$35.07 ,$213.50 ,$213.50 ,$213.50 ,$34.39 ,$213.50 ,$219.14 ,$219.14 ,$230.40 ,$87.73 ,$217.60 ,$34.39 ,$34.39 ,$143.62 ,$34.39 ,$105.98 ,$18.71 ,$17.86 ,$36.10 ,$217.60 ,$211.71 ,$71.68 ,$230.40 ,$200.96 ,$211.46 ,$36.83 ,$166.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600579,87653,HC INFECT AMP (GRP B STREP),306,1 ,$41.00 ,$29.52 ,$11.48 ,$87.73 ,$87.73 ,$32.80 ,$34.39 ,$11.48 ,$35.79 ,$37.68 ,$34.39 ,$33.91 ,$34.39 ,$41.00 ,$37.72 ,$40.18 ,$34.39 ,$35.07 ,$34.19 ,$34.19 ,$34.19 ,$34.39 ,$34.19 ,$35.10 ,$35.10 ,$36.90 ,$41.00 ,$34.85 ,$34.39 ,$34.39 ,$23.00 ,$34.39 ,$16.97 ,$18.71 ,$17.86 ,$36.10 ,$34.85 ,$33.91 ,$11.48 ,$36.90 ,$32.19 ,$33.87 ,$36.83 ,$26.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600581,87798,HC INFECT AMP,306,1 ,$250.00 ,$180.00 ,$17.86 ,$250.00 ,$87.73 ,$200.00 ,$34.39 ,$70.00 ,$218.25 ,$229.75 ,$34.39 ,$206.75 ,$34.39 ,$70.88 ,$230.00 ,$85.98 ,$34.39 ,$35.07 ,$208.50 ,$208.50 ,$208.50 ,$34.39 ,$208.50 ,$214.00 ,$214.00 ,$225.00 ,$87.73 ,$212.50 ,$34.39 ,$34.39 ,$140.25 ,$34.39 ,$103.50 ,$18.71 ,$17.86 ,$36.10 ,$212.50 ,$206.75 ,$70.00 ,$225.00 ,$196.25 ,$206.50 ,$36.83 ,$162.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600582,87798,HC INFECT AMP DRUG RESIST TB,306,1 ,$327.00 ,$235.44 ,$17.86 ,$327.00 ,$87.73 ,$261.60 ,$34.39 ,$91.56 ,$285.47 ,$300.51 ,$34.39 ,$270.43 ,$34.39 ,$70.88 ,$300.84 ,$85.98 ,$34.39 ,$35.07 ,$272.72 ,$272.72 ,$272.72 ,$34.39 ,$272.72 ,$279.91 ,$279.91 ,$294.30 ,$87.73 ,$277.95 ,$34.39 ,$34.39 ,$183.45 ,$34.39 ,$135.38 ,$18.71 ,$17.86 ,$36.10 ,$277.95 ,$270.43 ,$91.56 ,$294.30 ,$256.70 ,$270.10 ,$36.83 ,$212.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600607,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$60.00 ,$43.20 ,$16.80 ,$87.73 ,$87.73 ,$48.00 ,$34.39 ,$16.80 ,$52.38 ,$55.14 ,$34.39 ,$49.62 ,$34.39 ,$60.00 ,$55.20 ,$58.80 ,$34.39 ,$35.07 ,$50.04 ,$50.04 ,$50.04 ,$34.39 ,$50.04 ,$51.36 ,$51.36 ,$54.00 ,$60.00 ,$51.00 ,$34.39 ,$34.39 ,$33.66 ,$34.39 ,$24.84 ,$18.71 ,$17.86 ,$36.10 ,$51.00 ,$49.62 ,$16.80 ,$54.00 ,$47.10 ,$49.56 ,$36.83 ,$39.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600613,87205,HC URINE FOR EOSINOPHILS-90,306,1 ,$127.00 ,$91.44 ,$4.18 ,$127.00 ,$10.68 ,$101.60 ,$4.18 ,$35.56 ,$110.87 ,$116.71 ,$4.18 ,$105.03 ,$4.18 ,$8.63 ,$116.84 ,$10.47 ,$4.18 ,$4.27 ,$105.92 ,$105.92 ,$105.92 ,$4.18 ,$105.92 ,$108.71 ,$108.71 ,$114.30 ,$10.68 ,$107.95 ,$4.18 ,$4.18 ,$71.25 ,$4.18 ,$52.58 ,$5.63 ,$5.38 ,$4.39 ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 ,$4.48 ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600614,87220,HC TISSUE KOH PREP,306,1 ,$91.00 ,$65.52 ,$4.18 ,$91.00 ,$10.68 ,$72.80 ,$4.18 ,$25.48 ,$79.44 ,$83.63 ,$4.18 ,$75.26 ,$4.18 ,$8.63 ,$83.72 ,$10.47 ,$4.18 ,$4.27 ,$75.89 ,$75.89 ,$75.89 ,$4.18 ,$75.89 ,$77.90 ,$77.90 ,$81.90 ,$10.68 ,$77.35 ,$4.18 ,$4.18 ,$51.05 ,$4.18 ,$37.67 ,$5.63 ,$5.38 ,$4.39 ,$77.35 ,$75.26 ,$25.48 ,$81.90 ,$71.44 ,$75.17 ,$4.48 ,$59.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$443.00 ,$318.96 ,$17.86 ,$443.00 ,$128.28 ,$354.40 ,$50.28 ,$124.04 ,$386.74 ,$407.12 ,$50.28 ,$366.36 ,$50.28 ,$103.65 ,$407.56 ,$125.71 ,$50.28 ,$51.29 ,$369.46 ,$369.46 ,$369.46 ,$50.28 ,$369.46 ,$379.21 ,$379.21 ,$398.70 ,$128.28 ,$376.55 ,$50.28 ,$50.28 ,$248.52 ,$50.28 ,$183.40 ,$18.71 ,$17.86 ,$52.80 ,$376.55 ,$366.36 ,$124.04 ,$398.70 ,$347.76 ,$365.92 ,$53.85 ,$287.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600625,87172,HC PINWORM- 90,306,1 ,$79.00 ,$56.88 ,$4.18 ,$79.00 ,$10.68 ,$63.20 ,$4.18 ,$22.12 ,$68.97 ,$72.60 ,$4.18 ,$65.33 ,$4.18 ,$8.63 ,$72.68 ,$10.47 ,$4.18 ,$4.27 ,$65.89 ,$65.89 ,$65.89 ,$4.18 ,$65.89 ,$67.62 ,$67.62 ,$71.10 ,$10.68 ,$67.15 ,$4.18 ,$4.18 ,$44.32 ,$4.18 ,$32.71 ,$5.63 ,$5.38 ,$4.39 ,$67.15 ,$65.33 ,$22.12 ,$71.10 ,$62.02 ,$65.25 ,$4.48 ,$51.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600630,87481,HC CANDIDA SPECIES DNA/RNA AMPLIFIED PROBE TECH,306,1 ,$200.00 ,$144.00 ,$6.74 ,$200.00 ,$87.73 ,$160.00 ,$34.39 ,$56.00 ,$174.60 ,$183.80 ,$34.39 ,$165.40 ,$34.39 ,$70.88 ,$184.00 ,$85.98 ,$34.39 ,$35.07 ,$166.80 ,$166.80 ,$166.80 ,$34.39 ,$166.80 ,$171.20 ,$171.20 ,$180.00 ,$87.73 ,$170.00 ,$34.39 ,$34.39 ,$112.20 ,$34.39 ,$82.80 ,$7.06 ,$6.74 ,$36.10 ,$170.00 ,$165.40 ,$56.00 ,$180.00 ,$157.00 ,$165.20 ,$36.83 ,$130.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$129.00 ,$92.88 ,$5.38 ,$129.00 ,$103.45 ,$103.20 ,$40.55 ,$36.12 ,$112.62 ,$118.55 ,$40.55 ,$106.68 ,$40.55 ,$83.59 ,$118.68 ,$101.38 ,$40.55 ,$41.37 ,$107.59 ,$107.59 ,$107.59 ,$40.55 ,$107.59 ,$110.42 ,$110.42 ,$116.10 ,$103.45 ,$109.65 ,$40.55 ,$40.55 ,$72.37 ,$40.55 ,$53.41 ,$5.63 ,$5.38 ,$42.58 ,$109.65 ,$106.68 ,$36.12 ,$116.10 ,$101.27 ,$106.55 ,$43.43 ,$83.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600642,81513,HC APTIMA BV MAAA SPEC CD,306,1 ,$138.00 ,$99.36 ,$26.70 ,$345.00 ,$345.00 ,$110.40 ,$135.24 ,$38.64 ,$120.47 ,$126.82 ,$135.24 ,$114.13 ,$135.24 ,$138.00 ,$126.96 ,$135.24 ,$135.24 ,$137.94 ,$115.09 ,$115.09 ,$115.09 ,$135.24 ,$115.09 ,$118.13 ,$118.13 ,$124.20 ,$138.00 ,$117.30 ,$135.24 ,$135.24 ,$77.42 ,$135.24 ,$57.13 ,$27.97 ,$26.70 ,$135.24 ,$117.30 ,$114.13 ,$38.64 ,$124.20 ,$108.33 ,$113.99 ,$144.84 ,$89.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600644,86769,HC SARS - COV-2 COVID 19 ANTIBODY,306,1 ,$134.00 ,$96.48 ,$6.74 ,$134.00 ,$105.33 ,$107.20 ,$41.29 ,$37.52 ,$116.98 ,$123.15 ,$41.29 ,$110.82 ,$41.29 ,$85.10 ,$123.28 ,$103.22 ,$41.29 ,$42.11 ,$111.76 ,$111.76 ,$111.76 ,$41.29 ,$111.76 ,$114.70 ,$114.70 ,$120.60 ,$105.33 ,$113.90 ,$41.29 ,$41.29 ,$75.17 ,$41.29 ,$55.48 ,$7.06 ,$6.74 ,$43.36 ,$113.90 ,$110.82 ,$37.52 ,$120.60 ,$105.19 ,$110.68 ,$44.22 ,$87.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600645,85999,HC URINE FOR EOSINOPHILS,305,1 ,$127.00 ,$91.44 ,$4.67 ,$127.00 , N/A ,$101.60 , N/A ,$35.56 ,$110.87 ,$116.71 , N/A ,$105.03 , N/A , N/A ,$116.84 , N/A , N/A , N/A ,$105.92 ,$105.92 ,$105.92 , N/A ,$105.92 ,$108.71 ,$108.71 ,$114.30 , N/A ,$107.95 , N/A , N/A ,$71.25 , N/A ,$52.58 ,$4.90 ,$4.67 , N/A ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 , N/A ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30600662,87593,HC INFECT AMP ORTHOPOXVIRUS/MONKEYPOX DNA-90,306,1 ,$113.00 ,$81.36 ,$17.86 ,$113.00 , N/A ,$90.40 , N/A ,$31.64 ,$98.65 ,$103.85 , N/A ,$93.45 , N/A , N/A ,$103.96 , N/A , N/A , N/A ,$94.24 ,$94.24 ,$94.24 , N/A ,$94.24 ,$96.73 ,$96.73 ,$101.70 , N/A ,$96.05 , N/A , N/A ,$63.39 , N/A ,$46.78 ,$18.71 ,$17.86 , N/A ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 , N/A ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30682004,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$150.00 ,$108.00 ,$6.74 ,$150.00 ,$93.18 ,$120.00 ,$36.52 ,$42.00 ,$130.95 ,$137.85 ,$36.52 ,$124.05 ,$36.52 ,$75.29 ,$138.00 ,$91.32 ,$36.52 ,$37.26 ,$125.10 ,$125.10 ,$125.10 ,$36.52 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$93.18 ,$127.50 ,$36.52 ,$36.52 ,$84.15 ,$36.52 ,$62.10 ,$7.06 ,$6.74 ,$38.35 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$39.12 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$443.00 ,$318.96 ,$17.86 ,$443.00 ,$128.28 ,$354.40 ,$50.28 ,$124.04 ,$386.74 ,$407.12 ,$50.28 ,$366.36 ,$50.28 ,$103.65 ,$407.56 ,$125.71 ,$50.28 ,$51.29 ,$369.46 ,$369.46 ,$369.46 ,$50.28 ,$369.46 ,$379.21 ,$379.21 ,$398.70 ,$128.28 ,$376.55 ,$50.28 ,$50.28 ,$248.52 ,$50.28 ,$183.40 ,$18.71 ,$17.86 ,$52.80 ,$376.55 ,$366.36 ,$124.04 ,$398.70 ,$347.76 ,$365.92 ,$53.85 ,$287.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30682012,87635,HC COVID-19 LAB TEST,306,1 ,$443.00 ,$318.96 ,$17.86 ,$443.00 ,$128.28 ,$354.40 ,$50.28 ,$124.04 ,$386.74 ,$407.12 ,$50.28 ,$366.36 ,$50.28 ,$103.65 ,$407.56 ,$125.71 ,$50.28 ,$51.29 ,$369.46 ,$369.46 ,$369.46 ,$50.28 ,$369.46 ,$379.21 ,$379.21 ,$398.70 ,$128.28 ,$376.55 ,$50.28 ,$50.28 ,$248.52 ,$50.28 ,$183.40 ,$18.71 ,$17.86 ,$52.80 ,$376.55 ,$366.36 ,$124.04 ,$398.70 ,$347.76 ,$365.92 ,$53.85 ,$287.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$134.00 ,$96.48 ,$6.74 ,$134.00 ,$105.33 ,$107.20 ,$41.29 ,$37.52 ,$116.98 ,$123.15 ,$41.29 ,$110.82 ,$41.29 ,$85.10 ,$123.28 ,$103.22 ,$41.29 ,$42.11 ,$111.76 ,$111.76 ,$111.76 ,$41.29 ,$111.76 ,$114.70 ,$114.70 ,$120.60 ,$105.33 ,$113.90 ,$41.29 ,$41.29 ,$75.17 ,$41.29 ,$55.48 ,$7.06 ,$6.74 ,$43.36 ,$113.90 ,$110.82 ,$37.52 ,$120.60 ,$105.19 ,$110.68 ,$44.22 ,$87.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30682022,87102,HC CULTURE FUNGUS OTHER-90,306,1 ,$278.00 ,$200.16 ,$5.38 ,$278.00 ,$21.03 ,$222.40 ,$8.24 ,$77.84 ,$242.69 ,$255.48 ,$8.24 ,$229.91 ,$8.24 ,$16.99 ,$255.76 ,$20.61 ,$8.24 ,$8.41 ,$231.85 ,$231.85 ,$231.85 ,$8.24 ,$231.85 ,$237.97 ,$237.97 ,$250.20 ,$21.03 ,$236.30 ,$8.24 ,$8.24 ,$155.96 ,$8.24 ,$115.09 ,$5.63 ,$5.38 ,$8.65 ,$236.30 ,$229.91 ,$77.84 ,$250.20 ,$218.23 ,$229.63 ,$8.83 ,$180.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$84.00 ,$60.48 ,$17.86 ,$128.28 ,$128.28 ,$67.20 ,$50.28 ,$23.52 ,$73.33 ,$77.20 ,$50.28 ,$69.47 ,$50.28 ,$84.00 ,$77.28 ,$82.32 ,$50.28 ,$51.29 ,$70.06 ,$70.06 ,$70.06 ,$50.28 ,$70.06 ,$71.90 ,$71.90 ,$75.60 ,$84.00 ,$71.40 ,$50.28 ,$50.28 ,$47.12 ,$50.28 ,$34.78 ,$18.71 ,$17.86 ,$52.80 ,$71.40 ,$69.47 ,$23.52 ,$75.60 ,$65.94 ,$69.38 ,$53.85 ,$54.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700101,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$76.00 ,$54.72 ,$2.69 ,$76.00 ,$7.93 ,$60.80 ,$3.11 ,$21.28 ,$66.35 ,$69.84 ,$3.11 ,$62.85 ,$3.11 ,$6.40 ,$69.92 ,$7.77 ,$3.11 ,$3.17 ,$63.38 ,$63.38 ,$63.38 ,$3.11 ,$63.38 ,$65.06 ,$65.06 ,$68.40 ,$7.93 ,$64.60 ,$3.11 ,$3.11 ,$42.64 ,$3.11 ,$31.46 ,$2.82 ,$2.69 ,$3.26 ,$64.60 ,$62.85 ,$21.28 ,$68.40 ,$59.66 ,$62.78 ,$3.33 ,$49.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700104,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$57.00 ,$41.04 ,$1.69 ,$57.00 ,$5.63 ,$45.60 ,$2.20 ,$15.96 ,$49.76 ,$52.38 ,$2.20 ,$47.14 ,$2.20 ,$4.55 ,$52.44 ,$5.52 ,$2.20 ,$2.25 ,$47.54 ,$47.54 ,$47.54 ,$2.20 ,$47.54 ,$48.79 ,$48.79 ,$51.30 ,$5.63 ,$48.45 ,$2.20 ,$2.20 ,$31.98 ,$2.20 ,$23.60 ,$1.77 ,$1.69 ,$2.31 ,$48.45 ,$47.14 ,$15.96 ,$51.30 ,$44.75 ,$47.08 ,$2.36 ,$37.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700115,81015,HC URINALYSIS MICRO ONLY,307,1 ,$30.00 ,$21.60 ,$2.69 ,$30.00 ,$7.63 ,$24.00 ,$2.99 ,$8.40 ,$26.19 ,$27.57 ,$2.99 ,$24.81 ,$2.99 ,$6.16 ,$27.60 ,$7.48 ,$2.99 ,$3.05 ,$25.02 ,$25.02 ,$25.02 ,$2.99 ,$25.02 ,$25.68 ,$25.68 ,$27.00 ,$7.63 ,$25.50 ,$2.99 ,$2.99 ,$16.83 ,$2.99 ,$12.42 ,$2.82 ,$2.69 ,$3.14 ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$24.78 ,$3.20 ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700120,81002,HC URANALYSIS NON AUTO W/O MICRO,307,1 ,$42.00 ,$30.24 ,$1.69 ,$42.00 ,$8.70 ,$33.60 ,$3.41 ,$11.76 ,$36.67 ,$38.60 ,$3.41 ,$34.73 ,$3.41 ,$7.03 ,$38.64 ,$8.53 ,$3.41 ,$3.48 ,$35.03 ,$35.03 ,$35.03 ,$3.41 ,$35.03 ,$35.95 ,$35.95 ,$37.80 ,$8.70 ,$35.70 ,$3.41 ,$3.41 ,$23.56 ,$3.41 ,$17.39 ,$1.77 ,$1.69 ,$3.58 ,$35.70 ,$34.73 ,$11.76 ,$37.80 ,$32.97 ,$34.69 ,$3.66 ,$27.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700121,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$76.00 ,$54.72 ,$2.69 ,$76.00 ,$7.93 ,$60.80 ,$3.11 ,$21.28 ,$66.35 ,$69.84 ,$3.11 ,$62.85 ,$3.11 ,$6.40 ,$69.92 ,$7.77 ,$3.11 ,$3.17 ,$63.38 ,$63.38 ,$63.38 ,$3.11 ,$63.38 ,$65.06 ,$65.06 ,$68.40 ,$7.93 ,$64.60 ,$3.11 ,$3.11 ,$42.64 ,$3.11 ,$31.46 ,$2.82 ,$2.69 ,$3.26 ,$64.60 ,$62.85 ,$21.28 ,$68.40 ,$59.66 ,$62.78 ,$3.33 ,$49.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700122,81002,HC URINALYSIS NON AUTO W/O MICRO -90,307,1 ,$42.00 ,$30.24 ,$1.69 ,$42.00 ,$8.70 ,$33.60 ,$3.41 ,$11.76 ,$36.67 ,$38.60 ,$3.41 ,$34.73 ,$3.41 ,$7.03 ,$38.64 ,$8.53 ,$3.41 ,$3.48 ,$35.03 ,$35.03 ,$35.03 ,$3.41 ,$35.03 ,$35.95 ,$35.95 ,$37.80 ,$8.70 ,$35.70 ,$3.41 ,$3.41 ,$23.56 ,$3.41 ,$17.39 ,$1.77 ,$1.69 ,$3.58 ,$35.70 ,$34.73 ,$11.76 ,$37.80 ,$32.97 ,$34.69 ,$3.66 ,$27.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700128,81025,HC URINE PREGNANCY TEST,307,1 ,$147.00 ,$105.84 ,$2.69 ,$147.00 ,$21.53 ,$117.60 ,$8.44 ,$41.16 ,$128.33 ,$135.09 ,$8.44 ,$121.57 ,$8.44 ,$17.39 ,$135.24 ,$21.10 ,$8.44 ,$8.60 ,$122.60 ,$122.60 ,$122.60 ,$8.44 ,$122.60 ,$125.83 ,$125.83 ,$132.30 ,$21.53 ,$124.95 ,$8.44 ,$8.44 ,$82.47 ,$8.44 ,$60.86 ,$2.82 ,$2.69 ,$8.86 ,$124.95 ,$121.57 ,$41.16 ,$132.30 ,$115.40 ,$121.42 ,$9.04 ,$95.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),30700131,81050,HC VOLUME MEASUREMENT URINE,307,1 ,$16.00 ,$11.52 ,$2.69 ,$16.00 ,$9.10 ,$12.80 ,$3.57 ,$4.48 ,$13.97 ,$14.70 ,$3.57 ,$13.23 ,$3.57 ,$7.35 ,$14.72 ,$8.92 ,$3.57 ,$3.64 ,$13.34 ,$13.34 ,$13.34 ,$3.57 ,$13.34 ,$13.70 ,$13.70 ,$14.40 ,$9.10 ,$13.60 ,$3.57 ,$3.57 ,$8.98 ,$3.57 ,$6.62 ,$2.82 ,$2.69 ,$3.74 ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 ,$3.82 ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$356.00 ,$256.32 ,$86.94 ,$409.90 ,$409.90 ,$284.80 ,$160.68 ,$99.68 ,$310.79 ,$327.16 ,$160.68 ,$294.41 ,$160.68 ,$331.20 ,$327.52 ,$348.88 ,$160.68 ,$163.90 ,$296.90 ,$296.90 ,$296.90 ,$160.68 ,$296.90 ,$304.74 ,$304.74 ,$320.40 ,$356.00 ,$302.60 ,$160.68 ,$160.68 ,$199.72 ,$160.68 ,$147.38 ,$91.08 ,$86.94 ,$168.72 ,$302.60 ,$294.41 ,$99.68 ,$320.40 ,$279.46 ,$294.06 ,$172.09 ,$231.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$297.00 ,$213.84 ,$83.16 ,$362.10 ,$362.10 ,$237.60 ,$141.94 ,$83.16 ,$259.28 ,$272.94 ,$141.94 ,$245.62 ,$141.94 ,$292.58 ,$273.24 ,$291.06 ,$141.94 ,$144.79 ,$247.70 ,$247.70 ,$247.70 ,$141.94 ,$247.70 ,$254.23 ,$254.23 ,$267.30 ,$297.00 ,$252.45 ,$141.94 ,$141.94 ,$166.62 ,$141.94 ,$122.96 ,$91.08 ,$86.94 ,$149.04 ,$252.45 ,$245.62 ,$83.16 ,$267.30 ,$233.15 ,$245.32 ,$152.02 ,$193.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,"$1,177.00 ",$847.44 ,$26.70 ,"$1,391.50 ","$1,391.50 ",$941.60 ,$545.47 ,$329.56 ,"$1,027.52 ","$1,081.66 ",$545.47 ,$973.38 ,$545.47 ,"$1,124.33 ","$1,082.84 ","$1,153.46 ",$545.47 ,$556.38 ,$981.62 ,$981.62 ,$981.62 ,$545.47 ,$981.62 ,"$1,007.51 ","$1,007.51 ","$1,059.30 ","$1,177.00 ","$1,000.45 ",$545.47 ,$545.47 ,$660.30 ,$545.47 ,$487.28 ,$27.97 ,$26.70 ,$572.74 ,"$1,000.45 ",$973.38 ,$329.56 ,"$1,059.30 ",$923.95 ,$972.20 ,$584.20 ,$765.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$127.00 ,$91.44 ,$26.70 ,$164.23 ,$164.23 ,$101.60 ,$64.38 ,$35.56 ,$110.87 ,$116.71 ,$64.38 ,$105.03 ,$64.38 ,$127.00 ,$116.84 ,$124.46 ,$64.38 ,$65.66 ,$105.92 ,$105.92 ,$105.92 ,$64.38 ,$105.92 ,$108.71 ,$108.71 ,$114.30 ,$127.00 ,$107.95 ,$64.38 ,$64.38 ,$71.25 ,$64.38 ,$52.58 ,$27.97 ,$26.70 ,$67.59 ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 ,$68.94 ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$475.00 ,$342.00 ,$26.70 ,$475.00 ,$183.43 ,$380.00 ,$71.90 ,$133.00 ,$414.68 ,$436.53 ,$71.90 ,$392.83 ,$71.90 ,$148.21 ,$437.00 ,$179.76 ,$71.90 ,$73.34 ,$396.15 ,$396.15 ,$396.15 ,$71.90 ,$396.15 ,$406.60 ,$406.60 ,$427.50 ,$183.43 ,$403.75 ,$71.90 ,$71.90 ,$266.48 ,$71.90 ,$196.65 ,$27.97 ,$26.70 ,$75.50 ,$403.75 ,$392.83 ,$133.00 ,$427.50 ,$372.88 ,$392.35 ,$77.01 ,$308.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000146,81243,HC FMR1 GENE DETECTION -90,310,1 ,$708.00 ,$509.76 ,$26.70 ,$708.00 , N/A ,$566.40 , N/A ,$198.24 ,$618.08 ,$650.65 , N/A ,$585.52 , N/A , N/A ,$651.36 , N/A , N/A , N/A ,$590.47 ,$590.47 ,$590.47 , N/A ,$590.47 ,$606.05 ,$606.05 ,$637.20 , N/A ,$601.80 , N/A , N/A ,$397.19 , N/A ,$293.11 ,$27.97 ,$26.70 , N/A ,$601.80 ,$585.52 ,$198.24 ,$637.20 ,$555.78 ,$584.81 , N/A ,$460.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,$733.00 ,$527.76 ,$26.70 ,$733.00 ,$163.40 ,$586.40 ,$64.05 ,$205.24 ,$639.91 ,$673.63 ,$64.05 ,$606.19 ,$64.05 ,$132.03 ,$674.36 ,$160.13 ,$64.05 ,$65.34 ,$611.32 ,$611.32 ,$611.32 ,$64.05 ,$611.32 ,$627.45 ,$627.45 ,$659.70 ,$163.40 ,$623.05 ,$64.05 ,$64.05 ,$411.21 ,$64.05 ,$303.46 ,$27.97 ,$26.70 ,$67.26 ,$623.05 ,$606.19 ,$205.24 ,$659.70 ,$575.41 ,$605.46 ,$68.60 ,$476.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,"$1,291.00 ",$929.52 ,$26.70 ,"$1,291.00 ",$229.15 ,"$1,032.80 ",$89.83 ,$361.48 ,"$1,127.04 ","$1,186.43 ",$89.83 ,"$1,067.66 ",$89.83 ,$185.15 ,"$1,187.72 ",$224.57 ,$89.83 ,$91.62 ,"$1,076.69 ","$1,076.69 ","$1,076.69 ",$89.83 ,"$1,076.69 ","$1,105.10 ","$1,105.10 ","$1,161.90 ",$229.15 ,"$1,097.35 ",$89.83 ,$89.83 ,$724.25 ,$89.83 ,$534.47 ,$27.97 ,$26.70 ,$94.32 ,"$1,097.35 ","$1,067.66 ",$361.48 ,"$1,161.90 ","$1,013.44 ","$1,066.37 ",$96.21 ,$839.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$464.00 ,$334.08 ,$26.70 ,$464.00 ,$163.35 ,$371.20 ,$64.03 ,$129.92 ,$405.07 ,$426.42 ,$64.03 ,$383.73 ,$64.03 ,$131.99 ,$426.88 ,$160.08 ,$64.03 ,$65.32 ,$386.98 ,$386.98 ,$386.98 ,$64.03 ,$386.98 ,$397.18 ,$397.18 ,$417.60 ,$163.35 ,$394.40 ,$64.03 ,$64.03 ,$260.30 ,$64.03 ,$192.10 ,$27.97 ,$26.70 ,$67.24 ,$394.40 ,$383.73 ,$129.92 ,$417.60 ,$364.24 ,$383.26 ,$68.58 ,$301.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000172,81340,HC TRB GENE ANALYSIS-90,310,1 ,"$1,044.00 ",$751.68 ,$86.94 ,"$1,044.00 ",$522.30 ,$835.20 ,$204.74 ,$292.32 ,$911.41 ,$959.44 ,$204.74 ,$863.39 ,$204.74 ,$422.02 ,$960.48 ,$511.85 ,$204.74 ,$208.84 ,$870.70 ,$870.70 ,$870.70 ,$204.74 ,$870.70 ,$893.66 ,$893.66 ,$939.60 ,$522.30 ,$887.40 ,$204.74 ,$204.74 ,$585.68 ,$204.74 ,$432.22 ,$91.08 ,$86.94 ,$214.98 ,$887.40 ,$863.39 ,$292.32 ,$939.60 ,$819.54 ,$862.34 ,$219.27 ,$678.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000173,81342,HC TRB GENE ANALYSIS DIRECT PROBE-90,310,1 ,"$1,013.00 ",$729.36 ,$86.94 ,"$1,013.00 ",$503.75 ,$810.40 ,$197.47 ,$283.64 ,$884.35 ,$930.95 ,$197.47 ,$837.75 ,$197.47 ,$407.03 ,$931.96 ,$493.67 ,$197.47 ,$201.42 ,$844.84 ,$844.84 ,$844.84 ,$197.47 ,$844.84 ,$867.13 ,$867.13 ,$911.70 ,$503.75 ,$861.05 ,$197.47 ,$197.47 ,$568.29 ,$197.47 ,$419.38 ,$91.08 ,$86.94 ,$207.35 ,$861.05 ,$837.75 ,$283.64 ,$911.70 ,$795.21 ,$836.74 ,$211.49 ,$658.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000178,81377,HC HLA CLASS 2 TYPE 1 AG EQV LR-90,310,1 ,$536.00 ,$385.92 ,$26.70 ,$536.00 ,$236.85 ,$428.80 ,$92.85 ,$150.08 ,$467.93 ,$492.58 ,$92.85 ,$443.27 ,$92.85 ,$191.37 ,$493.12 ,$232.11 ,$92.85 ,$94.70 ,$447.02 ,$447.02 ,$447.02 ,$92.85 ,$447.02 ,$458.82 ,$458.82 ,$482.40 ,$236.85 ,$455.60 ,$92.85 ,$92.85 ,$300.70 ,$92.85 ,$221.90 ,$27.97 ,$26.70 ,$97.49 ,$455.60 ,$443.27 ,$150.08 ,$482.40 ,$420.76 ,$442.74 ,$99.44 ,$348.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000181,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$504.00 ,$362.88 ,$26.70 ,$504.00 ,$159.90 ,$403.20 ,$62.68 ,$141.12 ,$439.99 ,$463.18 ,$62.68 ,$416.81 ,$62.68 ,$129.20 ,$463.68 ,$156.70 ,$62.68 ,$63.94 ,$420.34 ,$420.34 ,$420.34 ,$62.68 ,$420.34 ,$431.42 ,$431.42 ,$453.60 ,$159.90 ,$428.40 ,$62.68 ,$62.68 ,$282.74 ,$62.68 ,$208.66 ,$27.97 ,$26.70 ,$65.82 ,$428.40 ,$416.81 ,$141.12 ,$453.60 ,$395.64 ,$416.30 ,$67.13 ,$327.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,$460.00 ,$331.20 ,$26.70 ,$460.00 , N/A ,$368.00 , N/A ,$128.80 ,$401.58 ,$422.74 , N/A ,$380.42 , N/A , N/A ,$423.20 , N/A , N/A , N/A ,$383.64 ,$383.64 ,$383.64 , N/A ,$383.64 ,$393.76 ,$393.76 ,$414.00 , N/A ,$391.00 , N/A , N/A ,$258.06 , N/A ,$190.44 ,$27.97 ,$26.70 , N/A ,$391.00 ,$380.42 ,$128.80 ,$414.00 ,$361.10 ,$379.96 , N/A ,$299.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,$394.00 ,$283.68 ,$26.70 ,$394.00 , N/A ,$315.20 , N/A ,$110.32 ,$343.96 ,$362.09 , N/A ,$325.84 , N/A , N/A ,$362.48 , N/A , N/A , N/A ,$328.60 ,$328.60 ,$328.60 , N/A ,$328.60 ,$337.26 ,$337.26 ,$354.60 , N/A ,$334.90 , N/A , N/A ,$221.03 , N/A ,$163.12 ,$27.97 ,$26.70 , N/A ,$334.90 ,$325.84 ,$110.32 ,$354.60 ,$309.29 ,$325.44 , N/A ,$256.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000193,81508,HC FETAL CONGENTIAL ABNORM 2 PROTEINS-90,310,1 ,$294.00 ,$211.68 ,$26.70 ,$294.00 ,$135.75 ,$235.20 ,$53.21 ,$82.32 ,$256.66 ,$270.19 ,$53.21 ,$243.14 ,$53.21 ,$109.69 ,$270.48 ,$133.03 ,$53.21 ,$54.28 ,$245.20 ,$245.20 ,$245.20 ,$53.21 ,$245.20 ,$251.66 ,$251.66 ,$264.60 ,$135.75 ,$249.90 ,$53.21 ,$53.21 ,$164.93 ,$53.21 ,$121.72 ,$27.97 ,$26.70 ,$55.88 ,$249.90 ,$243.14 ,$82.32 ,$264.60 ,$230.79 ,$242.84 ,$57.00 ,$191.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000194,81511,HC FETAL CONGENTIAL ABNORM 4 ANALYTES-90,310,1 ,$465.00 ,$334.80 ,$26.70 ,$465.00 ,$383.75 ,$372.00 ,$150.43 ,$130.20 ,$405.95 ,$427.34 ,$150.43 ,$384.56 ,$150.43 ,$310.07 ,$427.80 ,$376.07 ,$150.43 ,$153.44 ,$387.81 ,$387.81 ,$387.81 ,$150.43 ,$387.81 ,$398.04 ,$398.04 ,$418.50 ,$383.75 ,$395.25 ,$150.43 ,$150.43 ,$260.87 ,$150.43 ,$192.51 ,$27.97 ,$26.70 ,$157.96 ,$395.25 ,$384.56 ,$130.20 ,$418.50 ,$365.03 ,$384.09 ,$161.11 ,$302.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000205,81219,HC CALR GENE ANALYSIS EXON 9-90,310,1 ,$391.00 ,$281.52 ,$86.94 ,$391.00 ,$304.08 ,$312.80 ,$119.20 ,$109.48 ,$341.34 ,$359.33 ,$119.20 ,$323.36 ,$119.20 ,$245.69 ,$359.72 ,$298.00 ,$119.20 ,$121.58 ,$326.09 ,$326.09 ,$326.09 ,$119.20 ,$326.09 ,$334.70 ,$334.70 ,$351.90 ,$304.08 ,$332.35 ,$119.20 ,$119.20 ,$219.35 ,$119.20 ,$161.87 ,$91.08 ,$86.94 ,$125.16 ,$332.35 ,$323.36 ,$109.48 ,$351.90 ,$306.94 ,$322.97 ,$127.66 ,$254.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000208,81402,HC MOLECULAR PATHOLOGY PROC LEVEL 3-90,310,1 ,$115.00 ,$82.80 ,$26.70 ,$115.00 , N/A ,$92.00 , N/A ,$32.20 ,$100.40 ,$105.69 , N/A ,$95.11 , N/A , N/A ,$105.80 , N/A , N/A , N/A ,$95.91 ,$95.91 ,$95.91 , N/A ,$95.91 ,$98.44 ,$98.44 ,$103.50 , N/A ,$97.75 , N/A , N/A ,$64.52 , N/A ,$47.61 ,$27.97 ,$26.70 , N/A ,$97.75 ,$95.11 ,$32.20 ,$103.50 ,$90.28 ,$94.99 , N/A ,$74.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000216,81382,HC HLA CLASS 2 HIGH RESOLUTION ONE LOCUS EA - 90,310,1 ,$336.00 ,$241.92 ,$86.94 ,$336.00 ,$309.20 ,$268.80 ,$121.21 ,$94.08 ,$293.33 ,$308.78 ,$121.21 ,$277.87 ,$121.21 ,$249.83 ,$309.12 ,$303.02 ,$121.21 ,$123.63 ,$280.22 ,$280.22 ,$280.22 ,$121.21 ,$280.22 ,$287.62 ,$287.62 ,$302.40 ,$309.20 ,$285.60 ,$121.21 ,$121.21 ,$188.50 ,$121.21 ,$139.10 ,$91.08 ,$86.94 ,$127.26 ,$285.60 ,$277.87 ,$94.08 ,$302.40 ,$263.76 ,$277.54 ,$129.81 ,$218.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000242,81329,HC SMN1 GENE DOSAGE/DELETION ANALYSIS-90,310,1 ,$708.00 ,$509.76 ,$26.70 ,$708.00 ,$342.50 ,$566.40 ,$134.26 ,$198.24 ,$618.08 ,$650.65 ,$134.26 ,$585.52 ,$134.26 ,$276.74 ,$651.36 ,$335.65 ,$134.26 ,$136.95 ,$590.47 ,$590.47 ,$590.47 ,$134.26 ,$590.47 ,$606.05 ,$606.05 ,$637.20 ,$342.50 ,$601.80 ,$134.26 ,$134.26 ,$397.19 ,$134.26 ,$293.11 ,$27.97 ,$26.70 ,$140.97 ,$601.80 ,$585.52 ,$198.24 ,$637.20 ,$555.78 ,$584.81 ,$143.80 ,$460.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000245,81271,HC HTT GENE ANALYSIS DETECT ABNORMAL ALLELES-90,310,1 ,$374.00 ,$269.28 ,$26.70 ,$374.00 ,$342.50 ,$299.20 ,$134.26 ,$104.72 ,$326.50 ,$343.71 ,$134.26 ,$309.30 ,$134.26 ,$276.74 ,$344.08 ,$335.65 ,$134.26 ,$136.95 ,$311.92 ,$311.92 ,$311.92 ,$134.26 ,$311.92 ,$320.14 ,$320.14 ,$336.60 ,$342.50 ,$317.90 ,$134.26 ,$134.26 ,$209.81 ,$134.26 ,$154.84 ,$27.97 ,$26.70 ,$140.97 ,$317.90 ,$309.30 ,$104.72 ,$336.60 ,$293.59 ,$308.92 ,$143.80 ,$243.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000257,81512,HC FETAL CONGENITAL ABNORMAL ASSAY 5 ANALYTES-90,310,1 ,"$1,326.00 ",$954.72 ,$26.70 ,"$1,326.00 ",$173.80 ,"$1,060.80 ",$68.13 ,$371.28 ,"$1,157.60 ","$1,218.59 ",$68.13 ,"$1,096.60 ",$68.13 ,$140.43 ,"$1,219.92 ",$170.32 ,$68.13 ,$69.49 ,"$1,105.88 ","$1,105.88 ","$1,105.88 ",$68.13 ,"$1,105.88 ","$1,135.06 ","$1,135.06 ","$1,193.40 ",$173.80 ,"$1,127.10 ",$68.13 ,$68.13 ,$743.89 ,$68.13 ,$548.96 ,$27.97 ,$26.70 ,$71.54 ,"$1,127.10 ","$1,096.60 ",$371.28 ,"$1,193.40 ","$1,040.91 ","$1,095.28 ",$72.97 ,$861.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000264,81432,HC INHERITED BREAST CANCER GENOMIC SEQ ANALYSIS >10 GENES-90,310,1 ,"$1,940.00 ","$1,396.80 ",$26.70 ,"$1,940.00 ","$1,697.63 ","$1,552.00 ",$665.47 ,$543.20 ,"$1,693.62 ","$1,782.86 ",$665.47 ,"$1,604.38 ",$665.47 ,"$1,371.68 ","$1,784.80 ","$1,663.68 ",$665.47 ,$678.78 ,"$1,617.96 ","$1,617.96 ","$1,617.96 ",$665.47 ,"$1,617.96 ","$1,660.64 ","$1,660.64 ","$1,746.00 ","$1,697.63 ","$1,649.00 ",$665.47 ,$665.47 ,"$1,088.34 ",$665.47 ,$803.16 ,$27.97 ,$26.70 ,$698.74 ,"$1,649.00 ","$1,604.38 ",$543.20 ,"$1,746.00 ","$1,522.90 ","$1,602.44 ",$712.71 ,"$1,261.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000272,81263,HC IGH VAR REG SOMATIC MUTATION ANALYSIS- 90,310,1 ,$464.00 ,$334.08 ,$129.92 ,$736.30 ,$736.30 ,$371.20 ,$288.63 ,$129.92 ,$405.07 ,$426.42 ,$288.63 ,$383.73 ,$288.63 ,$464.00 ,$426.88 ,$454.72 ,$288.63 ,$294.40 ,$386.98 ,$386.98 ,$386.98 ,$288.63 ,$386.98 ,$397.18 ,$397.18 ,$417.60 ,$464.00 ,$394.40 ,$288.63 ,$288.63 ,$260.30 ,$288.63 ,$192.10 ,$258.47 ,$246.72 ,$303.06 ,$394.40 ,$383.73 ,$129.92 ,$417.60 ,$364.24 ,$383.26 ,$309.12 ,$301.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000280,81403,HC MOLECULAR PATHOLOGY PROC LEVEL 4-90,310,1 ,$394.00 ,$283.68 ,$26.70 ,$394.00 , N/A ,$315.20 , N/A ,$110.32 ,$343.96 ,$362.09 , N/A ,$325.84 , N/A , N/A ,$362.48 , N/A , N/A , N/A ,$328.60 ,$328.60 ,$328.60 , N/A ,$328.60 ,$337.26 ,$337.26 ,$354.60 , N/A ,$334.90 , N/A , N/A ,$221.03 , N/A ,$163.12 ,$27.97 ,$26.70 , N/A ,$334.90 ,$325.84 ,$110.32 ,$354.60 ,$309.29 ,$325.44 , N/A ,$256.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000284,81339,HC MPL GENE SEQ ANLY EXON- 90,310,1 ,$734.20 ,$528.62 ,$86.94 ,$734.20 ,$463.00 ,$587.36 ,$181.50 ,$205.58 ,$640.96 ,$674.73 ,$181.50 ,$607.18 ,$181.50 ,$374.10 ,$675.46 ,$453.74 ,$181.50 ,$185.12 ,$612.32 ,$612.32 ,$612.32 ,$181.50 ,$612.32 ,$628.48 ,$628.48 ,$660.78 ,$463.00 ,$624.07 ,$181.50 ,$181.50 ,$411.89 ,$181.50 ,$303.96 ,$91.08 ,$86.94 ,$190.57 ,$624.07 ,$607.18 ,$205.58 ,$660.78 ,$576.35 ,$606.45 ,$194.38 ,$477.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000290,81433,HC HEREDITARY BREAST CA-RELATED DUP/DEL ANALYSIS-90,310,1 ,"$1,200.00 ",$864.00 ,$26.70 ,"$1,200.00 ","$1,097.33 ",$960.00 ,$430.15 ,$336.00 ,"$1,047.60 ","$1,102.80 ",$430.15 ,$992.40 ,$430.15 ,$886.64 ,"$1,104.00 ","$1,075.38 ",$430.15 ,$438.76 ,"$1,000.80 ","$1,000.80 ","$1,000.80 ",$430.15 ,"$1,000.80 ","$1,027.20 ","$1,027.20 ","$1,080.00 ","$1,097.33 ","$1,020.00 ",$430.15 ,$430.15 ,$673.20 ,$430.15 ,$496.80 ,$27.97 ,$26.70 ,$451.66 ,"$1,020.00 ",$992.40 ,$336.00 ,"$1,080.00 ",$942.00 ,$991.20 ,$460.69 ,$780.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000292,81435,HC HEREDITARY COLON CA GEN SEQ ANALYSIS 10 GENES - 90,310,1 ,"$1,940.00 ","$1,396.80 ",$246.72 ,"$1,940.00 ","$1,462.25 ","$1,552.00 ",$573.20 ,$543.20 ,"$1,693.62 ","$1,782.86 ",$573.20 ,"$1,604.38 ",$573.20 ,"$1,181.50 ","$1,784.80 ","$1,433.00 ",$573.20 ,$584.67 ,"$1,617.96 ","$1,617.96 ","$1,617.96 ",$573.20 ,"$1,617.96 ","$1,660.64 ","$1,660.64 ","$1,746.00 ","$1,462.25 ","$1,649.00 ",$573.20 ,$573.20 ,"$1,088.34 ",$573.20 ,$803.16 ,$258.47 ,$246.72 ,$601.87 ,"$1,649.00 ","$1,604.38 ",$543.20 ,"$1,746.00 ","$1,522.90 ","$1,602.44 ",$613.90 ,"$1,261.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),31000293,81436,HC HEREDITARY COLON CA GEN SEQ ANALYSIS 5 GENES - 90,310,1 ,"$1,940.00 ","$1,396.80 ",$246.72 ,"$1,940.00 ","$1,462.25 ","$1,552.00 ",$573.20 ,$543.20 ,"$1,693.62 ","$1,782.86 ",$573.20 ,"$1,604.38 ",$573.20 ,"$1,181.50 ","$1,784.80 ","$1,433.00 ",$573.20 ,$584.67 ,"$1,617.96 ","$1,617.96 ","$1,617.96 ",$573.20 ,"$1,617.96 ","$1,660.64 ","$1,660.64 ","$1,746.00 ","$1,462.25 ","$1,649.00 ",$573.20 ,$573.20 ,"$1,088.34 ",$573.20 ,$803.16 ,$258.47 ,$246.72 ,$601.87 ,"$1,649.00 ","$1,604.38 ",$543.20 ,"$1,746.00 ","$1,522.90 ","$1,602.44 ",$613.90 ,"$1,261.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),31040112,81279,HC JAK2 GENE TARGETED SEQ ALYS- 90,310,1 ,$774.00 ,$557.28 ,$86.94 ,$774.00 ,$463.00 ,$619.20 ,$181.50 ,$216.72 ,$675.70 ,$711.31 ,$181.50 ,$640.10 ,$181.50 ,$374.10 ,$712.08 ,$453.74 ,$181.50 ,$185.12 ,$645.52 ,$645.52 ,$645.52 ,$181.50 ,$645.52 ,$662.54 ,$662.54 ,$696.60 ,$463.00 ,$657.90 ,$181.50 ,$181.50 ,$434.21 ,$181.50 ,$320.44 ,$91.08 ,$86.94 ,$190.57 ,$657.90 ,$640.10 ,$216.72 ,$696.60 ,$607.59 ,$639.32 ,$194.38 ,$503.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$135.00 ,$97.20 ,$23.65 ,$135.00 ,$113.75 ,$108.00 ,$44.59 ,$37.80 ,$117.86 ,$124.07 ,$44.59 ,$111.65 ,$44.59 ,$91.91 ,$124.20 ,$111.47 ,$44.59 ,$45.48 ,$112.59 ,$112.59 ,$112.59 ,$44.59 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$113.75 ,$114.75 ,$44.59 ,$44.59 ,$75.74 ,$44.59 ,$55.89 ,$24.77 ,$23.65 ,$46.82 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$47.76 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100242,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$151.00 ,$108.72 ,$15.58 ,$151.00 ,$66.53 ,$120.80 ,$26.08 ,$42.28 ,$131.82 ,$138.77 ,$26.08 ,$124.88 ,$26.08 ,$53.75 ,$138.92 ,$65.20 ,$26.08 ,$26.60 ,$125.93 ,$125.93 ,$125.93 ,$26.08 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$66.53 ,$128.35 ,$26.08 ,$26.08 ,$84.71 ,$26.08 ,$62.51 ,$16.32 ,$15.58 ,$27.38 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$27.93 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$241.00 ,$173.52 ,$23.65 ,$735.30 ,$735.30 ,$192.80 ,$236.18 ,$67.48 ,$210.39 ,$221.48 ,$236.18 ,$199.31 ,$236.18 ,$241.00 ,$221.72 ,$236.18 ,$288.24 ,$240.90 ,$200.99 ,$200.99 ,$200.99 ,$236.18 ,$200.99 ,$206.30 ,$206.30 ,$216.90 ,$241.00 ,$204.85 ,$236.18 ,$236.18 ,$135.20 ,$288.24 ,$99.77 ,$24.77 ,$23.65 ,$236.18 ,$204.85 ,$199.31 ,$67.48 ,$216.90 ,$189.19 ,$199.07 ,$308.71 ,$156.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$222.00 ,$159.84 ,$23.65 ,$222.00 , N/A ,$177.60 , N/A ,$62.16 ,$193.81 ,$204.02 , N/A ,$183.59 , N/A , N/A ,$204.24 , N/A , N/A , N/A ,$185.15 ,$185.15 ,$185.15 , N/A ,$185.15 ,$190.03 ,$190.03 ,$199.80 , N/A ,$188.70 , N/A , N/A ,$124.54 , N/A ,$91.91 ,$24.77 ,$23.65 , N/A ,$188.70 ,$183.59 ,$62.16 ,$199.80 ,$174.27 ,$183.37 , N/A ,$144.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100248,88187,HC FLOW CYTO INT 2-8 MARKERS-90,311,1 ,$227.00 ,$163.44 ,$21.49 ,$227.00 , N/A ,$181.60 , N/A ,$63.56 ,$198.17 ,$208.61 , N/A ,$187.73 , N/A , N/A ,$208.84 , N/A , N/A , N/A ,$189.32 ,$189.32 ,$189.32 , N/A ,$189.32 ,$194.31 ,$194.31 ,$204.30 , N/A ,$192.95 , N/A , N/A ,$127.35 , N/A ,$93.98 ,$22.52 ,$21.49 , N/A ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 , N/A ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100251,88230,HC TISSUE CULT NONNEO LYMPHOCYTE-90,311,1 ,$820.00 ,$590.40 ,$23.65 ,$820.00 ,$291.23 ,$656.00 ,$114.16 ,$229.60 ,$715.86 ,$753.58 ,$114.16 ,$678.14 ,$114.16 ,$235.31 ,$754.40 ,$285.41 ,$114.16 ,$116.44 ,$683.88 ,$683.88 ,$683.88 ,$114.16 ,$683.88 ,$701.92 ,$701.92 ,$738.00 ,$291.23 ,$697.00 ,$114.16 ,$114.16 ,$460.02 ,$114.16 ,$339.48 ,$24.77 ,$23.65 ,$119.86 ,$697.00 ,$678.14 ,$229.60 ,$738.00 ,$643.70 ,$677.32 ,$122.26 ,$533.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100255,88237,HC TISSUE CULT BONE/BLD-90,311,1 ,$788.00 ,$567.36 ,$23.65 ,$788.00 ,$359.38 ,$630.40 ,$140.87 ,$220.64 ,$687.92 ,$724.17 ,$140.87 ,$651.68 ,$140.87 ,$290.38 ,$724.96 ,$352.19 ,$140.87 ,$143.70 ,$657.19 ,$657.19 ,$657.19 ,$140.87 ,$657.19 ,$674.53 ,$674.53 ,$709.20 ,$359.38 ,$669.80 ,$140.87 ,$140.87 ,$442.07 ,$140.87 ,$326.23 ,$24.77 ,$23.65 ,$147.92 ,$669.80 ,$651.68 ,$220.64 ,$709.20 ,$618.58 ,$650.89 ,$150.88 ,$512.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100257,88262,HC CHROM COUNT 15-20/2-90,311,1 ,$785.00 ,$565.20 ,$26.70 ,$785.00 ,$313.73 ,$628.00 ,$122.98 ,$219.80 ,$685.31 ,$721.42 ,$122.98 ,$649.20 ,$122.98 ,$253.49 ,$722.20 ,$307.46 ,$122.98 ,$125.44 ,$654.69 ,$654.69 ,$654.69 ,$122.98 ,$654.69 ,$671.96 ,$671.96 ,$706.50 ,$313.73 ,$667.25 ,$122.98 ,$122.98 ,$440.39 ,$122.98 ,$324.99 ,$27.97 ,$26.70 ,$129.12 ,$667.25 ,$649.20 ,$219.80 ,$706.50 ,$616.23 ,$648.41 ,$131.71 ,$510.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100261,88271,HC MCG DNA PROBE(FISH)-90,311,1 ,"$1,350.00 ",$972.00 ,$20.99 ,"$1,350.00 ",$53.55 ,"$1,080.00 ",$20.99 ,$378.00 ,"$1,178.55 ","$1,240.65 ",$20.99 ,"$1,116.45 ",$20.99 ,$43.27 ,"$1,242.00 ",$52.48 ,$20.99 ,$21.41 ,"$1,125.90 ","$1,125.90 ","$1,125.90 ",$20.99 ,"$1,125.90 ","$1,155.60 ","$1,155.60 ","$1,215.00 ",$53.55 ,"$1,147.50 ",$20.99 ,$20.99 ,$757.35 ,$20.99 ,$558.90 ,$27.97 ,$26.70 ,$22.04 ,"$1,147.50 ","$1,116.45 ",$378.00 ,"$1,215.00 ","$1,059.75 ","$1,115.10 ",$22.48 ,$877.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100262,88271,HC MCG DNA PROBE(BCR/ABL)-90,311,1 ,$100.00 ,$72.00 ,$20.99 ,$100.00 ,$53.55 ,$80.00 ,$20.99 ,$28.00 ,$87.30 ,$91.90 ,$20.99 ,$82.70 ,$20.99 ,$43.27 ,$92.00 ,$52.48 ,$20.99 ,$21.41 ,$83.40 ,$83.40 ,$83.40 ,$20.99 ,$83.40 ,$85.60 ,$85.60 ,$90.00 ,$53.55 ,$85.00 ,$20.99 ,$20.99 ,$56.10 ,$20.99 ,$41.40 ,$27.97 ,$26.70 ,$22.04 ,$85.00 ,$82.70 ,$28.00 ,$90.00 ,$78.50 ,$82.60 ,$22.48 ,$65.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100269,88275,HC MCG INTERPH INSITU 100 -90,311,1 ,$294.00 ,$211.68 ,$26.70 ,$294.00 ,$127.98 ,$235.20 ,$50.17 ,$82.32 ,$256.66 ,$270.19 ,$50.17 ,$243.14 ,$50.17 ,$103.40 ,$270.48 ,$125.42 ,$50.17 ,$51.17 ,$245.20 ,$245.20 ,$245.20 ,$50.17 ,$245.20 ,$251.66 ,$251.66 ,$264.60 ,$127.98 ,$249.90 ,$50.17 ,$50.17 ,$164.93 ,$50.17 ,$121.72 ,$27.97 ,$26.70 ,$52.67 ,$249.90 ,$243.14 ,$82.32 ,$264.60 ,$230.79 ,$242.84 ,$53.72 ,$191.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100270,88275,HC MCG INTERPH INSITU FISH 100-90,311,1 ,$294.00 ,$211.68 ,$26.70 ,$294.00 ,$127.98 ,$235.20 ,$50.17 ,$82.32 ,$256.66 ,$270.19 ,$50.17 ,$243.14 ,$50.17 ,$103.40 ,$270.48 ,$125.42 ,$50.17 ,$51.17 ,$245.20 ,$245.20 ,$245.20 ,$50.17 ,$245.20 ,$251.66 ,$251.66 ,$264.60 ,$127.98 ,$249.90 ,$50.17 ,$50.17 ,$164.93 ,$50.17 ,$121.72 ,$27.97 ,$26.70 ,$52.67 ,$249.90 ,$243.14 ,$82.32 ,$264.60 ,$230.79 ,$242.84 ,$53.72 ,$191.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100271,88275,HC MCG INTER INSIT BCR/ABL 100-90,311,1 ,$189.00 ,$136.08 ,$26.70 ,$189.00 ,$127.98 ,$151.20 ,$50.17 ,$52.92 ,$165.00 ,$173.69 ,$50.17 ,$156.30 ,$50.17 ,$103.40 ,$173.88 ,$125.42 ,$50.17 ,$51.17 ,$157.63 ,$157.63 ,$157.63 ,$50.17 ,$157.63 ,$161.78 ,$161.78 ,$170.10 ,$127.98 ,$160.65 ,$50.17 ,$50.17 ,$106.03 ,$50.17 ,$78.25 ,$27.97 ,$26.70 ,$52.67 ,$160.65 ,$156.30 ,$52.92 ,$170.10 ,$148.37 ,$156.11 ,$53.72 ,$122.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100274,88289,HC CHROM ADDL HIGH RES-90,311,1 ,$304.00 ,$218.88 ,$26.70 ,$304.00 ,$86.08 ,$243.20 ,$33.74 ,$85.12 ,$265.39 ,$279.38 ,$33.74 ,$251.41 ,$33.74 ,$69.55 ,$279.68 ,$84.36 ,$33.74 ,$34.42 ,$253.54 ,$253.54 ,$253.54 ,$33.74 ,$253.54 ,$260.22 ,$260.22 ,$273.60 ,$86.08 ,$258.40 ,$33.74 ,$33.74 ,$170.54 ,$33.74 ,$125.86 ,$27.97 ,$26.70 ,$35.43 ,$258.40 ,$251.41 ,$85.12 ,$273.60 ,$238.64 ,$251.10 ,$36.13 ,$197.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100280,G0145,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$151.00 ,$108.72 ,$15.58 ,$151.00 ,$66.23 ,$120.80 ,$25.96 ,$42.28 ,$131.82 ,$138.77 ,$25.96 ,$124.88 ,$25.96 ,$53.51 ,$138.92 ,$64.91 ,$25.96 ,$26.48 ,$125.93 ,$125.93 ,$125.93 ,$25.96 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$66.23 ,$128.35 ,$25.96 ,$25.96 ,$84.71 ,$25.96 ,$62.51 ,$16.32 ,$15.58 ,$27.25 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$27.80 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100283,88120,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC-90,311,1 ,"$1,248.00 ",$898.56 ,$23.65 ,"$1,248.00 ",$356.75 ,$998.40 ,$139.85 ,$349.44 ,"$1,089.50 ","$1,146.91 ",$139.85 ,"$1,032.10 ",$139.85 ,$288.26 ,"$1,148.16 ",$349.61 ,$139.85 ,$142.64 ,"$1,040.83 ","$1,040.83 ","$1,040.83 ",$139.85 ,"$1,040.83 ","$1,068.29 ","$1,068.29 ","$1,123.20 ",$356.75 ,"$1,060.80 ",$139.85 ,$139.85 ,$700.13 ,$139.85 ,$516.67 ,$24.77 ,$23.65 ,$146.84 ,"$1,060.80 ","$1,032.10 ",$349.44 ,"$1,123.20 ",$979.68 ,"$1,030.85 ",$149.77 ,$811.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100293,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$151.00 ,$108.72 ,$15.58 ,$151.00 ,$66.53 ,$120.80 ,$26.08 ,$42.28 ,$131.82 ,$138.77 ,$26.08 ,$124.88 ,$26.08 ,$53.75 ,$138.92 ,$65.20 ,$26.08 ,$26.60 ,$125.93 ,$125.93 ,$125.93 ,$26.08 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$66.53 ,$128.35 ,$26.08 ,$26.08 ,$84.71 ,$26.08 ,$62.51 ,$16.32 ,$15.58 ,$27.38 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$27.93 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100294,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$241.00 ,$173.52 ,$23.65 ,$735.30 ,$735.30 ,$192.80 ,$236.18 ,$67.48 ,$210.39 ,$221.48 ,$236.18 ,$199.31 ,$236.18 ,$241.00 ,$221.72 ,$236.18 ,$288.24 ,$240.90 ,$200.99 ,$200.99 ,$200.99 ,$236.18 ,$200.99 ,$206.30 ,$206.30 ,$216.90 ,$241.00 ,$204.85 ,$236.18 ,$236.18 ,$135.20 ,$288.24 ,$99.77 ,$24.77 ,$23.65 ,$236.18 ,$204.85 ,$199.31 ,$67.48 ,$216.90 ,$189.19 ,$199.07 ,$308.71 ,$156.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100295,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$222.00 ,$159.84 ,$23.65 ,$222.00 , N/A ,$177.60 , N/A ,$62.16 ,$193.81 ,$204.02 , N/A ,$183.59 , N/A , N/A ,$204.24 , N/A , N/A , N/A ,$185.15 ,$185.15 ,$185.15 , N/A ,$185.15 ,$190.03 ,$190.03 ,$199.80 , N/A ,$188.70 , N/A , N/A ,$124.54 , N/A ,$91.91 ,$24.77 ,$23.65 , N/A ,$188.70 ,$183.59 ,$62.16 ,$199.80 ,$174.27 ,$183.37 , N/A ,$144.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100299,88104,HC CYTOPATH FLD SMEAR,311,1 ,$150.00 ,$108.00 ,$21.49 ,$150.00 ,$77.05 ,$120.00 ,$30.20 ,$42.00 ,$130.95 ,$137.85 ,$30.20 ,$124.05 ,$30.20 ,$62.25 ,$138.00 ,$75.51 ,$30.20 ,$30.81 ,$125.10 ,$125.10 ,$125.10 ,$30.20 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$77.05 ,$127.50 ,$30.20 ,$30.20 ,$84.15 ,$30.20 ,$62.10 ,$22.52 ,$21.49 ,$31.71 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$32.35 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100300,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$146.00 ,$105.12 ,$21.49 ,$146.00 ,$56.63 ,$116.80 ,$22.20 ,$40.88 ,$127.46 ,$134.17 ,$22.20 ,$120.74 ,$22.20 ,$45.75 ,$134.32 ,$55.50 ,$22.20 ,$22.64 ,$121.76 ,$121.76 ,$121.76 ,$22.20 ,$121.76 ,$124.98 ,$124.98 ,$131.40 ,$56.63 ,$124.10 ,$22.20 ,$22.20 ,$81.91 ,$22.20 ,$60.44 ,$22.52 ,$21.49 ,$23.30 ,$124.10 ,$120.74 ,$40.88 ,$131.40 ,$114.61 ,$120.60 ,$23.77 ,$94.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100301,88175,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$151.00 ,$108.72 ,$15.58 ,$151.00 ,$66.53 ,$120.80 ,$26.08 ,$42.28 ,$131.82 ,$138.77 ,$26.08 ,$124.88 ,$26.08 ,$53.75 ,$138.92 ,$65.20 ,$26.08 ,$26.60 ,$125.93 ,$125.93 ,$125.93 ,$26.08 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$66.53 ,$128.35 ,$26.08 ,$26.08 ,$84.71 ,$26.08 ,$62.51 ,$16.32 ,$15.58 ,$27.38 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$27.93 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100302,88108,HC CYTOPATH CONCENTRATION,311,1 ,$137.00 ,$98.64 ,$21.49 ,$137.00 ,$77.05 ,$109.60 ,$30.20 ,$38.36 ,$119.60 ,$125.90 ,$30.20 ,$113.30 ,$30.20 ,$62.25 ,$126.04 ,$75.51 ,$30.20 ,$30.81 ,$114.26 ,$114.26 ,$114.26 ,$30.20 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$77.05 ,$116.45 ,$30.20 ,$30.20 ,$76.86 ,$30.20 ,$56.72 ,$22.52 ,$21.49 ,$31.71 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$32.35 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100303,88172,HC FINE NEEDLE EVAL,311,1 ,$281.00 ,$202.32 ,$21.49 ,$356.75 ,$356.75 ,$224.80 ,$139.85 ,$78.68 ,$245.31 ,$258.24 ,$139.85 ,$232.39 ,$139.85 ,$281.00 ,$258.52 ,$275.38 ,$139.85 ,$142.64 ,$234.35 ,$234.35 ,$234.35 ,$139.85 ,$234.35 ,$240.54 ,$240.54 ,$252.90 ,$281.00 ,$238.85 ,$139.85 ,$139.85 ,$157.64 ,$139.85 ,$116.33 ,$22.52 ,$21.49 ,$146.84 ,$238.85 ,$232.39 ,$78.68 ,$252.90 ,$220.59 ,$232.11 ,$149.77 ,$182.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100304,88173,HC FINE NEEDLE INTERP,311,1 ,$114.00 ,$82.08 ,$21.49 ,$114.00 ,$113.75 ,$91.20 ,$44.59 ,$31.92 ,$99.52 ,$104.77 ,$44.59 ,$94.28 ,$44.59 ,$91.91 ,$104.88 ,$111.47 ,$44.59 ,$45.48 ,$95.08 ,$95.08 ,$95.08 ,$44.59 ,$95.08 ,$97.58 ,$97.58 ,$102.60 ,$113.75 ,$96.90 ,$44.59 ,$44.59 ,$63.95 ,$44.59 ,$47.20 ,$22.52 ,$21.49 ,$46.82 ,$96.90 ,$94.28 ,$31.92 ,$102.60 ,$89.49 ,$94.16 ,$47.76 ,$74.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100306,88160,HC CYTOPATH SMEAR NON GYN,311,1 ,$182.00 ,$131.04 ,$21.49 ,$182.00 ,$56.63 ,$145.60 ,$22.20 ,$50.96 ,$158.89 ,$167.26 ,$22.20 ,$150.51 ,$22.20 ,$45.75 ,$167.44 ,$55.50 ,$22.20 ,$22.64 ,$151.79 ,$151.79 ,$151.79 ,$22.20 ,$151.79 ,$155.79 ,$155.79 ,$163.80 ,$56.63 ,$154.70 ,$22.20 ,$22.20 ,$102.10 ,$22.20 ,$75.35 ,$22.52 ,$21.49 ,$23.30 ,$154.70 ,$150.51 ,$50.96 ,$163.80 ,$142.87 ,$150.33 ,$23.77 ,$118.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100310,88121,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC COMP ASSIST-90,311,1 ,$344.00 ,$247.68 ,$23.65 ,$356.75 ,$356.75 ,$275.20 ,$139.85 ,$96.32 ,$300.31 ,$316.14 ,$139.85 ,$284.49 ,$139.85 ,$288.26 ,$316.48 ,$337.12 ,$139.85 ,$142.64 ,$286.90 ,$286.90 ,$286.90 ,$139.85 ,$286.90 ,$294.46 ,$294.46 ,$309.60 ,$344.00 ,$292.40 ,$139.85 ,$139.85 ,$192.98 ,$139.85 ,$142.42 ,$24.77 ,$23.65 ,$146.84 ,$292.40 ,$284.49 ,$96.32 ,$309.60 ,$270.04 ,$284.14 ,$149.77 ,$223.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31100314,88142,HC THINPREP PAP,311,1 ,$162.00 ,$116.64 ,$15.58 ,$162.00 ,$50.65 ,$129.60 ,$19.85 ,$45.36 ,$141.43 ,$148.88 ,$19.85 ,$133.97 ,$19.85 ,$40.93 ,$149.04 ,$49.64 ,$19.85 ,$20.26 ,$135.11 ,$135.11 ,$135.11 ,$19.85 ,$135.11 ,$138.67 ,$138.67 ,$145.80 ,$50.65 ,$137.70 ,$19.85 ,$19.85 ,$90.88 ,$19.85 ,$67.07 ,$16.32 ,$15.58 ,$20.84 ,$137.70 ,$133.97 ,$45.36 ,$145.80 ,$127.17 ,$133.81 ,$21.27 ,$105.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200159,88321,HC CONSULT REFERRED SLIDES,312,1 ,$355.00 ,$255.60 ,$21.49 ,$355.00 ,$77.05 ,$284.00 ,$30.20 ,$99.40 ,$309.92 ,$326.25 ,$30.20 ,$293.59 ,$30.20 ,$62.25 ,$326.60 ,$75.51 ,$30.20 ,$30.81 ,$296.07 ,$296.07 ,$296.07 ,$30.20 ,$296.07 ,$303.88 ,$303.88 ,$319.50 ,$77.05 ,$301.75 ,$30.20 ,$30.20 ,$199.16 ,$30.20 ,$146.97 ,$22.52 ,$21.49 ,$31.71 ,$301.75 ,$293.59 ,$99.40 ,$319.50 ,$278.68 ,$293.23 ,$32.35 ,$230.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200283,88374,HC MORPH ANLY AUTO EA MULTIPLX-90,312,1 ,$880.00 ,$633.60 ,$23.65 ,$880.00 ,$356.75 ,$704.00 ,$139.85 ,$246.40 ,$768.24 ,$808.72 ,$139.85 ,$727.76 ,$139.85 ,$288.26 ,$809.60 ,$349.61 ,$139.85 ,$142.64 ,$733.92 ,$733.92 ,$733.92 ,$139.85 ,$733.92 ,$753.28 ,$753.28 ,$792.00 ,$356.75 ,$748.00 ,$139.85 ,$139.85 ,$493.68 ,$139.85 ,$364.32 ,$24.77 ,$23.65 ,$146.84 ,$748.00 ,$727.76 ,$246.40 ,$792.00 ,$690.80 ,$726.88 ,$149.77 ,$572.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200296,88311,HC DECALCIFICATION,312,1 ,$60.00 ,$43.20 ,$16.80 ,$60.00 , N/A ,$48.00 , N/A ,$16.80 ,$52.38 ,$55.14 , N/A ,$49.62 , N/A , N/A ,$55.20 , N/A , N/A , N/A ,$50.04 ,$50.04 ,$50.04 , N/A ,$50.04 ,$51.36 ,$51.36 ,$54.00 , N/A ,$51.00 , N/A , N/A ,$33.66 , N/A ,$24.84 ,$22.52 ,$21.49 , N/A ,$51.00 ,$49.62 ,$16.80 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200297,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$133.00 ,$95.76 ,$21.49 ,$133.00 ,$56.63 ,$106.40 ,$22.20 ,$37.24 ,$116.11 ,$122.23 ,$22.20 ,$109.99 ,$22.20 ,$45.75 ,$122.36 ,$55.50 ,$22.20 ,$22.64 ,$110.92 ,$110.92 ,$110.92 ,$22.20 ,$110.92 ,$113.85 ,$113.85 ,$119.70 ,$56.63 ,$113.05 ,$22.20 ,$22.20 ,$74.61 ,$22.20 ,$55.06 ,$22.52 ,$21.49 ,$23.30 ,$113.05 ,$109.99 ,$37.24 ,$119.70 ,$104.41 ,$109.86 ,$23.77 ,$86.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200298,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$150.00 ,$108.00 ,$21.49 ,$150.00 ,$113.75 ,$120.00 ,$44.59 ,$42.00 ,$130.95 ,$137.85 ,$44.59 ,$124.05 ,$44.59 ,$91.91 ,$138.00 ,$111.47 ,$44.59 ,$45.48 ,$125.10 ,$125.10 ,$125.10 ,$44.59 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$113.75 ,$127.50 ,$44.59 ,$44.59 ,$84.15 ,$44.59 ,$62.10 ,$22.52 ,$21.49 ,$46.82 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$47.76 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200299,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$180.00 ,$129.60 ,$21.49 ,$180.00 ,$113.75 ,$144.00 ,$44.59 ,$50.40 ,$157.14 ,$165.42 ,$44.59 ,$148.86 ,$44.59 ,$91.91 ,$165.60 ,$111.47 ,$44.59 ,$45.48 ,$150.12 ,$150.12 ,$150.12 ,$44.59 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$113.75 ,$153.00 ,$44.59 ,$44.59 ,$100.98 ,$44.59 ,$74.52 ,$22.52 ,$21.49 ,$46.82 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$47.76 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200300,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,$316.00 ,$227.52 ,$23.65 ,$735.30 ,$735.30 ,$252.80 ,$288.24 ,$88.48 ,$275.87 ,$290.40 ,$288.24 ,$261.33 ,$288.24 ,$316.00 ,$290.72 ,$309.68 ,$288.24 ,$294.00 ,$263.54 ,$263.54 ,$263.54 ,$288.24 ,$263.54 ,$270.50 ,$270.50 ,$284.40 ,$316.00 ,$268.60 ,$288.24 ,$288.24 ,$177.28 ,$288.24 ,$130.82 ,$24.77 ,$23.65 ,$302.65 ,$268.60 ,$261.33 ,$88.48 ,$284.40 ,$248.06 ,$261.02 ,$308.71 ,$205.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200301,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,$415.00 ,$298.80 ,$23.65 ,"$1,761.68 ","$1,761.68 ",$332.00 ,$406.70 ,$116.20 ,$362.30 ,$381.39 ,$406.70 ,$343.21 ,$406.70 ,$415.00 ,$381.80 ,$406.70 ,$690.58 ,$414.83 ,$346.11 ,$346.11 ,$346.11 ,$406.70 ,$346.11 ,$355.24 ,$355.24 ,$373.50 ,$415.00 ,$352.75 ,$406.70 ,$406.70 ,$232.82 ,$690.58 ,$171.81 ,$24.77 ,$23.65 ,$406.70 ,$352.75 ,$343.21 ,$116.20 ,$373.50 ,$325.78 ,$342.79 ,$739.61 ,$269.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200302,88300,HC GROSS ONLY LEVEL I,312,1 ,$87.00 ,$62.64 ,$21.49 ,$87.00 ,$56.63 ,$69.60 ,$22.20 ,$24.36 ,$75.95 ,$79.95 ,$22.20 ,$71.95 ,$22.20 ,$45.75 ,$80.04 ,$55.50 ,$22.20 ,$22.64 ,$72.56 ,$72.56 ,$72.56 ,$22.20 ,$72.56 ,$74.47 ,$74.47 ,$78.30 ,$56.63 ,$73.95 ,$22.20 ,$22.20 ,$48.81 ,$22.20 ,$36.02 ,$22.52 ,$21.49 ,$23.30 ,$73.95 ,$71.95 ,$24.36 ,$78.30 ,$68.30 ,$71.86 ,$23.77 ,$56.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200303,88312,HC SPECIAL STAIN I,312,1 ,$161.00 ,$115.92 ,$21.49 ,$161.00 ,$113.75 ,$128.80 ,$44.59 ,$45.08 ,$140.55 ,$147.96 ,$44.59 ,$133.15 ,$44.59 ,$91.91 ,$148.12 ,$111.47 ,$44.59 ,$45.48 ,$134.27 ,$134.27 ,$134.27 ,$44.59 ,$134.27 ,$137.82 ,$137.82 ,$144.90 ,$113.75 ,$136.85 ,$44.59 ,$44.59 ,$90.32 ,$44.59 ,$66.65 ,$22.52 ,$21.49 ,$46.82 ,$136.85 ,$133.15 ,$45.08 ,$144.90 ,$126.39 ,$132.99 ,$47.76 ,$104.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200304,88313,HC SPECIAL STAIN II,312,1 ,$171.00 ,$123.12 ,$21.49 ,$171.00 ,$77.05 ,$136.80 ,$30.20 ,$47.88 ,$149.28 ,$157.15 ,$30.20 ,$141.42 ,$30.20 ,$62.25 ,$157.32 ,$75.51 ,$30.20 ,$30.81 ,$142.61 ,$142.61 ,$142.61 ,$30.20 ,$142.61 ,$146.38 ,$146.38 ,$153.90 ,$77.05 ,$145.35 ,$30.20 ,$30.20 ,$95.93 ,$30.20 ,$70.79 ,$22.52 ,$21.49 ,$31.71 ,$145.35 ,$141.42 ,$47.88 ,$153.90 ,$134.24 ,$141.25 ,$32.35 ,$111.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200305,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$151.00 ,$108.72 ,$21.49 ,$356.75 ,$356.75 ,$120.80 ,$139.85 ,$42.28 ,$131.82 ,$138.77 ,$139.85 ,$124.88 ,$139.85 ,$151.00 ,$138.92 ,$147.98 ,$139.85 ,$142.64 ,$125.93 ,$125.93 ,$125.93 ,$139.85 ,$125.93 ,$129.26 ,$129.26 ,$135.90 ,$151.00 ,$128.35 ,$139.85 ,$139.85 ,$84.71 ,$139.85 ,$62.51 ,$22.52 ,$21.49 ,$146.84 ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 ,$149.77 ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200306,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$614.00 ,$442.08 ,$21.49 ,$735.30 ,$735.30 ,$491.20 ,$288.24 ,$171.92 ,$536.02 ,$564.27 ,$288.24 ,$507.78 ,$288.24 ,$594.13 ,$564.88 ,$601.72 ,$288.24 ,$294.00 ,$512.08 ,$512.08 ,$512.08 ,$288.24 ,$512.08 ,$525.58 ,$525.58 ,$552.60 ,$614.00 ,$521.90 ,$288.24 ,$288.24 ,$344.45 ,$288.24 ,$254.20 ,$22.52 ,$21.49 ,$302.65 ,$521.90 ,$507.78 ,$171.92 ,$552.60 ,$481.99 ,$507.16 ,$308.71 ,$399.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200307,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$151.00 ,$108.72 ,$21.49 ,$151.00 , N/A ,$120.80 , N/A ,$42.28 ,$131.82 ,$138.77 , N/A ,$124.88 , N/A , N/A ,$138.92 , N/A , N/A , N/A ,$125.93 ,$125.93 ,$125.93 , N/A ,$125.93 ,$129.26 ,$129.26 ,$135.90 , N/A ,$128.35 , N/A , N/A ,$84.71 , N/A ,$62.51 ,$22.52 ,$21.49 , N/A ,$128.35 ,$124.88 ,$42.28 ,$135.90 ,$118.54 ,$124.73 , N/A ,$98.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),31200308,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$135.00 ,$97.20 ,$23.65 ,$135.00 ,$113.75 ,$108.00 ,$44.59 ,$37.80 ,$117.86 ,$124.07 ,$44.59 ,$111.65 ,$44.59 ,$91.91 ,$124.20 ,$111.47 ,$44.59 ,$45.48 ,$112.59 ,$112.59 ,$112.59 ,$44.59 ,$112.59 ,$115.56 ,$115.56 ,$121.50 ,$113.75 ,$114.75 ,$44.59 ,$44.59 ,$75.74 ,$44.59 ,$55.89 ,$24.77 ,$23.65 ,$46.82 ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 ,$47.76 ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,"$1,000.00 ",$720.00 ,$280.00 ,"$3,615.15 ","$3,615.15 ",$800.00 ,$980.00 ,$280.00 ,$873.00 ,$919.00 ,$980.00 ,$827.00 ,$980.00 ,"$1,000.00 ",$920.00 ,$980.00 ,"$1,417.14 ",$999.60 ,$834.00 ,$834.00 ,$834.00 ,$980.00 ,$834.00 ,$856.00 ,$856.00 ,$900.00 ,"$1,000.00 ",$850.00 ,$980.00 ,$980.00 ,$561.00 ,"$1,417.14 ",$414.00 ,$483.98 ,$461.98 ,$980.00 ,$850.00 ,$827.00 ,$280.00 ,$900.00 ,$785.00 ,$826.00 ,"$1,417.14 ",$650.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$16.00 ,$11.52 ,$4.48 ,$16.00 , N/A ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A , N/A , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 , N/A ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 ,$16.00 ,$16.00 , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$410.00 ,$295.20 ,$114.80 ,$917.40 ,$917.40 ,$328.00 ,$359.62 ,$114.80 ,$357.93 ,$376.79 ,$335.79 ,$339.07 ,$359.62 ,$410.00 ,$377.20 ,$401.80 ,$359.62 ,$366.81 ,$341.94 ,$341.94 ,$341.94 ,$359.62 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$410.00 ,$348.50 ,$359.62 ,$359.62 ,$230.01 ,$359.62 ,$169.74 ,$410.00 ,$402.12 ,$377.62 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$359.62 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$644.00 ,$463.68 ,$180.32 ,$644.00 ,$567.40 ,$515.20 ,$222.42 ,$180.32 ,$562.21 ,$591.84 ,$207.67 ,$532.59 ,$222.42 ,$458.46 ,$592.48 ,$556.05 ,$222.42 ,$226.87 ,$537.10 ,$537.10 ,$537.10 ,$222.42 ,$537.10 ,$551.26 ,$551.26 ,$579.60 ,$529.79 ,$547.40 ,$222.42 ,$222.42 ,$361.28 ,$222.42 ,$266.62 ,$242.88 ,$231.84 ,$233.55 ,$547.40 ,$532.59 ,$180.32 ,$579.60 ,$505.54 ,$531.94 ,$222.42 ,$418.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$286.00 ,$205.92 ,$37.17 ,$286.00 ,$211.10 ,$228.80 ,$82.75 ,$80.08 ,$249.68 ,$262.83 ,$77.26 ,$236.52 ,$82.75 ,$170.57 ,$263.12 ,$206.88 ,$82.75 ,$84.41 ,$238.52 ,$238.52 ,$238.52 ,$82.75 ,$238.52 ,$244.82 ,$244.82 ,$257.40 ,$197.10 ,$243.10 ,$82.75 ,$82.75 ,$160.45 ,$82.75 ,$118.40 ,$38.94 ,$37.17 ,$86.90 ,$243.10 ,$236.52 ,$80.08 ,$257.40 ,$224.51 ,$236.24 ,$82.75 ,$185.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$580.00 ,$417.60 ,$37.17 ,$580.00 ,$259.70 ,$464.00 ,$101.80 ,$162.40 ,$506.34 ,$533.02 ,$95.05 ,$479.66 ,$101.80 ,$209.83 ,$533.60 ,$254.51 ,$101.80 ,$103.84 ,$483.72 ,$483.72 ,$483.72 ,$101.80 ,$483.72 ,$496.48 ,$496.48 ,$522.00 ,$242.48 ,$493.00 ,$101.80 ,$101.80 ,$325.38 ,$101.80 ,$240.12 ,$38.94 ,$37.17 ,$106.90 ,$493.00 ,$479.66 ,$162.40 ,$522.00 ,$455.30 ,$479.08 ,$101.80 ,$377.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000101,70130,HC MASTOIDS MN 3VW PER SIDE,320,1 ,$511.00 ,$367.92 ,$37.17 ,$511.00 ,$259.70 ,$408.80 ,$101.80 ,$143.08 ,$446.10 ,$469.61 ,$95.05 ,$422.60 ,$101.80 ,$209.83 ,$470.12 ,$254.51 ,$101.80 ,$103.84 ,$426.17 ,$426.17 ,$426.17 ,$101.80 ,$426.17 ,$437.42 ,$437.42 ,$459.90 ,$242.48 ,$434.35 ,$101.80 ,$101.80 ,$286.67 ,$101.80 ,$211.55 ,$38.94 ,$37.17 ,$106.90 ,$434.35 ,$422.60 ,$143.08 ,$459.90 ,$401.14 ,$422.09 ,$101.80 ,$332.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$456.00 ,$328.32 ,$37.17 ,$456.00 ,$211.10 ,$364.80 ,$82.75 ,$127.68 ,$398.09 ,$419.06 ,$77.26 ,$377.11 ,$82.75 ,$170.57 ,$419.52 ,$206.88 ,$82.75 ,$84.41 ,$380.30 ,$380.30 ,$380.30 ,$82.75 ,$380.30 ,$390.34 ,$390.34 ,$410.40 ,$197.10 ,$387.60 ,$82.75 ,$82.75 ,$255.82 ,$82.75 ,$188.78 ,$38.94 ,$37.17 ,$86.90 ,$387.60 ,$377.11 ,$127.68 ,$410.40 ,$357.96 ,$376.66 ,$82.75 ,$296.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$569.00 ,$409.68 ,$37.17 ,$569.00 ,$259.70 ,$455.20 ,$101.80 ,$159.32 ,$496.74 ,$522.91 ,$95.05 ,$470.56 ,$101.80 ,$209.83 ,$523.48 ,$254.51 ,$101.80 ,$103.84 ,$474.55 ,$474.55 ,$474.55 ,$101.80 ,$474.55 ,$487.06 ,$487.06 ,$512.10 ,$242.48 ,$483.65 ,$101.80 ,$101.80 ,$319.21 ,$101.80 ,$235.57 ,$38.94 ,$37.17 ,$106.90 ,$483.65 ,$470.56 ,$159.32 ,$512.10 ,$446.67 ,$469.99 ,$101.80 ,$369.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$437.00 ,$314.64 ,$37.17 ,$437.00 ,$211.10 ,$349.60 ,$82.75 ,$122.36 ,$381.50 ,$401.60 ,$77.26 ,$361.40 ,$82.75 ,$170.57 ,$402.04 ,$206.88 ,$82.75 ,$84.41 ,$364.46 ,$364.46 ,$364.46 ,$82.75 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$197.10 ,$371.45 ,$82.75 ,$82.75 ,$245.16 ,$82.75 ,$180.92 ,$38.94 ,$37.17 ,$86.90 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$82.75 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$286.00 ,$205.92 ,$37.17 ,$286.00 ,$259.70 ,$228.80 ,$101.80 ,$80.08 ,$249.68 ,$262.83 ,$95.05 ,$236.52 ,$101.80 ,$209.83 ,$263.12 ,$254.51 ,$101.80 ,$103.84 ,$238.52 ,$238.52 ,$238.52 ,$101.80 ,$238.52 ,$244.82 ,$244.82 ,$257.40 ,$242.48 ,$243.10 ,$101.80 ,$101.80 ,$160.45 ,$101.80 ,$118.40 ,$38.94 ,$37.17 ,$106.90 ,$243.10 ,$236.52 ,$80.08 ,$257.40 ,$224.51 ,$236.24 ,$101.80 ,$185.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$227.00 ,$163.44 ,$37.17 ,$227.00 ,$211.10 ,$181.60 ,$82.75 ,$63.56 ,$198.17 ,$208.61 ,$77.26 ,$187.73 ,$82.75 ,$170.57 ,$208.84 ,$206.88 ,$82.75 ,$84.41 ,$189.32 ,$189.32 ,$189.32 ,$82.75 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$197.10 ,$192.95 ,$82.75 ,$82.75 ,$127.35 ,$82.75 ,$93.98 ,$38.94 ,$37.17 ,$86.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$82.75 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$569.00 ,$409.68 ,$37.17 ,$569.00 ,$211.10 ,$455.20 ,$82.75 ,$159.32 ,$496.74 ,$522.91 ,$77.26 ,$470.56 ,$82.75 ,$170.57 ,$523.48 ,$206.88 ,$82.75 ,$84.41 ,$474.55 ,$474.55 ,$474.55 ,$82.75 ,$474.55 ,$487.06 ,$487.06 ,$512.10 ,$197.10 ,$483.65 ,$82.75 ,$82.75 ,$319.21 ,$82.75 ,$235.57 ,$38.94 ,$37.17 ,$86.90 ,$483.65 ,$470.56 ,$159.32 ,$512.10 ,$446.67 ,$469.99 ,$82.75 ,$369.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$576.00 ,$414.72 ,$37.17 ,$576.00 ,$259.70 ,$460.80 ,$101.80 ,$161.28 ,$502.85 ,$529.34 ,$95.05 ,$476.35 ,$101.80 ,$209.83 ,$529.92 ,$254.51 ,$101.80 ,$103.84 ,$480.38 ,$480.38 ,$480.38 ,$101.80 ,$480.38 ,$493.06 ,$493.06 ,$518.40 ,$242.48 ,$489.60 ,$101.80 ,$101.80 ,$323.14 ,$101.80 ,$238.46 ,$38.94 ,$37.17 ,$106.90 ,$489.60 ,$476.35 ,$161.28 ,$518.40 ,$452.16 ,$475.78 ,$101.80 ,$374.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$620.00 ,$446.40 ,$37.17 ,$620.00 ,$259.70 ,$496.00 ,$101.80 ,$173.60 ,$541.26 ,$569.78 ,$95.05 ,$512.74 ,$101.80 ,$209.83 ,$570.40 ,$254.51 ,$101.80 ,$103.84 ,$517.08 ,$517.08 ,$517.08 ,$101.80 ,$517.08 ,$530.72 ,$530.72 ,$558.00 ,$242.48 ,$527.00 ,$101.80 ,$101.80 ,$347.82 ,$101.80 ,$256.68 ,$38.94 ,$37.17 ,$106.90 ,$527.00 ,$512.74 ,$173.60 ,$558.00 ,$486.70 ,$512.12 ,$101.80 ,$403.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$544.00 ,$391.68 ,$37.17 ,$544.00 ,$211.10 ,$435.20 ,$82.75 ,$152.32 ,$474.91 ,$499.94 ,$77.26 ,$449.89 ,$82.75 ,$170.57 ,$500.48 ,$206.88 ,$82.75 ,$84.41 ,$453.70 ,$453.70 ,$453.70 ,$82.75 ,$453.70 ,$465.66 ,$465.66 ,$489.60 ,$197.10 ,$462.40 ,$82.75 ,$82.75 ,$305.18 ,$82.75 ,$225.22 ,$38.94 ,$37.17 ,$86.90 ,$462.40 ,$449.89 ,$152.32 ,$489.60 ,$427.04 ,$449.34 ,$82.75 ,$353.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000121,71045,HC XR CHEST 1V,320,1 ,$266.00 ,$191.52 ,$37.17 ,$266.00 ,$211.10 ,$212.80 ,$82.75 ,$74.48 ,$232.22 ,$244.45 ,$77.26 ,$219.98 ,$82.75 ,$170.57 ,$244.72 ,$206.88 ,$82.75 ,$84.41 ,$221.84 ,$221.84 ,$221.84 ,$82.75 ,$221.84 ,$227.70 ,$227.70 ,$239.40 ,$197.10 ,$226.10 ,$82.75 ,$82.75 ,$149.23 ,$82.75 ,$110.12 ,$38.94 ,$37.17 ,$86.90 ,$226.10 ,$219.98 ,$74.48 ,$239.40 ,$208.81 ,$219.72 ,$82.75 ,$172.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000127,71046,HC XR CHEST 2V,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$604.00 ,$434.88 ,$37.17 ,$604.00 ,$211.10 ,$483.20 ,$82.75 ,$169.12 ,$527.29 ,$555.08 ,$77.26 ,$499.51 ,$82.75 ,$170.57 ,$555.68 ,$206.88 ,$82.75 ,$84.41 ,$503.74 ,$503.74 ,$503.74 ,$82.75 ,$503.74 ,$517.02 ,$517.02 ,$543.60 ,$197.10 ,$513.40 ,$82.75 ,$82.75 ,$338.84 ,$82.75 ,$250.06 ,$38.94 ,$37.17 ,$86.90 ,$513.40 ,$499.51 ,$169.12 ,$543.60 ,$474.14 ,$498.90 ,$82.75 ,$392.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000131,71048,HC XR CHEST PA/LAT W/OBLIQUES,320,1 ,$266.00 ,$191.52 ,$37.17 ,$266.00 ,$259.70 ,$212.80 ,$101.80 ,$74.48 ,$232.22 ,$244.45 ,$95.05 ,$219.98 ,$101.80 ,$209.83 ,$244.72 ,$254.51 ,$101.80 ,$103.84 ,$221.84 ,$221.84 ,$221.84 ,$101.80 ,$221.84 ,$227.70 ,$227.70 ,$239.40 ,$242.48 ,$226.10 ,$101.80 ,$101.80 ,$149.23 ,$101.80 ,$110.12 ,$38.94 ,$37.17 ,$106.90 ,$226.10 ,$219.98 ,$74.48 ,$239.40 ,$208.81 ,$219.72 ,$101.80 ,$172.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000133,71048,HC XR CHEST 4+V,320,1 ,$266.00 ,$191.52 ,$37.17 ,$266.00 ,$259.70 ,$212.80 ,$101.80 ,$74.48 ,$232.22 ,$244.45 ,$95.05 ,$219.98 ,$101.80 ,$209.83 ,$244.72 ,$254.51 ,$101.80 ,$103.84 ,$221.84 ,$221.84 ,$221.84 ,$101.80 ,$221.84 ,$227.70 ,$227.70 ,$239.40 ,$242.48 ,$226.10 ,$101.80 ,$101.80 ,$149.23 ,$101.80 ,$110.12 ,$38.94 ,$37.17 ,$106.90 ,$226.10 ,$219.98 ,$74.48 ,$239.40 ,$208.81 ,$219.72 ,$101.80 ,$172.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000137,71100,HC XR RIBS 2V UNI,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$38.94 ,$37.17 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$305.00 ,$219.60 ,$37.17 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$38.94 ,$37.17 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$654.00 ,$470.88 ,$37.17 ,$654.00 ,$259.70 ,$523.20 ,$101.80 ,$183.12 ,$570.94 ,$601.03 ,$95.05 ,$540.86 ,$101.80 ,$209.83 ,$601.68 ,$254.51 ,$101.80 ,$103.84 ,$545.44 ,$545.44 ,$545.44 ,$101.80 ,$545.44 ,$559.82 ,$559.82 ,$588.60 ,$242.48 ,$555.90 ,$101.80 ,$101.80 ,$366.89 ,$101.80 ,$270.76 ,$38.94 ,$37.17 ,$106.90 ,$555.90 ,$540.86 ,$183.12 ,$588.60 ,$513.39 ,$540.20 ,$101.80 ,$425.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000141,71120,HC XR STERNUM 2+V,320,1 ,$437.00 ,$314.64 ,$37.17 ,$437.00 ,$211.10 ,$349.60 ,$82.75 ,$122.36 ,$381.50 ,$401.60 ,$77.26 ,$361.40 ,$82.75 ,$170.57 ,$402.04 ,$206.88 ,$82.75 ,$84.41 ,$364.46 ,$364.46 ,$364.46 ,$82.75 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$197.10 ,$371.45 ,$82.75 ,$82.75 ,$245.16 ,$82.75 ,$180.92 ,$38.94 ,$37.17 ,$86.90 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$82.75 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$211.10 ,$376.00 ,$82.75 ,$131.60 ,$410.31 ,$431.93 ,$77.26 ,$388.69 ,$82.75 ,$170.57 ,$432.40 ,$206.88 ,$82.75 ,$84.41 ,$391.98 ,$391.98 ,$391.98 ,$82.75 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$197.10 ,$399.50 ,$82.75 ,$82.75 ,$263.67 ,$82.75 ,$194.58 ,$38.94 ,$37.17 ,$86.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$82.75 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$2,362.00 ","$1,700.64 ",$92.73 ,"$2,362.00 ",$259.70 ,"$1,889.60 ",$101.80 ,$661.36 ,"$2,062.03 ","$2,170.68 ",$95.05 ,"$1,953.37 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,969.91 ","$1,969.91 ","$1,969.91 ",$101.80 ,"$1,969.91 ","$2,021.87 ","$2,021.87 ","$2,125.80 ",$242.48 ,"$2,007.70 ",$101.80 ,$101.80 ,"$1,325.08 ",$101.80 ,$977.87 ,$97.14 ,$92.73 ,$106.90 ,"$2,007.70 ","$1,953.37 ",$661.36 ,"$2,125.80 ","$1,112.00 ","$1,951.01 ",$101.80 ,"$1,535.30 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$3,148.00 ","$2,266.56 ",$92.73 ,"$3,148.00 ",$438.18 ,"$2,518.40 ",$171.76 ,$881.44 ,"$2,748.20 ","$2,893.01 ",$160.38 ,"$2,603.40 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,625.43 ","$2,625.43 ","$2,625.43 ",$171.76 ,"$2,625.43 ","$2,694.69 ","$2,694.69 ","$2,833.20 ",$409.14 ,"$2,675.80 ",$171.76 ,$171.76 ,"$1,766.03 ",$171.76 ,"$1,303.27 ",$97.14 ,$92.73 ,$180.37 ,"$2,675.80 ","$2,603.40 ",$881.44 ,"$2,833.20 ","$1,112.00 ","$2,600.25 ",$171.76 ,"$2,046.20 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$2,653.00 ","$1,910.16 ",$92.73 ,"$2,653.00 ",$438.18 ,"$2,122.40 ",$171.76 ,$742.84 ,"$2,316.07 ","$2,438.11 ",$160.38 ,"$2,194.03 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,212.60 ","$2,212.60 ","$2,212.60 ",$171.76 ,"$2,212.60 ","$2,270.97 ","$2,270.97 ","$2,387.70 ",$409.14 ,"$2,255.05 ",$171.76 ,$171.76 ,"$1,488.33 ",$171.76 ,"$1,098.34 ",$97.14 ,$92.73 ,$180.37 ,"$2,255.05 ","$2,194.03 ",$742.84 ,"$2,387.70 ","$1,112.00 ","$2,191.38 ",$171.76 ,"$1,724.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$3,147.00 ","$2,265.84 ",$160.38 ,"$3,147.00 ",$438.18 ,"$2,517.60 ",$171.76 ,$881.16 ,"$2,747.33 ","$2,892.09 ",$160.38 ,"$2,602.57 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,624.60 ","$2,624.60 ","$2,624.60 ",$171.76 ,"$2,624.60 ","$2,693.83 ","$2,693.83 ","$2,832.30 ",$409.14 ,"$2,674.95 ",$171.76 ,$171.76 ,"$1,765.47 ",$171.76 ,"$1,302.86 ",$219.54 ,$209.56 ,$180.37 ,"$2,674.95 ","$2,602.57 ",$881.16 ,"$2,832.30 ","$1,112.00 ","$2,599.42 ",$171.76 ,"$2,045.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$5,091.00 ","$3,665.52 ",$318.03 ,"$5,091.00 ",$895.20 ,"$4,072.80 ",$350.92 ,"$1,425.48 ","$4,444.44 ","$4,678.63 ",$327.65 ,"$4,210.26 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,245.89 ","$4,245.89 ","$4,245.89 ",$350.92 ,"$4,245.89 ","$4,357.90 ","$4,357.90 ","$4,581.90 ",$835.86 ,"$4,327.35 ",$350.92 ,$350.92 ,"$2,856.05 ",$350.92 ,"$2,107.67 ",$333.18 ,$318.03 ,$368.48 ,"$4,327.35 ","$4,210.26 ","$1,425.48 ","$4,581.90 ","$1,348.00 ","$4,205.17 ",$350.92 ,"$3,309.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$286.00 ,$205.92 ,$37.17 ,$286.00 ,$211.10 ,$228.80 ,$82.75 ,$80.08 ,$249.68 ,$262.83 ,$77.26 ,$236.52 ,$82.75 ,$170.57 ,$263.12 ,$206.88 ,$82.75 ,$84.41 ,$238.52 ,$238.52 ,$238.52 ,$82.75 ,$238.52 ,$244.82 ,$244.82 ,$257.40 ,$197.10 ,$243.10 ,$82.75 ,$82.75 ,$160.45 ,$82.75 ,$118.40 ,$38.94 ,$37.17 ,$86.90 ,$243.10 ,$236.52 ,$80.08 ,$257.40 ,$224.51 ,$236.24 ,$82.75 ,$185.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000156,72020,HC XR C-SPINE 1V,320,1 ,$227.00 ,$163.44 ,$37.17 ,$227.00 ,$211.10 ,$181.60 ,$82.75 ,$63.56 ,$198.17 ,$208.61 ,$77.26 ,$187.73 ,$82.75 ,$170.57 ,$208.84 ,$206.88 ,$82.75 ,$84.41 ,$189.32 ,$189.32 ,$189.32 ,$82.75 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$197.10 ,$192.95 ,$82.75 ,$82.75 ,$127.35 ,$82.75 ,$93.98 ,$38.94 ,$37.17 ,$86.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$82.75 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000161,72020,HC XR L-SPINE 1V,320,1 ,$227.00 ,$163.44 ,$37.17 ,$227.00 ,$211.10 ,$181.60 ,$82.75 ,$63.56 ,$198.17 ,$208.61 ,$77.26 ,$187.73 ,$82.75 ,$170.57 ,$208.84 ,$206.88 ,$82.75 ,$84.41 ,$189.32 ,$189.32 ,$189.32 ,$82.75 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$197.10 ,$192.95 ,$82.75 ,$82.75 ,$127.35 ,$82.75 ,$93.98 ,$38.94 ,$37.17 ,$86.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$82.75 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$795.00 ,$572.40 ,$37.17 ,$795.00 ,$211.10 ,$636.00 ,$82.75 ,$222.60 ,$694.04 ,$730.61 ,$77.26 ,$657.47 ,$82.75 ,$170.57 ,$731.40 ,$206.88 ,$82.75 ,$84.41 ,$663.03 ,$663.03 ,$663.03 ,$82.75 ,$663.03 ,$680.52 ,$680.52 ,$715.50 ,$197.10 ,$675.75 ,$82.75 ,$82.75 ,$446.00 ,$82.75 ,$329.13 ,$38.94 ,$37.17 ,$86.90 ,$675.75 ,$657.47 ,$222.60 ,$715.50 ,$624.08 ,$656.67 ,$82.75 ,$516.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$654.00 ,$470.88 ,$37.17 ,$654.00 ,$259.70 ,$523.20 ,$101.80 ,$183.12 ,$570.94 ,$601.03 ,$95.05 ,$540.86 ,$101.80 ,$209.83 ,$601.68 ,$254.51 ,$101.80 ,$103.84 ,$545.44 ,$545.44 ,$545.44 ,$101.80 ,$545.44 ,$559.82 ,$559.82 ,$588.60 ,$242.48 ,$555.90 ,$101.80 ,$101.80 ,$366.89 ,$101.80 ,$270.76 ,$38.94 ,$37.17 ,$106.90 ,$555.90 ,$540.86 ,$183.12 ,$588.60 ,$513.39 ,$540.20 ,$101.80 ,$425.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,$699.00 ,$503.28 ,$37.17 ,$699.00 ,$259.70 ,$559.20 ,$101.80 ,$195.72 ,$610.23 ,$642.38 ,$95.05 ,$578.07 ,$101.80 ,$209.83 ,$643.08 ,$254.51 ,$101.80 ,$103.84 ,$582.97 ,$582.97 ,$582.97 ,$101.80 ,$582.97 ,$598.34 ,$598.34 ,$629.10 ,$242.48 ,$594.15 ,$101.80 ,$101.80 ,$392.14 ,$101.80 ,$289.39 ,$38.94 ,$37.17 ,$106.90 ,$594.15 ,$578.07 ,$195.72 ,$629.10 ,$548.72 ,$577.37 ,$101.80 ,$454.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000172,72070,HC XR T-SPINE 2V,320,1 ,$313.00 ,$225.36 ,$37.17 ,$313.00 ,$259.70 ,$250.40 ,$101.80 ,$87.64 ,$273.25 ,$287.65 ,$95.05 ,$258.85 ,$101.80 ,$209.83 ,$287.96 ,$254.51 ,$101.80 ,$103.84 ,$261.04 ,$261.04 ,$261.04 ,$101.80 ,$261.04 ,$267.93 ,$267.93 ,$281.70 ,$242.48 ,$266.05 ,$101.80 ,$101.80 ,$175.59 ,$101.80 ,$129.58 ,$38.94 ,$37.17 ,$106.90 ,$266.05 ,$258.85 ,$87.64 ,$281.70 ,$245.71 ,$258.54 ,$101.80 ,$203.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000174,72072,HC XR T-SPINE 3V,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$38.94 ,$37.17 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$478.00 ,$344.16 ,$37.17 ,$478.00 ,$259.70 ,$382.40 ,$101.80 ,$133.84 ,$417.29 ,$439.28 ,$95.05 ,$395.31 ,$101.80 ,$209.83 ,$439.76 ,$254.51 ,$101.80 ,$103.84 ,$398.65 ,$398.65 ,$398.65 ,$101.80 ,$398.65 ,$409.17 ,$409.17 ,$430.20 ,$242.48 ,$406.30 ,$101.80 ,$101.80 ,$268.16 ,$101.80 ,$197.89 ,$38.94 ,$37.17 ,$106.90 ,$406.30 ,$395.31 ,$133.84 ,$430.20 ,$375.23 ,$394.83 ,$101.80 ,$310.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000181,72110,HC XR L-SPINE 4+V,320,1 ,$723.00 ,$520.56 ,$37.17 ,$723.00 ,$259.70 ,$578.40 ,$101.80 ,$202.44 ,$631.18 ,$664.44 ,$95.05 ,$597.92 ,$101.80 ,$209.83 ,$665.16 ,$254.51 ,$101.80 ,$103.84 ,$602.98 ,$602.98 ,$602.98 ,$101.80 ,$602.98 ,$618.89 ,$618.89 ,$650.70 ,$242.48 ,$614.55 ,$101.80 ,$101.80 ,$405.60 ,$101.80 ,$299.32 ,$38.94 ,$37.17 ,$106.90 ,$614.55 ,$597.92 ,$202.44 ,$650.70 ,$567.56 ,$597.20 ,$101.80 ,$469.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000183,72120,HC XR L-SPINE BENDING ONLY MIN 4V,320,1 ,$305.00 ,$219.60 ,$37.17 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$38.94 ,$37.17 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,$846.00 ,$609.12 ,$37.17 ,$846.00 ,$259.70 ,$676.80 ,$101.80 ,$236.88 ,$738.56 ,$777.47 ,$95.05 ,$699.64 ,$101.80 ,$209.83 ,$778.32 ,$254.51 ,$101.80 ,$103.84 ,$705.56 ,$705.56 ,$705.56 ,$101.80 ,$705.56 ,$724.18 ,$724.18 ,$761.40 ,$242.48 ,$719.10 ,$101.80 ,$101.80 ,$474.61 ,$101.80 ,$350.24 ,$38.94 ,$37.17 ,$106.90 ,$719.10 ,$699.64 ,$236.88 ,$761.40 ,$664.11 ,$698.80 ,$101.80 ,$549.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000186,72170,HC XR PELVIS 1-2V,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$259.70 ,$267.20 ,$101.80 ,$93.52 ,$291.58 ,$306.95 ,$95.05 ,$276.22 ,$101.80 ,$209.83 ,$307.28 ,$254.51 ,$101.80 ,$103.84 ,$278.56 ,$278.56 ,$278.56 ,$101.80 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$242.48 ,$283.90 ,$101.80 ,$101.80 ,$187.37 ,$101.80 ,$138.28 ,$38.94 ,$37.17 ,$106.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$101.80 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$305.00 ,$219.60 ,$37.17 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$38.94 ,$37.17 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$511.00 ,$367.92 ,$37.17 ,$511.00 ,$259.70 ,$408.80 ,$101.80 ,$143.08 ,$446.10 ,$469.61 ,$95.05 ,$422.60 ,$101.80 ,$209.83 ,$470.12 ,$254.51 ,$101.80 ,$103.84 ,$426.17 ,$426.17 ,$426.17 ,$101.80 ,$426.17 ,$437.42 ,$437.42 ,$459.90 ,$242.48 ,$434.35 ,$101.80 ,$101.80 ,$286.67 ,$101.80 ,$211.55 ,$38.94 ,$37.17 ,$106.90 ,$434.35 ,$422.60 ,$143.08 ,$459.90 ,$401.14 ,$422.09 ,$101.80 ,$332.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$211.10 ,$376.00 ,$82.75 ,$131.60 ,$410.31 ,$431.93 ,$77.26 ,$388.69 ,$82.75 ,$170.57 ,$432.40 ,$206.88 ,$82.75 ,$84.41 ,$391.98 ,$391.98 ,$391.98 ,$82.75 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$197.10 ,$399.50 ,$82.75 ,$82.75 ,$263.67 ,$82.75 ,$194.58 ,$38.94 ,$37.17 ,$86.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$82.75 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000201,73000,HC XRAY CLAVICLE,320,1 ,$437.00 ,$314.64 ,$37.17 ,$437.00 ,$211.10 ,$349.60 ,$82.75 ,$122.36 ,$381.50 ,$401.60 ,$77.26 ,$361.40 ,$82.75 ,$170.57 ,$402.04 ,$206.88 ,$82.75 ,$84.41 ,$364.46 ,$364.46 ,$364.46 ,$82.75 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$197.10 ,$371.45 ,$82.75 ,$82.75 ,$245.16 ,$82.75 ,$180.92 ,$38.94 ,$37.17 ,$86.90 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$82.75 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000204,73010,HC XRAY SCAPULA,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$38.94 ,$37.17 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$212.00 ,$152.64 ,$37.17 ,$212.00 ,$211.10 ,$169.60 ,$82.75 ,$59.36 ,$185.08 ,$194.83 ,$77.26 ,$175.32 ,$82.75 ,$170.57 ,$195.04 ,$206.88 ,$82.75 ,$84.41 ,$176.81 ,$176.81 ,$176.81 ,$82.75 ,$176.81 ,$181.47 ,$181.47 ,$190.80 ,$197.10 ,$180.20 ,$82.75 ,$82.75 ,$118.93 ,$82.75 ,$87.77 ,$38.94 ,$37.17 ,$86.90 ,$180.20 ,$175.32 ,$59.36 ,$190.80 ,$166.42 ,$175.11 ,$82.75 ,$137.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$211.10 ,$376.00 ,$82.75 ,$131.60 ,$410.31 ,$431.93 ,$77.26 ,$388.69 ,$82.75 ,$170.57 ,$432.40 ,$206.88 ,$82.75 ,$84.41 ,$391.98 ,$391.98 ,$391.98 ,$82.75 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$197.10 ,$399.50 ,$82.75 ,$82.75 ,$263.67 ,$82.75 ,$194.58 ,$38.94 ,$37.17 ,$86.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$82.75 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$478.00 ,$344.16 ,$37.17 ,$478.00 ,$211.10 ,$382.40 ,$82.75 ,$133.84 ,$417.29 ,$439.28 ,$77.26 ,$395.31 ,$82.75 ,$170.57 ,$439.76 ,$206.88 ,$82.75 ,$84.41 ,$398.65 ,$398.65 ,$398.65 ,$82.75 ,$398.65 ,$409.17 ,$409.17 ,$430.20 ,$197.10 ,$406.30 ,$82.75 ,$82.75 ,$268.16 ,$82.75 ,$197.89 ,$38.94 ,$37.17 ,$86.90 ,$406.30 ,$395.31 ,$133.84 ,$430.20 ,$375.23 ,$394.83 ,$82.75 ,$310.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$259.70 ,$320.80 ,$101.80 ,$112.28 ,$350.07 ,$368.52 ,$95.05 ,$331.63 ,$101.80 ,$209.83 ,$368.92 ,$254.51 ,$101.80 ,$103.84 ,$334.43 ,$334.43 ,$334.43 ,$101.80 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$242.48 ,$340.85 ,$101.80 ,$101.80 ,$224.96 ,$101.80 ,$166.01 ,$38.94 ,$37.17 ,$106.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$101.80 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$379.00 ,$272.88 ,$37.17 ,$379.00 ,$211.10 ,$303.20 ,$82.75 ,$106.12 ,$330.87 ,$348.30 ,$77.26 ,$313.43 ,$82.75 ,$170.57 ,$348.68 ,$206.88 ,$82.75 ,$84.41 ,$316.09 ,$316.09 ,$316.09 ,$82.75 ,$316.09 ,$324.42 ,$324.42 ,$341.10 ,$197.10 ,$322.15 ,$82.75 ,$82.75 ,$212.62 ,$82.75 ,$156.91 ,$38.94 ,$37.17 ,$86.90 ,$322.15 ,$313.43 ,$106.12 ,$341.10 ,$297.52 ,$313.05 ,$82.75 ,$246.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$337.00 ,$242.64 ,$37.17 ,$337.00 ,$259.70 ,$269.60 ,$101.80 ,$94.36 ,$294.20 ,$309.70 ,$95.05 ,$278.70 ,$101.80 ,$209.83 ,$310.04 ,$254.51 ,$101.80 ,$103.84 ,$281.06 ,$281.06 ,$281.06 ,$101.80 ,$281.06 ,$288.47 ,$288.47 ,$303.30 ,$242.48 ,$286.45 ,$101.80 ,$101.80 ,$189.06 ,$101.80 ,$139.52 ,$38.94 ,$37.17 ,$106.90 ,$286.45 ,$278.70 ,$94.36 ,$303.30 ,$264.55 ,$278.36 ,$101.80 ,$219.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$403.00 ,$290.16 ,$37.17 ,$403.00 ,$211.10 ,$322.40 ,$82.75 ,$112.84 ,$351.82 ,$370.36 ,$77.26 ,$333.28 ,$82.75 ,$170.57 ,$370.76 ,$206.88 ,$82.75 ,$84.41 ,$336.10 ,$336.10 ,$336.10 ,$82.75 ,$336.10 ,$344.97 ,$344.97 ,$362.70 ,$197.10 ,$342.55 ,$82.75 ,$82.75 ,$226.08 ,$82.75 ,$166.84 ,$38.94 ,$37.17 ,$86.90 ,$342.55 ,$333.28 ,$112.84 ,$362.70 ,$316.36 ,$332.88 ,$82.75 ,$261.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000263,73562,HC XRAY KNEE (3 V),320,1 ,$437.00 ,$314.64 ,$37.17 ,$437.00 ,$211.10 ,$349.60 ,$82.75 ,$122.36 ,$381.50 ,$401.60 ,$77.26 ,$361.40 ,$82.75 ,$170.57 ,$402.04 ,$206.88 ,$82.75 ,$84.41 ,$364.46 ,$364.46 ,$364.46 ,$82.75 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$197.10 ,$371.45 ,$82.75 ,$82.75 ,$245.16 ,$82.75 ,$180.92 ,$38.94 ,$37.17 ,$86.90 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$82.75 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$477.00 ,$343.44 ,$37.17 ,$477.00 ,$259.70 ,$381.60 ,$101.80 ,$133.56 ,$416.42 ,$438.36 ,$95.05 ,$394.48 ,$101.80 ,$209.83 ,$438.84 ,$254.51 ,$101.80 ,$103.84 ,$397.82 ,$397.82 ,$397.82 ,$101.80 ,$397.82 ,$408.31 ,$408.31 ,$429.30 ,$242.48 ,$405.45 ,$101.80 ,$101.80 ,$267.60 ,$101.80 ,$197.48 ,$38.94 ,$37.17 ,$106.90 ,$405.45 ,$394.48 ,$133.56 ,$429.30 ,$374.45 ,$394.00 ,$101.80 ,$310.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000267,73565,HC XR KNEE STAND,320,1 ,$437.00 ,$314.64 ,$37.17 ,$437.00 ,$211.10 ,$349.60 ,$82.75 ,$122.36 ,$381.50 ,$401.60 ,$77.26 ,$361.40 ,$82.75 ,$170.57 ,$402.04 ,$206.88 ,$82.75 ,$84.41 ,$364.46 ,$364.46 ,$364.46 ,$82.75 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$197.10 ,$371.45 ,$82.75 ,$82.75 ,$245.16 ,$82.75 ,$180.92 ,$38.94 ,$37.17 ,$86.90 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$82.75 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$323.00 ,$232.56 ,$37.17 ,$323.00 ,$211.10 ,$258.40 ,$82.75 ,$90.44 ,$281.98 ,$296.84 ,$77.26 ,$267.12 ,$82.75 ,$170.57 ,$297.16 ,$206.88 ,$82.75 ,$84.41 ,$269.38 ,$269.38 ,$269.38 ,$82.75 ,$269.38 ,$276.49 ,$276.49 ,$290.70 ,$197.10 ,$274.55 ,$82.75 ,$82.75 ,$181.20 ,$82.75 ,$133.72 ,$38.94 ,$37.17 ,$86.90 ,$274.55 ,$267.12 ,$90.44 ,$290.70 ,$253.56 ,$266.80 ,$82.75 ,$209.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$382.00 ,$275.04 ,$37.17 ,$382.00 ,$211.10 ,$305.60 ,$82.75 ,$106.96 ,$333.49 ,$351.06 ,$77.26 ,$315.91 ,$82.75 ,$170.57 ,$351.44 ,$206.88 ,$82.75 ,$84.41 ,$318.59 ,$318.59 ,$318.59 ,$82.75 ,$318.59 ,$326.99 ,$326.99 ,$343.80 ,$197.10 ,$324.70 ,$82.75 ,$82.75 ,$214.30 ,$82.75 ,$158.15 ,$38.94 ,$37.17 ,$86.90 ,$324.70 ,$315.91 ,$106.96 ,$343.80 ,$299.87 ,$315.53 ,$82.75 ,$248.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000279,73620,HC XRAY FOOT (2 V),320,1 ,$544.00 ,$391.68 ,$37.17 ,$544.00 ,$211.10 ,$435.20 ,$82.75 ,$152.32 ,$474.91 ,$499.94 ,$77.26 ,$449.89 ,$82.75 ,$170.57 ,$500.48 ,$206.88 ,$82.75 ,$84.41 ,$453.70 ,$453.70 ,$453.70 ,$82.75 ,$453.70 ,$465.66 ,$465.66 ,$489.60 ,$197.10 ,$462.40 ,$82.75 ,$82.75 ,$305.18 ,$82.75 ,$225.22 ,$38.94 ,$37.17 ,$86.90 ,$462.40 ,$449.89 ,$152.32 ,$489.60 ,$427.04 ,$449.34 ,$82.75 ,$353.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$334.00 ,$240.48 ,$37.17 ,$334.00 ,$211.10 ,$267.20 ,$82.75 ,$93.52 ,$291.58 ,$306.95 ,$77.26 ,$276.22 ,$82.75 ,$170.57 ,$307.28 ,$206.88 ,$82.75 ,$84.41 ,$278.56 ,$278.56 ,$278.56 ,$82.75 ,$278.56 ,$285.90 ,$285.90 ,$300.60 ,$197.10 ,$283.90 ,$82.75 ,$82.75 ,$187.37 ,$82.75 ,$138.28 ,$38.94 ,$37.17 ,$86.90 ,$283.90 ,$276.22 ,$93.52 ,$300.60 ,$262.19 ,$275.88 ,$82.75 ,$217.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$448.00 ,$322.56 ,$37.17 ,$448.00 ,$211.10 ,$358.40 ,$82.75 ,$125.44 ,$391.10 ,$411.71 ,$77.26 ,$370.50 ,$82.75 ,$170.57 ,$412.16 ,$206.88 ,$82.75 ,$84.41 ,$373.63 ,$373.63 ,$373.63 ,$82.75 ,$373.63 ,$383.49 ,$383.49 ,$403.20 ,$197.10 ,$380.80 ,$82.75 ,$82.75 ,$251.33 ,$82.75 ,$185.47 ,$38.94 ,$37.17 ,$86.90 ,$380.80 ,$370.50 ,$125.44 ,$403.20 ,$351.68 ,$370.05 ,$82.75 ,$291.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000294,74019,HC XRAY ABDOMEN AP  AND  LAT (2 V OR 3 V),320,1 ,$409.00 ,$294.48 ,$37.17 ,$409.00 ,$259.70 ,$327.20 ,$101.80 ,$114.52 ,$357.06 ,$375.87 ,$95.05 ,$338.24 ,$101.80 ,$209.83 ,$376.28 ,$254.51 ,$101.80 ,$103.84 ,$341.11 ,$341.11 ,$341.11 ,$101.80 ,$341.11 ,$350.10 ,$350.10 ,$368.10 ,$242.48 ,$347.65 ,$101.80 ,$101.80 ,$229.45 ,$101.80 ,$169.33 ,$38.94 ,$37.17 ,$106.90 ,$347.65 ,$338.24 ,$114.52 ,$368.10 ,$321.07 ,$337.83 ,$101.80 ,$265.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$539.00 ,$388.08 ,$37.17 ,$539.00 ,$259.70 ,$431.20 ,$101.80 ,$150.92 ,$470.55 ,$495.34 ,$95.05 ,$445.75 ,$101.80 ,$209.83 ,$495.88 ,$254.51 ,$101.80 ,$103.84 ,$449.53 ,$449.53 ,$449.53 ,$101.80 ,$449.53 ,$461.38 ,$461.38 ,$485.10 ,$242.48 ,$458.15 ,$101.80 ,$101.80 ,$302.38 ,$101.80 ,$223.15 ,$38.94 ,$37.17 ,$106.90 ,$458.15 ,$445.75 ,$150.92 ,$485.10 ,$423.12 ,$445.21 ,$101.80 ,$350.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$506.00 ,$364.32 ,$37.17 ,$506.00 ,$438.18 ,$404.80 ,$171.76 ,$141.68 ,$441.74 ,$465.01 ,$160.38 ,$418.46 ,$171.76 ,$354.05 ,$465.52 ,$429.42 ,$171.76 ,$175.20 ,$422.00 ,$422.00 ,$422.00 ,$171.76 ,$422.00 ,$433.14 ,$433.14 ,$455.40 ,$409.14 ,$430.10 ,$171.76 ,$171.76 ,$283.87 ,$171.76 ,$209.48 ,$38.94 ,$37.17 ,$180.37 ,$430.10 ,$418.46 ,$141.68 ,$455.40 ,$397.21 ,$417.96 ,$171.76 ,$328.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,$836.00 ,$601.92 ,$81.73 ,$836.00 ,$438.18 ,$668.80 ,$171.76 ,$234.08 ,$729.83 ,$768.28 ,$160.38 ,$691.37 ,$171.76 ,$354.05 ,$769.12 ,$429.42 ,$171.76 ,$175.20 ,$697.22 ,$697.22 ,$697.22 ,$171.76 ,$697.22 ,$715.62 ,$715.62 ,$752.40 ,$409.14 ,$710.60 ,$171.76 ,$171.76 ,$469.00 ,$171.76 ,$346.10 ,$85.62 ,$81.73 ,$180.37 ,$710.60 ,$691.37 ,$234.08 ,$752.40 ,$656.26 ,$690.54 ,$171.76 ,$543.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,$954.00 ,$686.88 ,$81.73 ,$954.00 ,$438.18 ,$763.20 ,$171.76 ,$267.12 ,$832.84 ,$876.73 ,$160.38 ,$788.96 ,$171.76 ,$354.05 ,$877.68 ,$429.42 ,$171.76 ,$175.20 ,$795.64 ,$795.64 ,$795.64 ,$171.76 ,$795.64 ,$816.62 ,$816.62 ,$858.60 ,$409.14 ,$810.90 ,$171.76 ,$171.76 ,$535.19 ,$171.76 ,$394.96 ,$85.62 ,$81.73 ,$180.37 ,$810.90 ,$788.96 ,$267.12 ,$858.60 ,$748.89 ,$788.00 ,$171.76 ,$620.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$882.00 ,$635.04 ,$81.73 ,$882.00 ,$438.18 ,$705.60 ,$171.76 ,$246.96 ,$769.99 ,$810.56 ,$160.38 ,$729.41 ,$171.76 ,$354.05 ,$811.44 ,$429.42 ,$171.76 ,$175.20 ,$735.59 ,$735.59 ,$735.59 ,$171.76 ,$735.59 ,$754.99 ,$754.99 ,$793.80 ,$409.14 ,$749.70 ,$171.76 ,$171.76 ,$494.80 ,$171.76 ,$365.15 ,$85.62 ,$81.73 ,$180.37 ,$749.70 ,$729.41 ,$246.96 ,$793.80 ,$692.37 ,$728.53 ,$171.76 ,$573.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000307,74246,HC XRAY ESOPHAGUS/UGI W AIR,320,1 ,$882.00 ,$635.04 ,$81.73 ,$882.00 ,$438.18 ,$705.60 ,$171.76 ,$246.96 ,$769.99 ,$810.56 ,$160.38 ,$729.41 ,$171.76 ,$354.05 ,$811.44 ,$429.42 ,$171.76 ,$175.20 ,$735.59 ,$735.59 ,$735.59 ,$171.76 ,$735.59 ,$754.99 ,$754.99 ,$793.80 ,$409.14 ,$749.70 ,$171.76 ,$171.76 ,$494.80 ,$171.76 ,$365.15 ,$85.62 ,$81.73 ,$180.37 ,$749.70 ,$729.41 ,$246.96 ,$793.80 ,$692.37 ,$728.53 ,$171.76 ,$573.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000312,74018,HC SITZ MARKER STUDY,320,1 ,$448.00 ,$322.56 ,$37.17 ,$448.00 ,$211.10 ,$358.40 ,$82.75 ,$125.44 ,$391.10 ,$411.71 ,$77.26 ,$370.50 ,$82.75 ,$170.57 ,$412.16 ,$206.88 ,$82.75 ,$84.41 ,$373.63 ,$373.63 ,$373.63 ,$82.75 ,$373.63 ,$383.49 ,$383.49 ,$403.20 ,$197.10 ,$380.80 ,$82.75 ,$82.75 ,$251.33 ,$82.75 ,$185.47 ,$38.94 ,$37.17 ,$86.90 ,$380.80 ,$370.50 ,$125.44 ,$403.20 ,$351.68 ,$370.05 ,$82.75 ,$291.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000315,74270,HC XRAY COLON BARIUM,320,1 ,$834.00 ,$600.48 ,$81.73 ,$834.00 ,$438.18 ,$667.20 ,$171.76 ,$233.52 ,$728.08 ,$766.45 ,$160.38 ,$689.72 ,$171.76 ,$354.05 ,$767.28 ,$429.42 ,$171.76 ,$175.20 ,$695.56 ,$695.56 ,$695.56 ,$171.76 ,$695.56 ,$713.90 ,$713.90 ,$750.60 ,$409.14 ,$708.90 ,$171.76 ,$171.76 ,$467.87 ,$171.76 ,$345.28 ,$85.62 ,$81.73 ,$180.37 ,$708.90 ,$689.72 ,$233.52 ,$750.60 ,$654.69 ,$688.88 ,$171.76 ,$542.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,$834.00 ,$600.48 ,$81.73 ,$834.00 ,$438.18 ,$667.20 ,$171.76 ,$233.52 ,$728.08 ,$766.45 ,$160.38 ,$689.72 ,$171.76 ,$354.05 ,$767.28 ,$429.42 ,$171.76 ,$175.20 ,$695.56 ,$695.56 ,$695.56 ,$171.76 ,$695.56 ,$713.90 ,$713.90 ,$750.60 ,$409.14 ,$708.90 ,$171.76 ,$171.76 ,$467.87 ,$171.76 ,$345.28 ,$85.62 ,$81.73 ,$180.37 ,$708.90 ,$689.72 ,$233.52 ,$750.60 ,$654.69 ,$688.88 ,$171.76 ,$542.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,$834.00 ,$600.48 ,$81.73 ,$834.00 ,$438.18 ,$667.20 ,$171.76 ,$233.52 ,$728.08 ,$766.45 ,$160.38 ,$689.72 ,$171.76 ,$354.05 ,$767.28 ,$429.42 ,$171.76 ,$175.20 ,$695.56 ,$695.56 ,$695.56 ,$171.76 ,$695.56 ,$713.90 ,$713.90 ,$750.60 ,$409.14 ,$708.90 ,$171.76 ,$171.76 ,$467.87 ,$171.76 ,$345.28 ,$85.62 ,$81.73 ,$180.37 ,$708.90 ,$689.72 ,$233.52 ,$750.60 ,$654.69 ,$688.88 ,$171.76 ,$542.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,"$1,193.00 ",$858.96 ,$81.73 ,"$1,193.00 ",$438.18 ,$954.40 ,$171.76 ,$334.04 ,"$1,041.49 ","$1,096.37 ",$160.38 ,$986.61 ,$171.76 ,$354.05 ,"$1,097.56 ",$429.42 ,$171.76 ,$175.20 ,$994.96 ,$994.96 ,$994.96 ,$171.76 ,$994.96 ,"$1,021.21 ","$1,021.21 ","$1,073.70 ",$409.14 ,"$1,014.05 ",$171.76 ,$171.76 ,$669.27 ,$171.76 ,$493.90 ,$85.62 ,$81.73 ,$180.37 ,"$1,014.05 ",$986.61 ,$334.04 ,"$1,073.70 ",$936.51 ,$985.42 ,$171.76 ,$775.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,$580.00 ,$417.60 ,$162.40 ,$580.00 , N/A ,$464.00 , N/A ,$162.40 ,$506.34 ,$533.02 , N/A ,$479.66 , N/A , N/A ,$533.60 , N/A , N/A , N/A ,$483.72 ,$483.72 ,$483.72 , N/A ,$483.72 ,$496.48 ,$496.48 ,$522.00 , N/A ,$493.00 , N/A , N/A ,$325.38 , N/A ,$240.12 ,$221.87 ,$211.79 , N/A ,$493.00 ,$479.66 ,$162.40 ,$522.00 ,$455.30 ,$479.08 , N/A ,$377.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000335,74400,HC XRAY IVP W OR W/O TOMO,320,1 ,$906.00 ,$652.32 ,$160.38 ,$906.00 ,$438.18 ,$724.80 ,$171.76 ,$253.68 ,$790.94 ,$832.61 ,$160.38 ,$749.26 ,$171.76 ,$354.05 ,$833.52 ,$429.42 ,$171.76 ,$175.20 ,$755.60 ,$755.60 ,$755.60 ,$171.76 ,$755.60 ,$775.54 ,$775.54 ,$815.40 ,$409.14 ,$770.10 ,$171.76 ,$171.76 ,$508.27 ,$171.76 ,$375.08 ,$242.88 ,$231.84 ,$180.37 ,$770.10 ,$749.26 ,$253.68 ,$815.40 ,$711.21 ,$748.36 ,$171.76 ,$588.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$467.00 ,$336.24 ,$37.17 ,$567.40 ,$567.40 ,$373.60 ,$222.42 ,$130.76 ,$407.69 ,$429.17 ,$207.67 ,$386.21 ,$222.42 ,$458.46 ,$429.64 ,$457.66 ,$222.42 ,$226.87 ,$389.48 ,$389.48 ,$389.48 ,$222.42 ,$389.48 ,$399.75 ,$399.75 ,$420.30 ,$467.00 ,$396.95 ,$222.42 ,$222.42 ,$261.99 ,$222.42 ,$193.34 ,$38.94 ,$37.17 ,$233.55 ,$396.95 ,$386.21 ,$130.76 ,$420.30 ,$366.60 ,$385.74 ,$222.42 ,$303.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000464,76010,HC BABYGRAM,320,1 ,$227.00 ,$163.44 ,$37.17 ,$227.00 ,$211.10 ,$181.60 ,$82.75 ,$63.56 ,$198.17 ,$208.61 ,$77.26 ,$187.73 ,$82.75 ,$170.57 ,$208.84 ,$206.88 ,$82.75 ,$84.41 ,$189.32 ,$189.32 ,$189.32 ,$82.75 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$197.10 ,$192.95 ,$82.75 ,$82.75 ,$127.35 ,$82.75 ,$93.98 ,$38.94 ,$37.17 ,$86.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$82.75 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$241.00 ,$173.52 ,$67.48 ,$241.00 , N/A ,$192.80 , N/A ,$67.48 ,$210.39 ,$221.48 , N/A ,$199.31 , N/A , N/A ,$221.72 , N/A , N/A , N/A ,$200.99 ,$200.99 ,$200.99 , N/A ,$200.99 ,$206.30 ,$206.30 ,$216.90 , N/A ,$204.85 , N/A , N/A ,$135.20 , N/A ,$99.77 ,$221.87 ,$211.79 , N/A ,$204.85 ,$199.31 ,$67.48 ,$216.90 ,$189.19 ,$199.07 , N/A ,$156.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$305.00 ,$219.60 ,$37.17 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$38.94 ,$37.17 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,311.00 ",$943.92 ,$37.17 ,"$1,311.00 ",$259.70 ,"$1,048.80 ",$101.80 ,$367.08 ,"$1,144.50 ","$1,204.81 ",$95.05 ,"$1,084.20 ",$101.80 ,$209.83 ,"$1,206.12 ",$254.51 ,$101.80 ,$103.84 ,"$1,093.37 ","$1,093.37 ","$1,093.37 ",$101.80 ,"$1,093.37 ","$1,122.22 ","$1,122.22 ","$1,179.90 ",$242.48 ,"$1,114.35 ",$101.80 ,$101.80 ,$735.47 ,$101.80 ,$542.75 ,$38.94 ,$37.17 ,$106.90 ,"$1,114.35 ","$1,084.20 ",$367.08 ,"$1,179.90 ","$1,029.14 ","$1,082.89 ",$101.80 ,$852.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,"$1,311.00 ",$943.92 ,$37.17 ,"$1,311.00 ",$259.70 ,"$1,048.80 ",$101.80 ,$367.08 ,"$1,144.50 ","$1,204.81 ",$95.05 ,"$1,084.20 ",$101.80 ,$209.83 ,"$1,206.12 ",$254.51 ,$101.80 ,$103.84 ,"$1,093.37 ","$1,093.37 ","$1,093.37 ",$101.80 ,"$1,093.37 ","$1,122.22 ","$1,122.22 ","$1,179.90 ",$242.48 ,"$1,114.35 ",$101.80 ,$101.80 ,$735.47 ,$101.80 ,$542.75 ,$38.94 ,$37.17 ,$106.90 ,"$1,114.35 ","$1,084.20 ",$367.08 ,"$1,179.90 ","$1,029.14 ","$1,082.89 ",$101.80 ,$852.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000496,77080,HC BONE DENSITY DXA,320,1 ,$547.00 ,$393.84 ,$58.71 ,$547.00 ,$259.70 ,$437.60 ,$101.80 ,$153.16 ,$477.53 ,$502.69 ,$95.05 ,$452.37 ,$101.80 ,$209.83 ,$503.24 ,$254.51 ,$101.80 ,$103.84 ,$456.20 ,$456.20 ,$456.20 ,$101.80 ,$456.20 ,$468.23 ,$468.23 ,$492.30 ,$242.48 ,$464.95 ,$101.80 ,$101.80 ,$306.87 ,$101.80 ,$226.46 ,$61.50 ,$58.71 ,$106.90 ,$464.95 ,$452.37 ,$153.16 ,$492.30 ,$429.40 ,$451.82 ,$101.80 ,$355.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$266.00 ,$191.52 ,$37.17 ,$567.40 ,$567.40 ,$212.80 ,$222.42 ,$74.48 ,$232.22 ,$244.45 ,$207.67 ,$219.98 ,$222.42 ,$266.00 ,$244.72 ,$260.68 ,$222.42 ,$226.87 ,$221.84 ,$221.84 ,$221.84 ,$222.42 ,$221.84 ,$227.70 ,$227.70 ,$239.40 ,$266.00 ,$226.10 ,$222.42 ,$222.42 ,$149.23 ,$222.42 ,$110.12 ,$38.94 ,$37.17 ,$233.55 ,$226.10 ,$219.98 ,$74.48 ,$239.40 ,$208.81 ,$219.72 ,$222.42 ,$172.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$626.00 ,$450.72 ,$175.28 ,$660.63 ,$660.63 ,$500.80 ,$258.96 ,$175.28 ,$546.50 ,$575.29 ,$241.80 ,$517.70 ,$258.96 ,$533.79 ,$575.92 ,$613.48 ,$258.96 ,$264.15 ,$522.08 ,$522.08 ,$522.08 ,$258.96 ,$522.08 ,$535.86 ,$535.86 ,$563.40 ,$616.84 ,$532.10 ,$258.96 ,$258.96 ,$351.19 ,$258.96 ,$259.16 ,$226.47 ,$216.17 ,$271.93 ,$532.10 ,$517.70 ,$175.28 ,$563.40 ,$491.41 ,$517.08 ,$258.96 ,$406.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$560.00 ,$403.20 ,$156.80 ,$660.63 ,$660.63 ,$448.00 ,$258.96 ,$156.80 ,$488.88 ,$514.64 ,$241.80 ,$463.12 ,$258.96 ,$533.79 ,$515.20 ,$548.80 ,$258.96 ,$264.15 ,$467.04 ,$467.04 ,$467.04 ,$258.96 ,$467.04 ,$479.36 ,$479.36 ,$504.00 ,$560.00 ,$476.00 ,$258.96 ,$258.96 ,$314.16 ,$258.96 ,$231.84 ,$226.47 ,$216.17 ,$271.93 ,$476.00 ,$463.12 ,$156.80 ,$504.00 ,$439.60 ,$462.56 ,$258.96 ,$364.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000509,77072,HC BONE AGE STUDIES,320,1 ,$517.00 ,$372.24 ,$37.17 ,$517.00 ,$259.70 ,$413.60 ,$101.80 ,$144.76 ,$451.34 ,$475.12 ,$95.05 ,$427.56 ,$101.80 ,$209.83 ,$475.64 ,$254.51 ,$101.80 ,$103.84 ,$431.18 ,$431.18 ,$431.18 ,$101.80 ,$431.18 ,$442.55 ,$442.55 ,$465.30 ,$242.48 ,$439.45 ,$101.80 ,$101.80 ,$290.04 ,$101.80 ,$214.04 ,$38.94 ,$37.17 ,$106.90 ,$439.45 ,$427.56 ,$144.76 ,$465.30 ,$405.85 ,$427.04 ,$101.80 ,$336.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000542,20551,HC INJ TENDON ORIGIN,320,1 ,$626.00 ,$450.72 ,$175.28 ,$660.63 ,$660.63 ,$500.80 ,$258.96 ,$175.28 ,$546.50 ,$575.29 ,$241.80 ,$517.70 ,$258.96 ,$533.79 ,$575.92 ,$613.48 ,$258.96 ,$264.15 ,$522.08 ,$522.08 ,$522.08 ,$258.96 ,$522.08 ,$535.86 ,$535.86 ,$563.40 ,$616.84 ,$532.10 ,$258.96 ,$258.96 ,$351.19 ,$258.96 ,$259.16 ,$226.47 ,$216.17 ,$271.93 ,$532.10 ,$517.70 ,$175.28 ,$563.40 ,$491.41 ,$517.08 ,$258.96 ,$406.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,$796.00 ,$573.12 ,$37.17 ,$796.00 ,$259.70 ,$636.80 ,$101.80 ,$222.88 ,$694.91 ,$731.52 ,$95.05 ,$658.29 ,$101.80 ,$209.83 ,$732.32 ,$254.51 ,$101.80 ,$103.84 ,$663.86 ,$663.86 ,$663.86 ,$101.80 ,$663.86 ,$681.38 ,$681.38 ,$716.40 ,$242.48 ,$676.60 ,$101.80 ,$101.80 ,$446.56 ,$101.80 ,$329.54 ,$38.94 ,$37.17 ,$106.90 ,$676.60 ,$658.29 ,$222.88 ,$716.40 ,$624.86 ,$657.50 ,$101.80 ,$517.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$524.00 ,$377.28 ,$37.17 ,$524.00 ,$259.70 ,$419.20 ,$101.80 ,$146.72 ,$457.45 ,$481.56 ,$95.05 ,$433.35 ,$101.80 ,$209.83 ,$482.08 ,$254.51 ,$101.80 ,$103.84 ,$437.02 ,$437.02 ,$437.02 ,$101.80 ,$437.02 ,$448.54 ,$448.54 ,$471.60 ,$242.48 ,$445.40 ,$101.80 ,$101.80 ,$293.96 ,$101.80 ,$216.94 ,$38.94 ,$37.17 ,$106.90 ,$445.40 ,$433.35 ,$146.72 ,$471.60 ,$411.34 ,$432.82 ,$101.80 ,$340.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000552,70100,HC XR MANDIBLE <3V,320,1 ,$227.00 ,$163.44 ,$37.17 ,$227.00 ,$211.10 ,$181.60 ,$82.75 ,$63.56 ,$198.17 ,$208.61 ,$77.26 ,$187.73 ,$82.75 ,$170.57 ,$208.84 ,$206.88 ,$82.75 ,$84.41 ,$189.32 ,$189.32 ,$189.32 ,$82.75 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$197.10 ,$192.95 ,$82.75 ,$82.75 ,$127.35 ,$82.75 ,$93.98 ,$38.94 ,$37.17 ,$86.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$82.75 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$227.00 ,$163.44 ,$37.17 ,$227.00 ,$211.10 ,$181.60 ,$82.75 ,$63.56 ,$198.17 ,$208.61 ,$77.26 ,$187.73 ,$82.75 ,$170.57 ,$208.84 ,$206.88 ,$82.75 ,$84.41 ,$189.32 ,$189.32 ,$189.32 ,$82.75 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$197.10 ,$192.95 ,$82.75 ,$82.75 ,$127.35 ,$82.75 ,$93.98 ,$38.94 ,$37.17 ,$86.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$178.20 ,$187.50 ,$82.75 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$38.94 ,$37.17 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000572,72083,HC XR SPINE/CERV SCOLIOSIS 4-5VW,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$38.94 ,$37.17 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000573,72084,HC XR SPINE/CERV SCOLIOSIS 6+VW,320,1 ,$470.00 ,$338.40 ,$37.17 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$38.94 ,$37.17 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$170.00 ,$122.40 ,$37.17 ,$211.10 ,$211.10 ,$136.00 ,$82.75 ,$47.60 ,$148.41 ,$156.23 ,$77.26 ,$140.59 ,$82.75 ,$170.00 ,$156.40 ,$166.60 ,$82.75 ,$84.41 ,$141.78 ,$141.78 ,$141.78 ,$82.75 ,$141.78 ,$145.52 ,$145.52 ,$153.00 ,$170.00 ,$144.50 ,$82.75 ,$82.75 ,$95.37 ,$82.75 ,$70.38 ,$38.94 ,$37.17 ,$86.90 ,$144.50 ,$140.59 ,$47.60 ,$153.00 ,$133.45 ,$140.42 ,$82.75 ,$110.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$384.00 ,$276.48 ,$37.17 ,$384.00 ,$211.10 ,$307.20 ,$82.75 ,$107.52 ,$335.23 ,$352.90 ,$77.26 ,$317.57 ,$82.75 ,$170.57 ,$353.28 ,$206.88 ,$82.75 ,$84.41 ,$320.26 ,$320.26 ,$320.26 ,$82.75 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$197.10 ,$326.40 ,$82.75 ,$82.75 ,$215.42 ,$82.75 ,$158.98 ,$38.94 ,$37.17 ,$86.90 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 ,$317.18 ,$82.75 ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$801.00 ,$576.72 ,$37.17 ,$801.00 ,$259.70 ,$640.80 ,$101.80 ,$224.28 ,$699.27 ,$736.12 ,$95.05 ,$662.43 ,$101.80 ,$209.83 ,$736.92 ,$254.51 ,$101.80 ,$103.84 ,$668.03 ,$668.03 ,$668.03 ,$101.80 ,$668.03 ,$685.66 ,$685.66 ,$720.90 ,$242.48 ,$680.85 ,$101.80 ,$101.80 ,$449.36 ,$101.80 ,$331.61 ,$38.94 ,$37.17 ,$106.90 ,$680.85 ,$662.43 ,$224.28 ,$720.90 ,$628.79 ,$661.63 ,$101.80 ,$520.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$801.00 ,$576.72 ,$37.17 ,$801.00 ,$259.70 ,$640.80 ,$101.80 ,$224.28 ,$699.27 ,$736.12 ,$95.05 ,$662.43 ,$101.80 ,$209.83 ,$736.92 ,$254.51 ,$101.80 ,$103.84 ,$668.03 ,$668.03 ,$668.03 ,$101.80 ,$668.03 ,$685.66 ,$685.66 ,$720.90 ,$242.48 ,$680.85 ,$101.80 ,$101.80 ,$449.36 ,$101.80 ,$331.61 ,$38.94 ,$37.17 ,$106.90 ,$680.85 ,$662.43 ,$224.28 ,$720.90 ,$628.79 ,$661.63 ,$101.80 ,$520.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$801.00 ,$576.72 ,$37.17 ,$801.00 ,$259.70 ,$640.80 ,$101.80 ,$224.28 ,$699.27 ,$736.12 ,$95.05 ,$662.43 ,$101.80 ,$209.83 ,$736.92 ,$254.51 ,$101.80 ,$103.84 ,$668.03 ,$668.03 ,$668.03 ,$101.80 ,$668.03 ,$685.66 ,$685.66 ,$720.90 ,$242.48 ,$680.85 ,$101.80 ,$101.80 ,$449.36 ,$101.80 ,$331.61 ,$38.94 ,$37.17 ,$106.90 ,$680.85 ,$662.43 ,$224.28 ,$720.90 ,$628.79 ,$661.63 ,$101.80 ,$520.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$401.00 ,$288.72 ,$37.17 ,$401.00 ,$211.10 ,$320.80 ,$82.75 ,$112.28 ,$350.07 ,$368.52 ,$77.26 ,$331.63 ,$82.75 ,$170.57 ,$368.92 ,$206.88 ,$82.75 ,$84.41 ,$334.43 ,$334.43 ,$334.43 ,$82.75 ,$334.43 ,$343.26 ,$343.26 ,$360.90 ,$197.10 ,$340.85 ,$82.75 ,$82.75 ,$224.96 ,$82.75 ,$166.01 ,$38.94 ,$37.17 ,$86.90 ,$340.85 ,$331.63 ,$112.28 ,$360.90 ,$314.79 ,$331.23 ,$82.75 ,$260.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$305.00 ,$219.60 ,$37.17 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$38.94 ,$37.17 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000589,74019,HC XR ABDOMEN 2V,320,1 ,$409.00 ,$294.48 ,$37.17 ,$409.00 ,$259.70 ,$327.20 ,$101.80 ,$114.52 ,$357.06 ,$375.87 ,$95.05 ,$338.24 ,$101.80 ,$209.83 ,$376.28 ,$254.51 ,$101.80 ,$103.84 ,$341.11 ,$341.11 ,$341.11 ,$101.80 ,$341.11 ,$350.10 ,$350.10 ,$368.10 ,$242.48 ,$347.65 ,$101.80 ,$101.80 ,$229.45 ,$101.80 ,$169.33 ,$38.94 ,$37.17 ,$106.90 ,$347.65 ,$338.24 ,$114.52 ,$368.10 ,$321.07 ,$337.83 ,$101.80 ,$265.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000595,76000,HC FLUOROSCOPY >1HR,320,1 ,$266.00 ,$191.52 ,$37.17 ,$567.40 ,$567.40 ,$212.80 ,$222.42 ,$74.48 ,$232.22 ,$244.45 ,$207.67 ,$219.98 ,$222.42 ,$266.00 ,$244.72 ,$260.68 ,$222.42 ,$226.87 ,$221.84 ,$221.84 ,$221.84 ,$222.42 ,$221.84 ,$227.70 ,$227.70 ,$239.40 ,$266.00 ,$226.10 ,$222.42 ,$222.42 ,$149.23 ,$222.42 ,$110.12 ,$38.94 ,$37.17 ,$233.55 ,$226.10 ,$219.98 ,$74.48 ,$239.40 ,$208.81 ,$219.72 ,$222.42 ,$172.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A , 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 , N/A ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
HSHS GOOD SHEPHERD HOSPITAL (ACU),32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,714.00 ","$1,234.08 ",$37.17 ,"$1,714.00 ", N/A ,"$1,371.20 ", N/A ,$479.92 ,"$1,496.32 ","$1,575.17 ", N/A ,"$1,417.48 ", N/A , N/A ,"$1,576.88 ", N/A , N/A , N/A ,"$1,429.48 ","$1,429.48 ","$1,429.48 ", N/A ,"$1,429.48 ","$1,467.18 ","$1,467.18 ","$1,542.60 ", N/A ,"$1,456.90 ", N/A , N/A ,$961.55 , N/A ,$709.60 ,$38.94 ,$37.17 , N/A ,"$1,456.90 ","$1,417.48 ",$479.92 ,"$1,542.60 ","$1,345.49 ","$1,415.76 ", N/A ,"$1,114.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$415.00 ,$298.80 ,$116.20 ,$808.20 ,$808.20 ,$332.00 ,$316.81 ,$116.20 ,$362.30 ,$381.39 ,$295.81 ,$343.21 ,$316.81 ,$415.00 ,$381.80 ,$406.70 ,$316.81 ,$323.15 ,$346.11 ,$346.11 ,$346.11 ,$316.81 ,$346.11 ,$355.24 ,$355.24 ,$373.50 ,$415.00 ,$352.75 ,$316.81 ,$316.81 ,$232.82 ,$316.81 ,$171.81 ,$218.89 ,$208.94 ,$332.67 ,$352.75 ,$343.21 ,$116.20 ,$373.50 ,$325.78 ,$342.79 ,$316.81 ,$269.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$152.00 ,$109.44 ,$42.56 ,$163.93 ,$163.93 ,$121.60 ,$64.26 ,$42.56 ,$132.70 ,$139.69 ,$60.01 ,$125.70 ,$64.26 ,$132.46 ,$139.84 ,$148.96 ,$64.26 ,$65.54 ,$126.77 ,$126.77 ,$126.77 ,$64.26 ,$126.77 ,$130.11 ,$130.11 ,$136.80 ,$152.00 ,$129.20 ,$64.26 ,$64.26 ,$85.27 ,$64.26 ,$62.93 ,$152.00 ,$152.00 ,$67.48 ,$129.20 ,$125.70 ,$42.56 ,$136.80 ,$119.32 ,$125.55 ,$64.26 ,$98.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$1,055.00 ",$759.60 ,$281.03 ,"$1,055.00 ",$944.40 ,$844.00 ,$370.20 ,$295.40 ,$921.02 ,$969.55 ,$345.67 ,$872.49 ,$370.20 ,$763.07 ,$970.60 ,$925.51 ,$370.20 ,$377.61 ,$879.87 ,$879.87 ,$879.87 ,$370.20 ,$879.87 ,$903.08 ,$903.08 ,$949.50 ,$881.80 ,$896.75 ,$370.20 ,$370.20 ,$591.86 ,$370.20 ,$436.77 ,$294.42 ,$281.03 ,$388.74 ,$896.75 ,$872.49 ,$295.40 ,$949.50 ,$828.18 ,$871.43 ,$370.20 ,$685.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000006,78013,HC NM THYROID SCAN,340,1 ,"$1,055.00 ",$759.60 ,$281.03 ,"$1,055.00 ",$944.40 ,$844.00 ,$370.20 ,$295.40 ,$921.02 ,$969.55 ,$345.67 ,$872.49 ,$370.20 ,$763.07 ,$970.60 ,$925.51 ,$370.20 ,$377.61 ,$879.87 ,$879.87 ,$879.87 ,$370.20 ,$879.87 ,$903.08 ,$903.08 ,$949.50 ,$881.80 ,$896.75 ,$370.20 ,$370.20 ,$591.86 ,$370.20 ,$436.77 ,$294.42 ,$281.03 ,$388.74 ,$896.75 ,$872.49 ,$295.40 ,$949.50 ,$828.18 ,$871.43 ,$370.20 ,$685.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,"$1,774.00 ","$1,277.28 ",$250.81 ,"$1,774.00 ",$944.40 ,"$1,419.20 ",$370.20 ,$496.72 ,"$1,548.70 ","$1,630.31 ",$345.67 ,"$1,467.10 ",$370.20 ,$763.07 ,"$1,632.08 ",$925.51 ,$370.20 ,$377.61 ,"$1,479.52 ","$1,479.52 ","$1,479.52 ",$370.20 ,"$1,479.52 ","$1,518.54 ","$1,518.54 ","$1,596.60 ",$881.80 ,"$1,507.90 ",$370.20 ,$370.20 ,$995.21 ,$370.20 ,$734.44 ,$262.76 ,$250.81 ,$388.74 ,"$1,507.90 ","$1,467.10 ",$496.72 ,"$1,596.60 ","$1,392.59 ","$1,465.32 ",$370.20 ,"$1,153.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$1,589.00 ","$1,144.08 ",$250.81 ,"$1,589.00 ",$944.40 ,"$1,271.20 ",$370.20 ,$444.92 ,"$1,387.20 ","$1,460.29 ",$345.67 ,"$1,314.10 ",$370.20 ,$763.07 ,"$1,461.88 ",$925.51 ,$370.20 ,$377.61 ,"$1,325.23 ","$1,325.23 ","$1,325.23 ",$370.20 ,"$1,325.23 ","$1,360.18 ","$1,360.18 ","$1,430.10 ",$881.80 ,"$1,350.65 ",$370.20 ,$370.20 ,$891.43 ,$370.20 ,$657.85 ,$262.76 ,$250.81 ,$388.74 ,"$1,350.65 ","$1,314.10 ",$444.92 ,"$1,430.10 ","$1,247.37 ","$1,312.51 ",$370.20 ,"$1,032.85 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$1,615.00 ","$1,162.80 ",$281.03 ,"$1,615.00 ",$944.40 ,"$1,292.00 ",$370.20 ,$452.20 ,"$1,409.90 ","$1,484.19 ",$345.67 ,"$1,335.61 ",$370.20 ,$763.07 ,"$1,485.80 ",$925.51 ,$370.20 ,$377.61 ,"$1,346.91 ","$1,346.91 ","$1,346.91 ",$370.20 ,"$1,346.91 ","$1,382.44 ","$1,382.44 ","$1,453.50 ",$881.80 ,"$1,372.75 ",$370.20 ,$370.20 ,$906.02 ,$370.20 ,$668.61 ,$294.42 ,$281.03 ,$388.74 ,"$1,372.75 ","$1,335.61 ",$452.20 ,"$1,453.50 ","$1,267.78 ","$1,333.99 ",$370.20 ,"$1,049.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$2,743.00 ","$1,974.96 ",$281.03 ,"$2,743.00 ",$944.40 ,"$2,194.40 ",$370.20 ,$768.04 ,"$2,394.64 ","$2,520.82 ",$345.67 ,"$2,268.46 ",$370.20 ,$763.07 ,"$2,523.56 ",$925.51 ,$370.20 ,$377.61 ,"$2,287.66 ","$2,287.66 ","$2,287.66 ",$370.20 ,"$2,287.66 ","$2,348.01 ","$2,348.01 ","$2,468.70 ",$881.80 ,"$2,331.55 ",$370.20 ,$370.20 ,"$1,538.82 ",$370.20 ,"$1,135.60 ",$294.42 ,$281.03 ,$388.74 ,"$2,331.55 ","$2,268.46 ",$768.04 ,"$2,468.70 ","$2,153.26 ","$2,265.72 ",$370.20 ,"$1,782.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000027,78278,HC GI BLEED SCAN,340,1 ,"$1,389.00 ","$1,000.08 ",$281.03 ,"$1,389.00 ",$944.40 ,"$1,111.20 ",$370.20 ,$388.92 ,"$1,212.60 ","$1,276.49 ",$345.67 ,"$1,148.70 ",$370.20 ,$763.07 ,"$1,277.88 ",$925.51 ,$370.20 ,$377.61 ,"$1,158.43 ","$1,158.43 ","$1,158.43 ",$370.20 ,"$1,158.43 ","$1,188.98 ","$1,188.98 ","$1,250.10 ",$881.80 ,"$1,180.65 ",$370.20 ,$370.20 ,$779.23 ,$370.20 ,$575.05 ,$294.42 ,$281.03 ,$388.74 ,"$1,180.65 ","$1,148.70 ",$388.92 ,"$1,250.10 ","$1,090.37 ","$1,147.31 ",$370.20 ,$902.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,055.00 ",$759.60 ,$250.81 ,"$1,055.00 ",$944.40 ,$844.00 ,$370.20 ,$295.40 ,$921.02 ,$969.55 ,$345.67 ,$872.49 ,$370.20 ,$763.07 ,$970.60 ,$925.51 ,$370.20 ,$377.61 ,$879.87 ,$879.87 ,$879.87 ,$370.20 ,$879.87 ,$903.08 ,$903.08 ,$949.50 ,$881.80 ,$896.75 ,$370.20 ,$370.20 ,$591.86 ,$370.20 ,$436.77 ,$262.76 ,$250.81 ,$388.74 ,$896.75 ,$872.49 ,$295.40 ,$949.50 ,$828.18 ,$871.43 ,$370.20 ,$685.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,389.00 ","$1,000.08 ",$250.81 ,"$1,389.00 ",$944.40 ,"$1,111.20 ",$370.20 ,$388.92 ,"$1,212.60 ","$1,276.49 ",$345.67 ,"$1,148.70 ",$370.20 ,$763.07 ,"$1,277.88 ",$925.51 ,$370.20 ,$377.61 ,"$1,158.43 ","$1,158.43 ","$1,158.43 ",$370.20 ,"$1,158.43 ","$1,188.98 ","$1,188.98 ","$1,250.10 ",$881.80 ,"$1,180.65 ",$370.20 ,$370.20 ,$779.23 ,$370.20 ,$575.05 ,$262.76 ,$250.81 ,$388.74 ,"$1,180.65 ","$1,148.70 ",$388.92 ,"$1,250.10 ","$1,090.37 ","$1,147.31 ",$370.20 ,$902.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,816.00 ","$1,307.52 ",$250.81 ,"$1,816.00 ",$944.40 ,"$1,452.80 ",$370.20 ,$508.48 ,"$1,585.37 ","$1,668.90 ",$345.67 ,"$1,501.83 ",$370.20 ,$763.07 ,"$1,670.72 ",$925.51 ,$370.20 ,$377.61 ,"$1,514.54 ","$1,514.54 ","$1,514.54 ",$370.20 ,"$1,514.54 ","$1,554.50 ","$1,554.50 ","$1,634.40 ",$881.80 ,"$1,543.60 ",$370.20 ,$370.20 ,"$1,018.78 ",$370.20 ,$751.82 ,$262.76 ,$250.81 ,$388.74 ,"$1,543.60 ","$1,501.83 ",$508.48 ,"$1,634.40 ","$1,425.56 ","$1,500.02 ",$370.20 ,"$1,180.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$2,113.00 ","$1,521.36 ",$250.81 ,"$2,113.00 ",$944.40 ,"$1,690.40 ",$370.20 ,$591.64 ,"$1,844.65 ","$1,941.85 ",$345.67 ,"$1,747.45 ",$370.20 ,$763.07 ,"$1,943.96 ",$925.51 ,$370.20 ,$377.61 ,"$1,762.24 ","$1,762.24 ","$1,762.24 ",$370.20 ,"$1,762.24 ","$1,808.73 ","$1,808.73 ","$1,901.70 ",$881.80 ,"$1,796.05 ",$370.20 ,$370.20 ,"$1,185.39 ",$370.20 ,$874.78 ,$262.76 ,$250.81 ,$388.74 ,"$1,796.05 ","$1,747.45 ",$591.64 ,"$1,901.70 ","$1,658.71 ","$1,745.34 ",$370.20 ,"$1,373.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$2,044.00 ","$1,471.68 ",$250.81 ,"$2,044.00 ",$944.40 ,"$1,635.20 ",$370.20 ,$572.32 ,"$1,784.41 ","$1,878.44 ",$345.67 ,"$1,690.39 ",$370.20 ,$763.07 ,"$1,880.48 ",$925.51 ,$370.20 ,$377.61 ,"$1,704.70 ","$1,704.70 ","$1,704.70 ",$370.20 ,"$1,704.70 ","$1,749.66 ","$1,749.66 ","$1,839.60 ",$881.80 ,"$1,737.40 ",$370.20 ,$370.20 ,"$1,146.68 ",$370.20 ,$846.22 ,$262.76 ,$250.81 ,$388.74 ,"$1,737.40 ","$1,690.39 ",$572.32 ,"$1,839.60 ","$1,604.54 ","$1,688.34 ",$370.20 ,"$1,328.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$5,285.00 ","$3,805.20 ",$281.03 ,"$5,285.00 ","$3,224.98 ","$4,228.00 ","$1,264.19 ","$1,479.80 ","$4,613.81 ","$4,856.92 ","$1,180.38 ","$4,370.70 ","$1,264.19 ","$2,605.75 ","$4,862.20 ","$3,160.48 ","$1,264.19 ","$1,289.47 ","$4,407.69 ","$4,407.69 ","$4,407.69 ","$1,264.19 ","$4,407.69 ","$4,523.96 ","$4,523.96 ","$4,756.50 ","$3,011.18 ","$4,492.25 ","$1,264.19 ","$1,264.19 ","$2,964.89 ","$1,264.19 ","$2,187.99 ",$294.42 ,$281.03 ,"$1,327.46 ","$4,492.25 ","$4,370.70 ","$1,479.80 ","$4,756.50 ","$4,148.73 ","$4,365.41 ","$1,264.19 ","$3,435.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$7,271.00 ","$5,235.12 ",$615.31 ,"$7,271.00 ","$3,224.98 ","$5,816.80 ","$1,264.19 ","$2,035.88 ","$6,347.58 ","$6,682.05 ","$1,180.38 ","$6,013.12 ","$1,264.19 ","$2,605.75 ","$6,689.32 ","$3,160.48 ","$1,264.19 ","$1,289.47 ","$6,064.01 ","$6,064.01 ","$6,064.01 ","$1,264.19 ","$6,064.01 ","$6,223.98 ","$6,223.98 ","$6,543.90 ","$3,011.18 ","$6,180.35 ","$1,264.19 ","$1,264.19 ","$4,079.03 ","$1,264.19 ","$3,010.19 ",$644.61 ,$615.31 ,"$1,327.46 ","$6,180.35 ","$6,013.12 ","$2,035.88 ","$6,543.90 ","$5,707.74 ","$6,005.85 ","$1,264.19 ","$4,726.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,095.00 ","$1,508.40 ",$250.81 ,"$2,095.00 ",$944.40 ,"$1,676.00 ",$370.20 ,$586.60 ,"$1,828.94 ","$1,925.31 ",$345.67 ,"$1,732.57 ",$370.20 ,$763.07 ,"$1,927.40 ",$925.51 ,$370.20 ,$377.61 ,"$1,747.23 ","$1,747.23 ","$1,747.23 ",$370.20 ,"$1,747.23 ","$1,793.32 ","$1,793.32 ","$1,885.50 ",$881.80 ,"$1,780.75 ",$370.20 ,$370.20 ,"$1,175.30 ",$370.20 ,$867.33 ,$262.76 ,$250.81 ,$388.74 ,"$1,780.75 ","$1,732.57 ",$586.60 ,"$1,885.50 ","$1,644.58 ","$1,730.47 ",$370.20 ,"$1,361.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000047,78580,HC LUNG PERFUS,340,1 ,"$1,615.00 ","$1,162.80 ",$281.03 ,"$1,615.00 ",$944.40 ,"$1,292.00 ",$370.20 ,$452.20 ,"$1,409.90 ","$1,484.19 ",$345.67 ,"$1,335.61 ",$370.20 ,$763.07 ,"$1,485.80 ",$925.51 ,$370.20 ,$377.61 ,"$1,346.91 ","$1,346.91 ","$1,346.91 ",$370.20 ,"$1,346.91 ","$1,382.44 ","$1,382.44 ","$1,453.50 ",$881.80 ,"$1,372.75 ",$370.20 ,$370.20 ,$906.02 ,$370.20 ,$668.61 ,$294.42 ,$281.03 ,$388.74 ,"$1,372.75 ","$1,335.61 ",$452.20 ,"$1,453.50 ","$1,267.78 ","$1,333.99 ",$370.20 ,"$1,049.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$2,437.00 ","$1,754.64 ",$281.03 ,"$2,437.00 ","$1,225.83 ","$1,949.60 ",$480.52 ,$682.36 ,"$2,127.50 ","$2,239.60 ",$448.66 ,"$2,015.40 ",$480.52 ,$990.46 ,"$2,242.04 ","$1,201.31 ",$480.52 ,$490.14 ,"$2,032.46 ","$2,032.46 ","$2,032.46 ",$480.52 ,"$2,032.46 ","$2,086.07 ","$2,086.07 ","$2,193.30 ","$1,144.56 ","$2,071.45 ",$480.52 ,$480.52 ,"$1,367.16 ",$480.52 ,"$1,008.92 ",$294.42 ,$281.03 ,$504.57 ,"$2,071.45 ","$2,015.40 ",$682.36 ,"$2,193.30 ","$1,913.05 ","$2,012.96 ",$480.52 ,"$1,584.05 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000052,78579,HC LUNG SCAN-VENTILATION,340,1 ,"$1,578.00 ","$1,136.16 ",$281.03 ,"$1,578.00 ",$944.40 ,"$1,262.40 ",$370.20 ,$441.84 ,"$1,377.59 ","$1,450.18 ",$345.67 ,"$1,305.01 ",$370.20 ,$763.07 ,"$1,451.76 ",$925.51 ,$370.20 ,$377.61 ,"$1,316.05 ","$1,316.05 ","$1,316.05 ",$370.20 ,"$1,316.05 ","$1,350.77 ","$1,350.77 ","$1,420.20 ",$881.80 ,"$1,341.30 ",$370.20 ,$370.20 ,$885.26 ,$370.20 ,$653.29 ,$294.42 ,$281.03 ,$388.74 ,"$1,341.30 ","$1,305.01 ",$441.84 ,"$1,420.20 ","$1,238.73 ","$1,303.43 ",$370.20 ,"$1,025.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000062,78707,HC KIDNEY SCAN W/FLOW AND FUNCTION,340,1 ,"$1,369.00 ",$985.68 ,$250.81 ,"$1,369.00 ","$1,225.83 ","$1,095.20 ",$480.52 ,$383.32 ,"$1,195.14 ","$1,258.11 ",$448.66 ,"$1,132.16 ",$480.52 ,$990.46 ,"$1,259.48 ","$1,201.31 ",$480.52 ,$490.14 ,"$1,141.75 ","$1,141.75 ","$1,141.75 ",$480.52 ,"$1,141.75 ","$1,171.86 ","$1,171.86 ","$1,232.10 ","$1,144.56 ","$1,163.65 ",$480.52 ,$480.52 ,$768.01 ,$480.52 ,$566.77 ,$262.76 ,$250.81 ,$504.57 ,"$1,163.65 ","$1,132.16 ",$383.32 ,"$1,232.10 ","$1,074.67 ","$1,130.79 ",$480.52 ,$889.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,$847.00 ,$609.84 ,$237.16 ,"$1,225.83 ","$1,225.83 ",$677.60 ,$480.52 ,$237.16 ,$739.43 ,$778.39 ,$448.66 ,$700.47 ,$480.52 ,$847.00 ,$779.24 ,$830.06 ,$480.52 ,$490.14 ,$706.40 ,$706.40 ,$706.40 ,$480.52 ,$706.40 ,$725.03 ,$725.03 ,$762.30 ,$847.00 ,$719.95 ,$480.52 ,$480.52 ,$475.17 ,$480.52 ,$350.66 ,$262.76 ,$250.81 ,$504.57 ,$719.95 ,$700.47 ,$237.16 ,$762.30 ,$664.90 ,$699.62 ,$480.52 ,$550.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000065,78709,HC KIDNEY W AND W/O PHARM INTERVEN,340,1 ,"$1,613.00 ","$1,161.36 ",$250.81 ,"$1,613.00 ","$1,225.83 ","$1,290.40 ",$480.52 ,$451.64 ,"$1,408.15 ","$1,482.35 ",$448.66 ,"$1,333.95 ",$480.52 ,$990.46 ,"$1,483.96 ","$1,201.31 ",$480.52 ,$490.14 ,"$1,345.24 ","$1,345.24 ","$1,345.24 ",$480.52 ,"$1,345.24 ","$1,380.73 ","$1,380.73 ","$1,451.70 ","$1,144.56 ","$1,371.05 ",$480.52 ,$480.52 ,$904.89 ,$480.52 ,$667.78 ,$262.76 ,$250.81 ,$504.57 ,"$1,371.05 ","$1,333.95 ",$451.64 ,"$1,451.70 ","$1,266.21 ","$1,332.34 ",$480.52 ,"$1,048.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$2,635.00 ","$1,897.20 ",$615.31 ,"$3,224.98 ","$3,224.98 ","$2,108.00 ","$1,264.19 ",$737.80 ,"$2,300.36 ","$2,421.57 ","$1,180.38 ","$2,179.15 ","$1,264.19 ","$2,605.75 ","$2,424.20 ","$2,582.30 ","$1,264.19 ","$1,289.47 ","$2,197.59 ","$2,197.59 ","$2,197.59 ","$1,264.19 ","$2,197.59 ","$2,255.56 ","$2,255.56 ","$2,371.50 ","$2,635.00 ","$2,239.75 ","$1,264.19 ","$1,264.19 ","$1,478.24 ","$1,264.19 ","$1,090.89 ",$644.61 ,$615.31 ,"$1,327.46 ","$2,239.75 ","$2,179.15 ",$737.80 ,"$2,371.50 ","$2,068.48 ","$2,176.51 ","$1,264.19 ","$1,712.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$1,615.00 ","$1,162.80 ",$281.03 ,"$1,615.00 ","$1,225.83 ","$1,292.00 ",$480.52 ,$452.20 ,"$1,409.90 ","$1,484.19 ",$448.66 ,"$1,335.61 ",$480.52 ,$990.46 ,"$1,485.80 ","$1,201.31 ",$480.52 ,$490.14 ,"$1,346.91 ","$1,346.91 ","$1,346.91 ",$480.52 ,"$1,346.91 ","$1,382.44 ","$1,382.44 ","$1,453.50 ","$1,144.56 ","$1,372.75 ",$480.52 ,$480.52 ,$906.02 ,$480.52 ,$668.61 ,$294.42 ,$281.03 ,$504.57 ,"$1,372.75 ","$1,335.61 ",$452.20 ,"$1,453.50 ","$1,267.78 ","$1,333.99 ",$480.52 ,"$1,049.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$1,055.00 ",$759.60 ,$250.81 ,"$1,055.00 ",$944.40 ,$844.00 ,$370.20 ,$295.40 ,$921.02 ,$969.55 ,$345.67 ,$872.49 ,$370.20 ,$763.07 ,$970.60 ,$925.51 ,$370.20 ,$377.61 ,$879.87 ,$879.87 ,$879.87 ,$370.20 ,$879.87 ,$903.08 ,$903.08 ,$949.50 ,$881.80 ,$896.75 ,$370.20 ,$370.20 ,$591.86 ,$370.20 ,$436.77 ,$262.76 ,$250.81 ,$388.74 ,$896.75 ,$872.49 ,$295.40 ,$949.50 ,$828.18 ,$871.43 ,$370.20 ,$685.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,$335.00 ,$241.20 ,$93.80 ,$335.00 , N/A ,$268.00 , N/A ,$93.80 ,$292.46 ,$307.87 , N/A ,$277.05 , N/A , N/A , N/A , N/A , N/A , N/A ,$279.39 ,$279.39 ,$279.39 , N/A ,$279.39 ,$286.76 ,$286.76 ,$301.50 , N/A ,$284.75 , N/A , N/A ,$187.94 , N/A ,$138.69 , N/A , N/A , N/A ,$284.75 ,$277.05 ,$93.80 ,$301.50 ,$262.98 ,$335.00 , N/A ,$217.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$157.00 ,$113.04 ,$33.54 ,$157.00 , N/A ,$125.60 , N/A ,$43.96 ,$137.06 ,$144.28 , N/A ,$129.84 , N/A , N/A , N/A , N/A , N/A , N/A ,$130.94 ,$130.94 ,$130.94 , N/A ,$130.94 ,$134.39 ,$134.39 ,$141.30 , N/A ,$133.45 , N/A , N/A ,$88.08 , N/A ,$65.00 , N/A , N/A , N/A ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$33.54 , N/A ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$130.00 ,$93.60 ,$36.40 ,$130.00 , N/A ,$104.00 , N/A ,$36.40 ,$113.49 ,$119.47 , N/A ,$107.51 , N/A , N/A , N/A , N/A , N/A , N/A ,$108.42 ,$108.42 ,$108.42 , N/A ,$108.42 ,$111.28 ,$111.28 ,$117.00 , N/A ,$110.50 , N/A , N/A ,$72.93 , N/A ,$53.82 , N/A , N/A , N/A ,$110.50 ,$107.51 ,$36.40 ,$117.00 ,$102.05 ,$130.00 , N/A ,$84.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$373.00 ,$268.56 ,$54.80 ,$373.00 , N/A ,$298.40 , N/A ,$104.44 ,$325.63 ,$342.79 , N/A ,$308.47 , N/A , N/A , N/A , N/A , N/A , N/A ,$311.08 ,$311.08 ,$311.08 , N/A ,$311.08 ,$319.29 ,$319.29 ,$335.70 , N/A ,$317.05 , N/A , N/A ,$209.25 , N/A ,$154.42 , N/A , N/A , N/A ,$317.05 ,$308.47 ,$104.44 ,$335.70 ,$292.81 ,$54.80 , N/A ,$242.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$232.00 ,$167.04 ,$64.96 ,$232.00 , N/A ,$185.60 , N/A ,$64.96 ,$202.54 ,$213.21 , N/A ,$191.86 , N/A , N/A , N/A , N/A , N/A , N/A ,$193.49 ,$193.49 ,$193.49 , N/A ,$193.49 ,$198.59 ,$198.59 ,$208.80 , N/A ,$197.20 , N/A , N/A ,$130.15 , N/A ,$96.05 , N/A , N/A , N/A ,$197.20 ,$191.86 ,$64.96 ,$208.80 ,$182.12 ,$232.00 , N/A ,$150.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,$335.00 ,$241.20 ,$93.80 ,$335.00 , N/A ,$268.00 , N/A ,$93.80 ,$292.46 ,$307.87 , N/A ,$277.05 , N/A , N/A , N/A , N/A , N/A , N/A ,$279.39 ,$279.39 ,$279.39 , N/A ,$279.39 ,$286.76 ,$286.76 ,$301.50 , N/A ,$284.75 , N/A , N/A ,$187.94 , N/A ,$138.69 , N/A , N/A , N/A ,$284.75 ,$277.05 ,$93.80 ,$301.50 ,$262.98 ,$335.00 , N/A ,$217.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),34300063,A9567,HC DIAGNUCLIDE TC-99 PETETATE AERO PER STUDY UP TO 75MCI,343,1 ,$220.00 ,$158.40 ,$35.23 ,$220.00 , N/A ,$176.00 , N/A ,$61.60 ,$192.06 ,$202.18 , N/A ,$181.94 , N/A , N/A , N/A , N/A , N/A , N/A ,$183.48 ,$183.48 ,$183.48 , N/A ,$183.48 ,$188.32 ,$188.32 ,$198.00 , N/A ,$187.00 , N/A , N/A ,$123.42 , N/A ,$91.08 , N/A , N/A , N/A ,$187.00 ,$181.94 ,$61.60 ,$198.00 ,$172.70 ,$35.23 , N/A ,$143.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000020,49405,HC PERC DRN ABSC/HEM/CYST VISCERAL,350,1 ,"$3,935.00 ","$2,833.20 ",$461.98 ,"$3,935.00 ","$3,643.58 ","$3,148.00 ","$1,428.28 ","$1,101.80 ","$3,435.26 ","$3,616.27 ","$1,333.59 ","$3,254.25 ","$1,428.28 ","$2,943.98 ","$3,620.20 ","$3,570.71 ","$1,428.28 ","$1,456.85 ","$3,281.79 ","$3,281.79 ","$3,281.79 ","$1,428.28 ","$3,281.79 ","$3,368.36 ","$3,368.36 ","$3,541.50 ","$3,402.03 ","$3,344.75 ","$1,428.28 ","$1,428.28 ","$2,207.54 ","$1,428.28 ","$1,629.09 ",$483.98 ,$461.98 ,"$1,499.76 ","$3,344.75 ","$3,254.25 ","$1,101.80 ","$3,541.50 ","$1,112.00 ","$3,250.31 ","$1,428.28 ","$2,557.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,051.00 ","$1,476.72 ",$95.05 ,"$2,051.00 ",$259.70 ,"$1,640.80 ",$101.80 ,$574.28 ,"$1,790.52 ","$1,884.87 ",$95.05 ,"$1,696.18 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,710.53 ","$1,710.53 ","$1,710.53 ",$101.80 ,"$1,710.53 ","$1,755.66 ","$1,755.66 ","$1,845.90 ",$242.48 ,"$1,743.35 ",$101.80 ,$101.80 ,"$1,150.61 ",$101.80 ,$849.11 ,$199.91 ,$190.83 ,$106.90 ,"$1,743.35 ","$1,696.18 ",$574.28 ,"$1,845.90 ","$1,112.00 ","$1,694.13 ",$101.80 ,"$1,333.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$2,051.00 ","$1,476.72 ",$160.38 ,"$2,051.00 ",$438.18 ,"$1,640.80 ",$171.76 ,$574.28 ,"$1,790.52 ","$1,884.87 ",$160.38 ,"$1,696.18 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,710.53 ","$1,710.53 ","$1,710.53 ",$171.76 ,"$1,710.53 ","$1,755.66 ","$1,755.66 ","$1,845.90 ",$409.14 ,"$1,743.35 ",$171.76 ,$171.76 ,"$1,150.61 ",$171.76 ,$849.11 ,$199.91 ,$190.83 ,$180.37 ,"$1,743.35 ","$1,696.18 ",$574.28 ,"$1,845.90 ","$1,112.00 ","$1,694.13 ",$171.76 ,"$1,333.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$2,627.00 ","$1,891.44 ",$160.38 ,"$2,627.00 ",$438.18 ,"$2,101.60 ",$171.76 ,$735.56 ,"$2,293.37 ","$2,414.21 ",$160.38 ,"$2,172.53 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,190.92 ","$2,190.92 ","$2,190.92 ",$171.76 ,"$2,190.92 ","$2,248.71 ","$2,248.71 ","$2,364.30 ",$409.14 ,"$2,232.95 ",$171.76 ,$171.76 ,"$1,473.75 ",$171.76 ,"$1,087.58 ",$199.91 ,$190.83 ,$180.37 ,"$2,232.95 ","$2,172.53 ",$735.56 ,"$2,364.30 ","$1,112.00 ","$2,169.90 ",$171.76 ,"$1,707.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$2,051.00 ","$1,476.72 ",$92.73 ,"$2,051.00 ",$259.70 ,"$1,640.80 ",$101.80 ,$574.28 ,"$1,790.52 ","$1,884.87 ",$95.05 ,"$1,696.18 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,710.53 ","$1,710.53 ","$1,710.53 ",$101.80 ,"$1,710.53 ","$1,755.66 ","$1,755.66 ","$1,845.90 ",$242.48 ,"$1,743.35 ",$101.80 ,$101.80 ,"$1,150.61 ",$101.80 ,$849.11 ,$97.14 ,$92.73 ,$106.90 ,"$1,743.35 ","$1,696.18 ",$574.28 ,"$1,845.90 ","$1,112.00 ","$1,694.13 ",$101.80 ,"$1,333.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$2,051.00 ","$1,476.72 ",$92.73 ,"$2,051.00 ",$438.18 ,"$1,640.80 ",$171.76 ,$574.28 ,"$1,790.52 ","$1,884.87 ",$160.38 ,"$1,696.18 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,710.53 ","$1,710.53 ","$1,710.53 ",$171.76 ,"$1,710.53 ","$1,755.66 ","$1,755.66 ","$1,845.90 ",$409.14 ,"$1,743.35 ",$171.76 ,$171.76 ,"$1,150.61 ",$171.76 ,$849.11 ,$97.14 ,$92.73 ,$180.37 ,"$1,743.35 ","$1,696.18 ",$574.28 ,"$1,845.90 ","$1,112.00 ","$1,694.13 ",$171.76 ,"$1,333.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$2,653.00 ","$1,910.16 ",$92.73 ,"$2,653.00 ",$438.18 ,"$2,122.40 ",$171.76 ,$742.84 ,"$2,316.07 ","$2,438.11 ",$160.38 ,"$2,194.03 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,212.60 ","$2,212.60 ","$2,212.60 ",$171.76 ,"$2,212.60 ","$2,270.97 ","$2,270.97 ","$2,387.70 ",$409.14 ,"$2,255.05 ",$171.76 ,$171.76 ,"$1,488.33 ",$171.76 ,"$1,098.34 ",$97.14 ,$92.73 ,$180.37 ,"$2,255.05 ","$2,194.03 ",$742.84 ,"$2,387.70 ","$1,112.00 ","$2,191.38 ",$171.76 ,"$1,724.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$1,402.00 ","$1,009.44 ",$92.73 ,"$1,402.00 ",$259.70 ,"$1,121.60 ",$101.80 ,$392.56 ,"$1,223.95 ","$1,288.44 ",$95.05 ,"$1,159.45 ",$101.80 ,$209.83 ,"$1,402.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,169.27 ","$1,169.27 ","$1,169.27 ",$101.80 ,"$1,169.27 ","$1,200.11 ","$1,200.11 ","$1,261.80 ",$242.48 ,"$1,191.70 ",$101.80 ,$101.80 ,$786.52 ,$101.80 ,$580.43 ,$97.14 ,$92.73 ,$106.90 ,"$1,191.70 ","$1,159.45 ",$392.56 ,"$1,261.80 ","$1,112.00 ","$1,158.05 ",$101.80 ,$911.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$2,051.00 ","$1,476.72 ",$92.73 ,"$2,051.00 ",$438.18 ,"$1,640.80 ",$171.76 ,$574.28 ,"$1,790.52 ","$1,884.87 ",$160.38 ,"$1,696.18 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,710.53 ","$1,710.53 ","$1,710.53 ",$171.76 ,"$1,710.53 ","$1,755.66 ","$1,755.66 ","$1,845.90 ",$409.14 ,"$1,743.35 ",$171.76 ,$171.76 ,"$1,150.61 ",$171.76 ,$849.11 ,$97.14 ,$92.73 ,$180.37 ,"$1,743.35 ","$1,696.18 ",$574.28 ,"$1,845.90 ","$1,112.00 ","$1,694.13 ",$171.76 ,"$1,333.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$2,653.00 ","$1,910.16 ",$92.73 ,"$2,653.00 ",$438.18 ,"$2,122.40 ",$171.76 ,$742.84 ,"$2,316.07 ","$2,438.11 ",$160.38 ,"$2,194.03 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,212.60 ","$2,212.60 ","$2,212.60 ",$171.76 ,"$2,212.60 ","$2,270.97 ","$2,270.97 ","$2,387.70 ",$409.14 ,"$2,255.05 ",$171.76 ,$171.76 ,"$1,488.33 ",$171.76 ,"$1,098.34 ",$97.14 ,$92.73 ,$180.37 ,"$2,255.05 ","$2,194.03 ",$742.84 ,"$2,387.70 ","$1,112.00 ","$2,191.38 ",$171.76 ,"$1,724.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$2,051.00 ","$1,476.72 ",$92.73 ,"$2,051.00 ",$259.70 ,"$1,640.80 ",$101.80 ,$574.28 ,"$1,790.52 ","$1,884.87 ",$95.05 ,"$1,696.18 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,710.53 ","$1,710.53 ","$1,710.53 ",$101.80 ,"$1,710.53 ","$1,755.66 ","$1,755.66 ","$1,845.90 ",$242.48 ,"$1,743.35 ",$101.80 ,$101.80 ,"$1,150.61 ",$101.80 ,$849.11 ,$97.14 ,$92.73 ,$106.90 ,"$1,743.35 ","$1,696.18 ",$574.28 ,"$1,845.90 ","$1,112.00 ","$1,694.13 ",$101.80 ,"$1,333.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$2,162.00 ","$1,556.64 ",$92.73 ,"$2,162.00 ",$438.18 ,"$1,729.60 ",$171.76 ,$605.36 ,"$1,887.43 ","$1,986.88 ",$160.38 ,"$1,787.97 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,803.11 ","$1,803.11 ","$1,803.11 ",$171.76 ,"$1,803.11 ","$1,850.67 ","$1,850.67 ","$1,945.80 ",$409.14 ,"$1,837.70 ",$171.76 ,$171.76 ,"$1,212.88 ",$171.76 ,$895.07 ,$97.14 ,$92.73 ,$180.37 ,"$1,837.70 ","$1,787.97 ",$605.36 ,"$1,945.80 ","$1,112.00 ","$1,785.81 ",$171.76 ,"$1,405.30 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$2,227.00 ","$1,603.44 ",$92.73 ,"$2,227.00 ",$438.18 ,"$1,781.60 ",$171.76 ,$623.56 ,"$1,944.17 ","$2,046.61 ",$160.38 ,"$1,841.73 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,857.32 ","$1,857.32 ","$1,857.32 ",$171.76 ,"$1,857.32 ","$1,906.31 ","$1,906.31 ","$2,004.30 ",$409.14 ,"$1,892.95 ",$171.76 ,$171.76 ,"$1,249.35 ",$171.76 ,$921.98 ,$97.14 ,$92.73 ,$180.37 ,"$1,892.95 ","$1,841.73 ",$623.56 ,"$2,004.30 ","$1,112.00 ","$1,839.50 ",$171.76 ,"$1,447.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$3,147.00 ","$2,265.84 ",$160.38 ,"$3,147.00 ",$438.18 ,"$2,517.60 ",$171.76 ,$881.16 ,"$2,747.33 ","$2,892.09 ",$160.38 ,"$2,602.57 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,624.60 ","$2,624.60 ","$2,624.60 ",$171.76 ,"$2,624.60 ","$2,693.83 ","$2,693.83 ","$2,832.30 ",$409.14 ,"$2,674.95 ",$171.76 ,$171.76 ,"$1,765.47 ",$171.76 ,"$1,302.86 ",$256.05 ,$244.41 ,$180.37 ,"$2,674.95 ","$2,602.57 ",$881.16 ,"$2,832.30 ","$1,112.00 ","$2,599.42 ",$171.76 ,"$2,045.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$2,653.00 ","$1,910.16 ",$92.73 ,"$2,653.00 ",$438.18 ,"$2,122.40 ",$171.76 ,$742.84 ,"$2,316.07 ","$2,438.11 ",$160.38 ,"$2,194.03 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,212.60 ","$2,212.60 ","$2,212.60 ",$171.76 ,"$2,212.60 ","$2,270.97 ","$2,270.97 ","$2,387.70 ",$409.14 ,"$2,255.05 ",$171.76 ,$171.76 ,"$1,488.33 ",$171.76 ,"$1,098.34 ",$97.14 ,$92.73 ,$180.37 ,"$2,255.05 ","$2,194.03 ",$742.84 ,"$2,387.70 ","$1,112.00 ","$2,191.38 ",$171.76 ,"$1,724.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,704.00 ","$2,666.88 ",$207.67 ,"$3,704.00 ",$567.40 ,"$2,963.20 ",$222.42 ,"$1,037.12 ","$3,233.59 ","$3,403.98 ",$207.67 ,"$3,063.21 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$3,089.14 ","$3,089.14 ","$3,089.14 ",$222.42 ,"$3,089.14 ","$3,170.62 ","$3,170.62 ","$3,333.60 ",$529.79 ,"$3,148.40 ",$222.42 ,$222.42 ,"$2,077.94 ",$222.42 ,"$1,533.46 ",$242.36 ,$231.35 ,$233.55 ,"$3,148.40 ","$3,063.21 ","$1,037.12 ","$3,333.60 ","$1,348.00 ","$3,059.50 ",$222.42 ,"$2,407.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$2,406.00 ","$1,732.32 ",$95.05 ,"$2,406.00 ",$259.70 ,"$1,924.80 ",$101.80 ,$673.68 ,"$2,100.44 ","$2,211.11 ",$95.05 ,"$1,989.76 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$2,006.60 ","$2,006.60 ","$2,006.60 ",$101.80 ,"$2,006.60 ","$2,059.54 ","$2,059.54 ","$2,165.40 ",$242.48 ,"$2,045.10 ",$101.80 ,$101.80 ,"$1,349.77 ",$101.80 ,$996.08 ,$110.26 ,$105.25 ,$106.90 ,"$2,045.10 ","$1,989.76 ",$673.68 ,"$2,165.40 ","$1,112.00 ","$1,987.36 ",$101.80 ,"$1,563.90 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,$903.00 ,$650.16 ,$105.25 ,$903.00 ,$895.20 ,$722.40 ,$350.92 ,$252.84 ,$788.32 ,$829.86 ,$327.65 ,$746.78 ,$350.92 ,$723.32 ,$903.00 ,$877.30 ,$350.92 ,$357.94 ,$753.10 ,$753.10 ,$753.10 ,$350.92 ,$753.10 ,$772.97 ,$772.97 ,$812.70 ,$835.86 ,$767.55 ,$350.92 ,$350.92 ,$506.58 ,$350.92 ,$373.84 ,$110.26 ,$105.25 ,$368.48 ,$767.55 ,$746.78 ,$252.84 ,$812.70 ,$903.00 ,$745.88 ,$350.92 ,$586.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,$947.00 ,$681.84 ,$105.25 ,$947.00 ,$438.18 ,$757.60 ,$171.76 ,$265.16 ,$826.73 ,$870.29 ,$160.38 ,$783.17 ,$171.76 ,$354.05 ,$947.00 ,$429.42 ,$171.76 ,$175.20 ,$789.80 ,$789.80 ,$789.80 ,$171.76 ,$789.80 ,$810.63 ,$810.63 ,$852.30 ,$409.14 ,$804.95 ,$171.76 ,$171.76 ,$531.27 ,$171.76 ,$392.06 ,$110.26 ,$105.25 ,$180.37 ,$804.95 ,$783.17 ,$265.16 ,$852.30 ,$947.00 ,$782.22 ,$171.76 ,$615.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$2,406.00 ","$1,732.32 ",$95.05 ,"$2,406.00 ",$259.70 ,"$1,924.80 ",$101.80 ,$673.68 ,"$2,100.44 ","$2,211.11 ",$95.05 ,"$1,989.76 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$2,006.60 ","$2,006.60 ","$2,006.60 ",$101.80 ,"$2,006.60 ","$2,059.54 ","$2,059.54 ","$2,165.40 ",$242.48 ,"$2,045.10 ",$101.80 ,$101.80 ,"$1,349.77 ",$101.80 ,$996.08 ,$110.26 ,$105.25 ,$106.90 ,"$2,045.10 ","$1,989.76 ",$673.68 ,"$2,165.40 ","$1,112.00 ","$1,987.36 ",$101.80 ,"$1,563.90 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,$500.00 ,$360.00 ,$105.25 ,$500.00 ,$438.18 ,$400.00 ,$171.76 ,$140.00 ,$436.50 ,$459.50 ,$160.38 ,$413.50 ,$171.76 ,$354.05 ,$500.00 ,$429.42 ,$171.76 ,$175.20 ,$417.00 ,$417.00 ,$417.00 ,$171.76 ,$417.00 ,$428.00 ,$428.00 ,$450.00 ,$409.14 ,$425.00 ,$171.76 ,$171.76 ,$280.50 ,$171.76 ,$207.00 ,$110.26 ,$105.25 ,$180.37 ,$425.00 ,$413.50 ,$140.00 ,$450.00 ,$500.00 ,$413.00 ,$171.76 ,$325.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000060,72130,HC CT T-SPINE W AND W/O CONTRAST,350,1 ,$500.00 ,$360.00 ,$105.25 ,$500.00 ,$438.18 ,$400.00 ,$171.76 ,$140.00 ,$436.50 ,$459.50 ,$160.38 ,$413.50 ,$171.76 ,$354.05 ,$500.00 ,$429.42 ,$171.76 ,$175.20 ,$417.00 ,$417.00 ,$417.00 ,$171.76 ,$417.00 ,$428.00 ,$428.00 ,$450.00 ,$409.14 ,$425.00 ,$171.76 ,$171.76 ,$280.50 ,$171.76 ,$207.00 ,$110.26 ,$105.25 ,$180.37 ,$425.00 ,$413.50 ,$140.00 ,$450.00 ,$500.00 ,$413.00 ,$171.76 ,$325.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$2,425.00 ","$1,746.00 ",$95.05 ,"$2,425.00 ",$259.70 ,"$1,940.00 ",$101.80 ,$679.00 ,"$2,117.03 ","$2,228.58 ",$95.05 ,"$2,005.48 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$2,022.45 ","$2,022.45 ","$2,022.45 ",$101.80 ,"$2,022.45 ","$2,075.80 ","$2,075.80 ","$2,182.50 ",$242.48 ,"$2,061.25 ",$101.80 ,$101.80 ,"$1,360.43 ",$101.80 ,"$1,003.95 ",$110.26 ,$105.25 ,$106.90 ,"$2,061.25 ","$2,005.48 ",$679.00 ,"$2,182.50 ","$1,112.00 ","$2,003.05 ",$101.80 ,"$1,576.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$4,518.00 ","$3,252.96 ",$105.25 ,"$4,518.00 ",$895.20 ,"$3,614.40 ",$350.92 ,"$1,265.04 ","$3,944.21 ","$4,152.04 ",$327.65 ,"$3,736.39 ",$350.92 ,$723.32 ,"$2,000.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,768.01 ","$3,768.01 ","$3,768.01 ",$350.92 ,"$3,768.01 ","$3,867.41 ","$3,867.41 ","$4,066.20 ",$835.86 ,"$3,840.30 ",$350.92 ,$350.92 ,"$2,534.60 ",$350.92 ,"$1,870.45 ",$110.26 ,$105.25 ,$368.48 ,"$3,840.30 ","$3,736.39 ","$1,265.04 ","$4,066.20 ","$1,112.00 ","$3,731.87 ",$350.92 ,"$2,936.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,$500.00 ,$360.00 ,$105.25 ,$500.00 ,$438.18 ,$400.00 ,$171.76 ,$140.00 ,$436.50 ,$459.50 ,$160.38 ,$413.50 ,$171.76 ,$354.05 ,$500.00 ,$429.42 ,$171.76 ,$175.20 ,$417.00 ,$417.00 ,$417.00 ,$171.76 ,$417.00 ,$428.00 ,$428.00 ,$450.00 ,$409.14 ,$425.00 ,$171.76 ,$171.76 ,$280.50 ,$171.76 ,$207.00 ,$110.26 ,$105.25 ,$180.37 ,$425.00 ,$413.50 ,$140.00 ,$450.00 ,$500.00 ,$413.00 ,$171.76 ,$325.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$3,389.00 ","$2,440.08 ",$160.38 ,"$3,389.00 ",$438.18 ,"$2,711.20 ",$171.76 ,$948.92 ,"$2,958.60 ","$3,114.49 ",$160.38 ,"$2,802.70 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,826.43 ","$2,826.43 ","$2,826.43 ",$171.76 ,"$2,826.43 ","$2,900.98 ","$2,900.98 ","$3,050.10 ",$409.14 ,"$2,880.65 ",$171.76 ,$171.76 ,"$1,901.23 ",$171.76 ,"$1,403.05 ",$219.54 ,$209.56 ,$180.37 ,"$2,880.65 ","$2,802.70 ",$948.92 ,"$3,050.10 ","$1,112.00 ","$2,799.31 ",$171.76 ,"$2,202.85 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$2,250.00 ","$1,620.00 ",$95.05 ,"$2,250.00 ",$259.70 ,"$1,800.00 ",$101.80 ,$630.00 ,"$1,964.25 ","$2,067.75 ",$95.05 ,"$1,860.75 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,876.50 ","$1,876.50 ","$1,876.50 ",$101.80 ,"$1,876.50 ","$1,926.00 ","$1,926.00 ","$2,025.00 ",$242.48 ,"$1,912.50 ",$101.80 ,$101.80 ,"$1,262.25 ",$101.80 ,$931.50 ,$219.75 ,$209.76 ,$106.90 ,"$1,912.50 ","$1,860.75 ",$630.00 ,"$2,025.00 ","$1,112.00 ","$1,858.50 ",$101.80 ,"$1,462.50 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$2,602.00 ","$1,873.44 ",$160.38 ,"$2,602.00 ",$438.18 ,"$2,081.60 ",$171.76 ,$728.56 ,"$2,271.55 ","$2,391.24 ",$160.38 ,"$2,151.85 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,170.07 ","$2,170.07 ","$2,170.07 ",$171.76 ,"$2,170.07 ","$2,227.31 ","$2,227.31 ","$2,341.80 ",$409.14 ,"$2,211.70 ",$171.76 ,$171.76 ,"$1,459.72 ",$171.76 ,"$1,077.23 ",$219.75 ,$209.76 ,$180.37 ,"$2,211.70 ","$2,151.85 ",$728.56 ,"$2,341.80 ","$1,112.00 ","$2,149.25 ",$171.76 ,"$1,691.30 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$2,527.00 ","$1,819.44 ",$160.38 ,"$2,527.00 ",$438.18 ,"$2,021.60 ",$171.76 ,$707.56 ,"$2,206.07 ","$2,322.31 ",$160.38 ,"$2,089.83 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,107.52 ","$2,107.52 ","$2,107.52 ",$171.76 ,"$2,107.52 ","$2,163.11 ","$2,163.11 ","$2,274.30 ",$409.14 ,"$2,147.95 ",$171.76 ,$171.76 ,"$1,417.65 ",$171.76 ,"$1,046.18 ",$219.75 ,$209.76 ,$180.37 ,"$2,147.95 ","$2,089.83 ",$707.56 ,"$2,274.30 ","$1,112.00 ","$2,087.30 ",$171.76 ,"$1,642.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$2,162.00 ","$1,556.64 ",$92.73 ,"$2,162.00 ",$259.70 ,"$1,729.60 ",$101.80 ,$605.36 ,"$1,887.43 ","$1,986.88 ",$95.05 ,"$1,787.97 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,803.11 ","$1,803.11 ","$1,803.11 ",$101.80 ,"$1,803.11 ","$1,850.67 ","$1,850.67 ","$1,945.80 ",$242.48 ,"$1,837.70 ",$101.80 ,$101.80 ,"$1,212.88 ",$101.80 ,$895.07 ,$97.14 ,$92.73 ,$106.90 ,"$1,837.70 ","$1,787.97 ",$605.36 ,"$1,945.80 ","$1,112.00 ","$1,785.81 ",$101.80 ,"$1,405.30 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$1,398.00 ","$1,006.56 ",$92.73 ,"$1,398.00 ",$895.20 ,"$1,118.40 ",$350.92 ,$391.44 ,"$1,220.45 ","$1,284.76 ",$327.65 ,"$1,156.15 ",$350.92 ,$723.32 ,"$1,398.00 ",$877.30 ,$350.92 ,$357.94 ,"$1,165.93 ","$1,165.93 ","$1,165.93 ",$350.92 ,"$1,165.93 ","$1,196.69 ","$1,196.69 ","$1,258.20 ",$835.86 ,"$1,188.30 ",$350.92 ,$350.92 ,$784.28 ,$350.92 ,$578.77 ,$97.14 ,$92.73 ,$368.48 ,"$1,188.30 ","$1,156.15 ",$391.44 ,"$1,258.20 ","$1,112.00 ","$1,154.75 ",$350.92 ,$908.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$1,464.00 ","$1,054.08 ",$92.73 ,"$1,464.00 ",$438.18 ,"$1,171.20 ",$171.76 ,$409.92 ,"$1,278.07 ","$1,345.42 ",$160.38 ,"$1,210.73 ",$171.76 ,$354.05 ,"$1,464.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,220.98 ","$1,220.98 ","$1,220.98 ",$171.76 ,"$1,220.98 ","$1,253.18 ","$1,253.18 ","$1,317.60 ",$409.14 ,"$1,244.40 ",$171.76 ,$171.76 ,$821.30 ,$171.76 ,$606.10 ,$97.14 ,$92.73 ,$180.37 ,"$1,244.40 ","$1,210.73 ",$409.92 ,"$1,317.60 ","$1,112.00 ","$1,209.26 ",$171.76 ,$951.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$3,147.00 ","$2,265.84 ",$160.38 ,"$3,147.00 ",$438.18 ,"$2,517.60 ",$171.76 ,$881.16 ,"$2,747.33 ","$2,892.09 ",$160.38 ,"$2,602.57 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,624.60 ","$2,624.60 ","$2,624.60 ",$171.76 ,"$2,624.60 ","$2,693.83 ","$2,693.83 ","$2,832.30 ",$409.14 ,"$2,674.95 ",$171.76 ,$171.76 ,"$1,765.47 ",$171.76 ,"$1,302.86 ",$219.54 ,$209.56 ,$180.37 ,"$2,674.95 ","$2,602.57 ",$881.16 ,"$2,832.30 ","$1,112.00 ","$2,599.42 ",$171.76 ,"$2,045.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$2,162.00 ","$1,556.64 ",$92.73 ,"$2,162.00 ",$259.70 ,"$1,729.60 ",$101.80 ,$605.36 ,"$1,887.43 ","$1,986.88 ",$95.05 ,"$1,787.97 ",$101.80 ,$209.83 ,"$2,000.00 ",$254.51 ,$101.80 ,$103.84 ,"$1,803.11 ","$1,803.11 ","$1,803.11 ",$101.80 ,"$1,803.11 ","$1,850.67 ","$1,850.67 ","$1,945.80 ",$242.48 ,"$1,837.70 ",$101.80 ,$101.80 ,"$1,212.88 ",$101.80 ,$895.07 ,$97.14 ,$92.73 ,$106.90 ,"$1,837.70 ","$1,787.97 ",$605.36 ,"$1,945.80 ","$1,112.00 ","$1,785.81 ",$101.80 ,"$1,405.30 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$2,169.00 ","$1,561.68 ",$92.73 ,"$2,169.00 ",$438.18 ,"$1,735.20 ",$171.76 ,$607.32 ,"$1,893.54 ","$1,993.31 ",$160.38 ,"$1,793.76 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$1,808.95 ","$1,808.95 ","$1,808.95 ",$171.76 ,"$1,808.95 ","$1,856.66 ","$1,856.66 ","$1,952.10 ",$409.14 ,"$1,843.65 ",$171.76 ,$171.76 ,"$1,216.81 ",$171.76 ,$897.97 ,$97.14 ,$92.73 ,$180.37 ,"$1,843.65 ","$1,793.76 ",$607.32 ,"$1,952.10 ","$1,112.00 ","$1,791.59 ",$171.76 ,"$1,409.85 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$1,189.00 ",$856.08 ,$92.73 ,"$1,189.00 ",$438.18 ,$951.20 ,$171.76 ,$332.92 ,"$1,038.00 ","$1,092.69 ",$160.38 ,$983.30 ,$171.76 ,$354.05 ,"$1,189.00 ",$429.42 ,$171.76 ,$175.20 ,$991.63 ,$991.63 ,$991.63 ,$171.76 ,$991.63 ,"$1,017.78 ","$1,017.78 ","$1,070.10 ",$409.14 ,"$1,010.65 ",$171.76 ,$171.76 ,$667.03 ,$171.76 ,$492.25 ,$97.14 ,$92.73 ,$180.37 ,"$1,010.65 ",$983.30 ,$332.92 ,"$1,070.10 ","$1,112.00 ",$982.11 ,$171.76 ,$772.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$3,147.00 ","$2,265.84 ",$160.38 ,"$3,147.00 ",$438.18 ,"$2,517.60 ",$171.76 ,$881.16 ,"$2,747.33 ","$2,892.09 ",$160.38 ,"$2,602.57 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,624.60 ","$2,624.60 ","$2,624.60 ",$171.76 ,"$2,624.60 ","$2,693.83 ","$2,693.83 ","$2,832.30 ",$409.14 ,"$2,674.95 ",$171.76 ,$171.76 ,"$1,765.47 ",$171.76 ,"$1,302.86 ",$219.54 ,$209.56 ,$180.37 ,"$2,674.95 ","$2,602.57 ",$881.16 ,"$2,832.30 ","$1,112.00 ","$2,599.42 ",$171.76 ,"$2,045.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$2,527.00 ","$1,819.44 ",$95.05 ,"$2,527.00 ",$259.70 ,"$2,021.60 ",$101.80 ,$707.56 ,"$2,206.07 ","$2,322.31 ",$95.05 ,"$2,089.83 ",$101.80 ,$209.83 ,"$2,324.84 ",$254.51 ,$101.80 ,$103.84 ,"$2,107.52 ","$2,107.52 ","$2,107.52 ",$101.80 ,"$2,107.52 ","$2,163.11 ","$2,163.11 ","$2,274.30 ",$242.48 ,"$2,147.95 ",$101.80 ,$101.80 ,"$1,417.65 ",$101.80 ,"$1,046.18 ",$219.75 ,$209.76 ,$106.90 ,"$2,147.95 ","$2,089.83 ",$707.56 ,"$2,274.30 ","$1,112.00 ","$2,087.30 ",$101.80 ,"$1,642.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$3,191.00 ","$2,297.52 ",$160.38 ,"$3,191.00 ",$438.18 ,"$2,552.80 ",$171.76 ,$893.48 ,"$2,785.74 ","$2,932.53 ",$160.38 ,"$2,638.96 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,661.29 ","$2,661.29 ","$2,661.29 ",$171.76 ,"$2,661.29 ","$2,731.50 ","$2,731.50 ","$2,871.90 ",$409.14 ,"$2,712.35 ",$171.76 ,$171.76 ,"$1,790.15 ",$171.76 ,"$1,321.07 ",$219.75 ,$209.76 ,$180.37 ,"$2,712.35 ","$2,638.96 ",$893.48 ,"$2,871.90 ","$1,112.00 ","$2,635.77 ",$171.76 ,"$2,074.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$2,759.00 ","$1,986.48 ",$160.38 ,"$2,759.00 ",$438.18 ,"$2,207.20 ",$171.76 ,$772.52 ,"$2,408.61 ","$2,535.52 ",$160.38 ,"$2,281.69 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,301.01 ","$2,301.01 ","$2,301.01 ",$171.76 ,"$2,301.01 ","$2,361.70 ","$2,361.70 ","$2,483.10 ",$409.14 ,"$2,345.15 ",$171.76 ,$171.76 ,"$1,547.80 ",$171.76 ,"$1,142.23 ",$219.75 ,$209.76 ,$180.37 ,"$2,345.15 ","$2,281.69 ",$772.52 ,"$2,483.10 ","$1,112.00 ","$2,278.93 ",$171.76 ,"$1,793.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,147.00 ","$2,265.84 ",$160.38 ,"$3,147.00 ",$438.18 ,"$2,517.60 ",$171.76 ,$881.16 ,"$2,747.33 ","$2,892.09 ",$160.38 ,"$2,602.57 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$2,624.60 ","$2,624.60 ","$2,624.60 ",$171.76 ,"$2,624.60 ","$2,693.83 ","$2,693.83 ","$2,832.30 ",$409.14 ,"$2,674.95 ",$171.76 ,$171.76 ,"$1,765.47 ",$171.76 ,"$1,302.86 ",$219.54 ,$209.56 ,$180.37 ,"$2,674.95 ","$2,602.57 ",$881.16 ,"$2,832.30 ","$1,112.00 ","$2,599.42 ",$171.76 ,"$2,045.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$5,015.00 ","$3,610.80 ",$207.67 ,"$5,015.00 ",$567.40 ,"$4,012.00 ",$222.42 ,"$1,404.20 ","$4,378.10 ","$4,608.79 ",$207.67 ,"$4,147.41 ",$222.42 ,$458.46 ,"$2,000.00 ",$556.05 ,$222.42 ,$226.87 ,"$4,182.51 ","$4,182.51 ","$4,182.51 ",$222.42 ,"$4,182.51 ","$4,292.84 ","$4,292.84 ","$4,513.50 ",$529.79 ,"$4,262.75 ",$222.42 ,$222.42 ,"$2,813.42 ",$222.42 ,"$2,076.21 ",$219.75 ,$209.76 ,$233.55 ,"$4,262.75 ","$4,147.41 ","$1,404.20 ","$4,513.50 ","$1,112.00 ","$4,142.39 ",$222.42 ,"$3,259.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$5,952.00 ","$4,285.44 ",$209.76 ,"$5,952.00 ",$895.20 ,"$4,761.60 ",$350.92 ,"$1,666.56 ","$5,196.10 ","$5,469.89 ",$327.65 ,"$4,922.30 ",$350.92 ,$723.32 ,"$2,000.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,963.97 ","$4,963.97 ","$4,963.97 ",$350.92 ,"$4,963.97 ","$5,094.91 ","$5,094.91 ","$5,356.80 ",$835.86 ,"$5,059.20 ",$350.92 ,$350.92 ,"$3,339.07 ",$350.92 ,"$2,464.13 ",$219.75 ,$209.76 ,$368.48 ,"$5,059.20 ","$4,922.30 ","$1,666.56 ","$5,356.80 ","$1,112.00 ","$4,916.35 ",$350.92 ,"$3,868.80 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$5,550.00 ","$3,996.00 ",$209.76 ,"$5,550.00 ",$895.20 ,"$4,440.00 ",$350.92 ,"$1,554.00 ","$4,845.15 ","$5,100.45 ",$327.65 ,"$4,589.85 ",$350.92 ,$723.32 ,"$2,000.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,628.70 ","$4,628.70 ","$4,628.70 ",$350.92 ,"$4,628.70 ","$4,750.80 ","$4,750.80 ","$4,995.00 ",$835.86 ,"$4,717.50 ",$350.92 ,$350.92 ,"$3,113.55 ",$350.92 ,"$2,297.70 ",$219.75 ,$209.76 ,$368.48 ,"$4,717.50 ","$4,589.85 ","$1,554.00 ","$4,995.00 ","$1,112.00 ","$4,584.30 ",$350.92 ,"$3,607.50 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000087,75571,HC CT HRT W/O DYE W/CA TEST,350,1 ,$99.00 ,$71.28 ,$27.72 ,$211.10 ,$211.10 ,$79.20 ,$82.75 ,$27.72 ,$86.43 ,$90.98 ,$77.26 ,$81.87 ,$82.75 ,$99.00 ,$99.00 ,$97.02 ,$82.75 ,$84.41 ,$82.57 ,$82.57 ,$82.57 ,$82.75 ,$82.57 ,$84.74 ,$84.74 ,$89.10 ,$99.00 ,$84.15 ,$82.75 ,$82.75 ,$55.54 ,$82.75 ,$40.99 , N/A , N/A ,$86.90 ,$84.15 ,$81.87 ,$27.72 ,$89.10 ,$99.00 ,$81.77 ,$82.75 ,$64.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$6,535.00 ","$4,705.20 ",$160.38 ,"$6,535.00 ",$438.18 ,"$5,228.00 ",$171.76 ,"$1,829.80 ","$5,705.06 ","$6,005.67 ",$160.38 ,"$5,404.45 ",$171.76 ,$354.05 ,"$2,000.00 ",$429.42 ,$171.76 ,$175.20 ,"$5,450.19 ","$5,450.19 ","$5,450.19 ",$171.76 ,"$5,450.19 ","$5,593.96 ","$5,593.96 ","$5,881.50 ",$409.14 ,"$5,554.75 ",$171.76 ,$171.76 ,"$3,666.14 ",$171.76 ,"$2,705.49 ",$219.54 ,$209.56 ,$180.37 ,"$5,554.75 ","$5,404.45 ","$1,829.80 ","$5,881.50 ","$1,112.00 ","$5,397.91 ",$171.76 ,"$4,247.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000120,74174,HC CT ANGIO ABD/PELV W  AND  WO CONTRAST,350,1 ,"$5,831.00 ","$4,198.32 ",$209.76 ,"$5,831.00 ",$895.20 ,"$4,664.80 ",$350.92 ,"$1,632.68 ","$5,090.46 ","$5,358.69 ",$327.65 ,"$4,822.24 ",$350.92 ,$723.32 ,"$2,000.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,863.05 ","$4,863.05 ","$4,863.05 ",$350.92 ,"$4,863.05 ","$4,991.34 ","$4,991.34 ","$5,247.90 ",$835.86 ,"$4,956.35 ",$350.92 ,$350.92 ,"$3,271.19 ",$350.92 ,"$2,414.03 ",$219.75 ,$209.76 ,$368.48 ,"$4,956.35 ","$4,822.24 ","$1,632.68 ","$5,247.90 ","$1,112.00 ","$4,816.41 ",$350.92 ,"$3,790.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$227.00 ,$163.44 ,$63.56 ,$259.70 ,$259.70 ,$181.60 ,$101.80 ,$63.56 ,$198.17 ,$208.61 ,$95.05 ,$187.73 ,$101.80 ,$209.83 ,$227.00 ,$222.46 ,$101.80 ,$103.84 ,$189.32 ,$189.32 ,$189.32 ,$101.80 ,$189.32 ,$194.31 ,$194.31 ,$204.30 ,$227.00 ,$192.95 ,$101.80 ,$101.80 ,$127.35 ,$101.80 ,$93.98 ,$97.14 ,$92.73 ,$106.90 ,$192.95 ,$187.73 ,$63.56 ,$204.30 ,$227.00 ,$187.50 ,$101.80 ,$147.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$523.00 ,$376.56 ,$146.44 ,$906.48 ,$906.48 ,$418.40 ,$355.34 ,$146.44 ,$456.58 ,$480.64 ,$331.78 ,$432.52 ,$355.34 ,$523.00 ,$481.16 ,$512.54 ,$355.34 ,$362.44 ,$436.18 ,$436.18 ,$436.18 ,$355.34 ,$436.18 ,$447.69 ,$447.69 ,$470.70 ,$523.00 ,$444.55 ,$355.34 ,$355.34 ,$293.40 ,$355.34 ,$216.52 ,$210.22 ,$200.67 ,$373.13 ,$444.55 ,$432.52 ,$146.44 ,$470.70 ,$410.56 ,$432.00 ,$355.34 ,$339.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$2,057.00 ","$1,481.04 ",$575.96 ,"$7,238.23 ","$7,238.23 ","$1,645.60 ","$2,015.86 ",$575.96 ,"$1,795.76 ","$1,890.38 ","$2,015.86 ","$1,701.14 ","$2,015.86 ","$2,057.00 ","$1,892.44 ","$2,015.86 ","$2,837.38 ","$2,056.18 ","$1,715.54 ","$1,715.54 ","$1,715.54 ","$2,015.86 ","$1,715.54 ","$1,760.79 ","$1,760.79 ","$1,851.30 ","$2,057.00 ","$1,748.45 ","$2,015.86 ","$2,015.86 ","$1,153.98 ","$2,837.38 ",$851.60 ,"$1,190.83 ","$1,136.70 ","$2,015.86 ","$1,748.45 ","$1,701.14 ",$575.96 ,"$1,851.30 ","$1,614.75 ","$1,699.08 ","$2,837.38 ","$1,337.05 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000125,36558,HC INSERT TUNNELED CVC > 5 YEARS OLD,360,1 ,"$2,183.00 ","$1,571.76 ",$611.24 ,"$7,238.23 ","$7,238.23 ","$1,746.40 ","$2,139.34 ",$611.24 ,"$1,905.76 ","$2,006.18 ","$2,139.34 ","$1,805.34 ","$2,139.34 ","$2,183.00 ","$2,008.36 ","$2,139.34 ","$2,837.38 ","$2,182.13 ","$1,820.62 ","$1,820.62 ","$1,820.62 ","$2,139.34 ","$1,820.62 ","$1,868.65 ","$1,868.65 ","$1,964.70 ","$2,183.00 ","$1,855.55 ","$2,139.34 ","$2,139.34 ","$1,224.66 ","$2,837.38 ",$903.76 ,"$1,190.83 ","$1,136.70 ","$2,139.34 ","$1,855.55 ","$1,805.34 ",$611.24 ,"$1,964.70 ","$1,713.66 ","$1,803.16 ","$2,837.38 ","$1,418.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$1,237.00 ",$890.64 ,$330.89 ,"$3,615.15 ","$3,615.15 ",$989.60 ,"$1,212.26 ",$346.36 ,"$1,079.90 ","$1,136.80 ","$1,212.26 ","$1,023.00 ","$1,212.26 ","$1,237.00 ","$1,138.04 ","$1,212.26 ","$1,417.14 ","$1,236.51 ","$1,031.66 ","$1,031.66 ","$1,031.66 ","$1,212.26 ","$1,031.66 ","$1,058.87 ","$1,058.87 ","$1,113.30 ","$1,237.00 ","$1,051.45 ","$1,212.26 ","$1,212.26 ",$693.96 ,"$1,417.14 ",$512.12 ,$346.64 ,$330.89 ,"$1,212.26 ","$1,051.45 ","$1,023.00 ",$346.36 ,"$1,113.30 ",$971.05 ,"$1,021.76 ","$1,417.14 ",$804.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000194,62270,HC LUMBAR PUNCTURE,360,1 ,$824.00 ,$593.28 ,$230.72 ,"$1,565.60 ","$1,565.60 ",$659.20 ,$613.72 ,$230.72 ,$719.35 ,$757.26 ,$573.04 ,$681.45 ,$613.72 ,$824.00 ,$758.08 ,$807.52 ,$613.72 ,$625.98 ,$687.22 ,$687.22 ,$687.22 ,$613.72 ,$687.22 ,$705.34 ,$705.34 ,$741.60 ,$824.00 ,$700.40 ,$613.72 ,$613.72 ,$462.26 ,$613.72 ,$341.14 ,$361.46 ,$345.03 ,$644.43 ,$700.40 ,$681.45 ,$230.72 ,$741.60 ,$646.84 ,$680.62 ,$613.72 ,$535.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000546,11750,HC REMOVE NAIL BED,360,1 ,$763.00 ,$549.36 ,$213.64 ,$906.48 ,$906.48 ,$610.40 ,$355.34 ,$213.64 ,$666.10 ,$701.20 ,$331.78 ,$631.00 ,$355.34 ,$732.43 ,$701.96 ,$747.74 ,$355.34 ,$362.44 ,$636.34 ,$636.34 ,$636.34 ,$355.34 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$763.00 ,$648.55 ,$355.34 ,$355.34 ,$428.04 ,$355.34 ,$315.88 ,$450.85 ,$430.35 ,$373.13 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$355.34 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000581,30801,HC ABLATION SOFT TISSUE INF TURBINATES UNI/BIL,360,1 ,$685.00 ,$493.20 ,$79.75 ,"$3,372.88 ","$3,372.88 ",$548.00 ,$671.30 ,$191.80 ,$598.01 ,$629.52 ,$671.30 ,$566.50 ,$671.30 ,$685.00 ,$630.20 ,$671.30 ,"$1,322.17 ",$684.73 ,$571.29 ,$571.29 ,$571.29 ,$671.30 ,$571.29 ,$586.36 ,$586.36 ,$616.50 ,$685.00 ,$582.25 ,$671.30 ,$671.30 ,$384.29 ,"$1,322.17 ",$283.59 ,$83.55 ,$79.75 ,$671.30 ,$582.25 ,$566.50 ,$191.80 ,$616.50 ,$537.73 ,$565.81 ,"$1,322.17 ",$445.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000771,23552,HC TX CLAVICAL DISC,360,1 ,"$18,484.00 ","$13,308.48 ","$2,993.22 ","$18,484.00 ","$16,072.08 ","$14,787.20 ","$6,300.25 ","$5,175.52 ","$16,136.53 ","$16,986.80 ","$5,882.59 ","$15,286.27 ","$6,300.25 ","$12,986.12 ","$17,005.28 ","$15,750.64 ","$6,300.25 ","$6,426.26 ","$15,415.66 ","$15,415.66 ","$15,415.66 ","$6,300.25 ","$15,415.66 ","$15,822.30 ","$15,822.30 ","$16,635.60 ","$15,006.61 ","$15,711.40 ","$6,300.25 ","$6,300.25 ","$10,369.52 ","$6,300.25 ","$7,652.38 ","$3,135.76 ","$2,993.22 ","$6,615.56 ","$15,711.40 ","$15,286.27 ","$5,175.52 ","$16,635.60 ","$14,509.94 ","$15,267.78 ","$6,300.25 ","$12,014.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000772,29824,HC SURG ARTHO SHLDR DSTL CLAV,360,1 ,"$8,747.00 ","$6,297.84 ","$1,371.10 ","$8,747.00 ","$7,232.63 ","$6,997.60 ","$2,835.19 ","$2,449.16 ","$7,636.13 ","$8,038.49 ","$2,647.23 ","$7,233.77 ","$2,835.19 ","$5,843.90 ","$8,047.24 ","$7,087.98 ","$2,835.19 ","$2,891.89 ","$7,295.00 ","$7,295.00 ","$7,295.00 ","$2,835.19 ","$7,295.00 ","$7,487.43 ","$7,487.43 ","$7,872.30 ","$6,753.15 ","$7,434.95 ","$2,835.19 ","$2,835.19 ","$4,907.07 ","$2,835.19 ","$3,621.26 ","$1,436.39 ","$1,371.10 ","$2,977.08 ","$7,434.95 ","$7,233.77 ","$2,449.16 ","$7,872.30 ","$6,866.40 ","$7,225.02 ","$2,835.19 ","$5,685.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000773,14041,HC TISS TRANS WND 10.1-30 SQ CM,360,1 ,"$5,459.00 ","$3,930.48 ","$1,170.48 ","$5,459.00 ","$4,193.45 ","$4,367.20 ","$1,643.83 ","$1,528.52 ","$4,765.71 ","$5,016.82 ","$1,534.86 ","$4,514.59 ","$1,643.83 ","$3,388.28 ","$5,022.28 ","$4,109.58 ","$1,643.83 ","$1,676.71 ","$4,552.81 ","$4,552.81 ","$4,552.81 ","$1,643.83 ","$4,552.81 ","$4,672.90 ","$4,672.90 ","$4,913.10 ","$3,915.46 ","$4,640.15 ","$1,643.83 ","$1,643.83 ","$3,062.50 ","$1,643.83 ","$2,260.03 ","$1,226.21 ","$1,170.48 ","$1,726.10 ","$4,640.15 ","$4,514.59 ","$1,528.52 ","$4,913.10 ","$4,285.32 ","$4,509.13 ","$1,643.83 ","$3,548.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000774,24071,HC EXC ARM/ELBOW LES CM 3CM/>,360,1 ,"$7,324.00 ","$5,273.28 ",$430.35 ,"$7,324.00 ","$6,276.73 ","$5,859.20 ","$2,460.48 ","$2,050.72 ","$6,393.85 ","$6,730.76 ","$2,297.36 ","$6,056.95 ","$2,460.48 ","$5,071.55 ","$6,738.08 ","$6,151.20 ","$2,460.48 ","$2,509.68 ","$6,108.22 ","$6,108.22 ","$6,108.22 ","$2,460.48 ","$6,108.22 ","$6,269.34 ","$6,269.34 ","$6,591.60 ","$5,860.62 ","$6,225.40 ","$2,460.48 ","$2,460.48 ","$4,108.76 ","$2,460.48 ","$3,032.14 ",$450.85 ,$430.35 ,"$2,583.61 ","$6,225.40 ","$6,056.95 ","$2,050.72 ","$6,591.60 ","$5,749.34 ","$6,049.62 ","$2,460.48 ","$4,760.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36000775,22901,HC EXC TUMOR 5CM> ABD WALL,360,1 ,"$7,324.00 ","$5,273.28 ",$860.72 ,"$7,324.00 ","$6,276.73 ","$5,859.20 ","$2,460.48 ","$2,050.72 ","$6,393.85 ","$6,730.76 ","$2,297.36 ","$6,056.95 ","$2,460.48 ","$5,071.55 ","$6,738.08 ","$6,151.20 ","$2,460.48 ","$2,509.68 ","$6,108.22 ","$6,108.22 ","$6,108.22 ","$2,460.48 ","$6,108.22 ","$6,269.34 ","$6,269.34 ","$6,591.60 ","$5,860.62 ","$6,225.40 ","$2,460.48 ","$2,460.48 ","$4,108.76 ","$2,460.48 ","$3,032.14 ",$901.70 ,$860.72 ,"$2,583.61 ","$6,225.40 ","$6,056.95 ","$2,050.72 ","$6,591.60 ","$5,749.34 ","$6,049.62 ","$2,460.48 ","$4,760.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,$792.00 ,$570.24 ,$221.76 ,$792.00 , N/A ,$633.60 , N/A ,$221.76 ,$691.42 ,$727.85 , N/A ,$654.98 , N/A , N/A ,$728.64 , N/A , N/A , N/A ,$660.53 ,$660.53 ,$660.53 , N/A ,$660.53 ,$677.95 ,$677.95 ,$712.80 , N/A ,$673.20 , N/A , N/A ,$444.31 , N/A ,$327.89 , N/A , N/A , N/A ,$673.20 ,$654.98 ,$221.76 ,$712.80 ,$621.72 ,$654.19 , N/A ,$514.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,"$1,038.00 ",$747.36 ,$290.64 ,"$1,038.00 ", N/A ,$830.40 , N/A ,$290.64 ,$906.17 ,$953.92 , N/A ,$858.43 , N/A , N/A ,$954.96 , N/A , N/A , N/A ,$865.69 ,$865.69 ,$865.69 , N/A ,$865.69 ,$888.53 ,$888.53 ,$934.20 , N/A ,$882.30 , N/A , N/A ,$582.32 , N/A ,$429.73 , N/A , N/A , N/A ,$882.30 ,$858.43 ,$290.64 ,$934.20 ,$814.83 ,$857.39 , N/A ,$674.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,"$1,252.00 ",$901.44 ,$350.56 ,"$1,252.00 ", N/A ,"$1,001.60 ", N/A ,$350.56 ,"$1,093.00 ","$1,150.59 ", N/A ,"$1,035.40 ", N/A , N/A ,"$1,151.84 ", N/A , N/A , N/A ,"$1,044.17 ","$1,044.17 ","$1,044.17 ", N/A ,"$1,044.17 ","$1,071.71 ","$1,071.71 ","$1,126.80 ", N/A ,"$1,064.20 ", N/A , N/A ,$702.37 , N/A ,$518.33 , N/A , N/A , N/A ,"$1,064.20 ","$1,035.40 ",$350.56 ,"$1,126.80 ",$982.82 ,"$1,034.15 ", N/A ,$813.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,"$1,397.00 ","$1,005.84 ",$391.16 ,"$1,397.00 ", N/A ,"$1,117.60 ", N/A ,$391.16 ,"$1,219.58 ","$1,283.84 ", N/A ,"$1,155.32 ", N/A , N/A ,"$1,285.24 ", N/A , N/A , N/A ,"$1,165.10 ","$1,165.10 ","$1,165.10 ", N/A ,"$1,165.10 ","$1,195.83 ","$1,195.83 ","$1,257.30 ", N/A ,"$1,187.45 ", N/A , N/A ,$783.72 , N/A ,$578.36 , N/A , N/A , N/A ,"$1,187.45 ","$1,155.32 ",$391.16 ,"$1,257.30 ","$1,096.65 ","$1,153.92 ", N/A ,$908.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,"$1,614.00 ","$1,162.08 ",$451.92 ,"$1,614.00 ", N/A ,"$1,291.20 ", N/A ,$451.92 ,"$1,409.02 ","$1,483.27 ", N/A ,"$1,334.78 ", N/A , N/A ,"$1,484.88 ", N/A , N/A , N/A ,"$1,346.08 ","$1,346.08 ","$1,346.08 ", N/A ,"$1,346.08 ","$1,381.58 ","$1,381.58 ","$1,452.60 ", N/A ,"$1,371.90 ", N/A , N/A ,$905.45 , N/A ,$668.20 , N/A , N/A , N/A ,"$1,371.90 ","$1,334.78 ",$451.92 ,"$1,452.60 ","$1,266.99 ","$1,333.16 ", N/A ,"$1,049.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060025,N/A,HC OR LEVEL 1 INITIAL 30MIN,360,1 ,"$3,352.00 ","$2,413.44 ",$938.56 ,"$3,352.00 ", N/A ,"$2,681.60 ", N/A ,$938.56 ,"$2,926.30 ","$3,080.49 ", N/A ,"$2,772.10 ", N/A , N/A ,"$3,083.84 ", N/A , N/A , N/A ,"$2,795.57 ","$2,795.57 ","$2,795.57 ", N/A ,"$2,795.57 ","$2,869.31 ","$2,869.31 ","$3,016.80 ", N/A ,"$2,849.20 ", N/A , N/A ,"$1,880.47 ", N/A ,"$1,387.73 ", N/A , N/A , N/A ,"$2,849.20 ","$2,772.10 ",$938.56 ,"$3,016.80 ","$2,631.32 ","$2,768.75 ", N/A ,"$2,178.80 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060026,N/A,HC OR LEVEL 2 INITIAL 30MIN,360,1 ,"$5,529.00 ","$3,980.88 ","$1,548.12 ","$5,529.00 ", N/A ,"$4,423.20 ", N/A ,"$1,548.12 ","$4,826.82 ","$5,081.15 ", N/A ,"$4,572.48 ", N/A , N/A ,"$5,086.68 ", N/A , N/A , N/A ,"$4,611.19 ","$4,611.19 ","$4,611.19 ", N/A ,"$4,611.19 ","$4,732.82 ","$4,732.82 ","$4,976.10 ", N/A ,"$4,699.65 ", N/A , N/A ,"$3,101.77 ", N/A ,"$2,289.01 ", N/A , N/A , N/A ,"$4,699.65 ","$4,572.48 ","$1,548.12 ","$4,976.10 ","$4,340.27 ","$4,566.95 ", N/A ,"$3,593.85 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060027,N/A,HC OR LEVEL 3 INITIAL 30MIN,360,1 ,"$5,764.00 ","$4,150.08 ","$1,613.92 ","$5,764.00 ", N/A ,"$4,611.20 ", N/A ,"$1,613.92 ","$5,031.97 ","$5,297.12 ", N/A ,"$4,766.83 ", N/A , N/A ,"$5,302.88 ", N/A , N/A , N/A ,"$4,807.18 ","$4,807.18 ","$4,807.18 ", N/A ,"$4,807.18 ","$4,933.98 ","$4,933.98 ","$5,187.60 ", N/A ,"$4,899.40 ", N/A , N/A ,"$3,233.60 ", N/A ,"$2,386.30 ", N/A , N/A , N/A ,"$4,899.40 ","$4,766.83 ","$1,613.92 ","$5,187.60 ","$4,524.74 ","$4,761.06 ", N/A ,"$3,746.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060028,N/A,HC OR LEVEL 4 INITIAL 30MIN,360,1 ,"$6,004.00 ","$4,322.88 ","$1,681.12 ","$6,004.00 ", N/A ,"$4,803.20 ", N/A ,"$1,681.12 ","$5,241.49 ","$5,517.68 ", N/A ,"$4,965.31 ", N/A , N/A ,"$5,523.68 ", N/A , N/A , N/A ,"$5,007.34 ","$5,007.34 ","$5,007.34 ", N/A ,"$5,007.34 ","$5,139.42 ","$5,139.42 ","$5,403.60 ", N/A ,"$5,103.40 ", N/A , N/A ,"$3,368.24 ", N/A ,"$2,485.66 ", N/A , N/A , N/A ,"$5,103.40 ","$4,965.31 ","$1,681.12 ","$5,403.60 ","$4,713.14 ","$4,959.30 ", N/A ,"$3,902.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36060029,N/A,HC OR LEVEL 5 INITIAL 30MIN,360,1 ,"$6,537.00 ","$4,706.64 ","$1,830.36 ","$6,537.00 ", N/A ,"$5,229.60 ", N/A ,"$1,830.36 ","$5,706.80 ","$6,007.50 ", N/A ,"$5,406.10 ", N/A , N/A ,"$6,014.04 ", N/A , N/A , N/A ,"$5,451.86 ","$5,451.86 ","$5,451.86 ", N/A ,"$5,451.86 ","$5,595.67 ","$5,595.67 ","$5,883.30 ", N/A ,"$5,556.45 ", N/A , N/A ,"$3,667.26 ", N/A ,"$2,706.32 ", N/A , N/A , N/A ,"$5,556.45 ","$5,406.10 ","$1,830.36 ","$5,883.30 ","$5,131.55 ","$5,399.56 ", N/A ,"$4,249.05 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36063345,11043,"HC DEBRIDEMENT, MUSCLE AND/OR FASCIA",360,1 ,"$1,848.00 ","$1,330.56 ",$516.66 ,"$1,848.00 ","$1,411.58 ","$1,478.40 ",$553.34 ,$517.44 ,"$1,613.30 ","$1,698.31 ",$516.66 ,"$1,528.30 ",$553.34 ,"$1,140.55 ","$1,700.16 ","$1,383.35 ",$553.34 ,$564.40 ,"$1,541.23 ","$1,541.23 ","$1,541.23 ",$553.34 ,"$1,541.23 ","$1,581.89 ","$1,581.89 ","$1,663.20 ","$1,318.00 ","$1,570.80 ",$553.34 ,$553.34 ,"$1,036.73 ",$553.34 ,$765.07 ,$583.59 ,$557.07 ,$581.03 ,"$1,570.80 ","$1,528.30 ",$517.44 ,"$1,663.20 ","$1,450.68 ","$1,526.45 ",$553.34 ,"$1,201.20 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36080008,64417,HC NERVE BLOCK AXILLARY NERVE,360,1 ,"$2,403.00 ","$1,730.16 ",$293.69 ,"$2,403.00 ","$2,070.60 ","$1,922.40 ",$811.68 ,$672.84 ,"$2,097.82 ","$2,208.36 ",$757.87 ,"$1,987.28 ",$811.68 ,"$1,673.04 ","$2,210.76 ","$2,029.19 ",$811.68 ,$827.90 ,"$2,004.10 ","$2,004.10 ","$2,004.10 ",$811.68 ,"$2,004.10 ","$2,056.97 ","$2,056.97 ","$2,162.70 ","$1,933.34 ","$2,042.55 ",$811.68 ,$811.68 ,"$1,348.08 ",$811.68 ,$994.84 ,$307.67 ,$293.69 ,$852.30 ,"$2,042.55 ","$1,987.28 ",$672.84 ,"$2,162.70 ","$1,886.36 ","$1,984.88 ",$811.68 ,"$1,561.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,$956.00 ,$688.32 ,$267.68 ,$990.95 ,$990.95 ,$764.80 ,$388.45 ,$267.68 ,$834.59 ,$878.56 ,$362.70 ,$790.61 ,$388.45 ,$800.68 ,$879.52 ,$936.88 ,$388.45 ,$396.22 ,$797.30 ,$797.30 ,$797.30 ,$388.45 ,$797.30 ,$818.34 ,$818.34 ,$860.40 ,$925.26 ,$812.60 ,$388.45 ,$388.45 ,$536.32 ,$388.45 ,$395.78 ,$339.69 ,$324.25 ,$407.90 ,$812.60 ,$790.61 ,$267.68 ,$860.40 ,$750.46 ,$789.66 ,$388.45 ,$621.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,$808.00 ,$581.76 ,$216.17 ,$808.00 ,$660.63 ,$646.40 ,$258.96 ,$226.24 ,$705.38 ,$742.55 ,$241.80 ,$668.22 ,$258.96 ,$533.79 ,$743.36 ,$647.42 ,$258.96 ,$264.15 ,$673.87 ,$673.87 ,$673.87 ,$258.96 ,$673.87 ,$691.65 ,$691.65 ,$727.20 ,$616.84 ,$686.80 ,$258.96 ,$258.96 ,$453.29 ,$258.96 ,$334.51 ,$226.47 ,$216.17 ,$271.93 ,$686.80 ,$668.22 ,$226.24 ,$727.20 ,$634.28 ,$667.41 ,$258.96 ,$525.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,$808.00 ,$581.76 ,$216.17 ,$808.00 ,$660.63 ,$646.40 ,$258.96 ,$226.24 ,$705.38 ,$742.55 ,$241.80 ,$668.22 ,$258.96 ,$533.79 ,$743.36 ,$647.42 ,$258.96 ,$264.15 ,$673.87 ,$673.87 ,$673.87 ,$258.96 ,$673.87 ,$691.65 ,$691.65 ,$727.20 ,$616.84 ,$686.80 ,$258.96 ,$258.96 ,$453.29 ,$258.96 ,$334.51 ,$226.47 ,$216.17 ,$271.93 ,$686.80 ,$668.22 ,$226.24 ,$727.20 ,$634.28 ,$667.41 ,$258.96 ,$525.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$911.00 ,$655.92 ,$216.17 ,$911.00 ,$660.63 ,$728.80 ,$258.96 ,$255.08 ,$795.30 ,$837.21 ,$241.80 ,$753.40 ,$258.96 ,$533.79 ,$838.12 ,$647.42 ,$258.96 ,$264.15 ,$759.77 ,$759.77 ,$759.77 ,$258.96 ,$759.77 ,$779.82 ,$779.82 ,$819.90 ,$616.84 ,$774.35 ,$258.96 ,$258.96 ,$511.07 ,$258.96 ,$377.15 ,$226.47 ,$216.17 ,$271.93 ,$774.35 ,$753.40 ,$255.08 ,$819.90 ,$715.14 ,$752.49 ,$258.96 ,$592.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$911.00 ,$655.92 ,$216.17 ,$911.00 ,$660.63 ,$728.80 ,$258.96 ,$255.08 ,$795.30 ,$837.21 ,$241.80 ,$753.40 ,$258.96 ,$533.79 ,$838.12 ,$647.42 ,$258.96 ,$264.15 ,$759.77 ,$759.77 ,$759.77 ,$258.96 ,$759.77 ,$779.82 ,$779.82 ,$819.90 ,$616.84 ,$774.35 ,$258.96 ,$258.96 ,$511.07 ,$258.96 ,$377.15 ,$226.47 ,$216.17 ,$271.93 ,$774.35 ,$753.40 ,$255.08 ,$819.90 ,$715.14 ,$752.49 ,$258.96 ,$592.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,$923.00 ,$664.56 ,$216.17 ,$923.00 ,$660.63 ,$738.40 ,$258.96 ,$258.44 ,$805.78 ,$848.24 ,$241.80 ,$763.32 ,$258.96 ,$533.79 ,$849.16 ,$647.42 ,$258.96 ,$264.15 ,$769.78 ,$769.78 ,$769.78 ,$258.96 ,$769.78 ,$790.09 ,$790.09 ,$830.70 ,$616.84 ,$784.55 ,$258.96 ,$258.96 ,$517.80 ,$258.96 ,$382.12 ,$226.47 ,$216.17 ,$271.93 ,$784.55 ,$763.32 ,$258.44 ,$830.70 ,$724.56 ,$762.40 ,$258.96 ,$599.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,$923.00 ,$664.56 ,$216.17 ,$923.00 ,$660.63 ,$738.40 ,$258.96 ,$258.44 ,$805.78 ,$848.24 ,$241.80 ,$763.32 ,$258.96 ,$533.79 ,$849.16 ,$647.42 ,$258.96 ,$264.15 ,$769.78 ,$769.78 ,$769.78 ,$258.96 ,$769.78 ,$790.09 ,$790.09 ,$830.70 ,$616.84 ,$784.55 ,$258.96 ,$258.96 ,$517.80 ,$258.96 ,$382.12 ,$226.47 ,$216.17 ,$271.93 ,$784.55 ,$763.32 ,$258.44 ,$830.70 ,$724.56 ,$762.40 ,$258.96 ,$599.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$872.00 ,$627.84 ,$184.83 ,$872.00 ,$504.98 ,$697.60 ,$197.95 ,$244.16 ,$761.26 ,$801.37 ,$184.83 ,$721.14 ,$197.95 ,$408.02 ,$802.24 ,$494.88 ,$197.95 ,$201.91 ,$727.25 ,$727.25 ,$727.25 ,$197.95 ,$727.25 ,$746.43 ,$746.43 ,$784.80 ,$471.50 ,$741.20 ,$197.95 ,$197.95 ,$489.19 ,$197.95 ,$361.01 ,$472.55 ,$451.07 ,$207.86 ,$741.20 ,$721.14 ,$244.16 ,$784.80 ,$684.52 ,$720.27 ,$197.95 ,$566.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,$615.00 ,$442.80 ,$172.20 ,$615.00 , N/A ,$492.00 , N/A ,$172.20 ,$536.90 ,$565.19 , N/A ,$508.61 , N/A , N/A ,$565.80 , N/A , N/A , N/A ,$512.91 ,$512.91 ,$512.91 , N/A ,$512.91 ,$526.44 ,$526.44 ,$553.50 , N/A ,$522.75 , N/A , N/A ,$345.02 , N/A ,$254.61 , N/A , N/A , N/A ,$522.75 ,$508.61 ,$172.20 ,$553.50 ,$482.78 ,$507.99 , N/A ,$399.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$417.00 ,$300.24 ,$116.76 ,$417.00 , N/A ,$333.60 , N/A ,$116.76 ,$364.04 ,$383.22 , N/A ,$344.86 , N/A , N/A ,$383.64 , N/A , N/A , N/A ,$347.78 ,$347.78 ,$347.78 , N/A ,$347.78 ,$356.95 ,$356.95 ,$375.30 , N/A ,$354.45 , N/A , N/A ,$233.94 , N/A ,$172.64 , N/A , N/A , N/A ,$354.45 ,$344.86 ,$116.76 ,$375.30 ,$327.35 ,$344.44 , N/A ,$271.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,$543.00 ,$390.96 ,$152.04 ,$543.00 , N/A ,$434.40 , N/A ,$152.04 ,$474.04 ,$499.02 , N/A ,$449.06 , N/A , N/A ,$499.56 , N/A , N/A , N/A ,$452.86 ,$452.86 ,$452.86 , N/A ,$452.86 ,$464.81 ,$464.81 ,$488.70 , N/A ,$461.55 , N/A , N/A ,$304.62 , N/A ,$224.80 , N/A , N/A , N/A ,$461.55 ,$449.06 ,$152.04 ,$488.70 ,$426.26 ,$448.52 , N/A ,$352.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$543.00 ,$390.96 ,$152.04 ,$543.00 , N/A ,$434.40 , N/A ,$152.04 ,$474.04 ,$499.02 , N/A ,$449.06 , N/A , N/A ,$499.56 , N/A , N/A , N/A ,$452.86 ,$452.86 ,$452.86 , N/A ,$452.86 ,$464.81 ,$464.81 ,$488.70 , N/A ,$461.55 , N/A , N/A ,$304.62 , N/A ,$224.80 , N/A , N/A , N/A ,$461.55 ,$449.06 ,$152.04 ,$488.70 ,$426.26 ,$448.52 , N/A ,$352.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000076,N/A,HC MONITORED ANESTHESIA INITIAL 15 MINS,370,1 ,$471.00 ,$339.12 ,$131.88 ,$471.00 , N/A ,$376.80 , N/A ,$131.88 ,$411.18 ,$432.85 , N/A ,$389.52 , N/A , N/A ,$433.32 , N/A , N/A , N/A ,$392.81 ,$392.81 ,$392.81 , N/A ,$392.81 ,$403.18 ,$403.18 ,$423.90 , N/A ,$400.35 , N/A , N/A ,$264.23 , N/A ,$194.99 , N/A , N/A , N/A ,$400.35 ,$389.52 ,$131.88 ,$423.90 ,$369.74 ,$389.05 , N/A ,$306.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$260.00 ,$187.20 ,$72.80 ,$260.00 , N/A ,$208.00 , N/A ,$72.80 ,$226.98 ,$238.94 , N/A ,$215.02 , N/A , N/A ,$239.20 , N/A , N/A , N/A ,$216.84 ,$216.84 ,$216.84 , N/A ,$216.84 ,$222.56 ,$222.56 ,$234.00 , N/A ,$221.00 , N/A , N/A ,$145.86 , N/A ,$107.64 , N/A , N/A , N/A ,$221.00 ,$215.02 ,$72.80 ,$234.00 ,$204.10 ,$214.76 , N/A ,$169.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),37080001,64415,HC INTRASCALENE BLOCK SINGLE,360,1 ,$780.00 ,$561.60 ,$218.40 ,"$2,070.60 ","$2,070.60 ",$624.00 ,$764.40 ,$218.40 ,$680.94 ,$716.82 ,$757.87 ,$645.06 ,$764.40 ,$780.00 ,$717.60 ,$764.40 ,$811.68 ,$779.69 ,$650.52 ,$650.52 ,$650.52 ,$764.40 ,$650.52 ,$667.68 ,$667.68 ,$702.00 ,$780.00 ,$663.00 ,$764.40 ,$764.40 ,$437.58 ,$811.68 ,$322.92 ,$307.67 ,$293.69 ,$764.40 ,$663.00 ,$645.06 ,$218.40 ,$702.00 ,$612.30 ,$644.28 ,$811.68 ,$507.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$333.00 ,$239.76 ,$83.76 ,$333.00 ,$228.85 ,$266.40 ,$89.71 ,$93.24 ,$290.71 ,$306.03 ,$83.76 ,$275.39 ,$89.71 ,$184.91 ,$306.36 ,$224.27 ,$89.71 ,$91.50 ,$277.72 ,$277.72 ,$277.72 ,$89.71 ,$277.72 ,$285.05 ,$285.05 ,$299.70 ,$213.68 ,$283.05 ,$89.71 ,$89.71 ,$186.81 ,$89.71 ,$137.86 ,$333.00 ,$333.00 ,$94.20 ,$283.05 ,$275.39 ,$93.24 ,$299.70 ,$261.41 ,$275.06 ,$89.71 ,$216.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000151,P9031,HC PLATELETS LEUKO RD EA UNIT,390,1 ,"$2,405.00 ","$1,731.60 ",$128.27 ,"$2,405.00 ",$350.45 ,"$1,924.00 ",$137.38 ,$673.40 ,"$2,099.57 ","$2,210.20 ",$128.27 ,"$1,988.94 ",$137.38 ,$283.17 ,"$2,212.60 ",$343.44 ,$137.38 ,$140.12 ,"$2,005.77 ","$2,005.77 ","$2,005.77 ",$137.38 ,"$2,005.77 ","$2,058.68 ","$2,058.68 ","$2,164.50 ",$327.23 ,"$2,044.25 ",$137.38 ,$137.38 ,"$1,349.21 ",$137.38 ,$995.67 ,$464.41 ,$443.30 ,$144.26 ,"$2,044.25 ","$1,988.94 ",$673.40 ,"$2,164.50 ","$1,887.93 ","$1,986.53 ",$137.38 ,"$1,563.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000152,P9033,HC PLATELETS L/R IRR EA,390,1 ,"$1,473.00 ","$1,060.56 ",$262.99 ,"$1,473.00 ",$718.53 ,"$1,178.40 ",$281.66 ,$412.44 ,"$1,285.93 ","$1,353.69 ",$262.99 ,"$1,218.17 ",$281.66 ,$580.57 ,"$1,355.16 ",$704.16 ,$281.66 ,$287.30 ,"$1,228.48 ","$1,228.48 ","$1,228.48 ",$281.66 ,"$1,228.48 ","$1,260.89 ","$1,260.89 ","$1,325.70 ",$670.90 ,"$1,252.05 ",$281.66 ,$281.66 ,$826.35 ,$281.66 ,$609.82 ,$464.41 ,$443.30 ,$295.76 ,"$1,252.05 ","$1,218.17 ",$412.44 ,"$1,325.70 ","$1,156.31 ","$1,216.70 ",$281.66 ,$957.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$343.00 ,$246.96 ,$74.68 ,$343.00 ,$204.03 ,$274.40 ,$79.98 ,$96.04 ,$299.44 ,$315.22 ,$74.68 ,$283.66 ,$79.98 ,$164.85 ,$315.56 ,$199.95 ,$79.98 ,$81.58 ,$286.06 ,$286.06 ,$286.06 ,$79.98 ,$286.06 ,$293.61 ,$293.61 ,$308.70 ,$190.50 ,$291.55 ,$79.98 ,$79.98 ,$192.42 ,$79.98 ,$142.00 ,$343.00 ,$343.00 ,$83.98 ,$291.55 ,$283.66 ,$96.04 ,$308.70 ,$269.26 ,$283.32 ,$79.98 ,$222.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,$492.00 ,$354.24 ,$137.76 ,$506.60 ,$506.60 ,$393.60 ,$198.59 ,$137.76 ,$429.52 ,$452.15 ,$185.43 ,$406.88 ,$198.59 ,$409.34 ,$452.64 ,$482.16 ,$198.59 ,$202.56 ,$410.33 ,$410.33 ,$410.33 ,$198.59 ,$410.33 ,$421.15 ,$421.15 ,$442.80 ,$473.03 ,$418.20 ,$198.59 ,$198.59 ,$276.01 ,$198.59 ,$203.69 ,$464.41 ,$443.30 ,$208.53 ,$418.20 ,$406.88 ,$137.76 ,$442.80 ,$386.22 ,$406.39 ,$198.59 ,$319.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000172,P9034,HC PLATELETS PHER EA,390,1 ,"$1,030.00 ",$741.60 ,$288.40 ,"$1,030.00 ",$894.20 ,$824.00 ,$350.53 ,$288.40 ,$899.19 ,$946.57 ,$327.29 ,$851.81 ,$350.53 ,$722.51 ,$947.60 ,$876.32 ,$350.53 ,$357.53 ,$859.02 ,$859.02 ,$859.02 ,$350.53 ,$859.02 ,$881.68 ,$881.68 ,$927.00 ,$834.93 ,$875.50 ,$350.53 ,$350.53 ,$577.83 ,$350.53 ,$426.42 ,$464.41 ,$443.30 ,$368.07 ,$875.50 ,$851.81 ,$288.40 ,$927.00 ,$808.55 ,$850.78 ,$350.53 ,$669.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,"$2,405.00 ","$1,731.60 ",$443.30 ,"$2,405.00 ","$1,300.35 ","$1,924.00 ",$509.74 ,$673.40 ,"$2,099.57 ","$2,210.20 ",$475.95 ,"$1,988.94 ",$509.74 ,"$1,050.68 ","$2,212.60 ","$1,274.34 ",$509.74 ,$519.93 ,"$2,005.77 ","$2,005.77 ","$2,005.77 ",$509.74 ,"$2,005.77 ","$2,058.68 ","$2,058.68 ","$2,164.50 ","$1,214.15 ","$2,044.25 ",$509.74 ,$509.74 ,"$1,349.21 ",$509.74 ,$995.67 ,$464.41 ,$443.30 ,$535.25 ,"$2,044.25 ","$1,988.94 ",$673.40 ,"$2,164.50 ","$1,887.93 ","$1,986.53 ",$509.74 ,"$1,563.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000179,P9037,HC PLATELETS PHER L/R IRR EA T1,390,1 ,"$2,631.00 ","$1,894.32 ",$443.30 ,"$2,631.00 ","$1,708.75 ","$2,104.80 ",$669.83 ,$736.68 ,"$2,296.86 ","$2,417.89 ",$625.43 ,"$2,175.84 ",$669.83 ,"$1,380.66 ","$2,420.52 ","$1,674.57 ",$669.83 ,$683.23 ,"$2,194.25 ","$2,194.25 ","$2,194.25 ",$669.83 ,"$2,194.25 ","$2,252.14 ","$2,252.14 ","$2,367.90 ","$1,595.48 ","$2,236.35 ",$669.83 ,$669.83 ,"$1,475.99 ",$669.83 ,"$1,089.23 ",$464.41 ,$443.30 ,$703.36 ,"$2,236.35 ","$2,175.84 ",$736.68 ,"$2,367.90 ","$2,065.34 ","$2,173.21 ",$669.83 ,"$1,710.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,"$1,109.00 ",$798.48 ,$253.94 ,"$1,109.00 ",$693.80 ,$887.20 ,$271.97 ,$310.52 ,$968.16 ,"$1,019.17 ",$253.94 ,$917.14 ,$271.97 ,$560.58 ,"$1,020.28 ",$679.92 ,$271.97 ,$277.41 ,$924.91 ,$924.91 ,$924.91 ,$271.97 ,$924.91 ,$949.30 ,$949.30 ,$998.10 ,$647.80 ,$942.65 ,$271.97 ,$271.97 ,$622.15 ,$271.97 ,$459.13 ,$464.41 ,$443.30 ,$285.58 ,$942.65 ,$917.14 ,$310.52 ,$998.10 ,$870.57 ,$916.03 ,$271.97 ,$720.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000198,P9058,HC RBC LEUKORED CMV NEG IRRAD,390,1 ,"$1,228.00 ",$884.16 ,$245.97 ,"$1,228.00 ",$672.03 ,$982.40 ,$263.43 ,$343.84 ,"$1,072.04 ","$1,128.53 ",$245.97 ,"$1,015.56 ",$263.43 ,$542.99 ,"$1,129.76 ",$658.59 ,$263.43 ,$268.71 ,"$1,024.15 ","$1,024.15 ","$1,024.15 ",$263.43 ,"$1,024.15 ","$1,051.17 ","$1,051.17 ","$1,105.20 ",$627.48 ,"$1,043.80 ",$263.43 ,$263.43 ,$688.91 ,$263.43 ,$508.39 ,$464.41 ,$443.30 ,$276.61 ,"$1,043.80 ","$1,015.56 ",$343.84 ,"$1,105.20 ",$963.98 ,"$1,014.33 ",$263.43 ,$798.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000205,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T1,390,1 ,"$2,327.00 ","$1,675.44 ",$443.30 ,"$2,327.00 ","$1,547.30 ","$1,861.60 ",$606.54 ,$651.56 ,"$2,031.47 ","$2,138.51 ",$566.33 ,"$1,924.43 ",$606.54 ,"$1,250.21 ","$2,140.84 ","$1,516.35 ",$606.54 ,$618.67 ,"$1,940.72 ","$1,940.72 ","$1,940.72 ",$606.54 ,"$1,940.72 ","$1,991.91 ","$1,991.91 ","$2,094.30 ","$1,444.73 ","$1,977.95 ",$606.54 ,$606.54 ,"$1,305.45 ",$606.54 ,$963.38 ,$464.41 ,$443.30 ,$636.90 ,"$1,977.95 ","$1,924.43 ",$651.56 ,"$2,094.30 ","$1,826.70 ","$1,922.10 ",$606.54 ,"$1,512.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),39000212,P9053,HC PLATELETS LEUKOCUTES RED CMV NEG IRR,390,1 ,"$2,544.00 ","$1,831.68 ",$443.30 ,"$2,544.00 ","$1,425.63 ","$2,035.20 ",$558.84 ,$712.32 ,"$2,220.91 ","$2,337.94 ",$521.80 ,"$2,103.89 ",$558.84 ,"$1,151.90 ","$2,340.48 ","$1,397.12 ",$558.84 ,$570.03 ,"$2,121.70 ","$2,121.70 ","$2,121.70 ",$558.84 ,"$2,121.70 ","$2,177.66 ","$2,177.66 ","$2,289.60 ","$1,331.13 ","$2,162.40 ",$558.84 ,$558.84 ,"$1,427.18 ",$558.84 ,"$1,053.22 ",$464.41 ,$443.30 ,$586.81 ,"$2,162.40 ","$2,103.89 ",$712.32 ,"$2,289.60 ","$1,997.04 ","$2,101.34 ",$558.84 ,"$1,653.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),39100001,36430,HC BLOOD PROD ADMIN,391,1 ,"$1,288.00 ",$927.36 ,$360.64 ,"$1,288.00 ",$990.75 ,"$1,030.40 ",$388.37 ,$360.64 ,"$1,124.42 ","$1,183.67 ",$362.63 ,"$1,065.18 ",$388.37 ,$800.51 ,"$1,184.96 ",$970.93 ,$388.37 ,$396.15 ,"$1,074.19 ","$1,074.19 ","$1,074.19 ",$388.37 ,"$1,074.19 ","$1,102.53 ","$1,102.53 ","$1,159.20 ",$925.06 ,"$1,094.80 ",$388.37 ,$388.37 ,$722.57 ,$388.37 ,$533.23 ,$464.41 ,$443.30 ,$407.81 ,"$1,094.80 ","$1,065.18 ",$360.64 ,"$1,159.20 ","$1,011.08 ","$1,063.89 ",$388.37 ,$837.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$622.00 ,$447.84 ,$46.14 ,$622.00 ,$258.38 ,$497.60 ,$101.28 ,$174.16 ,$543.01 ,$571.62 ,$101.28 ,$514.39 ,$101.28 ,$208.77 ,$572.24 ,$253.21 ,$101.28 ,$103.31 ,$518.75 ,$518.75 ,$518.75 ,$101.28 ,$518.75 ,$532.43 ,$532.43 ,$559.80 ,$258.38 ,$528.70 ,$101.28 ,$101.28 ,$348.94 ,$101.28 ,$257.51 ,$48.33 ,$46.14 ,$106.35 ,$528.70 ,$514.39 ,$174.16 ,$559.80 ,$488.27 ,$513.77 ,$108.48 ,$404.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$622.00 ,$447.84 ,$46.14 ,$622.00 ,$258.38 ,$497.60 ,$101.28 ,$174.16 ,$543.01 ,$571.62 ,$101.28 ,$514.39 ,$101.28 ,$208.77 ,$572.24 ,$253.21 ,$101.28 ,$103.31 ,$518.75 ,$518.75 ,$518.75 ,$101.28 ,$518.75 ,$532.43 ,$532.43 ,$559.80 ,$258.38 ,$528.70 ,$101.28 ,$101.28 ,$348.94 ,$101.28 ,$257.51 ,$48.33 ,$46.14 ,$106.35 ,$528.70 ,$514.39 ,$174.16 ,$559.80 ,$488.27 ,$513.77 ,$108.48 ,$404.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$622.00 ,$447.84 ,$46.14 ,$622.00 ,$258.38 ,$497.60 ,$101.28 ,$174.16 ,$543.01 ,$571.62 ,$101.28 ,$514.39 ,$101.28 ,$208.77 ,$572.24 ,$253.21 ,$101.28 ,$103.31 ,$518.75 ,$518.75 ,$518.75 ,$101.28 ,$518.75 ,$532.43 ,$532.43 ,$559.80 ,$258.38 ,$528.70 ,$101.28 ,$101.28 ,$348.94 ,$101.28 ,$257.51 ,$48.33 ,$46.14 ,$106.35 ,$528.70 ,$514.39 ,$174.16 ,$559.80 ,$488.27 ,$513.77 ,$108.48 ,$404.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$493.00 ,$354.96 ,$46.14 ,$493.00 ,$202.75 ,$394.40 ,$79.48 ,$138.04 ,$430.39 ,$453.07 ,$79.48 ,$407.71 ,$79.48 ,$163.82 ,$453.56 ,$198.69 ,$79.48 ,$81.07 ,$411.16 ,$411.16 ,$411.16 ,$79.48 ,$411.16 ,$422.01 ,$422.01 ,$443.70 ,$202.75 ,$419.05 ,$79.48 ,$79.48 ,$276.57 ,$79.48 ,$204.10 ,$48.33 ,$46.14 ,$83.46 ,$419.05 ,$407.71 ,$138.04 ,$443.70 ,$387.01 ,$407.22 ,$85.12 ,$320.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD  ADDNT VIEW,401,1 ,$493.00 ,$354.96 ,$46.14 ,$493.00 ,$202.75 ,$394.40 ,$79.48 ,$138.04 ,$430.39 ,$453.07 ,$79.48 ,$407.71 ,$79.48 ,$163.82 ,$453.56 ,$198.69 ,$79.48 ,$81.07 ,$411.16 ,$411.16 ,$411.16 ,$79.48 ,$411.16 ,$422.01 ,$422.01 ,$443.70 ,$202.75 ,$419.05 ,$79.48 ,$79.48 ,$276.57 ,$79.48 ,$204.10 ,$48.33 ,$46.14 ,$83.46 ,$419.05 ,$407.71 ,$138.04 ,$443.70 ,$387.01 ,$407.22 ,$85.12 ,$320.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$493.00 ,$354.96 ,$46.14 ,$493.00 ,$202.75 ,$394.40 ,$79.48 ,$138.04 ,$430.39 ,$453.07 ,$79.48 ,$407.71 ,$79.48 ,$163.82 ,$453.56 ,$198.69 ,$79.48 ,$81.07 ,$411.16 ,$411.16 ,$411.16 ,$79.48 ,$411.16 ,$422.01 ,$422.01 ,$443.70 ,$202.75 ,$419.05 ,$79.48 ,$79.48 ,$276.57 ,$79.48 ,$204.10 ,$48.33 ,$46.14 ,$83.46 ,$419.05 ,$407.71 ,$138.04 ,$443.70 ,$387.01 ,$407.22 ,$85.12 ,$320.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200007,51798,HC US BLADDER SCAN,402,1 ,$305.00 ,$219.60 ,$51.12 ,$305.00 ,$139.68 ,$244.00 ,$54.75 ,$85.40 ,$266.27 ,$280.30 ,$51.12 ,$252.24 ,$54.75 ,$112.85 ,$280.60 ,$136.89 ,$54.75 ,$55.85 ,$254.37 ,$254.37 ,$254.37 ,$54.75 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$130.41 ,$259.25 ,$54.75 ,$54.75 ,$171.11 ,$54.75 ,$126.27 ,$83.55 ,$79.75 ,$57.49 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$54.75 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,$763.00 ,$549.36 ,$95.05 ,$763.00 ,$259.70 ,$610.40 ,$101.80 ,$213.64 ,$666.10 ,$701.20 ,$95.05 ,$631.00 ,$101.80 ,$209.83 ,$701.96 ,$254.51 ,$101.80 ,$103.84 ,$636.34 ,$636.34 ,$636.34 ,$101.80 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$242.48 ,$648.55 ,$101.80 ,$101.80 ,$428.04 ,$101.80 ,$315.88 ,$106.41 ,$101.58 ,$106.90 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$101.80 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200014,76604,HC US CHEST,402,1 ,$470.00 ,$338.40 ,$95.05 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$106.41 ,$101.58 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200015,76641,HC US BREAST COMPLETE,402,1 ,$854.00 ,$614.88 ,$95.05 ,$854.00 ,$259.70 ,$683.20 ,$101.80 ,$239.12 ,$745.54 ,$784.83 ,$95.05 ,$706.26 ,$101.80 ,$209.83 ,$785.68 ,$254.51 ,$101.80 ,$103.84 ,$712.24 ,$712.24 ,$712.24 ,$101.80 ,$712.24 ,$731.02 ,$731.02 ,$768.60 ,$242.48 ,$725.90 ,$101.80 ,$101.80 ,$479.09 ,$101.80 ,$353.56 ,$106.41 ,$101.58 ,$106.90 ,$725.90 ,$706.26 ,$239.12 ,$768.60 ,$670.39 ,$705.40 ,$101.80 ,$555.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200016,76642,HC US BREAST LIMITED,402,1 ,$854.00 ,$614.88 ,$77.26 ,$854.00 ,$211.10 ,$683.20 ,$82.75 ,$239.12 ,$745.54 ,$784.83 ,$77.26 ,$706.26 ,$82.75 ,$170.57 ,$785.68 ,$206.88 ,$82.75 ,$84.41 ,$712.24 ,$712.24 ,$712.24 ,$82.75 ,$712.24 ,$731.02 ,$731.02 ,$768.60 ,$197.10 ,$725.90 ,$82.75 ,$82.75 ,$479.09 ,$82.75 ,$353.56 ,$106.41 ,$101.58 ,$86.90 ,$725.90 ,$706.26 ,$239.12 ,$768.60 ,$670.39 ,$705.40 ,$82.75 ,$555.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,050.00 ",$756.00 ,$95.05 ,"$1,050.00 ",$259.70 ,$840.00 ,$101.80 ,$294.00 ,$916.65 ,$964.95 ,$95.05 ,$868.35 ,$101.80 ,$209.83 ,$966.00 ,$254.51 ,$101.80 ,$103.84 ,$875.70 ,$875.70 ,$875.70 ,$101.80 ,$875.70 ,$898.80 ,$898.80 ,$945.00 ,$242.48 ,$892.50 ,$101.80 ,$101.80 ,$589.05 ,$101.80 ,$434.70 ,$106.41 ,$101.58 ,$106.90 ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 ,$101.80 ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200018,76705,HC US ABDOMEN LTD,402,1 ,$834.00 ,$600.48 ,$95.05 ,$834.00 ,$259.70 ,$667.20 ,$101.80 ,$233.52 ,$728.08 ,$766.45 ,$95.05 ,$689.72 ,$101.80 ,$209.83 ,$767.28 ,$254.51 ,$101.80 ,$103.84 ,$695.56 ,$695.56 ,$695.56 ,$101.80 ,$695.56 ,$713.90 ,$713.90 ,$750.60 ,$242.48 ,$708.90 ,$101.80 ,$101.80 ,$467.87 ,$101.80 ,$345.28 ,$106.41 ,$101.58 ,$106.90 ,$708.90 ,$689.72 ,$233.52 ,$750.60 ,$654.69 ,$688.88 ,$101.80 ,$542.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200019,76770,HC US RETROPERITIONEAL,402,1 ,$763.00 ,$549.36 ,$95.05 ,$763.00 ,$259.70 ,$610.40 ,$101.80 ,$213.64 ,$666.10 ,$701.20 ,$95.05 ,$631.00 ,$101.80 ,$209.83 ,$701.96 ,$254.51 ,$101.80 ,$103.84 ,$636.34 ,$636.34 ,$636.34 ,$101.80 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$242.48 ,$648.55 ,$101.80 ,$101.80 ,$428.04 ,$101.80 ,$315.88 ,$106.41 ,$101.58 ,$106.90 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$101.80 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,$949.00 ,$683.28 ,$95.05 ,$949.00 ,$259.70 ,$759.20 ,$101.80 ,$265.72 ,$828.48 ,$872.13 ,$95.05 ,$784.82 ,$101.80 ,$209.83 ,$873.08 ,$254.51 ,$101.80 ,$103.84 ,$791.47 ,$791.47 ,$791.47 ,$101.80 ,$791.47 ,$812.34 ,$812.34 ,$854.10 ,$242.48 ,$806.65 ,$101.80 ,$101.80 ,$532.39 ,$101.80 ,$392.89 ,$106.41 ,$101.58 ,$106.90 ,$806.65 ,$784.82 ,$265.72 ,$854.10 ,$744.97 ,$783.87 ,$101.80 ,$616.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200021,76776,HC US KIDNEY TRANSPLANT W/DOPPLER,402,1 ,$305.00 ,$219.60 ,$85.40 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$106.41 ,$101.58 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,$646.00 ,$465.12 ,$95.05 ,$646.00 ,$259.70 ,$516.80 ,$101.80 ,$180.88 ,$563.96 ,$593.67 ,$95.05 ,$534.24 ,$101.80 ,$209.83 ,$594.32 ,$254.51 ,$101.80 ,$103.84 ,$538.76 ,$538.76 ,$538.76 ,$101.80 ,$538.76 ,$552.98 ,$552.98 ,$581.40 ,$242.48 ,$549.10 ,$101.80 ,$101.80 ,$362.41 ,$101.80 ,$267.44 , N/A , N/A ,$106.90 ,$549.10 ,$534.24 ,$180.88 ,$581.40 ,$507.11 ,$533.60 ,$101.80 ,$419.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$485.00 ,$349.20 ,$135.80 ,$485.00 , N/A ,$388.00 , N/A ,$135.80 ,$423.41 ,$445.72 , N/A ,$401.10 , N/A , N/A ,$446.20 , N/A , N/A , N/A ,$404.49 ,$404.49 ,$404.49 , N/A ,$404.49 ,$415.16 ,$415.16 ,$436.50 , N/A ,$412.25 , N/A , N/A ,$272.09 , N/A ,$200.79 , N/A , N/A , N/A ,$412.25 ,$401.10 ,$135.80 ,$436.50 ,$380.73 ,$400.61 , N/A ,$315.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,$646.00 ,$465.12 ,$95.05 ,$646.00 ,$259.70 ,$516.80 ,$101.80 ,$180.88 ,$563.96 ,$593.67 ,$95.05 ,$534.24 ,$101.80 ,$209.83 ,$594.32 ,$254.51 ,$101.80 ,$103.84 ,$538.76 ,$538.76 ,$538.76 ,$101.80 ,$538.76 ,$552.98 ,$552.98 ,$581.40 ,$242.48 ,$549.10 ,$101.80 ,$101.80 ,$362.41 ,$101.80 ,$267.44 , N/A , N/A ,$106.90 ,$549.10 ,$534.24 ,$180.88 ,$581.40 ,$507.11 ,$533.60 ,$101.80 ,$419.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$938.00 ,$675.36 ,$95.05 ,$938.00 ,$259.70 ,$750.40 ,$101.80 ,$262.64 ,$818.87 ,$862.02 ,$95.05 ,$775.73 ,$101.80 ,$209.83 ,$862.96 ,$254.51 ,$101.80 ,$103.84 ,$782.29 ,$782.29 ,$782.29 ,$101.80 ,$782.29 ,$802.93 ,$802.93 ,$844.20 ,$242.48 ,$797.30 ,$101.80 ,$101.80 ,$526.22 ,$101.80 ,$388.33 , N/A , N/A ,$106.90 ,$797.30 ,$775.73 ,$262.64 ,$844.20 ,$736.33 ,$774.79 ,$101.80 ,$609.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200031,76815,HC US FETAL HEART BEAT,402,1 ,$305.00 ,$219.60 ,$85.40 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 , N/A , N/A ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$872.00 ,$627.84 ,$95.05 ,$872.00 ,$259.70 ,$697.60 ,$101.80 ,$244.16 ,$761.26 ,$801.37 ,$95.05 ,$721.14 ,$101.80 ,$209.83 ,$802.24 ,$254.51 ,$101.80 ,$103.84 ,$727.25 ,$727.25 ,$727.25 ,$101.80 ,$727.25 ,$746.43 ,$746.43 ,$784.80 ,$242.48 ,$741.20 ,$101.80 ,$101.80 ,$489.19 ,$101.80 ,$361.01 , N/A , N/A ,$106.90 ,$741.20 ,$721.14 ,$244.16 ,$784.80 ,$684.52 ,$720.27 ,$101.80 ,$566.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$305.00 ,$219.60 ,$85.40 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 , N/A , N/A ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200038,76830,HC US TRANSVAGINAL,402,1 ,$872.00 ,$627.84 ,$95.05 ,$872.00 ,$259.70 ,$697.60 ,$101.80 ,$244.16 ,$761.26 ,$801.37 ,$95.05 ,$721.14 ,$101.80 ,$209.83 ,$802.24 ,$254.51 ,$101.80 ,$103.84 ,$727.25 ,$727.25 ,$727.25 ,$101.80 ,$727.25 ,$746.43 ,$746.43 ,$784.80 ,$242.48 ,$741.20 ,$101.80 ,$101.80 ,$489.19 ,$101.80 ,$361.01 ,$106.41 ,$101.58 ,$106.90 ,$741.20 ,$721.14 ,$244.16 ,$784.80 ,$684.52 ,$720.27 ,$101.80 ,$566.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200040,76856,HC US PELVIS NON OB,402,1 ,$954.00 ,$686.88 ,$95.05 ,$954.00 ,$259.70 ,$763.20 ,$101.80 ,$267.12 ,$832.84 ,$876.73 ,$95.05 ,$788.96 ,$101.80 ,$209.83 ,$877.68 ,$254.51 ,$101.80 ,$103.84 ,$795.64 ,$795.64 ,$795.64 ,$101.80 ,$795.64 ,$816.62 ,$816.62 ,$858.60 ,$242.48 ,$810.90 ,$101.80 ,$101.80 ,$535.19 ,$101.80 ,$394.96 ,$106.41 ,$101.58 ,$106.90 ,$810.90 ,$788.96 ,$267.12 ,$858.60 ,$748.89 ,$788.00 ,$101.80 ,$620.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$763.00 ,$549.36 ,$95.05 ,$763.00 ,$259.70 ,$610.40 ,$101.80 ,$213.64 ,$666.10 ,$701.20 ,$95.05 ,$631.00 ,$101.80 ,$209.83 ,$701.96 ,$254.51 ,$101.80 ,$103.84 ,$636.34 ,$636.34 ,$636.34 ,$101.80 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$242.48 ,$648.55 ,$101.80 ,$101.80 ,$428.04 ,$101.80 ,$315.88 ,$106.41 ,$101.58 ,$106.90 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$101.80 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200042,76870,HC US SCROTUM,402,1 ,$727.00 ,$523.44 ,$95.05 ,$727.00 ,$259.70 ,$581.60 ,$101.80 ,$203.56 ,$634.67 ,$668.11 ,$95.05 ,$601.23 ,$101.80 ,$209.83 ,$668.84 ,$254.51 ,$101.80 ,$103.84 ,$606.32 ,$606.32 ,$606.32 ,$101.80 ,$606.32 ,$622.31 ,$622.31 ,$654.30 ,$242.48 ,$617.95 ,$101.80 ,$101.80 ,$407.85 ,$101.80 ,$300.98 ,$106.41 ,$101.58 ,$106.90 ,$617.95 ,$601.23 ,$203.56 ,$654.30 ,$570.70 ,$600.50 ,$101.80 ,$472.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,$312.00 ,$224.64 ,$87.36 ,$312.00 ,$259.70 ,$249.60 ,$101.80 ,$87.36 ,$272.38 ,$286.73 ,$95.05 ,$258.02 ,$101.80 ,$209.83 ,$287.04 ,$254.51 ,$101.80 ,$103.84 ,$260.21 ,$260.21 ,$260.21 ,$101.80 ,$260.21 ,$267.07 ,$267.07 ,$280.80 ,$242.48 ,$265.20 ,$101.80 ,$101.80 ,$175.03 ,$101.80 ,$129.17 ,$106.41 ,$101.58 ,$106.90 ,$265.20 ,$258.02 ,$87.36 ,$280.80 ,$244.92 ,$257.71 ,$101.80 ,$202.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$470.00 ,$338.40 ,$95.05 ,$470.00 ,$259.70 ,$376.00 ,$101.80 ,$131.60 ,$410.31 ,$431.93 ,$95.05 ,$388.69 ,$101.80 ,$209.83 ,$432.40 ,$254.51 ,$101.80 ,$103.84 ,$391.98 ,$391.98 ,$391.98 ,$101.80 ,$391.98 ,$402.32 ,$402.32 ,$423.00 ,$242.48 ,$399.50 ,$101.80 ,$101.80 ,$263.67 ,$101.80 ,$194.58 ,$106.41 ,$101.58 ,$106.90 ,$399.50 ,$388.69 ,$131.60 ,$423.00 ,$368.95 ,$388.22 ,$101.80 ,$305.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,"$1,050.00 ",$756.00 ,$74.12 ,"$1,050.00 ", N/A ,$840.00 , N/A ,$294.00 ,$916.65 ,$964.95 , N/A ,$868.35 , N/A , N/A ,$966.00 , N/A , N/A , N/A ,$875.70 ,$875.70 ,$875.70 , N/A ,$875.70 ,$898.80 ,$898.80 ,$945.00 , N/A ,$892.50 , N/A , N/A ,$589.05 , N/A ,$434.70 ,$77.65 ,$74.12 , N/A ,$892.50 ,$868.35 ,$294.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,"$1,941.00 ","$1,397.52 ",$101.58 ,"$1,941.00 ",$567.40 ,"$1,552.80 ",$222.42 ,$543.48 ,"$1,694.49 ","$1,783.78 ",$207.67 ,"$1,605.21 ",$222.42 ,$458.46 ,"$1,785.72 ",$556.05 ,$222.42 ,$226.87 ,"$1,618.79 ","$1,618.79 ","$1,618.79 ",$222.42 ,"$1,618.79 ","$1,661.50 ","$1,661.50 ","$1,746.90 ",$529.79 ,"$1,649.85 ",$222.42 ,$222.42 ,"$1,088.90 ",$222.42 ,$803.57 ,$106.41 ,$101.58 ,$233.55 ,"$1,649.85 ","$1,605.21 ",$543.48 ,"$1,746.90 ","$1,523.69 ","$1,603.27 ",$222.42 ,"$1,261.65 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200068,93976,HC DUPLEX ABD/PEL/RETRO LTD,402,1 ,$305.00 ,$219.60 ,$85.40 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$106.41 ,$101.58 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,$305.00 ,$219.60 ,$85.40 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$106.41 ,$101.58 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,$763.00 ,$549.36 ,$101.58 ,$763.00 ,$567.40 ,$610.40 ,$222.42 ,$213.64 ,$666.10 ,$701.20 ,$207.67 ,$631.00 ,$222.42 ,$458.46 ,$701.96 ,$556.05 ,$222.42 ,$226.87 ,$636.34 ,$636.34 ,$636.34 ,$222.42 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$529.79 ,$648.55 ,$222.42 ,$222.42 ,$428.04 ,$222.42 ,$315.88 ,$106.41 ,$101.58 ,$233.55 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$222.42 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,$763.00 ,$549.36 ,$95.05 ,$763.00 ,$259.70 ,$610.40 ,$101.80 ,$213.64 ,$666.10 ,$701.20 ,$95.05 ,$631.00 ,$101.80 ,$209.83 ,$701.96 ,$254.51 ,$101.80 ,$103.84 ,$636.34 ,$636.34 ,$636.34 ,$101.80 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$242.48 ,$648.55 ,$101.80 ,$101.80 ,$428.04 ,$101.80 ,$315.88 ,$106.41 ,$101.58 ,$106.90 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$101.80 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40200075,76706,HC US AORTA (SCREENING),402,1 ,$647.00 ,$465.84 ,$95.05 ,$647.00 ,$259.70 ,$517.60 ,$101.80 ,$181.16 ,$564.83 ,$594.59 ,$95.05 ,$535.07 ,$101.80 ,$209.83 ,$595.24 ,$254.51 ,$101.80 ,$103.84 ,$539.60 ,$539.60 ,$539.60 ,$101.80 ,$539.60 ,$553.83 ,$553.83 ,$582.30 ,$242.48 ,$549.95 ,$101.80 ,$101.80 ,$362.97 ,$101.80 ,$267.86 ,$106.41 ,$101.58 ,$106.90 ,$549.95 ,$535.07 ,$181.16 ,$582.30 ,$507.90 ,$534.42 ,$101.80 ,$420.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$374.00 ,$269.28 ,$46.14 ,$374.00 ,$214.33 ,$299.20 ,$84.02 ,$104.72 ,$326.50 ,$343.71 ,$84.02 ,$309.30 ,$84.02 ,$173.17 ,$344.08 ,$210.04 ,$84.02 ,$85.69 ,$311.92 ,$311.92 ,$311.92 ,$84.02 ,$311.92 ,$320.14 ,$320.14 ,$336.60 ,$214.33 ,$317.90 ,$84.02 ,$84.02 ,$209.81 ,$84.02 ,$154.84 ,$48.33 ,$46.14 ,$88.22 ,$317.90 ,$309.30 ,$104.72 ,$336.60 ,$293.59 ,$308.92 ,$89.98 ,$243.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$442.00 ,$318.24 ,$46.14 ,$442.00 ,$214.33 ,$353.60 ,$84.02 ,$123.76 ,$385.87 ,$406.20 ,$84.02 ,$365.53 ,$84.02 ,$173.17 ,$406.64 ,$210.04 ,$84.02 ,$85.69 ,$368.63 ,$368.63 ,$368.63 ,$84.02 ,$368.63 ,$378.35 ,$378.35 ,$397.80 ,$214.33 ,$375.70 ,$84.02 ,$84.02 ,$247.96 ,$84.02 ,$182.99 ,$48.33 ,$46.14 ,$88.22 ,$375.70 ,$365.53 ,$123.76 ,$397.80 ,$346.97 ,$365.09 ,$89.98 ,$287.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$125.00 ,$90.00 ,$21.80 ,$125.00 ,$55.63 ,$100.00 ,$21.80 ,$35.00 ,$109.13 ,$114.88 ,$21.80 ,$103.38 ,$21.80 ,$44.95 ,$115.00 ,$54.52 ,$21.80 ,$22.25 ,$104.25 ,$104.25 ,$104.25 ,$21.80 ,$104.25 ,$107.00 ,$107.00 ,$112.50 ,$55.63 ,$106.25 ,$21.80 ,$21.80 ,$70.13 ,$21.80 ,$51.75 ,$48.33 ,$46.14 ,$22.89 ,$106.25 ,$103.38 ,$35.00 ,$112.50 ,$98.13 ,$103.25 ,$23.35 ,$81.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000005,92950,HC CPR,480,1 ,$762.00 ,$548.64 ,$213.36 ,$762.00 ,$680.48 ,$609.60 ,$266.75 ,$213.36 ,$665.23 ,$700.28 ,$249.07 ,$630.17 ,$266.75 ,$549.83 ,$701.04 ,$666.87 ,$266.75 ,$272.08 ,$635.51 ,$635.51 ,$635.51 ,$266.75 ,$635.51 ,$652.27 ,$652.27 ,$685.80 ,$635.37 ,$647.70 ,$266.75 ,$266.75 ,$427.48 ,$266.75 ,$315.47 ,$472.55 ,$451.07 ,$280.10 ,$647.70 ,$630.17 ,$213.36 ,$685.80 ,$598.17 ,$629.41 ,$266.75 ,$495.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,$927.00 ,$667.44 ,$259.56 ,"$1,352.70 ","$1,352.70 ",$741.60 ,$530.26 ,$259.56 ,$809.27 ,$851.91 ,$495.11 ,$766.63 ,$530.26 ,$927.00 ,$852.84 ,$908.46 ,$530.26 ,$540.86 ,$773.12 ,$773.12 ,$773.12 ,$530.26 ,$773.12 ,$793.51 ,$793.51 ,$834.30 ,$927.00 ,$787.95 ,$530.26 ,$530.26 ,$520.05 ,$530.26 ,$383.78 ,$512.35 ,$489.06 ,$556.80 ,$787.95 ,$766.63 ,$259.56 ,$834.30 ,$727.70 ,$765.70 ,$530.26 ,$602.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000010,94002,HC VENTIL HI FREQ INTL DAY,410,1 ,$927.00 ,$667.44 ,$259.56 ,"$1,352.70 ","$1,352.70 ",$741.60 ,$530.26 ,$259.56 ,$809.27 ,$851.91 ,$495.11 ,$766.63 ,$530.26 ,$927.00 ,$852.84 ,$908.46 ,$530.26 ,$540.86 ,$773.12 ,$773.12 ,$773.12 ,$530.26 ,$773.12 ,$793.51 ,$793.51 ,$834.30 ,$927.00 ,$787.95 ,$530.26 ,$530.26 ,$520.05 ,$530.26 ,$383.78 ,$512.35 ,$489.06 ,$556.80 ,$787.95 ,$766.63 ,$259.56 ,$834.30 ,$727.70 ,$765.70 ,$530.26 ,$602.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$521.00 ,$375.12 ,$145.88 ,$521.00 ,$465.30 ,$416.80 ,$182.40 ,$145.88 ,$454.83 ,$478.80 ,$170.30 ,$430.87 ,$182.40 ,$375.96 ,$479.32 ,$455.99 ,$182.40 ,$186.04 ,$434.51 ,$434.51 ,$434.51 ,$182.40 ,$434.51 ,$445.98 ,$445.98 ,$468.90 ,$434.46 ,$442.85 ,$182.40 ,$182.40 ,$292.28 ,$182.40 ,$215.69 ,$512.35 ,$489.06 ,$191.53 ,$442.85 ,$430.87 ,$145.88 ,$468.90 ,$408.99 ,$430.35 ,$182.40 ,$338.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000014,94002,HC VENT WEANING FIRST DAY,410,1 ,$927.00 ,$667.44 ,$259.56 ,"$1,352.70 ","$1,352.70 ",$741.60 ,$530.26 ,$259.56 ,$809.27 ,$851.91 ,$495.11 ,$766.63 ,$530.26 ,$927.00 ,$852.84 ,$908.46 ,$530.26 ,$540.86 ,$773.12 ,$773.12 ,$773.12 ,$530.26 ,$773.12 ,$793.51 ,$793.51 ,$834.30 ,$927.00 ,$787.95 ,$530.26 ,$530.26 ,$520.05 ,$530.26 ,$383.78 ,$512.35 ,$489.06 ,$556.80 ,$787.95 ,$766.63 ,$259.56 ,$834.30 ,$727.70 ,$765.70 ,$530.26 ,$602.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000015,94002,HC VENT NEONATAL INTL DAY,410,1 ,$927.00 ,$667.44 ,$259.56 ,"$1,352.70 ","$1,352.70 ",$741.60 ,$530.26 ,$259.56 ,$809.27 ,$851.91 ,$495.11 ,$766.63 ,$530.26 ,$927.00 ,$852.84 ,$908.46 ,$530.26 ,$540.86 ,$773.12 ,$773.12 ,$773.12 ,$530.26 ,$773.12 ,$793.51 ,$793.51 ,$834.30 ,$927.00 ,$787.95 ,$530.26 ,$530.26 ,$520.05 ,$530.26 ,$383.78 ,$512.35 ,$489.06 ,$556.80 ,$787.95 ,$766.63 ,$259.56 ,$834.30 ,$727.70 ,$765.70 ,$530.26 ,$602.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,$860.00 ,$619.20 ,$240.80 ,"$1,352.70 ","$1,352.70 ",$688.00 ,$530.26 ,$240.80 ,$750.78 ,$790.34 ,$495.11 ,$711.22 ,$530.26 ,$860.00 ,$791.20 ,$842.80 ,$530.26 ,$540.86 ,$717.24 ,$717.24 ,$717.24 ,$530.26 ,$717.24 ,$736.16 ,$736.16 ,$774.00 ,$860.00 ,$731.00 ,$530.26 ,$530.26 ,$482.46 ,$530.26 ,$356.04 ,$512.35 ,$489.06 ,$556.80 ,$731.00 ,$711.22 ,$240.80 ,$774.00 ,$675.10 ,$710.36 ,$530.26 ,$559.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$521.00 ,$375.12 ,$145.88 ,$521.00 ,$465.30 ,$416.80 ,$182.40 ,$145.88 ,$454.83 ,$478.80 ,$170.30 ,$430.87 ,$182.40 ,$375.96 ,$479.32 ,$455.99 ,$182.40 ,$186.04 ,$434.51 ,$434.51 ,$434.51 ,$182.40 ,$434.51 ,$445.98 ,$445.98 ,$468.90 ,$434.46 ,$442.85 ,$182.40 ,$182.40 ,$292.28 ,$182.40 ,$215.69 ,$512.35 ,$489.06 ,$191.53 ,$442.85 ,$430.87 ,$145.88 ,$468.90 ,$408.99 ,$430.35 ,$182.40 ,$338.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000034,94640,HC IPPB,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000037,94640,HC INCENTIVE SPIROMETER TRT,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000040,94640,HC EZ PAP TREATMENT,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000046,94640,HC HIGH EFF NEB AERO EACH,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$316.00 ,$227.52 ,$49.94 ,$316.00 ,$282.13 ,$252.80 ,$110.59 ,$88.48 ,$275.87 ,$290.40 ,$103.26 ,$261.33 ,$110.59 ,$227.95 ,$290.72 ,$276.49 ,$110.59 ,$112.81 ,$263.54 ,$263.54 ,$263.54 ,$110.59 ,$263.54 ,$270.50 ,$270.50 ,$284.40 ,$263.42 ,$268.60 ,$110.59 ,$110.59 ,$177.28 ,$110.59 ,$130.82 ,$52.32 ,$49.94 ,$116.13 ,$268.60 ,$261.33 ,$88.48 ,$284.40 ,$248.06 ,$261.02 ,$110.59 ,$205.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$135.00 ,$97.20 ,$37.80 ,$135.00 , N/A ,$108.00 , N/A ,$37.80 ,$117.86 ,$124.07 , N/A ,$111.65 , N/A , N/A ,$124.20 , N/A , N/A , N/A ,$112.59 ,$112.59 ,$112.59 , N/A ,$112.59 ,$115.56 ,$115.56 ,$121.50 , N/A ,$114.75 , N/A , N/A ,$75.74 , N/A ,$55.89 ,$52.32 ,$49.94 , N/A ,$114.75 ,$111.65 ,$37.80 ,$121.50 ,$105.98 ,$111.51 , N/A ,$87.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000052,94660,HC CPAP,410,1 ,$521.00 ,$375.12 ,$145.88 ,$521.00 ,$465.30 ,$416.80 ,$182.40 ,$145.88 ,$454.83 ,$478.80 ,$170.30 ,$430.87 ,$182.40 ,$375.96 ,$479.32 ,$455.99 ,$182.40 ,$186.04 ,$434.51 ,$434.51 ,$434.51 ,$182.40 ,$434.51 ,$445.98 ,$445.98 ,$468.90 ,$434.46 ,$442.85 ,$182.40 ,$182.40 ,$292.28 ,$182.40 ,$215.69 ,$512.35 ,$489.06 ,$191.53 ,$442.85 ,$430.87 ,$145.88 ,$468.90 ,$408.99 ,$430.35 ,$182.40 ,$338.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000053,94660,HC CPAP DAILY EST PT,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$50.00 ,$36.00 ,$14.00 ,$465.30 ,$465.30 ,$40.00 ,$49.00 ,$14.00 ,$43.65 ,$45.95 ,$49.00 ,$41.35 ,$49.00 ,$50.00 ,$46.00 ,$49.00 ,$182.40 ,$49.98 ,$41.70 ,$41.70 ,$41.70 ,$49.00 ,$41.70 ,$42.80 ,$42.80 ,$45.00 ,$50.00 ,$42.50 ,$49.00 ,$49.00 ,$28.05 ,$182.40 ,$20.70 ,$25.25 ,$24.10 ,$49.00 ,$42.50 ,$41.35 ,$14.00 ,$45.00 ,$39.25 ,$41.30 ,$182.40 ,$32.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$109.00 ,$78.48 ,$30.52 ,$282.13 ,$282.13 ,$87.20 ,$106.82 ,$30.52 ,$95.16 ,$100.17 ,$103.26 ,$90.14 ,$106.82 ,$109.00 ,$100.28 ,$106.82 ,$110.59 ,$108.96 ,$90.91 ,$90.91 ,$90.91 ,$106.82 ,$90.91 ,$93.30 ,$93.30 ,$98.10 ,$109.00 ,$92.65 ,$106.82 ,$106.82 ,$61.15 ,$110.59 ,$45.13 ,$109.00 ,$109.00 ,$106.82 ,$92.65 ,$90.14 ,$30.52 ,$98.10 ,$85.57 ,$90.03 ,$110.59 ,$70.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$109.00 ,$78.48 ,$30.52 ,$282.13 ,$282.13 ,$87.20 ,$106.82 ,$30.52 ,$95.16 ,$100.17 ,$103.26 ,$90.14 ,$106.82 ,$109.00 ,$100.28 ,$106.82 ,$110.59 ,$108.96 ,$90.91 ,$90.91 ,$90.91 ,$106.82 ,$90.91 ,$93.30 ,$93.30 ,$98.10 ,$109.00 ,$92.65 ,$106.82 ,$106.82 ,$61.15 ,$110.59 ,$45.13 ,$109.00 ,$109.00 ,$106.82 ,$92.65 ,$90.14 ,$30.52 ,$98.10 ,$85.57 ,$90.03 ,$110.59 ,$70.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$81.00 ,$58.32 ,$22.68 ,$282.13 ,$282.13 ,$64.80 ,$79.38 ,$22.68 ,$70.71 ,$74.44 ,$79.38 ,$66.99 ,$79.38 ,$81.00 ,$74.52 ,$79.38 ,$110.59 ,$80.97 ,$67.55 ,$67.55 ,$67.55 ,$79.38 ,$67.55 ,$69.34 ,$69.34 ,$72.90 ,$81.00 ,$68.85 ,$79.38 ,$79.38 ,$45.44 ,$110.59 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$68.85 ,$66.99 ,$22.68 ,$72.90 ,$63.59 ,$66.91 ,$110.59 ,$52.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$81.00 ,$58.32 ,$22.68 ,$282.13 ,$282.13 ,$64.80 ,$79.38 ,$22.68 ,$70.71 ,$74.44 ,$79.38 ,$66.99 ,$79.38 ,$81.00 ,$74.52 ,$79.38 ,$110.59 ,$80.97 ,$67.55 ,$67.55 ,$67.55 ,$79.38 ,$67.55 ,$69.34 ,$69.34 ,$72.90 ,$81.00 ,$68.85 ,$79.38 ,$79.38 ,$45.44 ,$110.59 ,$33.53 ,$81.00 ,$81.00 ,$79.38 ,$68.85 ,$66.99 ,$22.68 ,$72.90 ,$63.59 ,$66.91 ,$110.59 ,$52.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$146.00 ,$105.12 ,$1.58 ,$146.00 ,$82.53 ,$116.80 ,$32.35 ,$40.88 ,$127.46 ,$134.17 ,$30.20 ,$120.74 ,$32.35 ,$66.67 ,$134.32 ,$80.88 ,$32.35 ,$33.00 ,$121.76 ,$121.76 ,$121.76 ,$32.35 ,$121.76 ,$124.98 ,$124.98 ,$131.40 ,$77.05 ,$124.10 ,$32.35 ,$32.35 ,$81.91 ,$32.35 ,$60.44 ,$1.65 ,$1.58 ,$33.97 ,$124.10 ,$120.74 ,$40.88 ,$131.40 ,$114.61 ,$120.60 ,$32.35 ,$94.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000074,94640,HC IPPB SUBSQ,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000075,94640,HC IPV INIT,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000077,94762,HC PULSE OX PER DAY,410,1 ,$396.00 ,$285.12 ,$49.94 ,$396.00 ,$353.38 ,$316.80 ,$138.52 ,$110.88 ,$345.71 ,$363.92 ,$129.33 ,$327.49 ,$138.52 ,$285.51 ,$364.32 ,$346.31 ,$138.52 ,$141.30 ,$330.26 ,$330.26 ,$330.26 ,$138.52 ,$330.26 ,$338.98 ,$338.98 ,$356.40 ,$329.94 ,$336.60 ,$138.52 ,$138.52 ,$222.16 ,$138.52 ,$163.94 ,$52.32 ,$49.94 ,$145.45 ,$336.60 ,$327.49 ,$110.88 ,$356.40 ,$310.86 ,$327.10 ,$138.52 ,$257.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$521.00 ,$375.12 ,$145.88 ,$521.00 ,$465.30 ,$416.80 ,$182.40 ,$145.88 ,$454.83 ,$478.80 ,$170.30 ,$430.87 ,$182.40 ,$375.96 ,$479.32 ,$455.99 ,$182.40 ,$186.04 ,$434.51 ,$434.51 ,$434.51 ,$182.40 ,$434.51 ,$445.98 ,$445.98 ,$468.90 ,$434.46 ,$442.85 ,$182.40 ,$182.40 ,$292.28 ,$182.40 ,$215.69 ,$512.35 ,$489.06 ,$191.53 ,$442.85 ,$430.87 ,$145.88 ,$468.90 ,$408.99 ,$430.35 ,$182.40 ,$338.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),41000092,94640,HC AEROSOL INHALATION SUBSQ,410,1 ,$70.00 ,$50.40 ,$19.60 ,$465.30 ,$465.30 ,$56.00 ,$68.60 ,$19.60 ,$61.11 ,$64.33 ,$68.60 ,$57.89 ,$68.60 ,$70.00 ,$64.40 ,$68.60 ,$182.40 ,$69.97 ,$58.38 ,$58.38 ,$58.38 ,$68.60 ,$58.38 ,$59.92 ,$59.92 ,$63.00 ,$70.00 ,$59.50 ,$68.60 ,$68.60 ,$39.27 ,$182.40 ,$28.98 ,$70.00 ,$70.00 ,$68.60 ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 ,$57.82 ,$182.40 ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000008,95992,HC CANALITH REPOSITIONING,420,1 ,$157.00 ,$113.04 ,$41.76 ,$157.00 ,$106.53 ,$125.60 ,$41.76 ,$43.96 ,$137.06 ,$144.28 ,$41.76 ,$129.84 ,$41.76 ,$86.07 ,$144.44 ,$104.40 ,$41.76 ,$42.59 ,$130.94 ,$130.94 ,$130.94 ,$41.76 ,$130.94 ,$134.39 ,$134.39 ,$141.30 ,$106.53 ,$133.45 ,$41.76 ,$41.76 ,$88.08 ,$41.76 ,$65.00 ,$157.00 ,$157.00 ,$43.85 ,$133.45 ,$129.84 ,$43.96 ,$141.30 ,$123.25 ,$129.68 ,$44.73 ,$102.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$182.00 ,$131.04 ,$13.88 ,$182.00 ,$35.40 ,$145.60 ,$13.88 ,$50.96 ,$158.89 ,$167.26 ,$13.88 ,$150.51 ,$13.88 ,$28.60 ,$167.44 ,$34.69 ,$13.88 ,$14.15 ,$151.79 ,$151.79 ,$151.79 ,$13.88 ,$151.79 ,$155.79 ,$155.79 ,$163.80 ,$35.40 ,$154.70 ,$13.88 ,$13.88 ,$102.10 ,$13.88 ,$75.35 ,$182.00 ,$182.00 ,$14.57 ,$154.70 ,$150.51 ,$50.96 ,$163.80 ,$142.87 ,$150.33 ,$14.87 ,$118.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$194.00 ,$139.68 ,$18.75 ,$194.00 ,$47.83 ,$155.20 ,$18.75 ,$54.32 ,$169.36 ,$178.29 ,$18.75 ,$160.44 ,$18.75 ,$38.64 ,$178.48 ,$46.87 ,$18.75 ,$19.12 ,$161.80 ,$161.80 ,$161.80 ,$18.75 ,$161.80 ,$166.06 ,$166.06 ,$174.60 ,$47.83 ,$164.90 ,$18.75 ,$18.75 ,$108.83 ,$18.75 ,$80.32 ,$194.00 ,$194.00 ,$19.69 ,$164.90 ,$160.44 ,$54.32 ,$174.60 ,$152.29 ,$160.24 ,$20.08 ,$126.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$141.00 ,$101.52 ,$13.76 ,$141.00 ,$35.10 ,$112.80 ,$13.76 ,$39.48 ,$123.09 ,$129.58 ,$13.76 ,$116.61 ,$13.76 ,$28.36 ,$129.72 ,$34.40 ,$13.76 ,$14.03 ,$117.59 ,$117.59 ,$117.59 ,$13.76 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$35.10 ,$119.85 ,$13.76 ,$13.76 ,$79.10 ,$13.76 ,$58.37 ,$141.00 ,$141.00 ,$14.45 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$14.74 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$150.00 ,$108.00 ,$28.09 ,$150.00 ,$71.65 ,$120.00 ,$28.09 ,$42.00 ,$130.95 ,$137.85 ,$28.09 ,$124.05 ,$28.09 ,$57.89 ,$138.00 ,$70.22 ,$28.09 ,$28.65 ,$125.10 ,$125.10 ,$125.10 ,$28.09 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$71.65 ,$127.50 ,$28.09 ,$28.09 ,$84.15 ,$28.09 ,$62.10 ,$150.00 ,$150.00 ,$29.49 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$30.08 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$141.00 ,$101.52 ,$32.17 ,$141.00 ,$82.08 ,$112.80 ,$32.17 ,$39.48 ,$123.09 ,$129.58 ,$32.17 ,$116.61 ,$32.17 ,$66.32 ,$129.72 ,$80.44 ,$32.17 ,$32.82 ,$117.59 ,$117.59 ,$117.59 ,$32.17 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$82.08 ,$119.85 ,$32.17 ,$32.17 ,$79.10 ,$32.17 ,$58.37 ,$141.00 ,$141.00 ,$33.78 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$34.46 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$132.00 ,$95.04 ,$28.09 ,$132.00 ,$71.65 ,$105.60 ,$28.09 ,$36.96 ,$115.24 ,$121.31 ,$28.09 ,$109.16 ,$28.09 ,$57.89 ,$121.44 ,$70.22 ,$28.09 ,$28.65 ,$110.09 ,$110.09 ,$110.09 ,$28.09 ,$110.09 ,$112.99 ,$112.99 ,$118.80 ,$71.65 ,$112.20 ,$28.09 ,$28.09 ,$74.05 ,$28.09 ,$54.65 ,$132.00 ,$132.00 ,$29.49 ,$112.20 ,$109.16 ,$36.96 ,$118.80 ,$103.62 ,$109.03 ,$30.08 ,$85.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$122.00 ,$87.84 ,$25.91 ,$122.00 ,$66.10 ,$97.60 ,$25.91 ,$34.16 ,$106.51 ,$112.12 ,$25.91 ,$100.89 ,$25.91 ,$53.41 ,$112.24 ,$64.78 ,$25.91 ,$26.43 ,$101.75 ,$101.75 ,$101.75 ,$25.91 ,$101.75 ,$104.43 ,$104.43 ,$109.80 ,$66.10 ,$103.70 ,$25.91 ,$25.91 ,$68.44 ,$25.91 ,$50.51 ,$122.00 ,$122.00 ,$27.20 ,$103.70 ,$100.89 ,$34.16 ,$109.80 ,$95.77 ,$100.77 ,$27.75 ,$79.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$141.00 ,$101.52 ,$35.03 ,$141.00 ,$89.35 ,$112.80 ,$35.03 ,$39.48 ,$123.09 ,$129.58 ,$35.03 ,$116.61 ,$35.03 ,$72.19 ,$129.72 ,$87.56 ,$35.03 ,$35.72 ,$117.59 ,$117.59 ,$117.59 ,$35.03 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$89.35 ,$119.85 ,$35.03 ,$35.03 ,$79.10 ,$35.03 ,$58.37 ,$141.00 ,$141.00 ,$36.78 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$37.51 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$203.00 ,$146.16 ,$56.84 ,$203.00 , N/A ,$162.40 , N/A ,$56.84 ,$177.22 ,$186.56 , N/A ,$167.88 , N/A , N/A ,$186.76 , N/A , N/A , N/A ,$169.30 ,$169.30 ,$169.30 , N/A ,$169.30 ,$173.77 ,$173.77 ,$182.70 , N/A ,$172.55 , N/A , N/A ,$113.88 , N/A ,$84.04 ,$201.26 ,$192.11 , N/A ,$172.55 ,$167.88 ,$56.84 ,$182.70 ,$159.36 ,$167.68 , N/A ,$131.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000151,29581,HC APPL MULTI COMP WRAP PT/OT,420,1 ,"$2,220.00 ","$1,598.40 ",$129.62 ,"$2,220.00 ",$330.68 ,"$1,776.00 ",$129.62 ,$621.60 ,"$1,938.06 ","$2,040.18 ",$129.62 ,"$1,835.94 ",$129.62 ,$267.19 ,"$2,042.40 ",$324.07 ,$129.62 ,$132.22 ,"$1,851.48 ","$1,851.48 ","$1,851.48 ",$129.62 ,"$1,851.48 ","$1,900.32 ","$1,900.32 ","$1,998.00 ",$330.69 ,"$1,887.00 ",$129.62 ,$129.62 ,"$1,245.42 ",$129.62 ,$919.08 ,$176.31 ,$168.29 ,$136.11 ,"$1,887.00 ","$1,835.94 ",$621.60 ,"$1,998.00 ","$1,742.70 ","$1,833.72 ",$138.84 ,"$1,443.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$150.00 ,$108.00 ,$11.25 ,$150.00 ,$28.70 ,$120.00 ,$11.25 ,$42.00 ,$130.95 ,$137.85 ,$11.25 ,$124.05 ,$11.25 ,$23.19 ,$138.00 ,$28.13 ,$11.25 ,$11.48 ,$125.10 ,$125.10 ,$125.10 ,$11.25 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$28.70 ,$127.50 ,$11.25 ,$11.25 ,$84.15 ,$11.25 ,$62.10 ,$19.32 ,$18.44 ,$11.81 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$12.05 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000211,97016,HC APPLY VASOPNEUMATIC DEVICE 30MIN,420,1 ,$150.00 ,$108.00 ,$11.25 ,$150.00 ,$28.70 ,$120.00 ,$11.25 ,$42.00 ,$130.95 ,$137.85 ,$11.25 ,$124.05 ,$11.25 ,$23.19 ,$138.00 ,$28.13 ,$11.25 ,$11.48 ,$125.10 ,$125.10 ,$125.10 ,$11.25 ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$28.70 ,$127.50 ,$11.25 ,$11.25 ,$84.15 ,$11.25 ,$62.10 ,$19.32 ,$18.44 ,$11.81 ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 ,$12.05 ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42000218,97014,HC ELEC STIM UNATTENDED 15MIN,420,1 ,$147.00 ,$105.84 ,$18.44 ,$147.00 , N/A ,$117.60 , N/A ,$41.16 ,$128.33 ,$135.09 , N/A ,$121.57 , N/A , N/A ,$135.24 , N/A , N/A , N/A ,$122.60 ,$122.60 ,$122.60 , N/A ,$122.60 ,$125.83 ,$125.83 ,$132.30 , N/A ,$124.95 , N/A , N/A ,$82.47 , N/A ,$60.86 ,$19.32 ,$18.44 , N/A ,$124.95 ,$121.57 ,$41.16 ,$132.30 ,$115.40 ,$121.42 , N/A ,$95.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400043,97161,HC PT EVAL LOW COMPLEXITY 15MIN,424,1 ,$235.00 ,$169.20 ,$65.80 ,$244.53 ,$244.53 ,$188.00 ,$95.85 ,$65.80 ,$205.16 ,$215.97 ,$95.85 ,$194.35 ,$95.85 ,$197.58 ,$216.20 ,$230.30 ,$95.85 ,$97.77 ,$195.99 ,$195.99 ,$195.99 ,$95.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$235.00 ,$199.75 ,$95.85 ,$95.85 ,$131.84 ,$95.85 ,$97.29 ,$235.00 ,$225.68 ,$100.65 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$102.65 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$235.00 ,$169.20 ,$65.80 ,$244.53 ,$244.53 ,$188.00 ,$95.85 ,$65.80 ,$205.16 ,$215.97 ,$95.85 ,$194.35 ,$95.85 ,$197.58 ,$216.20 ,$230.30 ,$95.85 ,$97.77 ,$195.99 ,$195.99 ,$195.99 ,$95.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$235.00 ,$199.75 ,$95.85 ,$95.85 ,$131.84 ,$95.85 ,$97.29 ,$235.00 ,$225.68 ,$100.65 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$102.65 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$242.00 ,$174.24 ,$67.76 ,$244.53 ,$244.53 ,$193.60 ,$95.85 ,$67.76 ,$211.27 ,$222.40 ,$95.85 ,$200.13 ,$95.85 ,$197.58 ,$222.64 ,$237.16 ,$95.85 ,$97.77 ,$201.83 ,$201.83 ,$201.83 ,$95.85 ,$201.83 ,$207.15 ,$207.15 ,$217.80 ,$242.00 ,$205.70 ,$95.85 ,$95.85 ,$135.76 ,$95.85 ,$100.19 ,$236.42 ,$225.68 ,$100.65 ,$205.70 ,$200.13 ,$67.76 ,$217.80 ,$189.97 ,$199.89 ,$102.65 ,$157.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400055,97162,HC PT EVAL MOD COMPLEXITY 15MIN,424,1 ,$235.00 ,$169.20 ,$65.80 ,$244.53 ,$244.53 ,$188.00 ,$95.85 ,$65.80 ,$205.16 ,$215.97 ,$95.85 ,$194.35 ,$95.85 ,$197.58 ,$216.20 ,$230.30 ,$95.85 ,$97.77 ,$195.99 ,$195.99 ,$195.99 ,$95.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$235.00 ,$199.75 ,$95.85 ,$95.85 ,$131.84 ,$95.85 ,$97.29 ,$235.00 ,$225.68 ,$100.65 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$102.65 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$235.00 ,$169.20 ,$65.80 ,$244.53 ,$244.53 ,$188.00 ,$95.85 ,$65.80 ,$205.16 ,$215.97 ,$95.85 ,$194.35 ,$95.85 ,$197.58 ,$216.20 ,$230.30 ,$95.85 ,$97.77 ,$195.99 ,$195.99 ,$195.99 ,$95.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$235.00 ,$199.75 ,$95.85 ,$95.85 ,$131.84 ,$95.85 ,$97.29 ,$235.00 ,$225.68 ,$100.65 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$102.65 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$235.00 ,$169.20 ,$65.80 ,$244.53 ,$244.53 ,$188.00 ,$95.85 ,$65.80 ,$205.16 ,$215.97 ,$95.85 ,$194.35 ,$95.85 ,$197.58 ,$216.20 ,$230.30 ,$95.85 ,$97.77 ,$195.99 ,$195.99 ,$195.99 ,$95.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$235.00 ,$199.75 ,$95.85 ,$95.85 ,$131.84 ,$95.85 ,$97.29 ,$235.00 ,$225.68 ,$100.65 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$102.65 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$235.00 ,$169.20 ,$65.80 ,$244.53 ,$244.53 ,$188.00 ,$95.85 ,$65.80 ,$205.16 ,$215.97 ,$95.85 ,$194.35 ,$95.85 ,$197.58 ,$216.20 ,$230.30 ,$95.85 ,$97.77 ,$195.99 ,$195.99 ,$195.99 ,$95.85 ,$195.99 ,$201.16 ,$201.16 ,$211.50 ,$235.00 ,$199.75 ,$95.85 ,$95.85 ,$131.84 ,$95.85 ,$97.29 ,$235.00 ,$225.68 ,$100.65 ,$199.75 ,$194.35 ,$65.80 ,$211.50 ,$184.48 ,$194.11 ,$102.65 ,$152.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400067,97163,HC PT EVAL HIGH COMPLEXITY 15MIN,424,1 ,$242.00 ,$174.24 ,$67.76 ,$244.53 ,$244.53 ,$193.60 ,$95.85 ,$67.76 ,$211.27 ,$222.40 ,$95.85 ,$200.13 ,$95.85 ,$197.58 ,$222.64 ,$237.16 ,$95.85 ,$97.77 ,$201.83 ,$201.83 ,$201.83 ,$95.85 ,$201.83 ,$207.15 ,$207.15 ,$217.80 ,$242.00 ,$205.70 ,$95.85 ,$95.85 ,$135.76 ,$95.85 ,$100.19 ,$236.42 ,$225.68 ,$100.65 ,$205.70 ,$200.13 ,$67.76 ,$217.80 ,$189.97 ,$199.89 ,$102.65 ,$157.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400068,97163,HC PT EVAL HIGH COMPLEXITY 30MIN,424,1 ,$242.00 ,$174.24 ,$67.76 ,$244.53 ,$244.53 ,$193.60 ,$95.85 ,$67.76 ,$211.27 ,$222.40 ,$95.85 ,$200.13 ,$95.85 ,$197.58 ,$222.64 ,$237.16 ,$95.85 ,$97.77 ,$201.83 ,$201.83 ,$201.83 ,$95.85 ,$201.83 ,$207.15 ,$207.15 ,$217.80 ,$242.00 ,$205.70 ,$95.85 ,$95.85 ,$135.76 ,$95.85 ,$100.19 ,$236.42 ,$225.68 ,$100.65 ,$205.70 ,$200.13 ,$67.76 ,$217.80 ,$189.97 ,$199.89 ,$102.65 ,$157.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400069,97163,HC PT EVAL HIGH COMPLEXITY 45MIN,424,1 ,$242.00 ,$174.24 ,$67.76 ,$244.53 ,$244.53 ,$193.60 ,$95.85 ,$67.76 ,$211.27 ,$222.40 ,$95.85 ,$200.13 ,$95.85 ,$197.58 ,$222.64 ,$237.16 ,$95.85 ,$97.77 ,$201.83 ,$201.83 ,$201.83 ,$95.85 ,$201.83 ,$207.15 ,$207.15 ,$217.80 ,$242.00 ,$205.70 ,$95.85 ,$95.85 ,$135.76 ,$95.85 ,$100.19 ,$236.42 ,$225.68 ,$100.65 ,$205.70 ,$200.13 ,$67.76 ,$217.80 ,$189.97 ,$199.89 ,$102.65 ,$157.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$137.00 ,$98.64 ,$38.36 ,$169.13 ,$169.13 ,$109.60 ,$66.30 ,$38.36 ,$119.60 ,$125.90 ,$66.30 ,$113.30 ,$66.30 ,$136.65 ,$126.04 ,$134.26 ,$66.30 ,$67.62 ,$114.26 ,$114.26 ,$114.26 ,$66.30 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$137.00 ,$116.45 ,$66.30 ,$66.30 ,$76.86 ,$66.30 ,$56.72 ,$137.00 ,$137.00 ,$69.61 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$71.00 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$137.00 ,$98.64 ,$38.36 ,$169.13 ,$169.13 ,$109.60 ,$66.30 ,$38.36 ,$119.60 ,$125.90 ,$66.30 ,$113.30 ,$66.30 ,$136.65 ,$126.04 ,$134.26 ,$66.30 ,$67.62 ,$114.26 ,$114.26 ,$114.26 ,$66.30 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$137.00 ,$116.45 ,$66.30 ,$66.30 ,$76.86 ,$66.30 ,$56.72 ,$137.00 ,$137.00 ,$69.61 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$71.00 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$137.00 ,$98.64 ,$38.36 ,$169.13 ,$169.13 ,$109.60 ,$66.30 ,$38.36 ,$119.60 ,$125.90 ,$66.30 ,$113.30 ,$66.30 ,$136.65 ,$126.04 ,$134.26 ,$66.30 ,$67.62 ,$114.26 ,$114.26 ,$114.26 ,$66.30 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$137.00 ,$116.45 ,$66.30 ,$66.30 ,$76.86 ,$66.30 ,$56.72 ,$137.00 ,$137.00 ,$69.61 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$71.00 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),42400082,97164,HC PT RE-EVAL 60MIN,424,1 ,$137.00 ,$98.64 ,$38.36 ,$169.13 ,$169.13 ,$109.60 ,$66.30 ,$38.36 ,$119.60 ,$125.90 ,$66.30 ,$113.30 ,$66.30 ,$136.65 ,$126.04 ,$134.26 ,$66.30 ,$67.62 ,$114.26 ,$114.26 ,$114.26 ,$66.30 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$137.00 ,$116.45 ,$66.30 ,$66.30 ,$76.86 ,$66.30 ,$56.72 ,$137.00 ,$137.00 ,$69.61 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$71.00 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$137.00 ,$98.64 ,$31.11 ,$137.00 ,$79.38 ,$109.60 ,$31.11 ,$38.36 ,$119.60 ,$125.90 ,$31.11 ,$113.30 ,$31.11 ,$64.14 ,$126.04 ,$77.79 ,$31.11 ,$31.74 ,$114.26 ,$114.26 ,$114.26 ,$31.11 ,$114.26 ,$117.27 ,$117.27 ,$123.30 ,$79.38 ,$116.45 ,$31.11 ,$31.11 ,$76.86 ,$31.11 ,$56.72 ,$137.00 ,$137.00 ,$32.67 ,$116.45 ,$113.30 ,$38.36 ,$123.30 ,$107.55 ,$113.16 ,$33.32 ,$89.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43000024,97542,HC SEATING CLINIC EA 15 MIN,430,1 ,$110.00 ,$79.20 ,$30.30 ,$110.00 ,$77.30 ,$88.00 ,$30.30 ,$30.80 ,$96.03 ,$101.09 ,$30.30 ,$90.97 ,$30.30 ,$62.46 ,$101.20 ,$75.75 ,$30.30 ,$30.91 ,$91.74 ,$91.74 ,$91.74 ,$30.30 ,$91.74 ,$94.16 ,$94.16 ,$99.00 ,$77.30 ,$93.50 ,$30.30 ,$30.30 ,$61.71 ,$30.30 ,$45.54 ,$110.00 ,$110.00 ,$31.82 ,$93.50 ,$90.97 ,$30.80 ,$99.00 ,$86.35 ,$90.86 ,$32.46 ,$71.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$180.00 ,$129.60 ,$5.45 ,$180.00 ,$13.90 ,$144.00 ,$5.45 ,$50.40 ,$157.14 ,$165.42 ,$5.45 ,$148.86 ,$5.45 ,$11.23 ,$165.60 ,$13.62 ,$5.45 ,$5.56 ,$150.12 ,$150.12 ,$150.12 ,$5.45 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$13.90 ,$153.00 ,$5.45 ,$5.45 ,$100.98 ,$5.45 ,$74.52 ,$19.32 ,$18.44 ,$5.72 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$5.83 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$180.00 ,$129.60 ,$5.45 ,$180.00 ,$13.90 ,$144.00 ,$5.45 ,$50.40 ,$157.14 ,$165.42 ,$5.45 ,$148.86 ,$5.45 ,$11.23 ,$165.60 ,$13.62 ,$5.45 ,$5.56 ,$150.12 ,$150.12 ,$150.12 ,$5.45 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$13.90 ,$153.00 ,$5.45 ,$5.45 ,$100.98 ,$5.45 ,$74.52 ,$19.32 ,$18.44 ,$5.72 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$5.83 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400007,97003,HC OT EVAL ORTHOTICS,434,1 ,$230.00 ,$165.60 ,$64.40 ,$230.00 , N/A ,$184.00 , N/A ,$64.40 ,$200.79 ,$211.37 , N/A ,$190.21 , N/A , N/A ,$211.60 , N/A , N/A , N/A ,$191.82 ,$191.82 ,$191.82 , N/A ,$191.82 ,$196.88 ,$196.88 ,$207.00 , N/A ,$195.50 , N/A , N/A ,$129.03 , N/A ,$95.22 , N/A , N/A , N/A ,$195.50 ,$190.21 ,$64.40 ,$207.00 ,$180.55 ,$189.98 , N/A ,$149.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400019,97004,HC OT RE EVAL ACUTE,434,1 ,$113.00 ,$81.36 ,$31.64 ,$113.00 , N/A ,$90.40 , N/A ,$31.64 ,$98.65 ,$103.85 , N/A ,$93.45 , N/A , N/A ,$103.96 , N/A , N/A , N/A ,$94.24 ,$94.24 ,$94.24 , N/A ,$94.24 ,$96.73 ,$96.73 ,$101.70 , N/A ,$96.05 , N/A , N/A ,$63.39 , N/A ,$46.78 , N/A , N/A , N/A ,$96.05 ,$93.45 ,$31.64 ,$101.70 ,$88.71 ,$93.34 , N/A ,$73.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400034,97165,HC OT EVAL LOW COMPLEXITY 15MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400046,97166,HC OT EVAL MOD COMPLEXITY 15MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400050,97166,HC OT EVAL MOD COMPLEXITY 75MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400051,97166,HC OT EVAL MOD COMPLEXITY 90MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400052,97166,HC OT EVAL MOD COMPLEXITY 105MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400058,97167,HC OT EVAL HIGH COMPLEXITY 15MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400059,97167,HC OT EVAL HIGH COMPLEXITY 30MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400060,97167,HC OT EVAL HIGH COMPLEXITY 45MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400061,97167,HC OT EVAL HIGH COMPLEXITY 60MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400062,97167,HC OT EVAL HIGH COMPLEXITY 75MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400063,97167,HC OT EVAL HIGH COMPLEXITY 90MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400064,97167,HC OT EVAL HIGH COMPLEXITY 105MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400065,97167,HC OT EVAL HIGH COMPLEXITY 120MIN,434,1 ,$223.00 ,$160.56 ,$62.44 ,$244.53 ,$244.53 ,$178.40 ,$95.85 ,$62.44 ,$194.68 ,$204.94 ,$95.85 ,$184.42 ,$95.85 ,$197.58 ,$205.16 ,$218.54 ,$95.85 ,$97.77 ,$185.98 ,$185.98 ,$185.98 ,$95.85 ,$185.98 ,$190.89 ,$190.89 ,$200.70 ,$223.00 ,$189.55 ,$95.85 ,$95.85 ,$125.10 ,$95.85 ,$92.32 ,$223.00 ,$223.00 ,$100.65 ,$189.55 ,$184.42 ,$62.44 ,$200.70 ,$175.06 ,$184.20 ,$102.65 ,$144.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400073,97168,HC OT RE-EVAL 60MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400074,97168,HC OT RE-EVAL 75MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400075,97168,HC OT RE-EVAL 90MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),43400076,97168,HC OT RE-EVAL 105MIN,434,1 ,$141.00 ,$101.52 ,$39.48 ,$168.35 ,$168.35 ,$112.80 ,$65.99 ,$39.48 ,$123.09 ,$129.58 ,$65.99 ,$116.61 ,$65.99 ,$136.03 ,$129.72 ,$138.18 ,$65.99 ,$67.32 ,$117.59 ,$117.59 ,$117.59 ,$65.99 ,$117.59 ,$120.70 ,$120.70 ,$126.90 ,$141.00 ,$119.85 ,$65.99 ,$65.99 ,$79.10 ,$65.99 ,$58.37 ,$141.00 ,$141.00 ,$69.30 ,$119.85 ,$116.61 ,$39.48 ,$126.90 ,$110.69 ,$116.47 ,$70.68 ,$91.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$410.00 ,$295.20 ,$73.34 ,$410.00 ,$187.10 ,$328.00 ,$73.34 ,$114.80 ,$357.93 ,$376.79 ,$73.34 ,$339.07 ,$73.34 ,$151.18 ,$377.20 ,$183.36 ,$73.34 ,$74.81 ,$341.94 ,$341.94 ,$341.94 ,$73.34 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$187.10 ,$348.50 ,$73.34 ,$73.34 ,$230.01 ,$73.34 ,$169.74 ,$174.76 ,$166.81 ,$77.01 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$78.55 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$410.00 ,$295.20 ,$73.34 ,$410.00 ,$187.10 ,$328.00 ,$73.34 ,$114.80 ,$357.93 ,$376.79 ,$73.34 ,$339.07 ,$73.34 ,$151.18 ,$377.20 ,$183.36 ,$73.34 ,$74.81 ,$341.94 ,$341.94 ,$341.94 ,$73.34 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$187.10 ,$348.50 ,$73.34 ,$73.34 ,$230.01 ,$73.34 ,$169.74 ,$174.76 ,$166.81 ,$77.01 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$78.55 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$410.00 ,$295.20 ,$81.04 ,$410.00 ,$206.73 ,$328.00 ,$81.04 ,$114.80 ,$357.93 ,$376.79 ,$81.04 ,$339.07 ,$81.04 ,$167.03 ,$377.20 ,$202.60 ,$81.04 ,$82.65 ,$341.94 ,$341.94 ,$341.94 ,$81.04 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$206.73 ,$348.50 ,$81.04 ,$81.04 ,$230.01 ,$81.04 ,$169.74 ,$174.76 ,$166.81 ,$85.08 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$86.79 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$410.00 ,$295.20 ,$81.04 ,$410.00 ,$206.73 ,$328.00 ,$81.04 ,$114.80 ,$357.93 ,$376.79 ,$81.04 ,$339.07 ,$81.04 ,$167.03 ,$377.20 ,$202.60 ,$81.04 ,$82.65 ,$341.94 ,$341.94 ,$341.94 ,$81.04 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$206.73 ,$348.50 ,$81.04 ,$81.04 ,$230.01 ,$81.04 ,$169.74 ,$174.76 ,$166.81 ,$85.08 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$86.79 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$410.00 ,$295.20 ,$81.04 ,$410.00 ,$206.73 ,$328.00 ,$81.04 ,$114.80 ,$357.93 ,$376.79 ,$81.04 ,$339.07 ,$81.04 ,$167.03 ,$377.20 ,$202.60 ,$81.04 ,$82.65 ,$341.94 ,$341.94 ,$341.94 ,$81.04 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$206.73 ,$348.50 ,$81.04 ,$81.04 ,$230.01 ,$81.04 ,$169.74 ,$174.76 ,$166.81 ,$85.08 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$86.79 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$410.00 ,$295.20 ,$81.04 ,$410.00 ,$206.73 ,$328.00 ,$81.04 ,$114.80 ,$357.93 ,$376.79 ,$81.04 ,$339.07 ,$81.04 ,$167.03 ,$377.20 ,$202.60 ,$81.04 ,$82.65 ,$341.94 ,$341.94 ,$341.94 ,$81.04 ,$341.94 ,$350.96 ,$350.96 ,$369.00 ,$206.73 ,$348.50 ,$81.04 ,$81.04 ,$230.01 ,$81.04 ,$169.74 ,$174.76 ,$166.81 ,$85.08 ,$348.50 ,$339.07 ,$114.80 ,$369.00 ,$321.85 ,$338.66 ,$86.79 ,$266.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$187.00 ,$134.64 ,$52.36 ,$206.43 ,$206.43 ,$149.60 ,$80.92 ,$52.36 ,$163.25 ,$171.85 ,$80.92 ,$154.65 ,$80.92 ,$166.79 ,$172.04 ,$183.26 ,$80.92 ,$82.54 ,$155.96 ,$155.96 ,$155.96 ,$80.92 ,$155.96 ,$160.07 ,$160.07 ,$168.30 ,$187.00 ,$158.95 ,$80.92 ,$80.92 ,$104.91 ,$80.92 ,$77.42 ,$174.76 ,$166.81 ,$84.97 ,$158.95 ,$154.65 ,$52.36 ,$168.30 ,$146.80 ,$154.46 ,$86.66 ,$121.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400018,92610,HC DYSPHAGIA EVALUATION  30MIN,444,1 ,$187.00 ,$134.64 ,$52.36 ,$206.43 ,$206.43 ,$149.60 ,$80.92 ,$52.36 ,$163.25 ,$171.85 ,$80.92 ,$154.65 ,$80.92 ,$166.79 ,$172.04 ,$183.26 ,$80.92 ,$82.54 ,$155.96 ,$155.96 ,$155.96 ,$80.92 ,$155.96 ,$160.07 ,$160.07 ,$168.30 ,$187.00 ,$158.95 ,$80.92 ,$80.92 ,$104.91 ,$80.92 ,$77.42 ,$174.76 ,$166.81 ,$84.97 ,$158.95 ,$154.65 ,$52.36 ,$168.30 ,$146.80 ,$154.46 ,$86.66 ,$121.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$187.00 ,$134.64 ,$52.36 ,$206.43 ,$206.43 ,$149.60 ,$80.92 ,$52.36 ,$163.25 ,$171.85 ,$80.92 ,$154.65 ,$80.92 ,$166.79 ,$172.04 ,$183.26 ,$80.92 ,$82.54 ,$155.96 ,$155.96 ,$155.96 ,$80.92 ,$155.96 ,$160.07 ,$160.07 ,$168.30 ,$187.00 ,$158.95 ,$80.92 ,$80.92 ,$104.91 ,$80.92 ,$77.42 ,$174.76 ,$166.81 ,$84.97 ,$158.95 ,$154.65 ,$52.36 ,$168.30 ,$146.80 ,$154.46 ,$86.66 ,$121.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400041,92522,HC EVALUATE SPEECH PRODUCTION 15MIN,444,1 ,$153.00 ,$110.16 ,$42.84 ,$272.25 ,$272.25 ,$122.40 ,$106.72 ,$42.84 ,$133.57 ,$140.61 ,$106.72 ,$126.53 ,$106.72 ,$153.00 ,$140.76 ,$149.94 ,$106.72 ,$108.86 ,$127.60 ,$127.60 ,$127.60 ,$106.72 ,$127.60 ,$130.97 ,$130.97 ,$137.70 ,$153.00 ,$130.05 ,$106.72 ,$106.72 ,$85.83 ,$106.72 ,$63.34 ,$153.00 ,$153.00 ,$112.06 ,$130.05 ,$126.53 ,$42.84 ,$137.70 ,$120.11 ,$126.38 ,$114.30 ,$99.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$164.00 ,$118.08 ,$45.92 ,$556.38 ,$556.38 ,$131.20 ,$160.72 ,$45.92 ,$143.17 ,$150.72 ,$160.72 ,$135.63 ,$160.72 ,$164.00 ,$150.88 ,$160.72 ,$218.10 ,$163.93 ,$136.78 ,$136.78 ,$136.78 ,$160.72 ,$136.78 ,$140.38 ,$140.38 ,$147.60 ,$164.00 ,$139.40 ,$160.72 ,$160.72 ,$92.00 ,$218.10 ,$67.90 ,$164.00 ,$164.00 ,$160.72 ,$139.40 ,$135.63 ,$45.92 ,$147.60 ,$128.74 ,$135.46 ,$233.58 ,$106.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400055,92522,HC EVALUATE SPEECH PRODUCTION 30MIN,444,1 ,$153.00 ,$110.16 ,$42.84 ,$272.25 ,$272.25 ,$122.40 ,$106.72 ,$42.84 ,$133.57 ,$140.61 ,$106.72 ,$126.53 ,$106.72 ,$153.00 ,$140.76 ,$149.94 ,$106.72 ,$108.86 ,$127.60 ,$127.60 ,$127.60 ,$106.72 ,$127.60 ,$130.97 ,$130.97 ,$137.70 ,$153.00 ,$130.05 ,$106.72 ,$106.72 ,$85.83 ,$106.72 ,$63.34 ,$153.00 ,$153.00 ,$112.06 ,$130.05 ,$126.53 ,$42.84 ,$137.70 ,$120.11 ,$126.38 ,$114.30 ,$99.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400056,92522,HC EVALUATE SPEECH PRODUCTION 45MIN,444,1 ,$153.00 ,$110.16 ,$42.84 ,$272.25 ,$272.25 ,$122.40 ,$106.72 ,$42.84 ,$133.57 ,$140.61 ,$106.72 ,$126.53 ,$106.72 ,$153.00 ,$140.76 ,$149.94 ,$106.72 ,$108.86 ,$127.60 ,$127.60 ,$127.60 ,$106.72 ,$127.60 ,$130.97 ,$130.97 ,$137.70 ,$153.00 ,$130.05 ,$106.72 ,$106.72 ,$85.83 ,$106.72 ,$63.34 ,$153.00 ,$153.00 ,$112.06 ,$130.05 ,$126.53 ,$42.84 ,$137.70 ,$120.11 ,$126.38 ,$114.30 ,$99.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400057,92522,HC EVALUATE SPEECH PRODUCTION 60MIN,444,1 ,$153.00 ,$110.16 ,$42.84 ,$272.25 ,$272.25 ,$122.40 ,$106.72 ,$42.84 ,$133.57 ,$140.61 ,$106.72 ,$126.53 ,$106.72 ,$153.00 ,$140.76 ,$149.94 ,$106.72 ,$108.86 ,$127.60 ,$127.60 ,$127.60 ,$106.72 ,$127.60 ,$130.97 ,$130.97 ,$137.70 ,$153.00 ,$130.05 ,$106.72 ,$106.72 ,$85.83 ,$106.72 ,$63.34 ,$153.00 ,$153.00 ,$112.06 ,$130.05 ,$126.53 ,$42.84 ,$137.70 ,$120.11 ,$126.38 ,$114.30 ,$99.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$164.00 ,$118.08 ,$45.92 ,$556.38 ,$556.38 ,$131.20 ,$160.72 ,$45.92 ,$143.17 ,$150.72 ,$160.72 ,$135.63 ,$160.72 ,$164.00 ,$150.88 ,$160.72 ,$218.10 ,$163.93 ,$136.78 ,$136.78 ,$136.78 ,$160.72 ,$136.78 ,$140.38 ,$140.38 ,$147.60 ,$164.00 ,$139.40 ,$160.72 ,$160.72 ,$92.00 ,$218.10 ,$67.90 ,$164.00 ,$164.00 ,$160.72 ,$139.40 ,$135.63 ,$45.92 ,$147.60 ,$128.74 ,$135.46 ,$233.58 ,$106.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$164.00 ,$118.08 ,$45.92 ,$556.38 ,$556.38 ,$131.20 ,$160.72 ,$45.92 ,$143.17 ,$150.72 ,$160.72 ,$135.63 ,$160.72 ,$164.00 ,$150.88 ,$160.72 ,$218.10 ,$163.93 ,$136.78 ,$136.78 ,$136.78 ,$160.72 ,$136.78 ,$140.38 ,$140.38 ,$147.60 ,$164.00 ,$139.40 ,$160.72 ,$160.72 ,$92.00 ,$218.10 ,$67.90 ,$164.00 ,$164.00 ,$160.72 ,$139.40 ,$135.63 ,$45.92 ,$147.60 ,$128.74 ,$135.46 ,$233.58 ,$106.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$164.00 ,$118.08 ,$45.92 ,$556.38 ,$556.38 ,$131.20 ,$160.72 ,$45.92 ,$143.17 ,$150.72 ,$160.72 ,$135.63 ,$160.72 ,$164.00 ,$150.88 ,$160.72 ,$218.10 ,$163.93 ,$136.78 ,$136.78 ,$136.78 ,$160.72 ,$136.78 ,$140.38 ,$140.38 ,$147.60 ,$164.00 ,$139.40 ,$160.72 ,$160.72 ,$92.00 ,$218.10 ,$67.90 ,$164.00 ,$164.00 ,$160.72 ,$139.40 ,$135.63 ,$45.92 ,$147.60 ,$128.74 ,$135.46 ,$233.58 ,$106.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$588.00 ,$423.36 ,$164.64 ,$906.48 ,$906.48 ,$470.40 ,$355.34 ,$164.64 ,$513.32 ,$540.37 ,$331.78 ,$486.28 ,$355.34 ,$588.00 ,$540.96 ,$576.24 ,$355.34 ,$362.44 ,$490.39 ,$490.39 ,$490.39 ,$355.34 ,$490.39 ,$503.33 ,$503.33 ,$529.20 ,$588.00 ,$499.80 ,$355.34 ,$355.34 ,$329.87 ,$355.34 ,$243.43 , N/A , N/A ,$373.13 ,$499.80 ,$486.28 ,$164.64 ,$529.20 ,$461.58 ,$485.69 ,$355.34 ,$382.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$533.00 ,$383.76 ,$149.24 ,"$1,576.85 ","$1,576.85 ",$426.40 ,$522.34 ,$149.24 ,$465.31 ,$489.83 ,$522.34 ,$440.79 ,$522.34 ,$533.00 ,$490.36 ,$522.34 ,$618.13 ,$532.79 ,$444.52 ,$444.52 ,$444.52 ,$522.34 ,$444.52 ,$456.25 ,$456.25 ,$479.70 ,$533.00 ,$453.05 ,$522.34 ,$522.34 ,$299.01 ,$618.13 ,$220.66 , N/A , N/A ,$522.34 ,$453.05 ,$440.79 ,$149.24 ,$479.70 ,$418.41 ,$440.26 ,$618.13 ,$346.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$533.00 ,$383.76 ,$149.24 ,$906.48 ,$906.48 ,$426.40 ,$355.34 ,$149.24 ,$465.31 ,$489.83 ,$331.78 ,$440.79 ,$355.34 ,$533.00 ,$490.36 ,$522.34 ,$355.34 ,$362.44 ,$444.52 ,$444.52 ,$444.52 ,$355.34 ,$444.52 ,$456.25 ,$456.25 ,$479.70 ,$533.00 ,$453.05 ,$355.34 ,$355.34 ,$299.01 ,$355.34 ,$220.66 , N/A , N/A ,$373.13 ,$453.05 ,$440.79 ,$149.24 ,$479.70 ,$418.41 ,$440.26 ,$355.34 ,$346.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$243.00 ,$174.96 ,$68.04 ,$438.78 ,$438.78 ,$194.40 ,$172.00 ,$68.04 ,$212.14 ,$223.32 ,$160.59 ,$200.96 ,$172.00 ,$243.00 ,$223.56 ,$238.14 ,$172.00 ,$175.44 ,$202.66 ,$202.66 ,$202.66 ,$172.00 ,$202.66 ,$208.01 ,$208.01 ,$218.70 ,$243.00 ,$206.55 ,$172.00 ,$172.00 ,$136.32 ,$172.00 ,$100.60 , N/A , N/A ,$180.60 ,$206.55 ,$200.96 ,$68.04 ,$218.70 ,$190.76 ,$200.72 ,$172.00 ,$157.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$197.00 ,$141.84 ,$55.16 ,$282.13 ,$282.13 ,$157.60 ,$110.59 ,$55.16 ,$171.98 ,$181.04 ,$103.26 ,$162.92 ,$110.59 ,$197.00 ,$181.24 ,$193.06 ,$110.59 ,$112.81 ,$164.30 ,$164.30 ,$164.30 ,$110.59 ,$164.30 ,$168.63 ,$168.63 ,$177.30 ,$197.00 ,$167.45 ,$110.59 ,$110.59 ,$110.52 ,$110.59 ,$81.56 , N/A , N/A ,$116.13 ,$167.45 ,$162.92 ,$55.16 ,$177.30 ,$154.65 ,$162.72 ,$110.59 ,$128.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000012,11760,HC REPAIR NAIL BED,450,1 ,"$1,466.00 ","$1,055.52 ",$410.48 ,"$1,466.00 ","$1,411.58 ","$1,172.80 ",$553.34 ,$410.48 ,"$1,279.82 ","$1,347.25 ",$516.66 ,"$1,212.38 ",$553.34 ,"$1,140.55 ","$1,348.72 ","$1,383.35 ",$553.34 ,$564.40 ,"$1,222.64 ","$1,222.64 ","$1,222.64 ",$553.34 ,"$1,222.64 ","$1,254.90 ","$1,254.90 ","$1,319.40 ","$1,318.00 ","$1,246.10 ",$553.34 ,$553.34 ,$822.43 ,$553.34 ,$606.92 , N/A , N/A ,$581.03 ,"$1,246.10 ","$1,212.38 ",$410.48 ,"$1,319.40 ","$1,150.81 ","$1,210.92 ",$553.34 ,$952.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$642.00 ,$462.24 ,$160.59 ,$642.00 ,$438.78 ,$513.60 ,$172.00 ,$179.76 ,$560.47 ,$590.00 ,$160.59 ,$530.93 ,$172.00 ,$354.52 ,$590.64 ,$430.00 ,$172.00 ,$175.44 ,$535.43 ,$535.43 ,$535.43 ,$172.00 ,$535.43 ,$549.55 ,$549.55 ,$577.80 ,$409.68 ,$545.70 ,$172.00 ,$172.00 ,$360.16 ,$172.00 ,$265.79 , N/A , N/A ,$180.60 ,$545.70 ,$530.93 ,$179.76 ,$577.80 ,$503.97 ,$530.29 ,$172.00 ,$417.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$648.00 ,$466.56 ,$160.59 ,$648.00 ,$438.78 ,$518.40 ,$172.00 ,$181.44 ,$565.70 ,$595.51 ,$160.59 ,$535.90 ,$172.00 ,$354.52 ,$596.16 ,$430.00 ,$172.00 ,$175.44 ,$540.43 ,$540.43 ,$540.43 ,$172.00 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$409.68 ,$550.80 ,$172.00 ,$172.00 ,$363.53 ,$172.00 ,$268.27 , N/A , N/A ,$180.60 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$172.00 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$648.00 ,$466.56 ,$160.59 ,$648.00 ,$438.78 ,$518.40 ,$172.00 ,$181.44 ,$565.70 ,$595.51 ,$160.59 ,$535.90 ,$172.00 ,$354.52 ,$596.16 ,$430.00 ,$172.00 ,$175.44 ,$540.43 ,$540.43 ,$540.43 ,$172.00 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$409.68 ,$550.80 ,$172.00 ,$172.00 ,$363.53 ,$172.00 ,$268.27 , N/A , N/A ,$180.60 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$172.00 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$648.00 ,$466.56 ,$160.59 ,$648.00 ,$438.78 ,$518.40 ,$172.00 ,$181.44 ,$565.70 ,$595.51 ,$160.59 ,$535.90 ,$172.00 ,$354.52 ,$596.16 ,$430.00 ,$172.00 ,$175.44 ,$540.43 ,$540.43 ,$540.43 ,$172.00 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$409.68 ,$550.80 ,$172.00 ,$172.00 ,$363.53 ,$172.00 ,$268.27 , N/A , N/A ,$180.60 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$172.00 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$648.00 ,$466.56 ,$160.59 ,$648.00 ,$438.78 ,$518.40 ,$172.00 ,$181.44 ,$565.70 ,$595.51 ,$160.59 ,$535.90 ,$172.00 ,$354.52 ,$596.16 ,$430.00 ,$172.00 ,$175.44 ,$540.43 ,$540.43 ,$540.43 ,$172.00 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$409.68 ,$550.80 ,$172.00 ,$172.00 ,$363.53 ,$172.00 ,$268.27 , N/A , N/A ,$180.60 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$172.00 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$648.00 ,$466.56 ,$160.59 ,$648.00 ,$438.78 ,$518.40 ,$172.00 ,$181.44 ,$565.70 ,$595.51 ,$160.59 ,$535.90 ,$172.00 ,$354.52 ,$596.16 ,$430.00 ,$172.00 ,$175.44 ,$540.43 ,$540.43 ,$540.43 ,$172.00 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$409.68 ,$550.80 ,$172.00 ,$172.00 ,$363.53 ,$172.00 ,$268.27 , N/A , N/A ,$180.60 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$172.00 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$648.00 ,$466.56 ,$160.59 ,$648.00 ,$438.78 ,$518.40 ,$172.00 ,$181.44 ,$565.70 ,$595.51 ,$160.59 ,$535.90 ,$172.00 ,$354.52 ,$596.16 ,$430.00 ,$172.00 ,$175.44 ,$540.43 ,$540.43 ,$540.43 ,$172.00 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$409.68 ,$550.80 ,$172.00 ,$172.00 ,$363.53 ,$172.00 ,$268.27 , N/A , N/A ,$180.60 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$172.00 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$667.00 ,$480.24 ,$186.76 ,$906.48 ,$906.48 ,$533.60 ,$355.34 ,$186.76 ,$582.29 ,$612.97 ,$331.78 ,$551.61 ,$355.34 ,$667.00 ,$613.64 ,$653.66 ,$355.34 ,$362.44 ,$556.28 ,$556.28 ,$556.28 ,$355.34 ,$556.28 ,$570.95 ,$570.95 ,$600.30 ,$667.00 ,$566.95 ,$355.34 ,$355.34 ,$374.19 ,$355.34 ,$276.14 , N/A , N/A ,$373.13 ,$566.95 ,$551.61 ,$186.76 ,$600.30 ,$523.60 ,$550.94 ,$355.34 ,$433.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000028,12021,HC SIMP SUPERFICIAL DEHISCENC/PAK,450,1 ,$617.00 ,$444.24 ,$172.76 ,$906.48 ,$906.48 ,$493.60 ,$355.34 ,$172.76 ,$538.64 ,$567.02 ,$331.78 ,$510.26 ,$355.34 ,$617.00 ,$567.64 ,$604.66 ,$355.34 ,$362.44 ,$514.58 ,$514.58 ,$514.58 ,$355.34 ,$514.58 ,$528.15 ,$528.15 ,$555.30 ,$617.00 ,$524.45 ,$355.34 ,$355.34 ,$346.14 ,$355.34 ,$255.44 , N/A , N/A ,$373.13 ,$524.45 ,$510.26 ,$172.76 ,$555.30 ,$484.35 ,$509.64 ,$355.34 ,$401.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,"$1,014.00 ",$730.08 ,$283.92 ,"$1,014.00 ",$906.48 ,$811.20 ,$355.34 ,$283.92 ,$885.22 ,$931.87 ,$331.78 ,$838.58 ,$355.34 ,$732.43 ,$932.88 ,$888.35 ,$355.34 ,$362.44 ,$845.68 ,$845.68 ,$845.68 ,$355.34 ,$845.68 ,$867.98 ,$867.98 ,$912.60 ,$846.38 ,$861.90 ,$355.34 ,$355.34 ,$568.85 ,$355.34 ,$419.80 , N/A , N/A ,$373.13 ,$861.90 ,$838.58 ,$283.92 ,$912.60 ,$795.99 ,$837.56 ,$355.34 ,$659.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$648.00 ,$466.56 ,$181.44 ,$906.48 ,$906.48 ,$518.40 ,$355.34 ,$181.44 ,$565.70 ,$595.51 ,$331.78 ,$535.90 ,$355.34 ,$648.00 ,$596.16 ,$635.04 ,$355.34 ,$362.44 ,$540.43 ,$540.43 ,$540.43 ,$355.34 ,$540.43 ,$554.69 ,$554.69 ,$583.20 ,$648.00 ,$550.80 ,$355.34 ,$355.34 ,$363.53 ,$355.34 ,$268.27 , N/A , N/A ,$373.13 ,$550.80 ,$535.90 ,$181.44 ,$583.20 ,$508.68 ,$535.25 ,$355.34 ,$421.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,"$1,456.00 ","$1,048.32 ",$407.68 ,"$1,456.00 ","$1,411.58 ","$1,164.80 ",$553.34 ,$407.68 ,"$1,271.09 ","$1,338.06 ",$516.66 ,"$1,204.11 ",$553.34 ,"$1,140.55 ","$1,339.52 ","$1,383.35 ",$553.34 ,$564.40 ,"$1,214.30 ","$1,214.30 ","$1,214.30 ",$553.34 ,"$1,214.30 ","$1,246.34 ","$1,246.34 ","$1,310.40 ","$1,318.00 ","$1,237.60 ",$553.34 ,$553.34 ,$816.82 ,$553.34 ,$602.78 , N/A , N/A ,$581.03 ,"$1,237.60 ","$1,204.11 ",$407.68 ,"$1,310.40 ","$1,142.96 ","$1,202.66 ",$553.34 ,$946.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$384.00 ,$276.48 ,$107.52 ,$438.78 ,$438.78 ,$307.20 ,$172.00 ,$107.52 ,$335.23 ,$352.90 ,$160.59 ,$317.57 ,$172.00 ,$354.52 ,$353.28 ,$376.32 ,$172.00 ,$175.44 ,$320.26 ,$320.26 ,$320.26 ,$172.00 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$384.00 ,$326.40 ,$172.00 ,$172.00 ,$215.42 ,$172.00 ,$158.98 , N/A , N/A ,$180.60 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 ,$317.18 ,$172.00 ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$386.00 ,$277.92 ,$108.08 ,$438.78 ,$438.78 ,$308.80 ,$172.00 ,$108.08 ,$336.98 ,$354.73 ,$160.59 ,$319.22 ,$172.00 ,$354.52 ,$355.12 ,$378.28 ,$172.00 ,$175.44 ,$321.92 ,$321.92 ,$321.92 ,$172.00 ,$321.92 ,$330.42 ,$330.42 ,$347.40 ,$386.00 ,$328.10 ,$172.00 ,$172.00 ,$216.55 ,$172.00 ,$159.80 , N/A , N/A ,$180.60 ,$328.10 ,$319.22 ,$108.08 ,$347.40 ,$303.01 ,$318.84 ,$172.00 ,$250.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,$660.00 ,$475.20 ,$184.80 ,$660.63 ,$660.63 ,$528.00 ,$258.96 ,$184.80 ,$576.18 ,$606.54 ,$241.80 ,$545.82 ,$258.96 ,$533.79 ,$607.20 ,$646.80 ,$258.96 ,$264.15 ,$550.44 ,$550.44 ,$550.44 ,$258.96 ,$550.44 ,$564.96 ,$564.96 ,$594.00 ,$616.84 ,$561.00 ,$258.96 ,$258.96 ,$370.26 ,$258.96 ,$273.24 , N/A , N/A ,$271.93 ,$561.00 ,$545.82 ,$184.80 ,$594.00 ,$518.10 ,$545.16 ,$258.96 ,$429.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$338.00 ,$243.36 ,$94.64 ,$660.63 ,$660.63 ,$270.40 ,$258.96 ,$94.64 ,$295.07 ,$310.62 ,$241.80 ,$279.53 ,$258.96 ,$338.00 ,$310.96 ,$331.24 ,$258.96 ,$264.15 ,$281.89 ,$281.89 ,$281.89 ,$258.96 ,$281.89 ,$289.33 ,$289.33 ,$304.20 ,$338.00 ,$287.30 ,$258.96 ,$258.96 ,$189.62 ,$258.96 ,$139.93 , N/A , N/A ,$271.93 ,$287.30 ,$279.53 ,$94.64 ,$304.20 ,$265.33 ,$279.19 ,$258.96 ,$219.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,$384.00 ,$276.48 ,$107.52 ,$660.63 ,$660.63 ,$307.20 ,$258.96 ,$107.52 ,$335.23 ,$352.90 ,$241.80 ,$317.57 ,$258.96 ,$384.00 ,$353.28 ,$376.32 ,$258.96 ,$264.15 ,$320.26 ,$320.26 ,$320.26 ,$258.96 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$384.00 ,$326.40 ,$258.96 ,$258.96 ,$215.42 ,$258.96 ,$158.98 , N/A , N/A ,$271.93 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 ,$317.18 ,$258.96 ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$596.00 ,$429.12 ,$166.88 ,$596.00 ,$503.00 ,$476.80 ,$197.18 ,$166.88 ,$520.31 ,$547.72 ,$184.10 ,$492.89 ,$197.18 ,$406.41 ,$548.32 ,$492.94 ,$197.18 ,$201.12 ,$497.06 ,$497.06 ,$497.06 ,$197.18 ,$497.06 ,$510.18 ,$510.18 ,$536.40 ,$469.64 ,$506.60 ,$197.18 ,$197.18 ,$334.36 ,$197.18 ,$246.74 , N/A , N/A ,$207.03 ,$506.60 ,$492.89 ,$166.88 ,$536.40 ,$467.86 ,$492.30 ,$197.18 ,$387.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$3,485.58 ","$3,485.58 ","$1,129.60 ","$1,366.35 ",$395.36 ,"$1,232.68 ","$1,297.63 ","$1,275.76 ","$1,167.72 ","$1,366.35 ","$1,412.00 ","$1,299.04 ","$1,383.76 ","$1,366.35 ","$1,393.67 ","$1,177.61 ","$1,177.61 ","$1,177.61 ","$1,366.35 ","$1,177.61 ","$1,208.67 ","$1,208.67 ","$1,270.80 ","$1,412.00 ","$1,200.20 ","$1,366.35 ","$1,366.35 ",$792.13 ,"$1,366.35 ",$584.57 , N/A , N/A ,"$1,383.76 ","$1,200.20 ","$1,167.72 ",$395.36 ,"$1,270.80 ","$1,108.42 ","$1,166.31 ","$1,366.35 ",$917.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$573.00 ,$412.56 ,$160.44 ,$573.00 ,$503.00 ,$458.40 ,$197.18 ,$160.44 ,$500.23 ,$526.59 ,$184.10 ,$473.87 ,$197.18 ,$406.41 ,$527.16 ,$492.94 ,$197.18 ,$201.12 ,$477.88 ,$477.88 ,$477.88 ,$197.18 ,$477.88 ,$490.49 ,$490.49 ,$515.70 ,$469.64 ,$487.05 ,$197.18 ,$197.18 ,$321.45 ,$197.18 ,$237.22 , N/A , N/A ,$207.03 ,$487.05 ,$473.87 ,$160.44 ,$515.70 ,$449.81 ,$473.30 ,$197.18 ,$372.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,"$1,190.00 ",$856.80 ,$184.10 ,"$1,190.00 ",$503.00 ,$952.00 ,$197.18 ,$333.20 ,"$1,038.87 ","$1,093.61 ",$184.10 ,$984.13 ,$197.18 ,$406.41 ,"$1,094.80 ",$492.94 ,$197.18 ,$201.12 ,$992.46 ,$992.46 ,$992.46 ,$197.18 ,$992.46 ,"$1,018.64 ","$1,018.64 ","$1,071.00 ",$469.64 ,"$1,011.50 ",$197.18 ,$197.18 ,$667.59 ,$197.18 ,$492.66 , N/A , N/A ,$207.03 ,"$1,011.50 ",$984.13 ,$333.20 ,"$1,071.00 ",$934.15 ,$982.94 ,$197.18 ,$773.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$1,067.00 ",$768.24 ,$298.76 ,"$1,576.85 ","$1,576.85 ",$853.60 ,$618.13 ,$298.76 ,$931.49 ,$980.57 ,$577.15 ,$882.41 ,$618.13 ,"$1,067.00 ",$981.64 ,"$1,045.66 ",$618.13 ,$630.48 ,$889.88 ,$889.88 ,$889.88 ,$618.13 ,$889.88 ,$913.35 ,$913.35 ,$960.30 ,"$1,067.00 ",$906.95 ,$618.13 ,$618.13 ,$598.59 ,$618.13 ,$441.74 , N/A , N/A ,$649.06 ,$906.95 ,$882.41 ,$298.76 ,$960.30 ,$837.60 ,$881.34 ,$618.13 ,$693.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000098,29065,HC APPL CAST ARM LONG,450,1 ,$351.00 ,$252.72 ,$98.28 ,$582.93 ,$582.93 ,$280.80 ,$228.51 ,$98.28 ,$306.42 ,$322.57 ,$213.36 ,$290.28 ,$228.51 ,$351.00 ,$322.92 ,$343.98 ,$228.51 ,$233.07 ,$292.73 ,$292.73 ,$292.73 ,$228.51 ,$292.73 ,$300.46 ,$300.46 ,$315.90 ,$351.00 ,$298.35 ,$228.51 ,$228.51 ,$196.91 ,$228.51 ,$145.31 , N/A , N/A ,$239.94 ,$298.35 ,$290.28 ,$98.28 ,$315.90 ,$275.54 ,$289.93 ,$228.51 ,$228.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$365.00 ,$262.80 ,$102.20 ,$582.93 ,$582.93 ,$292.00 ,$228.51 ,$102.20 ,$318.65 ,$335.44 ,$213.36 ,$301.86 ,$228.51 ,$365.00 ,$335.80 ,$357.70 ,$228.51 ,$233.07 ,$304.41 ,$304.41 ,$304.41 ,$228.51 ,$304.41 ,$312.44 ,$312.44 ,$328.50 ,$365.00 ,$310.25 ,$228.51 ,$228.51 ,$204.77 ,$228.51 ,$151.11 , N/A , N/A ,$239.94 ,$310.25 ,$301.86 ,$102.20 ,$328.50 ,$286.53 ,$301.49 ,$228.51 ,$237.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$433.00 ,$311.76 ,$121.24 ,$433.00 ,$354.18 ,$346.40 ,$138.84 ,$121.24 ,$378.01 ,$397.93 ,$129.62 ,$358.09 ,$138.84 ,$286.16 ,$398.36 ,$347.10 ,$138.84 ,$141.61 ,$361.12 ,$361.12 ,$361.12 ,$138.84 ,$361.12 ,$370.65 ,$370.65 ,$389.70 ,$330.69 ,$368.05 ,$138.84 ,$138.84 ,$242.91 ,$138.84 ,$179.26 , N/A , N/A ,$145.78 ,$368.05 ,$358.09 ,$121.24 ,$389.70 ,$339.91 ,$357.66 ,$138.84 ,$281.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$220.00 ,$158.40 ,$61.60 ,$282.13 ,$282.13 ,$176.00 ,$110.59 ,$61.60 ,$192.06 ,$202.18 ,$103.26 ,$181.94 ,$110.59 ,$220.00 ,$202.40 ,$215.60 ,$110.59 ,$112.81 ,$183.48 ,$183.48 ,$183.48 ,$110.59 ,$183.48 ,$188.32 ,$188.32 ,$198.00 ,$220.00 ,$187.00 ,$110.59 ,$110.59 ,$123.42 ,$110.59 ,$91.08 , N/A , N/A ,$116.13 ,$187.00 ,$181.94 ,$61.60 ,$198.00 ,$172.70 ,$181.72 ,$110.59 ,$143.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$420.00 ,$302.40 ,$103.26 ,$420.00 ,$282.13 ,$336.00 ,$110.59 ,$117.60 ,$366.66 ,$385.98 ,$103.26 ,$347.34 ,$110.59 ,$227.95 ,$386.40 ,$276.49 ,$110.59 ,$112.81 ,$350.28 ,$350.28 ,$350.28 ,$110.59 ,$350.28 ,$359.52 ,$359.52 ,$378.00 ,$263.42 ,$357.00 ,$110.59 ,$110.59 ,$235.62 ,$110.59 ,$173.88 , N/A , N/A ,$116.13 ,$357.00 ,$347.34 ,$117.60 ,$378.00 ,$329.70 ,$346.92 ,$110.59 ,$273.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$396.00 ,$285.12 ,$103.26 ,$396.00 ,$282.13 ,$316.80 ,$110.59 ,$110.88 ,$345.71 ,$363.92 ,$103.26 ,$327.49 ,$110.59 ,$227.95 ,$364.32 ,$276.49 ,$110.59 ,$112.81 ,$330.26 ,$330.26 ,$330.26 ,$110.59 ,$330.26 ,$338.98 ,$338.98 ,$356.40 ,$263.42 ,$336.60 ,$110.59 ,$110.59 ,$222.16 ,$110.59 ,$163.94 , N/A , N/A ,$116.13 ,$336.60 ,$327.49 ,$110.88 ,$356.40 ,$310.86 ,$327.10 ,$110.59 ,$257.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$511.00 ,$367.92 ,$143.08 ,$582.93 ,$582.93 ,$408.80 ,$228.51 ,$143.08 ,$446.10 ,$469.61 ,$213.36 ,$422.60 ,$228.51 ,$471.00 ,$470.12 ,$500.78 ,$228.51 ,$233.07 ,$426.17 ,$426.17 ,$426.17 ,$228.51 ,$426.17 ,$437.42 ,$437.42 ,$459.90 ,$511.00 ,$434.35 ,$228.51 ,$228.51 ,$286.67 ,$228.51 ,$211.55 , N/A , N/A ,$239.94 ,$434.35 ,$422.60 ,$143.08 ,$459.90 ,$401.14 ,$422.09 ,$228.51 ,$332.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$420.00 ,$302.40 ,$117.60 ,$420.00 ,$354.18 ,$336.00 ,$138.84 ,$117.60 ,$366.66 ,$385.98 ,$129.62 ,$347.34 ,$138.84 ,$286.16 ,$386.40 ,$347.10 ,$138.84 ,$141.61 ,$350.28 ,$350.28 ,$350.28 ,$138.84 ,$350.28 ,$359.52 ,$359.52 ,$378.00 ,$330.69 ,$357.00 ,$138.84 ,$138.84 ,$235.62 ,$138.84 ,$173.88 , N/A , N/A ,$145.78 ,$357.00 ,$347.34 ,$117.60 ,$378.00 ,$329.70 ,$346.92 ,$138.84 ,$273.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$291.00 ,$209.52 ,$81.48 ,$354.18 ,$354.18 ,$232.80 ,$138.84 ,$81.48 ,$254.04 ,$267.43 ,$129.62 ,$240.66 ,$138.84 ,$286.16 ,$267.72 ,$285.18 ,$138.84 ,$141.61 ,$242.69 ,$242.69 ,$242.69 ,$138.84 ,$242.69 ,$249.10 ,$249.10 ,$261.90 ,$291.00 ,$247.35 ,$138.84 ,$138.84 ,$163.25 ,$138.84 ,$120.47 , N/A , N/A ,$145.78 ,$247.35 ,$240.66 ,$81.48 ,$261.90 ,$228.44 ,$240.37 ,$138.84 ,$189.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000110,30300,HC REM FB INTRANASAL,450,1 ,$448.00 ,$322.56 ,$103.26 ,$448.00 ,$282.13 ,$358.40 ,$110.59 ,$125.44 ,$391.10 ,$411.71 ,$103.26 ,$370.50 ,$110.59 ,$227.95 ,$412.16 ,$276.49 ,$110.59 ,$112.81 ,$373.63 ,$373.63 ,$373.63 ,$110.59 ,$373.63 ,$383.49 ,$383.49 ,$403.20 ,$263.42 ,$380.80 ,$110.59 ,$110.59 ,$251.33 ,$110.59 ,$185.47 , N/A , N/A ,$116.13 ,$380.80 ,$370.50 ,$125.44 ,$403.20 ,$351.68 ,$370.05 ,$110.59 ,$291.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$589.00 ,$424.08 ,$103.26 ,$589.00 ,$282.13 ,$471.20 ,$110.59 ,$164.92 ,$514.20 ,$541.29 ,$103.26 ,$487.10 ,$110.59 ,$227.95 ,$541.88 ,$276.49 ,$110.59 ,$112.81 ,$491.23 ,$491.23 ,$491.23 ,$110.59 ,$491.23 ,$504.18 ,$504.18 ,$530.10 ,$263.42 ,$500.65 ,$110.59 ,$110.59 ,$330.43 ,$110.59 ,$243.85 , N/A , N/A ,$116.13 ,$500.65 ,$487.10 ,$164.92 ,$530.10 ,$462.37 ,$486.51 ,$110.59 ,$382.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$589.00 ,$424.08 ,$103.26 ,$589.00 ,$282.13 ,$471.20 ,$110.59 ,$164.92 ,$514.20 ,$541.29 ,$103.26 ,$487.10 ,$110.59 ,$227.95 ,$541.88 ,$276.49 ,$110.59 ,$112.81 ,$491.23 ,$491.23 ,$491.23 ,$110.59 ,$491.23 ,$504.18 ,$504.18 ,$530.10 ,$263.42 ,$500.65 ,$110.59 ,$110.59 ,$330.43 ,$110.59 ,$243.85 , N/A , N/A ,$116.13 ,$500.65 ,$487.10 ,$164.92 ,$530.10 ,$462.37 ,$486.51 ,$110.59 ,$382.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000116,31720,HC ASP CATH NASOTRACHEAL,450,1 ,$35.00 ,$25.20 ,$9.80 ,$465.30 ,$465.30 ,$28.00 ,$34.30 ,$9.80 ,$30.56 ,$32.17 ,$34.30 ,$28.95 ,$34.30 ,$35.00 ,$32.20 ,$34.30 ,$182.40 ,$34.99 ,$29.19 ,$29.19 ,$29.19 ,$34.30 ,$29.19 ,$29.96 ,$29.96 ,$31.50 ,$35.00 ,$29.75 ,$34.30 ,$34.30 ,$19.64 ,$182.40 ,$14.49 , N/A , N/A ,$34.30 ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 ,$182.40 ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$753.00 ,$542.16 ,$210.84 ,$917.40 ,$917.40 ,$602.40 ,$359.62 ,$210.84 ,$657.37 ,$692.01 ,$335.79 ,$622.73 ,$359.62 ,$741.26 ,$692.76 ,$737.94 ,$359.62 ,$366.81 ,$628.00 ,$628.00 ,$628.00 ,$359.62 ,$628.00 ,$644.57 ,$644.57 ,$677.70 ,$753.00 ,$640.05 ,$359.62 ,$359.62 ,$422.43 ,$359.62 ,$311.74 , N/A , N/A ,$377.62 ,$640.05 ,$622.73 ,$210.84 ,$677.70 ,$591.11 ,$621.98 ,$359.62 ,$489.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000133,40650,HC RPR LIP FULL THICK VERMILN,450,1 ,"$2,085.00 ","$1,501.20 ",$406.27 ,"$2,085.00 ","$1,109.98 ","$1,668.00 ",$435.11 ,$583.80 ,"$1,820.21 ","$1,916.12 ",$406.27 ,"$1,724.30 ",$435.11 ,$896.85 ,"$1,918.20 ","$1,087.78 ",$435.11 ,$443.81 ,"$1,738.89 ","$1,738.89 ","$1,738.89 ",$435.11 ,"$1,738.89 ","$1,784.76 ","$1,784.76 ","$1,876.50 ","$1,036.39 ","$1,772.25 ",$435.11 ,$435.11 ,"$1,169.69 ",$435.11 ,$863.19 , N/A , N/A ,$456.89 ,"$1,772.25 ","$1,724.30 ",$583.80 ,"$1,876.50 ","$1,636.73 ","$1,722.21 ",$435.11 ,"$1,355.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$942.00 ,$678.24 ,$103.26 ,$942.00 ,$282.13 ,$753.60 ,$110.59 ,$263.76 ,$822.37 ,$865.70 ,$103.26 ,$779.03 ,$110.59 ,$227.95 ,$866.64 ,$276.49 ,$110.59 ,$112.81 ,$785.63 ,$785.63 ,$785.63 ,$110.59 ,$785.63 ,$806.35 ,$806.35 ,$847.80 ,$263.42 ,$800.70 ,$110.59 ,$110.59 ,$528.46 ,$110.59 ,$389.99 , N/A , N/A ,$116.13 ,$800.70 ,$779.03 ,$263.76 ,$847.80 ,$739.47 ,$778.09 ,$110.59 ,$612.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000143,43753,HC GASTRIC LAVAGE,450,1 ,$171.00 ,$123.12 ,$47.88 ,$680.48 ,$680.48 ,$136.80 ,$167.58 ,$47.88 ,$149.28 ,$157.15 ,$167.58 ,$141.42 ,$167.58 ,$171.00 ,$157.32 ,$167.58 ,$266.75 ,$170.93 ,$142.61 ,$142.61 ,$142.61 ,$167.58 ,$142.61 ,$146.38 ,$146.38 ,$153.90 ,$171.00 ,$145.35 ,$167.58 ,$167.58 ,$95.93 ,$266.75 ,$70.79 , N/A , N/A ,$167.58 ,$145.35 ,$141.42 ,$47.88 ,$153.90 ,$134.24 ,$141.25 ,$266.75 ,$111.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$714.00 ,$514.08 ,$191.09 ,$714.00 ,$522.08 ,$571.20 ,$204.65 ,$199.92 ,$623.32 ,$656.17 ,$191.09 ,$590.48 ,$204.65 ,$421.84 ,$656.88 ,$511.64 ,$204.65 ,$208.75 ,$595.48 ,$595.48 ,$595.48 ,$204.65 ,$595.48 ,$611.18 ,$611.18 ,$642.60 ,$487.48 ,$606.90 ,$204.65 ,$204.65 ,$400.55 ,$204.65 ,$295.60 , N/A , N/A ,$214.90 ,$606.90 ,$590.48 ,$199.92 ,$642.60 ,$560.49 ,$589.76 ,$204.65 ,$464.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$654.00 ,$470.88 ,$183.12 ,$709.40 ,$709.40 ,$523.20 ,$278.08 ,$183.12 ,$570.94 ,$601.03 ,$259.65 ,$540.86 ,$278.08 ,$573.19 ,$601.68 ,$640.92 ,$278.08 ,$283.65 ,$545.44 ,$545.44 ,$545.44 ,$278.08 ,$545.44 ,$559.82 ,$559.82 ,$588.60 ,$654.00 ,$555.90 ,$278.08 ,$278.08 ,$366.89 ,$278.08 ,$270.76 , N/A , N/A ,$292.00 ,$555.90 ,$540.86 ,$183.12 ,$588.60 ,$513.39 ,$540.20 ,$278.08 ,$425.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$654.00 ,$470.88 ,$158.42 ,$654.00 ,$432.83 ,$523.20 ,$169.67 ,$183.12 ,$570.94 ,$601.03 ,$158.42 ,$540.86 ,$169.67 ,$349.71 ,$601.68 ,$424.17 ,$169.67 ,$173.06 ,$545.44 ,$545.44 ,$545.44 ,$169.67 ,$545.44 ,$559.82 ,$559.82 ,$588.60 ,$404.12 ,$555.90 ,$169.67 ,$169.67 ,$366.89 ,$169.67 ,$270.76 , N/A , N/A ,$178.15 ,$555.90 ,$540.86 ,$183.12 ,$588.60 ,$513.39 ,$540.20 ,$169.67 ,$425.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,026.00 ",$738.72 ,$287.28 ,"$1,565.60 ","$1,565.60 ",$820.80 ,$613.72 ,$287.28 ,$895.70 ,$942.89 ,$573.04 ,$848.50 ,$613.72 ,"$1,026.00 ",$943.92 ,"$1,005.48 ",$613.72 ,$625.98 ,$855.68 ,$855.68 ,$855.68 ,$613.72 ,$855.68 ,$878.26 ,$878.26 ,$923.40 ,"$1,026.00 ",$872.10 ,$613.72 ,$613.72 ,$575.59 ,$613.72 ,$424.76 , N/A , N/A ,$644.43 ,$872.10 ,$848.50 ,$287.28 ,$923.40 ,$805.41 ,$847.48 ,$613.72 ,$666.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$704.00 ,$506.88 ,$103.26 ,$704.00 ,$282.13 ,$563.20 ,$110.59 ,$197.12 ,$614.59 ,$646.98 ,$103.26 ,$582.21 ,$110.59 ,$227.95 ,$647.68 ,$276.49 ,$110.59 ,$112.81 ,$587.14 ,$587.14 ,$587.14 ,$110.59 ,$587.14 ,$602.62 ,$602.62 ,$633.60 ,$263.42 ,$598.40 ,$110.59 ,$110.59 ,$394.94 ,$110.59 ,$291.46 , N/A , N/A ,$116.13 ,$598.40 ,$582.21 ,$197.12 ,$633.60 ,$552.64 ,$581.50 ,$110.59 ,$457.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000181,69200,HC FB REMOVAL EAR,450,1 ,$285.00 ,$205.20 ,$79.80 ,$285.00 ,$282.13 ,$228.00 ,$110.59 ,$79.80 ,$248.81 ,$261.92 ,$103.26 ,$235.70 ,$110.59 ,$227.95 ,$262.20 ,$276.49 ,$110.59 ,$112.81 ,$237.69 ,$237.69 ,$237.69 ,$110.59 ,$237.69 ,$243.96 ,$243.96 ,$256.50 ,$263.42 ,$242.25 ,$110.59 ,$110.59 ,$159.89 ,$110.59 ,$117.99 , N/A , N/A ,$116.13 ,$242.25 ,$235.70 ,$79.80 ,$256.50 ,$223.73 ,$235.41 ,$110.59 ,$185.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$285.00 ,$205.20 ,$51.12 ,$285.00 ,$139.68 ,$228.00 ,$54.75 ,$79.80 ,$248.81 ,$261.92 ,$51.12 ,$235.70 ,$54.75 ,$112.85 ,$262.20 ,$136.89 ,$54.75 ,$55.85 ,$237.69 ,$237.69 ,$237.69 ,$54.75 ,$237.69 ,$243.96 ,$243.96 ,$256.50 ,$130.41 ,$242.25 ,$54.75 ,$54.75 ,$159.89 ,$54.75 ,$117.99 , N/A , N/A ,$57.49 ,$242.25 ,$235.70 ,$79.80 ,$256.50 ,$223.73 ,$235.41 ,$54.75 ,$185.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000188,99281,HC ER LEVEL 1,450,1 ,$259.00 ,$186.48 ,$66.78 ,$259.00 ,$182.45 ,$207.20 ,$71.52 ,$72.52 ,$226.11 ,$238.02 ,$66.78 ,$214.19 ,$71.52 ,$147.42 ,$238.28 ,$178.80 ,$71.52 ,$72.95 ,$216.01 ,$216.01 ,$216.01 ,$71.52 ,$216.01 ,$221.70 ,$221.70 ,$233.10 ,$170.36 ,$220.15 ,$71.52 ,$71.52 ,$145.30 ,$71.52 ,$107.23 , N/A , N/A ,$75.10 ,$220.15 ,$214.19 ,$72.52 ,$233.10 ,$203.32 ,$213.93 ,$71.52 ,$168.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000189,99282,HC ER LEVEL 2,450,1 ,$349.00 ,$251.28 ,$97.72 ,$349.00 ,$339.43 ,$279.20 ,$133.05 ,$97.72 ,$304.68 ,$320.73 ,$124.23 ,$288.62 ,$133.05 ,$274.25 ,$321.08 ,$332.64 ,$133.05 ,$135.72 ,$291.07 ,$291.07 ,$291.07 ,$133.05 ,$291.07 ,$298.74 ,$298.74 ,$314.10 ,$316.91 ,$296.65 ,$133.05 ,$133.05 ,$195.79 ,$133.05 ,$144.49 , N/A , N/A ,$139.71 ,$296.65 ,$288.62 ,$97.72 ,$314.10 ,$273.97 ,$288.27 ,$133.05 ,$226.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000190,99283,HC ER LEVEL 3,450,1 ,$662.00 ,$476.64 ,$185.36 ,$662.00 ,$595.38 ,$529.60 ,$233.39 ,$185.36 ,$577.93 ,$608.38 ,$217.91 ,$547.47 ,$233.39 ,$481.05 ,$609.04 ,$583.47 ,$233.39 ,$238.05 ,$552.11 ,$552.11 ,$552.11 ,$233.39 ,$552.11 ,$566.67 ,$566.67 ,$595.80 ,$555.90 ,$562.70 ,$233.39 ,$233.39 ,$371.38 ,$233.39 ,$274.07 , N/A , N/A ,$245.07 ,$562.70 ,$547.47 ,$185.36 ,$595.80 ,$519.67 ,$546.81 ,$233.39 ,$430.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000191,99284,HC ER LEVEL 4,450,1 ,$776.00 ,$558.72 ,$93.88 ,$927.23 ,$927.23 ,$620.80 ,$363.47 ,$217.28 ,$677.45 ,$713.14 ,$339.37 ,$641.75 ,$363.47 ,$749.19 ,$713.92 ,$760.48 ,$363.47 ,$370.74 ,$647.18 ,$647.18 ,$647.18 ,$363.47 ,$647.18 ,$664.26 ,$664.26 ,$698.40 ,$776.00 ,$659.60 ,$363.47 ,$363.47 ,$435.34 ,$363.47 ,$321.26 ,$98.35 ,$93.88 ,$381.66 ,$659.60 ,$641.75 ,$217.28 ,$698.40 ,$609.16 ,$640.98 ,$363.47 ,$504.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000192,99285,HC ER LEVEL 5,450,1 ,$985.00 ,$709.20 ,$93.88 ,"$1,331.78 ","$1,331.78 ",$788.00 ,$522.06 ,$275.80 ,$859.91 ,$905.22 ,$487.45 ,$814.60 ,$522.06 ,$985.00 ,$906.20 ,$965.30 ,$522.06 ,$532.49 ,$821.49 ,$821.49 ,$821.49 ,$522.06 ,$821.49 ,$843.16 ,$843.16 ,$886.50 ,$985.00 ,$837.25 ,$522.06 ,$522.06 ,$552.59 ,$522.06 ,$407.79 ,$98.35 ,$93.88 ,$548.18 ,$837.25 ,$814.60 ,$275.80 ,$886.50 ,$773.23 ,$813.61 ,$522.06 ,$640.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$3,817.00 ","$2,748.24 ",$93.88 ,"$3,817.00 ","$1,865.40 ","$3,053.60 ",$731.24 ,"$1,068.76 ","$3,332.24 ","$3,507.82 ",$682.76 ,"$3,156.66 ",$731.24 ,"$1,507.22 ","$3,511.64 ","$1,828.09 ",$731.24 ,$745.86 ,"$3,183.38 ","$3,183.38 ","$3,183.38 ",$731.24 ,"$3,183.38 ","$3,267.35 ","$3,267.35 ","$3,435.30 ","$1,741.73 ","$3,244.45 ",$731.24 ,$731.24 ,"$2,141.34 ",$731.24 ,"$1,580.24 ",$98.35 ,$93.88 ,$767.83 ,"$3,244.45 ","$3,156.66 ","$1,068.76 ","$3,435.30 ","$2,996.35 ","$3,152.84 ",$731.24 ,"$2,481.05 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,$348.00 ,$250.56 ,$97.44 ,$348.00 , N/A ,$278.40 , N/A ,$97.44 ,$303.80 ,$319.81 , N/A ,$287.80 , N/A , N/A ,$320.16 , N/A , N/A , N/A ,$290.23 ,$290.23 ,$290.23 , N/A ,$290.23 ,$297.89 ,$297.89 ,$313.20 , N/A ,$295.80 , N/A , N/A ,$195.23 , N/A ,$144.07 , N/A , N/A , N/A ,$295.80 ,$287.80 ,$97.44 ,$313.20 ,$273.18 ,$287.45 , N/A ,$226.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,$906.00 ,$652.32 ,$253.68 ,$906.00 ,$808.20 ,$724.80 ,$316.81 ,$253.68 ,$790.94 ,$832.61 ,$295.81 ,$749.26 ,$316.81 ,$653.01 ,$833.52 ,$792.04 ,$316.81 ,$323.15 ,$755.60 ,$755.60 ,$755.60 ,$316.81 ,$755.60 ,$775.54 ,$775.54 ,$815.40 ,$754.62 ,$770.10 ,$316.81 ,$316.81 ,$508.27 ,$316.81 ,$375.08 , N/A , N/A ,$332.67 ,$770.10 ,$749.26 ,$253.68 ,$815.40 ,$711.21 ,$748.36 ,$316.81 ,$588.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000225,23540,HC CLOSED ACROM.W/O MANIP,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000234,25560,HC RADIUS AND ULNA FX W/O MANIP,450,1 ,$286.00 ,$205.92 ,$80.08 ,$503.00 ,$503.00 ,$228.80 ,$197.18 ,$80.08 ,$249.68 ,$262.83 ,$184.10 ,$236.52 ,$197.18 ,$286.00 ,$263.12 ,$280.28 ,$197.18 ,$201.12 ,$238.52 ,$238.52 ,$238.52 ,$197.18 ,$238.52 ,$244.82 ,$244.82 ,$257.40 ,$286.00 ,$243.10 ,$197.18 ,$197.18 ,$160.45 ,$197.18 ,$118.40 , N/A , N/A ,$207.03 ,$243.10 ,$236.52 ,$80.08 ,$257.40 ,$224.51 ,$236.24 ,$197.18 ,$185.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,$590.00 ,$424.80 ,$165.20 ,$590.00 ,$503.00 ,$472.00 ,$197.18 ,$165.20 ,$515.07 ,$542.21 ,$184.10 ,$487.93 ,$197.18 ,$406.41 ,$542.80 ,$492.94 ,$197.18 ,$201.12 ,$492.06 ,$492.06 ,$492.06 ,$197.18 ,$492.06 ,$505.04 ,$505.04 ,$531.00 ,$469.64 ,$501.50 ,$197.18 ,$197.18 ,$330.99 ,$197.18 ,$244.26 , N/A , N/A ,$207.03 ,$501.50 ,$487.93 ,$165.20 ,$531.00 ,$463.15 ,$487.34 ,$197.18 ,$383.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000249,28515,HC TOE FX W/MANIP,450,1 ,$756.00 ,$544.32 ,$184.10 ,$756.00 ,$503.00 ,$604.80 ,$197.18 ,$211.68 ,$659.99 ,$694.76 ,$184.10 ,$625.21 ,$197.18 ,$406.41 ,$695.52 ,$492.94 ,$197.18 ,$201.12 ,$630.50 ,$630.50 ,$630.50 ,$197.18 ,$630.50 ,$647.14 ,$647.14 ,$680.40 ,$469.64 ,$642.60 ,$197.18 ,$197.18 ,$424.12 ,$197.18 ,$312.98 , N/A , N/A ,$207.03 ,$642.60 ,$625.21 ,$211.68 ,$680.40 ,$593.46 ,$624.46 ,$197.18 ,$491.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000252,20520,HC MUSCLE FB REM W/ INC,450,1 ,$822.00 ,$591.84 ,$230.16 ,"$3,643.58 ","$3,643.58 ",$657.60 ,$805.56 ,$230.16 ,$717.61 ,$755.42 ,$805.56 ,$679.79 ,$805.56 ,$822.00 ,$756.24 ,$805.56 ,"$1,428.28 ",$821.67 ,$685.55 ,$685.55 ,$685.55 ,$805.56 ,$685.55 ,$703.63 ,$703.63 ,$739.80 ,$822.00 ,$698.70 ,$805.56 ,$805.56 ,$461.14 ,"$1,428.28 ",$340.31 , N/A , N/A ,$805.56 ,$698.70 ,$679.79 ,$230.16 ,$739.80 ,$645.27 ,$678.97 ,"$1,428.28 ",$534.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$165.00 ,$118.80 ,$46.20 ,$165.00 ,$139.68 ,$132.00 ,$54.75 ,$46.20 ,$144.05 ,$151.64 ,$51.12 ,$136.46 ,$54.75 ,$112.85 ,$151.80 ,$136.89 ,$54.75 ,$55.85 ,$137.61 ,$137.61 ,$137.61 ,$54.75 ,$137.61 ,$141.24 ,$141.24 ,$148.50 ,$130.41 ,$140.25 ,$54.75 ,$54.75 ,$92.57 ,$54.75 ,$68.31 , N/A , N/A ,$57.49 ,$140.25 ,$136.46 ,$46.20 ,$148.50 ,$129.53 ,$136.29 ,$54.75 ,$107.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$596.00 ,$429.12 ,$166.88 ,$596.00 ,$503.00 ,$476.80 ,$197.18 ,$166.88 ,$520.31 ,$547.72 ,$184.10 ,$492.89 ,$197.18 ,$406.41 ,$548.32 ,$492.94 ,$197.18 ,$201.12 ,$497.06 ,$497.06 ,$497.06 ,$197.18 ,$497.06 ,$510.18 ,$510.18 ,$536.40 ,$469.64 ,$506.60 ,$197.18 ,$197.18 ,$334.36 ,$197.18 ,$246.74 , N/A , N/A ,$207.03 ,$506.60 ,$492.89 ,$166.88 ,$536.40 ,$467.86 ,$492.30 ,$197.18 ,$387.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,$589.00 ,$424.08 ,$164.92 ,$589.00 ,$504.98 ,$471.20 ,$197.95 ,$164.92 ,$514.20 ,$541.29 ,$184.83 ,$487.10 ,$197.95 ,$408.02 ,$541.88 ,$494.88 ,$197.95 ,$201.91 ,$491.23 ,$491.23 ,$491.23 ,$197.95 ,$491.23 ,$504.18 ,$504.18 ,$530.10 ,$471.50 ,$500.65 ,$197.95 ,$197.95 ,$330.43 ,$197.95 ,$243.85 , N/A , N/A ,$207.86 ,$500.65 ,$487.10 ,$164.92 ,$530.10 ,$462.37 ,$486.51 ,$197.95 ,$382.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000357,23650,HC TX DISL SHLDR W/MAN CLS-LT,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000358,23650,HC TX DISL SHLDR W/MAN CLS-RT,450,1 ,$437.00 ,$314.64 ,$122.36 ,$503.00 ,$503.00 ,$349.60 ,$197.18 ,$122.36 ,$381.50 ,$401.60 ,$184.10 ,$361.40 ,$197.18 ,$406.41 ,$402.04 ,$428.26 ,$197.18 ,$201.12 ,$364.46 ,$364.46 ,$364.46 ,$197.18 ,$364.46 ,$374.07 ,$374.07 ,$393.30 ,$437.00 ,$371.45 ,$197.18 ,$197.18 ,$245.16 ,$197.18 ,$180.92 , N/A , N/A ,$207.03 ,$371.45 ,$361.40 ,$122.36 ,$393.30 ,$343.05 ,$360.96 ,$197.18 ,$284.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000365,24600,HC TX DISL ELBOW W/O ANES CLS-LT,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000366,24600,HC TX DISL ELBOW W/O ANES CLS-RT,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000375,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-LT",450,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$3,485.58 ","$3,485.58 ","$1,129.60 ","$1,366.35 ",$395.36 ,"$1,232.68 ","$1,297.63 ","$1,275.76 ","$1,167.72 ","$1,366.35 ","$1,412.00 ","$1,299.04 ","$1,383.76 ","$1,366.35 ","$1,393.67 ","$1,177.61 ","$1,177.61 ","$1,177.61 ","$1,366.35 ","$1,177.61 ","$1,208.67 ","$1,208.67 ","$1,270.80 ","$1,412.00 ","$1,200.20 ","$1,366.35 ","$1,366.35 ",$792.13 ,"$1,366.35 ",$584.57 , N/A , N/A ,"$1,383.76 ","$1,200.20 ","$1,167.72 ",$395.36 ,"$1,270.80 ","$1,108.42 ","$1,166.31 ","$1,366.35 ",$917.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000376,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-RT",450,1 ,"$1,412.00 ","$1,016.64 ",$395.36 ,"$3,485.58 ","$3,485.58 ","$1,129.60 ","$1,366.35 ",$395.36 ,"$1,232.68 ","$1,297.63 ","$1,275.76 ","$1,167.72 ","$1,366.35 ","$1,412.00 ","$1,299.04 ","$1,383.76 ","$1,366.35 ","$1,393.67 ","$1,177.61 ","$1,177.61 ","$1,177.61 ","$1,366.35 ","$1,177.61 ","$1,208.67 ","$1,208.67 ","$1,270.80 ","$1,412.00 ","$1,200.20 ","$1,366.35 ","$1,366.35 ",$792.13 ,"$1,366.35 ",$584.57 , N/A , N/A ,"$1,383.76 ","$1,200.20 ","$1,167.72 ",$395.36 ,"$1,270.80 ","$1,108.42 ","$1,166.31 ","$1,366.35 ",$917.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000381,26605,HC CLSD METACARPAL FX W/MANIP-LT,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000382,26605,HC CLSD METACARPAL FX W/MANIP-RT,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000391,27560,HC TX DSL PTLR W/O ANS CL-LT,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000392,27560,HC TX DSL PTLR W/O ANS CL-RT,450,1 ,$579.00 ,$416.88 ,$162.12 ,$579.00 ,$503.00 ,$463.20 ,$197.18 ,$162.12 ,$505.47 ,$532.10 ,$184.10 ,$478.83 ,$197.18 ,$406.41 ,$532.68 ,$492.94 ,$197.18 ,$201.12 ,$482.89 ,$482.89 ,$482.89 ,$197.18 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$469.64 ,$492.15 ,$197.18 ,$197.18 ,$324.82 ,$197.18 ,$239.71 , N/A , N/A ,$207.03 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$197.18 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000407,29126,HC APPL SHRT ARM SPLNT DYNAM-LT,450,1 ,$420.00 ,$302.40 ,$103.26 ,$420.00 ,$282.13 ,$336.00 ,$110.59 ,$117.60 ,$366.66 ,$385.98 ,$103.26 ,$347.34 ,$110.59 ,$227.95 ,$386.40 ,$276.49 ,$110.59 ,$112.81 ,$350.28 ,$350.28 ,$350.28 ,$110.59 ,$350.28 ,$359.52 ,$359.52 ,$378.00 ,$263.42 ,$357.00 ,$110.59 ,$110.59 ,$235.62 ,$110.59 ,$173.88 , N/A , N/A ,$116.13 ,$357.00 ,$347.34 ,$117.60 ,$378.00 ,$329.70 ,$346.92 ,$110.59 ,$273.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000408,29126,HC APPL SHRT ARM SPLNT DYNAM-RT,450,1 ,$420.00 ,$302.40 ,$103.26 ,$420.00 ,$282.13 ,$336.00 ,$110.59 ,$117.60 ,$366.66 ,$385.98 ,$103.26 ,$347.34 ,$110.59 ,$227.95 ,$386.40 ,$276.49 ,$110.59 ,$112.81 ,$350.28 ,$350.28 ,$350.28 ,$110.59 ,$350.28 ,$359.52 ,$359.52 ,$378.00 ,$263.42 ,$357.00 ,$110.59 ,$110.59 ,$235.62 ,$110.59 ,$173.88 , N/A , N/A ,$116.13 ,$357.00 ,$347.34 ,$117.60 ,$378.00 ,$329.70 ,$346.92 ,$110.59 ,$273.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000417,29505,HC APPL LONG LEG SPLNT-LT,450,1 ,$420.00 ,$302.40 ,$117.60 ,$420.00 ,$354.18 ,$336.00 ,$138.84 ,$117.60 ,$366.66 ,$385.98 ,$129.62 ,$347.34 ,$138.84 ,$286.16 ,$386.40 ,$347.10 ,$138.84 ,$141.61 ,$350.28 ,$350.28 ,$350.28 ,$138.84 ,$350.28 ,$359.52 ,$359.52 ,$378.00 ,$330.69 ,$357.00 ,$138.84 ,$138.84 ,$235.62 ,$138.84 ,$173.88 , N/A , N/A ,$145.78 ,$357.00 ,$347.34 ,$117.60 ,$378.00 ,$329.70 ,$346.92 ,$138.84 ,$273.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000418,29505,HC APPL LONG LEG SPLNT-RT,450,1 ,$420.00 ,$302.40 ,$117.60 ,$420.00 ,$354.18 ,$336.00 ,$138.84 ,$117.60 ,$366.66 ,$385.98 ,$129.62 ,$347.34 ,$138.84 ,$286.16 ,$386.40 ,$347.10 ,$138.84 ,$141.61 ,$350.28 ,$350.28 ,$350.28 ,$138.84 ,$350.28 ,$359.52 ,$359.52 ,$378.00 ,$330.69 ,$357.00 ,$138.84 ,$138.84 ,$235.62 ,$138.84 ,$173.88 , N/A , N/A ,$145.78 ,$357.00 ,$347.34 ,$117.60 ,$378.00 ,$329.70 ,$346.92 ,$138.84 ,$273.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000419,29515,HC APPL SHRT LEG SPLNT FAC-LT,450,1 ,$291.00 ,$209.52 ,$81.48 ,$354.18 ,$354.18 ,$232.80 ,$138.84 ,$81.48 ,$254.04 ,$267.43 ,$129.62 ,$240.66 ,$138.84 ,$286.16 ,$267.72 ,$285.18 ,$138.84 ,$141.61 ,$242.69 ,$242.69 ,$242.69 ,$138.84 ,$242.69 ,$249.10 ,$249.10 ,$261.90 ,$291.00 ,$247.35 ,$138.84 ,$138.84 ,$163.25 ,$138.84 ,$120.47 , N/A , N/A ,$145.78 ,$247.35 ,$240.66 ,$81.48 ,$261.90 ,$228.44 ,$240.37 ,$138.84 ,$189.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000420,29515,HC APPL SHRT LEG SPLNT FAC-RT,450,1 ,$291.00 ,$209.52 ,$81.48 ,$354.18 ,$354.18 ,$232.80 ,$138.84 ,$81.48 ,$254.04 ,$267.43 ,$129.62 ,$240.66 ,$138.84 ,$286.16 ,$267.72 ,$285.18 ,$138.84 ,$141.61 ,$242.69 ,$242.69 ,$242.69 ,$138.84 ,$242.69 ,$249.10 ,$249.10 ,$261.90 ,$291.00 ,$247.35 ,$138.84 ,$138.84 ,$163.25 ,$138.84 ,$120.47 , N/A , N/A ,$145.78 ,$247.35 ,$240.66 ,$81.48 ,$261.90 ,$228.44 ,$240.37 ,$138.84 ,$189.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000423,30300,HC REMOVE NASAL FOREIGN BODY-LT,450,1 ,$448.00 ,$322.56 ,$103.26 ,$448.00 ,$282.13 ,$358.40 ,$110.59 ,$125.44 ,$391.10 ,$411.71 ,$103.26 ,$370.50 ,$110.59 ,$227.95 ,$412.16 ,$276.49 ,$110.59 ,$112.81 ,$373.63 ,$373.63 ,$373.63 ,$110.59 ,$373.63 ,$383.49 ,$383.49 ,$403.20 ,$263.42 ,$380.80 ,$110.59 ,$110.59 ,$251.33 ,$110.59 ,$185.47 , N/A , N/A ,$116.13 ,$380.80 ,$370.50 ,$125.44 ,$403.20 ,$351.68 ,$370.05 ,$110.59 ,$291.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000424,30300,HC REMOVE NASAL FOREIGN BODY-RT,450,1 ,$448.00 ,$322.56 ,$103.26 ,$448.00 ,$282.13 ,$358.40 ,$110.59 ,$125.44 ,$391.10 ,$411.71 ,$103.26 ,$370.50 ,$110.59 ,$227.95 ,$412.16 ,$276.49 ,$110.59 ,$112.81 ,$373.63 ,$373.63 ,$373.63 ,$110.59 ,$373.63 ,$383.49 ,$383.49 ,$403.20 ,$263.42 ,$380.80 ,$110.59 ,$110.59 ,$251.33 ,$110.59 ,$185.47 , N/A , N/A ,$116.13 ,$380.80 ,$370.50 ,$125.44 ,$403.20 ,$351.68 ,$370.05 ,$110.59 ,$291.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000425,30901,HC CNTRL NOSEBLEED ANT SMP-LT,450,1 ,$589.00 ,$424.08 ,$103.26 ,$589.00 ,$282.13 ,$471.20 ,$110.59 ,$164.92 ,$514.20 ,$541.29 ,$103.26 ,$487.10 ,$110.59 ,$227.95 ,$541.88 ,$276.49 ,$110.59 ,$112.81 ,$491.23 ,$491.23 ,$491.23 ,$110.59 ,$491.23 ,$504.18 ,$504.18 ,$530.10 ,$263.42 ,$500.65 ,$110.59 ,$110.59 ,$330.43 ,$110.59 ,$243.85 , N/A , N/A ,$116.13 ,$500.65 ,$487.10 ,$164.92 ,$530.10 ,$462.37 ,$486.51 ,$110.59 ,$382.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000426,30901,HC CNTRL NOSEBLEED ANT SMP-RT,450,1 ,$589.00 ,$424.08 ,$103.26 ,$589.00 ,$282.13 ,$471.20 ,$110.59 ,$164.92 ,$514.20 ,$541.29 ,$103.26 ,$487.10 ,$110.59 ,$227.95 ,$541.88 ,$276.49 ,$110.59 ,$112.81 ,$491.23 ,$491.23 ,$491.23 ,$110.59 ,$491.23 ,$504.18 ,$504.18 ,$530.10 ,$263.42 ,$500.65 ,$110.59 ,$110.59 ,$330.43 ,$110.59 ,$243.85 , N/A , N/A ,$116.13 ,$500.65 ,$487.10 ,$164.92 ,$530.10 ,$462.37 ,$486.51 ,$110.59 ,$382.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,$971.00 ,$699.12 ,$271.88 ,"$3,615.15 ","$3,615.15 ",$776.80 ,$951.58 ,$271.88 ,$847.68 ,$892.35 ,$951.58 ,$803.02 ,$951.58 ,$971.00 ,$893.32 ,$951.58 ,"$1,417.14 ",$970.61 ,$809.81 ,$809.81 ,$809.81 ,$951.58 ,$809.81 ,$831.18 ,$831.18 ,$873.90 ,$971.00 ,$825.35 ,$951.58 ,$951.58 ,$544.73 ,"$1,417.14 ",$401.99 , N/A , N/A ,$951.58 ,$825.35 ,$803.02 ,$271.88 ,$873.90 ,$762.24 ,$802.05 ,"$1,417.14 ",$631.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,$971.00 ,$699.12 ,$271.88 ,"$3,615.15 ","$3,615.15 ",$776.80 ,$951.58 ,$271.88 ,$847.68 ,$892.35 ,$951.58 ,$803.02 ,$951.58 ,$971.00 ,$893.32 ,$951.58 ,"$1,417.14 ",$970.61 ,$809.81 ,$809.81 ,$809.81 ,$951.58 ,$809.81 ,$831.18 ,$831.18 ,$873.90 ,$971.00 ,$825.35 ,$951.58 ,$951.58 ,$544.73 ,"$1,417.14 ",$401.99 , N/A , N/A ,$951.58 ,$825.35 ,$803.02 ,$271.88 ,$873.90 ,$762.24 ,$802.05 ,"$1,417.14 ",$631.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$158.00 ,$113.76 ,$44.24 ,$282.13 ,$282.13 ,$126.40 ,$110.59 ,$44.24 ,$137.93 ,$145.20 ,$103.26 ,$130.67 ,$110.59 ,$158.00 ,$145.36 ,$154.84 ,$110.59 ,$112.81 ,$131.77 ,$131.77 ,$131.77 ,$110.59 ,$131.77 ,$135.25 ,$135.25 ,$142.20 ,$158.00 ,$134.30 ,$110.59 ,$110.59 ,$88.64 ,$110.59 ,$65.41 , N/A , N/A ,$116.13 ,$134.30 ,$130.67 ,$44.24 ,$142.20 ,$124.03 ,$130.51 ,$110.59 ,$102.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,$971.00 ,$699.12 ,$271.88 ,"$7,238.23 ","$7,238.23 ",$776.80 ,$951.58 ,$271.88 ,$847.68 ,$892.35 ,$951.58 ,$803.02 ,$951.58 ,$971.00 ,$893.32 ,$951.58 ,"$2,837.38 ",$970.61 ,$809.81 ,$809.81 ,$809.81 ,$951.58 ,$809.81 ,$831.18 ,$831.18 ,$873.90 ,$971.00 ,$825.35 ,$951.58 ,$951.58 ,$544.73 ,"$2,837.38 ",$401.99 , N/A , N/A ,$951.58 ,$825.35 ,$803.02 ,$271.88 ,$873.90 ,$762.24 ,$802.05 ,"$2,837.38 ",$631.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$418.00 ,$300.96 ,$117.04 ,$418.00 ,$354.18 ,$334.40 ,$138.84 ,$117.04 ,$364.91 ,$384.14 ,$129.62 ,$345.69 ,$138.84 ,$286.16 ,$384.56 ,$347.10 ,$138.84 ,$141.61 ,$348.61 ,$348.61 ,$348.61 ,$138.84 ,$348.61 ,$357.81 ,$357.81 ,$376.20 ,$330.69 ,$355.30 ,$138.84 ,$138.84 ,$234.50 ,$138.84 ,$173.05 , N/A , N/A ,$145.78 ,$355.30 ,$345.69 ,$117.04 ,$376.20 ,$328.13 ,$345.27 ,$138.84 ,$271.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$418.00 ,$300.96 ,$117.04 ,$418.00 ,$354.18 ,$334.40 ,$138.84 ,$117.04 ,$364.91 ,$384.14 ,$129.62 ,$345.69 ,$138.84 ,$286.16 ,$384.56 ,$347.10 ,$138.84 ,$141.61 ,$348.61 ,$348.61 ,$348.61 ,$138.84 ,$348.61 ,$357.81 ,$357.81 ,$376.20 ,$330.69 ,$355.30 ,$138.84 ,$138.84 ,$234.50 ,$138.84 ,$173.05 , N/A , N/A ,$145.78 ,$355.30 ,$345.69 ,$117.04 ,$376.20 ,$328.13 ,$345.27 ,$138.84 ,$271.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000561,28190,HC REMOVE FB FOOT SUBCUT,450,1 ,"$1,067.00 ",$768.24 ,$298.76 ,"$1,576.85 ","$1,576.85 ",$853.60 ,$618.13 ,$298.76 ,$931.49 ,$980.57 ,$577.15 ,$882.41 ,$618.13 ,"$1,067.00 ",$981.64 ,"$1,045.66 ",$618.13 ,$630.48 ,$889.88 ,$889.88 ,$889.88 ,$618.13 ,$889.88 ,$913.35 ,$913.35 ,$960.30 ,"$1,067.00 ",$906.95 ,$618.13 ,$618.13 ,$598.59 ,$618.13 ,$441.74 , N/A , N/A ,$649.06 ,$906.95 ,$882.41 ,$298.76 ,$960.30 ,$837.60 ,$881.34 ,$618.13 ,$693.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000562,28190,HC REMOVE FB FOOT SUBCUT,450,1 ,"$1,067.00 ",$768.24 ,$298.76 ,"$1,576.85 ","$1,576.85 ",$853.60 ,$618.13 ,$298.76 ,$931.49 ,$980.57 ,$577.15 ,$882.41 ,$618.13 ,"$1,067.00 ",$981.64 ,"$1,045.66 ",$618.13 ,$630.48 ,$889.88 ,$889.88 ,$889.88 ,$618.13 ,$889.88 ,$913.35 ,$913.35 ,$960.30 ,"$1,067.00 ",$906.95 ,$618.13 ,$618.13 ,$598.59 ,$618.13 ,$441.74 , N/A , N/A ,$649.06 ,$906.95 ,$882.41 ,$298.76 ,$960.30 ,$837.60 ,$881.34 ,$618.13 ,$693.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000584,10060,HC I AND D SKIN ABSCESS-LT,450,1 ,$533.00 ,$383.76 ,$149.24 ,$533.00 ,$438.78 ,$426.40 ,$172.00 ,$149.24 ,$465.31 ,$489.83 ,$160.59 ,$440.79 ,$172.00 ,$354.52 ,$490.36 ,$430.00 ,$172.00 ,$175.44 ,$444.52 ,$444.52 ,$444.52 ,$172.00 ,$444.52 ,$456.25 ,$456.25 ,$479.70 ,$409.68 ,$453.05 ,$172.00 ,$172.00 ,$299.01 ,$172.00 ,$220.66 , N/A , N/A ,$180.60 ,$453.05 ,$440.79 ,$149.24 ,$479.70 ,$418.41 ,$440.26 ,$172.00 ,$346.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45000585,10060,HC I AND D SKIN ABSCESS-RT,450,1 ,$533.00 ,$383.76 ,$149.24 ,$533.00 ,$438.78 ,$426.40 ,$172.00 ,$149.24 ,$465.31 ,$489.83 ,$160.59 ,$440.79 ,$172.00 ,$354.52 ,$490.36 ,$430.00 ,$172.00 ,$175.44 ,$444.52 ,$444.52 ,$444.52 ,$172.00 ,$444.52 ,$456.25 ,$456.25 ,$479.70 ,$409.68 ,$453.05 ,$172.00 ,$172.00 ,$299.01 ,$172.00 ,$220.66 , N/A , N/A ,$180.60 ,$453.05 ,$440.79 ,$149.24 ,$479.70 ,$418.41 ,$440.26 ,$172.00 ,$346.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45001281,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED,450,1 ,$596.00 ,$429.12 ,$166.88 ,"$3,485.58 ","$3,485.58 ",$476.80 ,$584.08 ,$166.88 ,$520.31 ,$547.72 ,$584.08 ,$492.89 ,$584.08 ,$596.00 ,$548.32 ,$584.08 ,"$1,366.35 ",$595.76 ,$497.06 ,$497.06 ,$497.06 ,$584.08 ,$497.06 ,$510.18 ,$510.18 ,$536.40 ,$596.00 ,$506.60 ,$584.08 ,$584.08 ,$334.36 ,"$1,366.35 ",$246.74 , N/A , N/A ,$584.08 ,$506.60 ,$492.89 ,$166.88 ,$536.40 ,$467.86 ,$492.30 ,"$1,366.35 ",$387.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45001311,64831,HC REPAIR NERVE DIGITAL HAND/FOOT INIT,450,1 ,$745.00 ,$536.40 ,$208.60 ,"$4,367.58 ","$4,367.58 ",$596.00 ,$730.10 ,$208.60 ,$650.39 ,$684.66 ,$730.10 ,$616.12 ,$730.10 ,$745.00 ,$685.40 ,$730.10 ,"$1,712.09 ",$744.70 ,$621.33 ,$621.33 ,$621.33 ,$730.10 ,$621.33 ,$637.72 ,$637.72 ,$670.50 ,$745.00 ,$633.25 ,$730.10 ,$730.10 ,$417.95 ,"$1,712.09 ",$308.43 , N/A , N/A ,$730.10 ,$633.25 ,$616.12 ,$208.60 ,$670.50 ,$584.83 ,$615.37 ,"$1,712.09 ",$484.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$745.00 ,$536.40 ,$191.09 ,$745.00 ,$522.08 ,$596.00 ,$204.65 ,$208.60 ,$650.39 ,$684.66 ,$191.09 ,$616.12 ,$204.65 ,$421.84 ,$685.40 ,$511.64 ,$204.65 ,$208.75 ,$621.33 ,$621.33 ,$621.33 ,$204.65 ,$621.33 ,$637.72 ,$637.72 ,$670.50 ,$487.48 ,$633.25 ,$204.65 ,$204.65 ,$417.95 ,$204.65 ,$308.43 , N/A , N/A ,$214.90 ,$633.25 ,$616.12 ,$208.60 ,$670.50 ,$584.83 ,$615.37 ,$204.65 ,$484.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45001350,P9612,HC STRAIGHT CATH FOR URINE SPECIMEN,450,1 ,$22.00 ,$15.84 ,$6.16 ,$22.95 ,$22.95 ,$17.60 ,$9.00 ,$6.16 ,$19.21 ,$20.22 ,$8.40 ,$18.19 ,$9.00 ,$18.54 ,$20.24 ,$21.56 ,$9.00 ,$9.17 ,$18.35 ,$18.35 ,$18.35 ,$9.00 ,$18.35 ,$18.83 ,$18.83 ,$19.80 ,$21.43 ,$18.70 ,$9.00 ,$9.00 ,$12.34 ,$9.00 ,$9.11 , N/A , N/A ,$9.45 ,$18.70 ,$18.19 ,$6.16 ,$19.80 ,$17.27 ,$18.17 ,$9.00 ,$14.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45001367,15853,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.28 ,$1.00 , N/A ,$0.80 , N/A ,$0.28 ,$0.87 ,$0.92 , N/A ,$0.83 , N/A , N/A ,$0.92 , N/A , N/A , N/A ,$0.83 ,$0.83 ,$0.83 , N/A ,$0.83 ,$0.86 ,$0.86 ,$0.90 , N/A ,$0.85 , N/A , N/A ,$0.56 , N/A ,$0.41 , N/A , N/A , N/A ,$0.85 ,$0.83 ,$0.28 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45001368,15854,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.28 ,$1.00 , N/A ,$0.80 , N/A ,$0.28 ,$0.87 ,$0.92 , N/A ,$0.83 , N/A , N/A ,$0.92 , N/A , N/A , N/A ,$0.83 ,$0.83 ,$0.83 , N/A ,$0.83 ,$0.86 ,$0.86 ,$0.90 , N/A ,$0.85 , N/A , N/A ,$0.56 , N/A ,$0.41 , N/A , N/A , N/A ,$0.85 ,$0.83 ,$0.28 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),45080001,10060,HC I AND D ABSC SMP,450,1 ,$360.00 ,$259.20 ,$100.80 ,$438.78 ,$438.78 ,$288.00 ,$172.00 ,$100.80 ,$314.28 ,$330.84 ,$160.59 ,$297.72 ,$172.00 ,$354.52 ,$331.20 ,$352.80 ,$172.00 ,$175.44 ,$300.24 ,$300.24 ,$300.24 ,$172.00 ,$300.24 ,$308.16 ,$308.16 ,$324.00 ,$360.00 ,$306.00 ,$172.00 ,$172.00 ,$201.96 ,$172.00 ,$149.04 , N/A , N/A ,$180.60 ,$306.00 ,$297.72 ,$100.80 ,$324.00 ,$282.60 ,$297.36 ,$172.00 ,$234.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$360.00 ,$259.20 ,$49.94 ,$360.00 ,$353.38 ,$288.00 ,$138.52 ,$100.80 ,$314.28 ,$330.84 ,$129.33 ,$297.72 ,$138.52 ,$285.51 ,$331.20 ,$346.31 ,$138.52 ,$141.30 ,$300.24 ,$300.24 ,$300.24 ,$138.52 ,$300.24 ,$308.16 ,$308.16 ,$324.00 ,$329.94 ,$306.00 ,$138.52 ,$138.52 ,$201.96 ,$138.52 ,$149.04 ,$52.32 ,$49.94 ,$145.45 ,$306.00 ,$297.72 ,$100.80 ,$324.00 ,$282.60 ,$297.36 ,$138.52 ,$234.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000004,94060,HC SPIROMETRY/PFT PRE  AND  POST,460,1 ,$542.00 ,$390.24 ,$49.94 ,$680.48 ,$680.48 ,$433.60 ,$266.75 ,$151.76 ,$473.17 ,$498.10 ,$249.07 ,$448.23 ,$266.75 ,$542.00 ,$498.64 ,$531.16 ,$266.75 ,$272.08 ,$452.03 ,$452.03 ,$452.03 ,$266.75 ,$452.03 ,$463.95 ,$463.95 ,$487.80 ,$542.00 ,$460.70 ,$266.75 ,$266.75 ,$304.06 ,$266.75 ,$224.39 ,$52.32 ,$49.94 ,$280.10 ,$460.70 ,$448.23 ,$151.76 ,$487.80 ,$425.47 ,$447.69 ,$266.75 ,$352.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000005,94060,HC SPIROMETRY/PFT PRE  AND  POST UPDRAFT,460,1 ,$838.00 ,$603.36 ,$49.94 ,$838.00 ,$680.48 ,$670.40 ,$266.75 ,$234.64 ,$731.57 ,$770.12 ,$249.07 ,$693.03 ,$266.75 ,$549.83 ,$770.96 ,$666.87 ,$266.75 ,$272.08 ,$698.89 ,$698.89 ,$698.89 ,$266.75 ,$698.89 ,$717.33 ,$717.33 ,$754.20 ,$635.37 ,$712.30 ,$266.75 ,$266.75 ,$470.12 ,$266.75 ,$346.93 ,$52.32 ,$49.94 ,$280.10 ,$712.30 ,$693.03 ,$234.64 ,$754.20 ,$657.83 ,$692.19 ,$266.75 ,$544.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,$840.00 ,$604.80 ,$152.59 ,$840.00 ,$680.48 ,$672.00 ,$266.75 ,$235.20 ,$733.32 ,$771.96 ,$249.07 ,$694.68 ,$266.75 ,$549.83 ,$772.80 ,$666.87 ,$266.75 ,$272.08 ,$700.56 ,$700.56 ,$700.56 ,$266.75 ,$700.56 ,$719.04 ,$719.04 ,$756.00 ,$635.37 ,$714.00 ,$266.75 ,$266.75 ,$471.24 ,$266.75 ,$347.76 ,$159.85 ,$152.59 ,$280.10 ,$714.00 ,$694.68 ,$235.20 ,$756.00 ,$659.40 ,$693.84 ,$266.75 ,$546.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$400.00 ,$288.00 ,$49.94 ,$400.00 ,$353.38 ,$320.00 ,$138.52 ,$112.00 ,$349.20 ,$367.60 ,$129.33 ,$330.80 ,$138.52 ,$285.51 ,$368.00 ,$346.31 ,$138.52 ,$141.30 ,$333.60 ,$333.60 ,$333.60 ,$138.52 ,$333.60 ,$342.40 ,$342.40 ,$360.00 ,$329.94 ,$340.00 ,$138.52 ,$138.52 ,$224.40 ,$138.52 ,$165.60 ,$52.32 ,$49.94 ,$145.45 ,$340.00 ,$330.80 ,$112.00 ,$360.00 ,$314.00 ,$330.40 ,$138.52 ,$260.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$762.00 ,$548.64 ,$49.94 ,$762.00 ,$680.48 ,$609.60 ,$266.75 ,$213.36 ,$665.23 ,$700.28 ,$249.07 ,$630.17 ,$266.75 ,$549.83 ,$701.04 ,$666.87 ,$266.75 ,$272.08 ,$635.51 ,$635.51 ,$635.51 ,$266.75 ,$635.51 ,$652.27 ,$652.27 ,$685.80 ,$635.37 ,$647.70 ,$266.75 ,$266.75 ,$427.48 ,$266.75 ,$315.47 ,$52.32 ,$49.94 ,$280.10 ,$647.70 ,$630.17 ,$213.36 ,$685.80 ,$598.17 ,$629.41 ,$266.75 ,$495.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000014,94618,HC WALK TEST 6 MIN,460,1 ,$322.00 ,$231.84 ,$90.16 ,$322.00 ,$282.13 ,$257.60 ,$110.59 ,$90.16 ,$281.11 ,$295.92 ,$103.26 ,$266.29 ,$110.59 ,$227.95 ,$296.24 ,$276.49 ,$110.59 ,$112.81 ,$268.55 ,$268.55 ,$268.55 ,$110.59 ,$268.55 ,$275.63 ,$275.63 ,$289.80 ,$263.42 ,$273.70 ,$110.59 ,$110.59 ,$180.64 ,$110.59 ,$133.31 ,$159.85 ,$152.59 ,$116.13 ,$273.70 ,$266.29 ,$90.16 ,$289.80 ,$252.77 ,$265.97 ,$110.59 ,$209.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$277.00 ,$199.44 ,$49.94 ,$277.00 , N/A ,$221.60 , N/A ,$77.56 ,$241.82 ,$254.56 , N/A ,$229.08 , N/A , N/A ,$254.84 , N/A , N/A , N/A ,$231.02 ,$231.02 ,$231.02 , N/A ,$231.02 ,$237.11 ,$237.11 ,$249.30 , N/A ,$235.45 , N/A , N/A ,$155.40 , N/A ,$114.68 ,$52.32 ,$49.94 , N/A ,$235.45 ,$229.08 ,$77.56 ,$249.30 ,$217.45 ,$228.80 , N/A ,$180.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000018,94762,HC OXIMETRY OVERNIGHT,460,1 ,$180.00 ,$129.60 ,$49.94 ,$353.38 ,$353.38 ,$144.00 ,$138.52 ,$50.40 ,$157.14 ,$165.42 ,$129.33 ,$148.86 ,$138.52 ,$180.00 ,$165.60 ,$176.40 ,$138.52 ,$141.30 ,$150.12 ,$150.12 ,$150.12 ,$138.52 ,$150.12 ,$154.08 ,$154.08 ,$162.00 ,$180.00 ,$153.00 ,$138.52 ,$138.52 ,$100.98 ,$138.52 ,$74.52 ,$52.32 ,$49.94 ,$145.45 ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 ,$138.52 ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000021,94760,HC PULSE OX SINGLE,460,1 ,$73.00 ,$52.56 ,$20.44 ,$73.00 , N/A ,$58.40 , N/A ,$20.44 ,$63.73 ,$67.09 , N/A ,$60.37 , N/A , N/A ,$67.16 , N/A , N/A , N/A ,$60.88 ,$60.88 ,$60.88 , N/A ,$60.88 ,$62.49 ,$62.49 ,$65.70 , N/A ,$62.05 , N/A , N/A ,$40.95 , N/A ,$30.22 , N/A , N/A , N/A ,$62.05 ,$60.37 ,$20.44 ,$65.70 ,$57.31 ,$60.30 , N/A ,$47.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000022,94200,HC MAXIMAL VOL VENTILATION,942,1 ,$94.00 ,$67.68 ,$26.32 ,$139.68 ,$139.68 ,$75.20 ,$54.75 ,$26.32 ,$82.06 ,$86.39 ,$51.12 ,$77.74 ,$54.75 ,$94.00 ,$86.48 ,$92.12 ,$54.75 ,$55.85 ,$78.40 ,$78.40 ,$78.40 ,$54.75 ,$78.40 ,$80.46 ,$80.46 ,$84.60 ,$94.00 ,$79.90 ,$54.75 ,$54.75 ,$52.73 ,$54.75 ,$38.92 , N/A , N/A ,$57.49 ,$79.90 ,$77.74 ,$26.32 ,$84.60 ,$73.79 ,$77.64 ,$54.75 ,$61.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$117.00 ,$84.24 ,$32.76 ,$117.00 , N/A ,$93.60 , N/A ,$32.76 ,$102.14 ,$107.52 , N/A ,$96.76 , N/A , N/A ,$107.64 , N/A , N/A , N/A ,$97.58 ,$97.58 ,$97.58 , N/A ,$97.58 ,$100.15 ,$100.15 ,$105.30 , N/A ,$99.45 , N/A , N/A ,$65.64 , N/A ,$48.44 , N/A , N/A , N/A ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 ,$96.64 , N/A ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$1,091.00 ",$785.52 ,$305.48 ,"$1,429.05 ","$1,429.05 ",$872.80 ,$560.19 ,$305.48 ,$952.44 ,"$1,002.63 ",$523.06 ,$902.26 ,$560.19 ,"$1,091.00 ","$1,003.72 ","$1,069.18 ",$560.19 ,$571.39 ,$909.89 ,$909.89 ,$909.89 ,$560.19 ,$909.89 ,$933.90 ,$933.90 ,$981.90 ,"$1,091.00 ",$927.35 ,$560.19 ,$560.19 ,$612.05 ,$560.19 ,$451.67 ,$426.25 ,$406.88 ,$588.23 ,$927.35 ,$902.26 ,$305.48 ,$981.90 ,$856.44 ,$901.17 ,$560.19 ,$709.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,771.00 ","$1,275.12 ",$203.85 ,"$1,771.00 ",$680.48 ,"$1,416.80 ",$266.75 ,$495.88 ,"$1,546.08 ","$1,627.55 ",$249.07 ,"$1,464.62 ",$266.75 ,$549.83 ,"$1,629.32 ",$666.87 ,$266.75 ,$272.08 ,"$1,477.01 ","$1,477.01 ","$1,477.01 ",$266.75 ,"$1,477.01 ","$1,515.98 ","$1,515.98 ","$1,593.90 ",$635.37 ,"$1,505.35 ",$266.75 ,$266.75 ,$993.53 ,$266.75 ,$733.19 ,$213.55 ,$203.85 ,$280.10 ,"$1,505.35 ","$1,464.62 ",$495.88 ,"$1,593.90 ","$1,390.24 ","$1,462.85 ",$266.75 ,"$1,151.15 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,276.00 ","$2,358.72 ",$323.99 ,"$3,276.00 ","$1,222.50 ","$2,620.80 ",$479.22 ,$917.28 ,"$2,859.95 ","$3,010.64 ",$447.45 ,"$2,709.25 ",$479.22 ,$987.77 ,"$3,013.92 ","$1,198.05 ",$479.22 ,$488.80 ,"$2,732.18 ","$2,732.18 ","$2,732.18 ",$479.22 ,"$2,732.18 ","$2,804.26 ","$2,804.26 ","$2,948.40 ","$1,141.45 ","$2,784.60 ",$479.22 ,$479.22 ,"$1,837.84 ",$479.22 ,"$1,356.26 ",$339.42 ,$323.99 ,$503.20 ,"$2,784.60 ","$2,709.25 ",$917.28 ,"$2,948.40 ","$2,571.66 ","$2,705.98 ",$479.22 ,"$2,129.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300001,93307,HC ECHOCARDIOGRAM 2D W/O DOP,483,1 ,$763.00 ,$549.36 ,$207.67 ,$763.00 ,$567.40 ,$610.40 ,$222.42 ,$213.64 ,$666.10 ,$701.20 ,$207.67 ,$631.00 ,$222.42 ,$458.46 ,$701.96 ,$556.05 ,$222.42 ,$226.87 ,$636.34 ,$636.34 ,$636.34 ,$222.42 ,$636.34 ,$653.13 ,$653.13 ,$686.70 ,$529.79 ,$648.55 ,$222.42 ,$222.42 ,$428.04 ,$222.42 ,$315.88 ,$339.42 ,$323.99 ,$233.55 ,$648.55 ,$631.00 ,$213.64 ,$686.70 ,$598.96 ,$630.24 ,$222.42 ,$495.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$636.00 ,$457.92 ,$178.08 ,$636.00 ,$567.40 ,$508.80 ,$222.42 ,$178.08 ,$555.23 ,$584.48 ,$207.67 ,$525.97 ,$222.42 ,$458.46 ,$585.12 ,$556.05 ,$222.42 ,$226.87 ,$530.42 ,$530.42 ,$530.42 ,$222.42 ,$530.42 ,$544.42 ,$544.42 ,$572.40 ,$529.79 ,$540.60 ,$222.42 ,$222.42 ,$356.80 ,$222.42 ,$263.30 ,$339.42 ,$323.99 ,$233.55 ,$540.60 ,$525.97 ,$178.08 ,$572.40 ,$499.26 ,$525.34 ,$222.42 ,$413.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$740.00 ,$532.80 ,$207.20 ,$740.00 , N/A ,$592.00 , N/A ,$207.20 ,$646.02 ,$680.06 , N/A ,$611.98 , N/A , N/A ,$680.80 , N/A , N/A , N/A ,$617.16 ,$617.16 ,$617.16 , N/A ,$617.16 ,$633.44 ,$633.44 ,$666.00 , N/A ,$629.00 , N/A , N/A ,$415.14 , N/A ,$306.36 ,$339.42 ,$323.99 , N/A ,$629.00 ,$611.98 ,$207.20 ,$666.00 ,$580.90 ,$611.24 , N/A ,$481.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$480.00 ,$345.60 ,$134.40 ,$480.00 , N/A ,$384.00 , N/A ,$134.40 ,$419.04 ,$441.12 , N/A ,$396.96 , N/A , N/A ,$441.60 , N/A , N/A , N/A ,$400.32 ,$400.32 ,$400.32 , N/A ,$400.32 ,$410.88 ,$410.88 ,$432.00 , N/A ,$408.00 , N/A , N/A ,$269.28 , N/A ,$198.72 ,$339.42 ,$323.99 , N/A ,$408.00 ,$396.96 ,$134.40 ,$432.00 ,$376.80 ,$396.48 , N/A ,$312.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300016,C8924,HC ECHO TTE W/W/O CONT  AND  W/CONT LIMIT,483,1 ,"$1,003.00 ",$722.16 ,$280.84 ,"$1,003.00 ",$895.20 ,$802.40 ,$350.92 ,$280.84 ,$875.62 ,$921.76 ,$327.65 ,$829.48 ,$350.92 ,$723.32 ,$922.76 ,$877.30 ,$350.92 ,$357.94 ,$836.50 ,$836.50 ,$836.50 ,$350.92 ,$836.50 ,$858.57 ,$858.57 ,$902.70 ,$835.86 ,$852.55 ,$350.92 ,$350.92 ,$562.68 ,$350.92 ,$415.24 ,$339.42 ,$323.99 ,$368.48 ,$852.55 ,$829.48 ,$280.84 ,$902.70 ,$787.36 ,$828.48 ,$350.92 ,$651.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT  AND  W/CONT,483,1 ,"$2,047.00 ","$1,473.84 ",$323.99 ,"$2,047.00 ","$1,799.85 ","$1,637.60 ",$705.54 ,$573.16 ,"$1,787.03 ","$1,881.19 ",$658.78 ,"$1,692.87 ",$705.54 ,"$1,454.27 ","$1,883.24 ","$1,763.85 ",$705.54 ,$719.65 ,"$1,707.20 ","$1,707.20 ","$1,707.20 ",$705.54 ,"$1,707.20 ","$1,752.23 ","$1,752.23 ","$1,842.30 ","$1,680.54 ","$1,739.95 ",$705.54 ,$705.54 ,"$1,148.37 ",$705.54 ,$847.46 ,$339.42 ,$323.99 ,$740.85 ,"$1,739.95 ","$1,692.87 ",$573.16 ,"$1,842.30 ","$1,606.90 ","$1,690.82 ",$705.54 ,"$1,330.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000002,95117,HC ALLERGY SHOTS 2 OR MORE,510,1 ,$115.00 ,$82.80 ,$16.41 ,$115.00 ,$102.95 ,$92.00 ,$40.36 ,$32.20 ,$100.40 ,$105.69 ,$37.68 ,$95.11 ,$40.36 ,$83.18 ,$105.80 ,$100.89 ,$40.36 ,$41.16 ,$95.91 ,$95.91 ,$95.91 ,$40.36 ,$95.91 ,$98.44 ,$98.44 ,$103.50 ,$96.12 ,$97.75 ,$40.36 ,$40.36 ,$64.52 ,$40.36 ,$47.61 ,$17.19 ,$16.41 ,$42.38 ,$97.75 ,$95.11 ,$32.20 ,$103.50 ,$90.28 ,$94.99 ,$40.36 ,$74.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,$84.00 ,$60.48 ,$23.52 ,$808.20 ,$808.20 ,$67.20 ,$82.32 ,$23.52 ,$73.33 ,$77.20 ,$82.32 ,$69.47 ,$82.32 ,$84.00 ,$77.28 ,$82.32 ,$316.81 ,$83.97 ,$70.06 ,$70.06 ,$70.06 ,$82.32 ,$70.06 ,$71.90 ,$71.90 ,$75.60 ,$84.00 ,$71.40 ,$82.32 ,$82.32 ,$47.12 ,$316.81 ,$34.78 ,$83.55 ,$79.75 ,$82.32 ,$71.40 ,$69.47 ,$23.52 ,$75.60 ,$65.94 ,$69.38 ,$316.81 ,$54.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$160.00 ,$115.20 ,$44.80 ,$163.93 ,$163.93 ,$128.00 ,$64.26 ,$44.80 ,$139.68 ,$147.04 ,$60.01 ,$132.32 ,$64.26 ,$132.46 , N/A ,$156.80 ,$64.26 ,$65.54 ,$133.44 ,$133.44 ,$133.44 ,$64.26 ,$133.44 ,$136.96 ,$136.96 ,$144.00 ,$153.07 ,$136.00 ,$64.26 ,$64.26 ,$89.76 ,$64.26 ,$66.24 , N/A , N/A ,$67.48 ,$136.00 ,$132.32 ,$44.80 ,$144.00 ,$125.60 ,$132.16 ,$64.26 ,$104.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$417.00 ,$300.24 ,$116.76 ,$501.93 ,$501.93 ,$333.60 ,$196.75 ,$116.76 ,$364.04 ,$383.22 ,$183.71 ,$344.86 ,$196.75 ,$405.55 , N/A ,$408.66 ,$196.75 ,$200.69 ,$347.78 ,$347.78 ,$347.78 ,$196.75 ,$347.78 ,$356.95 ,$356.95 ,$375.30 ,$417.00 ,$354.45 ,$196.75 ,$196.75 ,$233.94 ,$196.75 ,$172.64 , N/A , N/A ,$206.60 ,$354.45 ,$344.86 ,$116.76 ,$375.30 ,$327.35 ,$344.44 ,$196.75 ,$271.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$417.00 ,$300.24 ,$37.68 ,$417.00 ,$102.95 ,$333.60 ,$40.36 ,$116.76 ,$364.04 ,$383.22 ,$37.68 ,$344.86 ,$40.36 ,$83.18 , N/A ,$100.89 ,$40.36 ,$41.16 ,$347.78 ,$347.78 ,$347.78 ,$40.36 ,$347.78 ,$356.95 ,$356.95 ,$375.30 ,$96.12 ,$354.45 ,$40.36 ,$40.36 ,$233.94 ,$40.36 ,$172.64 , N/A , N/A ,$42.38 ,$354.45 ,$344.86 ,$116.76 ,$375.30 ,$327.35 ,$344.44 ,$40.36 ,$271.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$382.00 ,$275.04 ,$106.96 ,$382.00 , N/A ,$305.60 , N/A ,$106.96 ,$333.49 ,$351.06 , N/A ,$315.91 , N/A , N/A , N/A , N/A , N/A , N/A ,$318.59 ,$318.59 ,$318.59 , N/A ,$318.59 ,$326.99 ,$326.99 ,$343.80 , N/A ,$324.70 , N/A , N/A ,$214.30 , N/A ,$158.15 , N/A , N/A , N/A ,$324.70 ,$315.91 ,$106.96 ,$343.80 ,$299.87 ,$315.53 , N/A ,$248.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$126.00 ,$90.72 ,$35.28 ,$139.68 ,$139.68 ,$100.80 ,$54.75 ,$35.28 ,$110.00 ,$115.79 ,$51.12 ,$104.20 ,$54.75 ,$112.85 , N/A ,$123.48 ,$54.75 ,$55.85 ,$105.08 ,$105.08 ,$105.08 ,$54.75 ,$105.08 ,$107.86 ,$107.86 ,$113.40 ,$126.00 ,$107.10 ,$54.75 ,$54.75 ,$70.69 ,$54.75 ,$52.16 ,$83.55 ,$79.75 ,$57.49 ,$107.10 ,$104.20 ,$35.28 ,$113.40 ,$98.91 ,$104.08 ,$54.75 ,$81.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$180.00 ,$129.60 ,$50.40 ,$180.00 , N/A ,$144.00 , N/A ,$50.40 ,$157.14 ,$165.42 , N/A ,$148.86 , N/A , N/A ,$165.60 , N/A , N/A , N/A ,$150.12 ,$150.12 ,$150.12 , N/A ,$150.12 ,$154.08 ,$154.08 ,$162.00 , N/A ,$153.00 , N/A , N/A ,$100.98 , N/A ,$74.52 ,$98.35 ,$93.88 , N/A ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 , N/A ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$271.00 ,$195.12 ,$75.88 ,$271.00 , N/A ,$216.80 , N/A ,$75.88 ,$236.58 ,$249.05 , N/A ,$224.12 , N/A , N/A ,$249.32 , N/A , N/A , N/A ,$226.01 ,$226.01 ,$226.01 , N/A ,$226.01 ,$231.98 ,$231.98 ,$243.90 , N/A ,$230.35 , N/A , N/A ,$152.03 , N/A ,$112.19 ,$98.35 ,$93.88 , N/A ,$230.35 ,$224.12 ,$75.88 ,$243.90 ,$212.74 ,$223.85 , N/A ,$176.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$465.00 ,$334.80 ,$93.88 ,$465.00 , N/A ,$372.00 , N/A ,$130.20 ,$405.95 ,$427.34 , N/A ,$384.56 , N/A , N/A ,$427.80 , N/A , N/A , N/A ,$387.81 ,$387.81 ,$387.81 , N/A ,$387.81 ,$398.04 ,$398.04 ,$418.50 , N/A ,$395.25 , N/A , N/A ,$260.87 , N/A ,$192.51 ,$98.35 ,$93.88 , N/A ,$395.25 ,$384.56 ,$130.20 ,$418.50 ,$365.03 ,$384.09 , N/A ,$302.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$565.00 ,$406.80 ,$93.88 ,$565.00 , N/A ,$452.00 , N/A ,$158.20 ,$493.25 ,$519.24 , N/A ,$467.26 , N/A , N/A ,$519.80 , N/A , N/A , N/A ,$471.21 ,$471.21 ,$471.21 , N/A ,$471.21 ,$483.64 ,$483.64 ,$508.50 , N/A ,$480.25 , N/A , N/A ,$316.97 , N/A ,$233.91 ,$98.35 ,$93.88 , N/A ,$480.25 ,$467.26 ,$158.20 ,$508.50 ,$443.53 ,$466.69 , N/A ,$367.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$80.00 ,$57.60 ,$22.40 ,$80.00 , N/A ,$64.00 , N/A ,$22.40 ,$69.84 ,$73.52 , N/A ,$66.16 , N/A , N/A ,$73.60 , N/A , N/A , N/A ,$66.72 ,$66.72 ,$66.72 , N/A ,$66.72 ,$68.48 ,$68.48 ,$72.00 , N/A ,$68.00 , N/A , N/A ,$44.88 , N/A ,$33.12 ,$80.00 ,$80.00 , N/A ,$68.00 ,$66.16 ,$22.40 ,$72.00 ,$62.80 ,$66.08 , N/A ,$52.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$90.00 ,$64.80 ,$25.20 ,$90.00 , N/A ,$72.00 , N/A ,$25.20 ,$78.57 ,$82.71 , N/A ,$74.43 , N/A , N/A ,$82.80 , N/A , N/A , N/A ,$75.06 ,$75.06 ,$75.06 , N/A ,$75.06 ,$77.04 ,$77.04 ,$81.00 , N/A ,$76.50 , N/A , N/A ,$50.49 , N/A ,$37.26 ,$90.00 ,$90.00 , N/A ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 , N/A ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$181.00 ,$130.32 ,$50.68 ,$181.00 , N/A ,$144.80 , N/A ,$50.68 ,$158.01 ,$166.34 , N/A ,$149.69 , N/A , N/A ,$166.52 , N/A , N/A , N/A ,$150.95 ,$150.95 ,$150.95 , N/A ,$150.95 ,$154.94 ,$154.94 ,$162.90 , N/A ,$153.85 , N/A , N/A ,$101.54 , N/A ,$74.93 ,$98.35 ,$93.88 , N/A ,$153.85 ,$149.69 ,$50.68 ,$162.90 ,$142.09 ,$149.51 , N/A ,$117.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$278.00 ,$200.16 ,$77.84 ,$278.00 , N/A ,$222.40 , N/A ,$77.84 ,$242.69 ,$255.48 , N/A ,$229.91 , N/A , N/A ,$255.76 , N/A , N/A , N/A ,$231.85 ,$231.85 ,$231.85 , N/A ,$231.85 ,$237.97 ,$237.97 ,$250.20 , N/A ,$236.30 , N/A , N/A ,$155.96 , N/A ,$115.09 ,$98.35 ,$93.88 , N/A ,$236.30 ,$229.91 ,$77.84 ,$250.20 ,$218.23 ,$229.63 , N/A ,$180.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$550.00 ,$396.00 ,$93.88 ,$550.00 , N/A ,$440.00 , N/A ,$154.00 ,$480.15 ,$505.45 , N/A ,$454.85 , N/A , N/A ,$506.00 , N/A , N/A , N/A ,$458.70 ,$458.70 ,$458.70 , N/A ,$458.70 ,$470.80 ,$470.80 ,$495.00 , N/A ,$467.50 , N/A , N/A ,$308.55 , N/A ,$227.70 ,$98.35 ,$93.88 , N/A ,$467.50 ,$454.85 ,$154.00 ,$495.00 ,$431.75 ,$454.30 , N/A ,$357.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$22.00 ,$15.84 ,$6.16 ,$22.00 ,$21.43 ,$17.60 ,$8.40 ,$6.16 ,$19.21 ,$20.22 ,$8.40 ,$18.19 ,$8.40 ,$17.31 ,$20.24 ,$21.00 ,$8.40 ,$8.57 ,$18.35 ,$18.35 ,$18.35 ,$8.40 ,$18.35 ,$18.83 ,$18.83 ,$19.80 ,$21.43 ,$18.70 ,$8.40 ,$8.40 ,$12.34 ,$8.40 ,$9.11 , N/A , N/A ,$8.82 ,$18.70 ,$18.19 ,$6.16 ,$19.80 ,$17.27 ,$18.17 ,$9.00 ,$14.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$158.00 ,$113.76 ,$44.24 ,$282.13 ,$282.13 ,$126.40 ,$110.59 ,$44.24 ,$137.93 ,$145.20 ,$103.26 ,$130.67 ,$110.59 ,$158.00 ,$145.36 ,$154.84 ,$110.59 ,$112.81 ,$131.77 ,$131.77 ,$131.77 ,$110.59 ,$131.77 ,$135.25 ,$135.25 ,$142.20 ,$158.00 ,$134.30 ,$110.59 ,$110.59 ,$88.64 ,$110.59 ,$65.41 ,$83.55 ,$79.75 ,$116.13 ,$134.30 ,$130.67 ,$44.24 ,$142.20 ,$124.03 ,$130.51 ,$110.59 ,$102.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000172,51702,HC CATH BLADDER SMP,510,1 ,$218.00 ,$156.96 ,$61.04 ,$282.13 ,$282.13 ,$174.40 ,$110.59 ,$61.04 ,$190.31 ,$200.34 ,$103.26 ,$180.29 ,$110.59 ,$218.00 ,$200.56 ,$213.64 ,$110.59 ,$112.81 ,$181.81 ,$181.81 ,$181.81 ,$110.59 ,$181.81 ,$186.61 ,$186.61 ,$196.20 ,$218.00 ,$185.30 ,$110.59 ,$110.59 ,$122.30 ,$110.59 ,$90.25 ,$83.55 ,$79.75 ,$116.13 ,$185.30 ,$180.29 ,$61.04 ,$196.20 ,$171.13 ,$180.07 ,$110.59 ,$141.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000173,51703,HC CATH BLADDER CPLX,510,1 ,$579.00 ,$416.88 ,$79.75 ,$579.00 ,$353.38 ,$463.20 ,$138.52 ,$162.12 ,$505.47 ,$532.10 ,$129.33 ,$478.83 ,$138.52 ,$285.51 ,$532.68 ,$346.31 ,$138.52 ,$141.30 ,$482.89 ,$482.89 ,$482.89 ,$138.52 ,$482.89 ,$495.62 ,$495.62 ,$521.10 ,$329.94 ,$492.15 ,$138.52 ,$138.52 ,$324.82 ,$138.52 ,$239.71 ,$83.55 ,$79.75 ,$145.45 ,$492.15 ,$478.83 ,$162.12 ,$521.10 ,$454.52 ,$478.25 ,$138.52 ,$376.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$180.00 ,$129.60 ,$50.40 ,$180.00 , N/A ,$144.00 , N/A ,$50.40 ,$157.14 ,$165.42 , N/A ,$148.86 , N/A , N/A ,$165.60 , N/A , N/A , N/A ,$150.12 ,$150.12 ,$150.12 , N/A ,$150.12 ,$154.08 ,$154.08 ,$162.00 , N/A ,$153.00 , N/A , N/A ,$100.98 , N/A ,$74.52 ,$98.35 ,$93.88 , N/A ,$153.00 ,$148.86 ,$50.40 ,$162.00 ,$141.30 ,$148.68 , N/A ,$117.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$271.00 ,$195.12 ,$75.88 ,$271.00 , N/A ,$216.80 , N/A ,$75.88 ,$236.58 ,$249.05 , N/A ,$224.12 , N/A , N/A ,$249.32 , N/A , N/A , N/A ,$226.01 ,$226.01 ,$226.01 , N/A ,$226.01 ,$231.98 ,$231.98 ,$243.90 , N/A ,$230.35 , N/A , N/A ,$152.03 , N/A ,$112.19 ,$98.35 ,$93.88 , N/A ,$230.35 ,$224.12 ,$75.88 ,$243.90 ,$212.74 ,$223.85 , N/A ,$176.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$465.00 ,$334.80 ,$93.88 ,$465.00 , N/A ,$372.00 , N/A ,$130.20 ,$405.95 ,$427.34 , N/A ,$384.56 , N/A , N/A ,$427.80 , N/A , N/A , N/A ,$387.81 ,$387.81 ,$387.81 , N/A ,$387.81 ,$398.04 ,$398.04 ,$418.50 , N/A ,$395.25 , N/A , N/A ,$260.87 , N/A ,$192.51 ,$98.35 ,$93.88 , N/A ,$395.25 ,$384.56 ,$130.20 ,$418.50 ,$365.03 ,$384.09 , N/A ,$302.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$565.00 ,$406.80 ,$93.88 ,$565.00 , N/A ,$452.00 , N/A ,$158.20 ,$493.25 ,$519.24 , N/A ,$467.26 , N/A , N/A ,$519.80 , N/A , N/A , N/A ,$471.21 ,$471.21 ,$471.21 , N/A ,$471.21 ,$483.64 ,$483.64 ,$508.50 , N/A ,$480.25 , N/A , N/A ,$316.97 , N/A ,$233.91 ,$98.35 ,$93.88 , N/A ,$480.25 ,$467.26 ,$158.20 ,$508.50 ,$443.53 ,$466.69 , N/A ,$367.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000468,99211,HC CLINIC VISIT BRIEF ESTAB -25,510,1 ,$80.00 ,$57.60 ,$22.40 ,$80.00 , N/A ,$64.00 , N/A ,$22.40 ,$69.84 ,$73.52 , N/A ,$66.16 , N/A , N/A ,$73.60 , N/A , N/A , N/A ,$66.72 ,$66.72 ,$66.72 , N/A ,$66.72 ,$68.48 ,$68.48 ,$72.00 , N/A ,$68.00 , N/A , N/A ,$44.88 , N/A ,$33.12 ,$80.00 ,$80.00 , N/A ,$68.00 ,$66.16 ,$22.40 ,$72.00 ,$62.80 ,$66.08 , N/A ,$52.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$90.00 ,$64.80 ,$25.20 ,$90.00 , N/A ,$72.00 , N/A ,$25.20 ,$78.57 ,$82.71 , N/A ,$74.43 , N/A , N/A ,$82.80 , N/A , N/A , N/A ,$75.06 ,$75.06 ,$75.06 , N/A ,$75.06 ,$77.04 ,$77.04 ,$81.00 , N/A ,$76.50 , N/A , N/A ,$50.49 , N/A ,$37.26 ,$90.00 ,$90.00 , N/A ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 , N/A ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$181.00 ,$130.32 ,$50.68 ,$181.00 , N/A ,$144.80 , N/A ,$50.68 ,$158.01 ,$166.34 , N/A ,$149.69 , N/A , N/A ,$166.52 , N/A , N/A , N/A ,$150.95 ,$150.95 ,$150.95 , N/A ,$150.95 ,$154.94 ,$154.94 ,$162.90 , N/A ,$153.85 , N/A , N/A ,$101.54 , N/A ,$74.93 ,$98.35 ,$93.88 , N/A ,$153.85 ,$149.69 ,$50.68 ,$162.90 ,$142.09 ,$149.51 , N/A ,$117.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$278.00 ,$200.16 ,$77.84 ,$278.00 , N/A ,$222.40 , N/A ,$77.84 ,$242.69 ,$255.48 , N/A ,$229.91 , N/A , N/A ,$255.76 , N/A , N/A , N/A ,$231.85 ,$231.85 ,$231.85 , N/A ,$231.85 ,$237.97 ,$237.97 ,$250.20 , N/A ,$236.30 , N/A , N/A ,$155.96 , N/A ,$115.09 ,$98.35 ,$93.88 , N/A ,$236.30 ,$229.91 ,$77.84 ,$250.20 ,$218.23 ,$229.63 , N/A ,$180.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$550.00 ,$396.00 ,$93.88 ,$550.00 , N/A ,$440.00 , N/A ,$154.00 ,$480.15 ,$505.45 , N/A ,$454.85 , N/A , N/A ,$506.00 , N/A , N/A , N/A ,$458.70 ,$458.70 ,$458.70 , N/A ,$458.70 ,$470.80 ,$470.80 ,$495.00 , N/A ,$467.50 , N/A , N/A ,$308.55 , N/A ,$227.70 ,$98.35 ,$93.88 , N/A ,$467.50 ,$454.85 ,$154.00 ,$495.00 ,$431.75 ,$454.30 , N/A ,$357.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51001012,95115,HC ALLERGY SHOTS ONE INJECTION,510,1 ,$115.00 ,$82.80 ,$16.41 ,$115.00 ,$102.95 ,$92.00 ,$40.36 ,$32.20 ,$100.40 ,$105.69 ,$37.68 ,$95.11 ,$40.36 ,$83.18 ,$105.80 ,$100.89 ,$40.36 ,$41.16 ,$95.91 ,$95.91 ,$95.91 ,$40.36 ,$95.91 ,$98.44 ,$98.44 ,$103.50 ,$96.12 ,$97.75 ,$40.36 ,$40.36 ,$64.52 ,$40.36 ,$47.61 ,$17.19 ,$16.41 ,$42.38 ,$97.75 ,$95.11 ,$32.20 ,$103.50 ,$90.28 ,$94.99 ,$40.36 ,$74.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),51070001,98960,HC EDUCATION SELF MGNT NON PHY HLTCARE PROF,510,1 ,$52.00 ,$37.44 ,$14.56 ,$52.00 , N/A ,$41.60 , N/A ,$14.56 ,$45.40 ,$47.79 , N/A ,$43.00 , N/A , N/A ,$47.84 , N/A , N/A , N/A ,$43.37 ,$43.37 ,$43.37 , N/A ,$43.37 ,$44.51 ,$44.51 ,$46.80 , N/A ,$44.20 , N/A , N/A ,$29.17 , N/A ,$21.53 ,$25.25 ,$24.10 , N/A ,$44.20 ,$43.00 ,$14.56 ,$46.80 ,$40.82 ,$42.95 , N/A ,$33.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$4,943.00 ","$3,558.96 ",$231.35 ,"$4,943.00 ",$895.20 ,"$3,954.40 ",$350.92 ,"$1,384.04 ","$4,315.24 ","$4,542.62 ",$327.65 ,"$4,087.86 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,122.46 ","$4,122.46 ","$4,122.46 ",$350.92 ,"$4,122.46 ","$4,231.21 ","$4,231.21 ","$4,448.70 ",$835.86 ,"$4,201.55 ",$350.92 ,$350.92 ,"$2,773.02 ",$350.92 ,"$2,046.40 ",$242.36 ,$231.35 ,$368.48 ,"$4,201.55 ","$4,087.86 ","$1,384.04 ","$4,448.70 ","$1,348.00 ","$4,082.92 ",$350.92 ,"$3,212.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$3,458.00 ","$2,489.76 ",$207.67 ,"$3,458.00 ",$567.40 ,"$2,766.40 ",$222.42 ,$968.24 ,"$3,018.83 ","$3,177.90 ",$207.67 ,"$2,859.77 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,883.97 ","$2,883.97 ","$2,883.97 ",$222.42 ,"$2,883.97 ","$2,960.05 ","$2,960.05 ","$3,112.20 ",$529.79 ,"$2,939.30 ",$222.42 ,$222.42 ,"$1,939.94 ",$222.42 ,"$1,431.61 ",$296.71 ,$283.23 ,$233.55 ,"$2,939.30 ","$2,859.77 ",$968.24 ,"$3,112.20 ","$1,348.00 ","$2,856.31 ",$222.42 ,"$2,247.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$4,375.00 ","$3,150.00 ",$283.23 ,"$4,375.00 ",$895.20 ,"$3,500.00 ",$350.92 ,"$1,225.00 ","$3,819.38 ","$4,020.63 ",$327.65 ,"$3,618.13 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,648.75 ","$3,648.75 ","$3,648.75 ",$350.92 ,"$3,648.75 ","$3,745.00 ","$3,745.00 ","$3,937.50 ",$835.86 ,"$3,718.75 ",$350.92 ,$350.92 ,"$2,454.38 ",$350.92 ,"$1,811.25 ",$296.71 ,$283.23 ,$368.48 ,"$3,718.75 ","$3,618.13 ","$1,225.00 ","$3,937.50 ","$1,348.00 ","$3,613.75 ",$350.92 ,"$2,843.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$4,805.00 ","$3,459.60 ",$283.23 ,"$4,805.00 ",$895.20 ,"$3,844.00 ",$350.92 ,"$1,345.40 ","$4,194.77 ","$4,415.80 ",$327.65 ,"$3,973.74 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,007.37 ","$4,007.37 ","$4,007.37 ",$350.92 ,"$4,007.37 ","$4,113.08 ","$4,113.08 ","$4,324.50 ",$835.86 ,"$4,084.25 ",$350.92 ,$350.92 ,"$2,695.61 ",$350.92 ,"$1,989.27 ",$296.71 ,$283.23 ,$368.48 ,"$4,084.25 ","$3,973.74 ","$1,345.40 ","$4,324.50 ","$1,348.00 ","$3,968.93 ",$350.92 ,"$3,123.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$3,562.00 ","$2,564.64 ",$207.67 ,"$3,562.00 ",$567.40 ,"$2,849.60 ",$222.42 ,$997.36 ,"$3,109.63 ","$3,273.48 ",$207.67 ,"$2,945.77 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,970.71 ","$2,970.71 ","$2,970.71 ",$222.42 ,"$2,970.71 ","$3,049.07 ","$3,049.07 ","$3,205.80 ",$529.79 ,"$3,027.70 ",$222.42 ,$222.42 ,"$1,998.28 ",$222.42 ,"$1,474.67 ",$296.71 ,$283.23 ,$233.55 ,"$3,027.70 ","$2,945.77 ",$997.36 ,"$3,205.80 ","$1,348.00 ","$2,942.21 ",$222.42 ,"$2,315.30 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$4,375.00 ","$3,150.00 ",$283.23 ,"$4,375.00 ",$895.20 ,"$3,500.00 ",$350.92 ,"$1,225.00 ","$3,819.38 ","$4,020.63 ",$327.65 ,"$3,618.13 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,648.75 ","$3,648.75 ","$3,648.75 ",$350.92 ,"$3,648.75 ","$3,745.00 ","$3,745.00 ","$3,937.50 ",$835.86 ,"$3,718.75 ",$350.92 ,$350.92 ,"$2,454.38 ",$350.92 ,"$1,811.25 ",$296.71 ,$283.23 ,$368.48 ,"$3,718.75 ","$3,618.13 ","$1,225.00 ","$3,937.50 ","$1,348.00 ","$3,613.75 ",$350.92 ,"$2,843.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$4,805.00 ","$3,459.60 ",$283.23 ,"$4,805.00 ",$895.20 ,"$3,844.00 ",$350.92 ,"$1,345.40 ","$4,194.77 ","$4,415.80 ",$327.65 ,"$3,973.74 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,007.37 ","$4,007.37 ","$4,007.37 ",$350.92 ,"$4,007.37 ","$4,113.08 ","$4,113.08 ","$4,324.50 ",$835.86 ,"$4,084.25 ",$350.92 ,$350.92 ,"$2,695.61 ",$350.92 ,"$1,989.27 ",$296.71 ,$283.23 ,$368.48 ,"$4,084.25 ","$3,973.74 ","$1,345.40 ","$4,324.50 ","$1,348.00 ","$3,968.93 ",$350.92 ,"$3,123.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$207.67 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$271.55 ,$259.20 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$4,446.00 ","$3,201.12 ",$259.20 ,"$4,446.00 ",$895.20 ,"$3,556.80 ",$350.92 ,"$1,244.88 ","$3,881.36 ","$4,085.87 ",$327.65 ,"$3,676.84 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,707.96 ","$3,707.96 ","$3,707.96 ",$350.92 ,"$3,707.96 ","$3,805.78 ","$3,805.78 ","$4,001.40 ",$835.86 ,"$3,779.10 ",$350.92 ,$350.92 ,"$2,494.21 ",$350.92 ,"$1,840.64 ",$271.55 ,$259.20 ,$368.48 ,"$3,779.10 ","$3,676.84 ","$1,244.88 ","$4,001.40 ","$1,348.00 ","$3,672.40 ",$350.92 ,"$2,889.90 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$4,943.00 ","$3,558.96 ",$259.20 ,"$4,943.00 ",$895.20 ,"$3,954.40 ",$350.92 ,"$1,384.04 ","$4,315.24 ","$4,542.62 ",$327.65 ,"$4,087.86 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,122.46 ","$4,122.46 ","$4,122.46 ",$350.92 ,"$4,122.46 ","$4,231.21 ","$4,231.21 ","$4,448.70 ",$835.86 ,"$4,201.55 ",$350.92 ,$350.92 ,"$2,773.02 ",$350.92 ,"$2,046.40 ",$271.55 ,$259.20 ,$368.48 ,"$4,201.55 ","$4,087.86 ","$1,384.04 ","$4,448.70 ","$1,348.00 ","$4,082.92 ",$350.92 ,"$3,212.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$4,518.00 ","$3,252.96 ",$186.94 ,"$4,518.00 ",$567.40 ,"$3,614.40 ",$222.42 ,"$1,265.04 ","$3,944.21 ","$4,152.04 ",$207.67 ,"$3,736.39 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$3,768.01 ","$3,768.01 ","$3,768.01 ",$222.42 ,"$3,768.01 ","$3,867.41 ","$3,867.41 ","$4,066.20 ",$529.79 ,"$3,840.30 ",$222.42 ,$222.42 ,"$2,534.60 ",$222.42 ,"$1,870.45 ",$195.84 ,$186.94 ,$233.55 ,"$3,840.30 ","$3,736.39 ","$1,265.04 ","$4,066.20 ","$1,348.00 ","$3,731.87 ",$222.42 ,"$2,936.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$4,518.00 ","$3,252.96 ",$186.94 ,"$4,518.00 ",$895.20 ,"$3,614.40 ",$350.92 ,"$1,265.04 ","$3,944.21 ","$4,152.04 ",$327.65 ,"$3,736.39 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,768.01 ","$3,768.01 ","$3,768.01 ",$350.92 ,"$3,768.01 ","$3,867.41 ","$3,867.41 ","$4,066.20 ",$835.86 ,"$3,840.30 ",$350.92 ,$350.92 ,"$2,534.60 ",$350.92 ,"$1,870.45 ",$195.84 ,$186.94 ,$368.48 ,"$3,840.30 ","$3,736.39 ","$1,265.04 ","$4,066.20 ","$1,348.00 ","$3,731.87 ",$350.92 ,"$2,936.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$186.94 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$195.84 ,$186.94 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$186.94 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$195.84 ,$186.94 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$4,386.00 ","$3,157.92 ",$186.94 ,"$4,386.00 ",$895.20 ,"$3,508.80 ",$350.92 ,"$1,228.08 ","$3,828.98 ","$4,030.73 ",$327.65 ,"$3,627.22 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,657.92 ","$3,657.92 ","$3,657.92 ",$350.92 ,"$3,657.92 ","$3,754.42 ","$3,754.42 ","$3,947.40 ",$835.86 ,"$3,728.10 ",$350.92 ,$350.92 ,"$2,460.55 ",$350.92 ,"$1,815.80 ",$195.84 ,$186.94 ,$368.48 ,"$3,728.10 ","$3,627.22 ","$1,228.08 ","$3,947.40 ","$1,348.00 ","$3,622.84 ",$350.92 ,"$2,850.90 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$4,943.00 ","$3,558.96 ",$186.94 ,"$4,943.00 ",$895.20 ,"$3,954.40 ",$350.92 ,"$1,384.04 ","$4,315.24 ","$4,542.62 ",$327.65 ,"$4,087.86 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,122.46 ","$4,122.46 ","$4,122.46 ",$350.92 ,"$4,122.46 ","$4,231.21 ","$4,231.21 ","$4,448.70 ",$835.86 ,"$4,201.55 ",$350.92 ,$350.92 ,"$2,773.02 ",$350.92 ,"$2,046.40 ",$195.84 ,$186.94 ,$368.48 ,"$4,201.55 ","$4,087.86 ","$1,384.04 ","$4,448.70 ","$1,348.00 ","$4,082.92 ",$350.92 ,"$3,212.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$5,098.00 ","$3,670.56 ",$186.94 ,"$5,098.00 ",$895.20 ,"$4,078.40 ",$350.92 ,"$1,427.44 ","$4,450.55 ","$4,685.06 ",$327.65 ,"$4,216.05 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,251.73 ","$4,251.73 ","$4,251.73 ",$350.92 ,"$4,251.73 ","$4,363.89 ","$4,363.89 ","$4,588.20 ",$835.86 ,"$4,333.30 ",$350.92 ,$350.92 ,"$2,859.98 ",$350.92 ,"$2,110.57 ",$195.84 ,$186.94 ,$368.48 ,"$4,333.30 ","$4,216.05 ","$1,427.44 ","$4,588.20 ","$1,348.00 ","$4,210.95 ",$350.92 ,"$3,313.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$5,098.00 ","$3,670.56 ",$186.94 ,"$5,098.00 ",$895.20 ,"$4,078.40 ",$350.92 ,"$1,427.44 ","$4,450.55 ","$4,685.06 ",$327.65 ,"$4,216.05 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,251.73 ","$4,251.73 ","$4,251.73 ",$350.92 ,"$4,251.73 ","$4,363.89 ","$4,363.89 ","$4,588.20 ",$835.86 ,"$4,333.30 ",$350.92 ,$350.92 ,"$2,859.98 ",$350.92 ,"$2,110.57 ",$195.84 ,$186.94 ,$368.48 ,"$4,333.30 ","$4,216.05 ","$1,427.44 ","$4,588.20 ","$1,348.00 ","$4,210.95 ",$350.92 ,"$3,313.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$3,596.00 ","$2,589.12 ",$207.67 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$242.36 ,$231.35 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$1,030.00 ",$741.60 ,$231.35 ,"$1,030.00 ",$895.20 ,$824.00 ,$350.92 ,$288.40 ,$899.19 ,$946.57 ,$327.65 ,$851.81 ,$350.92 ,$723.32 ,"$1,030.00 ",$877.30 ,$350.92 ,$357.94 ,$859.02 ,$859.02 ,$859.02 ,$350.92 ,$859.02 ,$881.68 ,$881.68 ,$927.00 ,$835.86 ,$875.50 ,$350.92 ,$350.92 ,$577.83 ,$350.92 ,$426.42 ,$242.36 ,$231.35 ,$368.48 ,$875.50 ,$851.81 ,$288.40 ,$927.00 ,"$1,030.00 ",$850.78 ,$350.92 ,$669.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$4,943.00 ","$3,558.96 ",$231.35 ,"$4,943.00 ",$895.20 ,"$3,954.40 ",$350.92 ,"$1,384.04 ","$4,315.24 ","$4,542.62 ",$327.65 ,"$4,087.86 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,122.46 ","$4,122.46 ","$4,122.46 ",$350.92 ,"$4,122.46 ","$4,231.21 ","$4,231.21 ","$4,448.70 ",$835.86 ,"$4,201.55 ",$350.92 ,$350.92 ,"$2,773.02 ",$350.92 ,"$2,046.40 ",$242.36 ,$231.35 ,$368.48 ,"$4,201.55 ","$4,087.86 ","$1,384.04 ","$4,448.70 ","$1,348.00 ","$4,082.92 ",$350.92 ,"$3,212.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$207.67 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$242.36 ,$231.35 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$4,814.00 ","$3,466.08 ",$231.35 ,"$4,814.00 ",$895.20 ,"$3,851.20 ",$350.92 ,"$1,347.92 ","$4,202.62 ","$4,424.07 ",$327.65 ,"$3,981.18 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,014.88 ","$4,014.88 ","$4,014.88 ",$350.92 ,"$4,014.88 ","$4,120.78 ","$4,120.78 ","$4,332.60 ",$835.86 ,"$4,091.90 ",$350.92 ,$350.92 ,"$2,700.65 ",$350.92 ,"$1,993.00 ",$242.36 ,$231.35 ,$368.48 ,"$4,091.90 ","$3,981.18 ","$1,347.92 ","$4,332.60 ","$1,348.00 ","$3,976.36 ",$350.92 ,"$3,129.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$156.15 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$163.58 ,$156.15 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,814.00 ","$3,466.08 ",$156.15 ,"$4,814.00 ","$1,799.85 ","$3,851.20 ",$705.54 ,"$1,347.92 ","$4,202.62 ","$4,424.07 ",$658.78 ,"$3,981.18 ",$705.54 ,"$1,454.27 ","$2,500.00 ","$1,763.85 ",$705.54 ,$719.65 ,"$4,014.88 ","$4,014.88 ","$4,014.88 ",$705.54 ,"$4,014.88 ","$4,120.78 ","$4,120.78 ","$4,332.60 ","$1,680.54 ","$4,091.90 ",$705.54 ,$705.54 ,"$2,700.65 ",$705.54 ,"$1,993.00 ",$163.58 ,$156.15 ,$740.85 ,"$4,091.90 ","$3,981.18 ","$1,347.92 ","$4,332.60 ","$1,348.00 ","$3,976.36 ",$705.54 ,"$3,129.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,943.00 ","$3,558.96 ",$156.15 ,"$4,943.00 ",$895.20 ,"$3,954.40 ",$350.92 ,"$1,384.04 ","$4,315.24 ","$4,542.62 ",$327.65 ,"$4,087.86 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,122.46 ","$4,122.46 ","$4,122.46 ",$350.92 ,"$4,122.46 ","$4,231.21 ","$4,231.21 ","$4,448.70 ",$835.86 ,"$4,201.55 ",$350.92 ,$350.92 ,"$2,773.02 ",$350.92 ,"$2,046.40 ",$163.58 ,$156.15 ,$368.48 ,"$4,201.55 ","$4,087.86 ","$1,384.04 ","$4,448.70 ","$1,348.00 ","$4,082.92 ",$350.92 ,"$3,212.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$207.67 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$242.36 ,$231.35 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$4,674.00 ","$3,365.28 ",$231.35 ,"$4,674.00 ",$895.20 ,"$3,739.20 ",$350.92 ,"$1,308.72 ","$4,080.40 ","$4,295.41 ",$327.65 ,"$3,865.40 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,898.12 ","$3,898.12 ","$3,898.12 ",$350.92 ,"$3,898.12 ","$4,000.94 ","$4,000.94 ","$4,206.60 ",$835.86 ,"$3,972.90 ",$350.92 ,$350.92 ,"$2,622.11 ",$350.92 ,"$1,935.04 ",$242.36 ,$231.35 ,$368.48 ,"$3,972.90 ","$3,865.40 ","$1,308.72 ","$4,206.60 ","$1,348.00 ","$3,860.72 ",$350.92 ,"$3,038.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$3,596.00 ","$2,589.12 ",$156.15 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$163.58 ,$156.15 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$5,905.00 ","$4,251.60 ",$156.15 ,"$5,905.00 ","$1,799.85 ","$4,724.00 ",$705.54 ,"$1,653.40 ","$5,155.07 ","$5,426.70 ",$658.78 ,"$4,883.44 ",$705.54 ,"$1,454.27 ","$2,500.00 ","$1,763.85 ",$705.54 ,$719.65 ,"$4,924.77 ","$4,924.77 ","$4,924.77 ",$705.54 ,"$4,924.77 ","$5,054.68 ","$5,054.68 ","$5,314.50 ","$1,680.54 ","$5,019.25 ",$705.54 ,$705.54 ,"$3,312.71 ",$705.54 ,"$2,444.67 ",$163.58 ,$156.15 ,$740.85 ,"$5,019.25 ","$4,883.44 ","$1,653.40 ","$5,314.50 ","$1,348.00 ","$4,877.53 ",$705.54 ,"$3,838.25 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,943.00 ","$3,558.96 ",$156.15 ,"$4,943.00 ",$895.20 ,"$3,954.40 ",$350.92 ,"$1,384.04 ","$4,315.24 ","$4,542.62 ",$327.65 ,"$4,087.86 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$4,122.46 ","$4,122.46 ","$4,122.46 ",$350.92 ,"$4,122.46 ","$4,231.21 ","$4,231.21 ","$4,448.70 ",$835.86 ,"$4,201.55 ",$350.92 ,$350.92 ,"$2,773.02 ",$350.92 ,"$2,046.40 ",$163.58 ,$156.15 ,$368.48 ,"$4,201.55 ","$4,087.86 ","$1,384.04 ","$4,448.70 ","$1,348.00 ","$4,082.92 ",$350.92 ,"$3,212.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$3,596.00 ","$2,589.12 ",$207.67 ,"$3,596.00 ",$567.40 ,"$2,876.80 ",$222.42 ,"$1,006.88 ","$3,139.31 ","$3,304.72 ",$207.67 ,"$2,973.89 ",$222.42 ,$458.46 ,"$2,500.00 ",$556.05 ,$222.42 ,$226.87 ,"$2,999.06 ","$2,999.06 ","$2,999.06 ",$222.42 ,"$2,999.06 ","$3,078.18 ","$3,078.18 ","$3,236.40 ",$529.79 ,"$3,056.60 ",$222.42 ,$222.42 ,"$2,017.36 ",$222.42 ,"$1,488.74 ",$290.48 ,$277.27 ,$233.55 ,"$3,056.60 ","$2,973.89 ","$1,006.88 ","$3,236.40 ","$1,348.00 ","$2,970.30 ",$222.42 ,"$2,337.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$4,518.00 ","$3,252.96 ",$277.27 ,"$4,518.00 ",$895.20 ,"$3,614.40 ",$350.92 ,"$1,265.04 ","$3,944.21 ","$4,152.04 ",$327.65 ,"$3,736.39 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,768.01 ","$3,768.01 ","$3,768.01 ",$350.92 ,"$3,768.01 ","$3,867.41 ","$3,867.41 ","$4,066.20 ",$835.86 ,"$3,840.30 ",$350.92 ,$350.92 ,"$2,534.60 ",$350.92 ,"$1,870.45 ",$290.48 ,$277.27 ,$368.48 ,"$3,840.30 ","$3,736.39 ","$1,265.04 ","$4,066.20 ","$1,348.00 ","$3,731.87 ",$350.92 ,"$2,936.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$4,674.00 ","$3,365.28 ",$277.27 ,"$4,674.00 ",$895.20 ,"$3,739.20 ",$350.92 ,"$1,308.72 ","$4,080.40 ","$4,295.41 ",$327.65 ,"$3,865.40 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,898.12 ","$3,898.12 ","$3,898.12 ",$350.92 ,"$3,898.12 ","$4,000.94 ","$4,000.94 ","$4,206.60 ",$835.86 ,"$3,972.90 ",$350.92 ,$350.92 ,"$2,622.11 ",$350.92 ,"$1,935.04 ",$290.48 ,$277.27 ,$368.48 ,"$3,972.90 ","$3,865.40 ","$1,308.72 ","$4,206.60 ","$1,348.00 ","$3,860.72 ",$350.92 ,"$3,038.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$1,030.00 ",$741.60 ,$288.40 ,"$1,030.00 ",$895.20 ,$824.00 ,$350.92 ,$288.40 ,$899.19 ,$946.57 ,$327.65 ,$851.81 ,$350.92 ,$723.32 ,"$1,030.00 ",$877.30 ,$350.92 ,$357.94 ,$859.02 ,$859.02 ,$859.02 ,$350.92 ,$859.02 ,$881.68 ,$881.68 ,$927.00 ,$835.86 ,$875.50 ,$350.92 ,$350.92 ,$577.83 ,$350.92 ,$426.42 ,$313.39 ,$299.15 ,$368.48 ,$875.50 ,$851.81 ,$288.40 ,$927.00 ,"$1,030.00 ",$850.78 ,$350.92 ,$669.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000052,C8901,HC MRA ABDOMEN W/O CONTRAST,610,1 ,$644.00 ,$463.68 ,$180.32 ,$644.00 ,$567.40 ,$515.20 ,$222.42 ,$180.32 ,$562.21 ,$591.84 ,$207.67 ,$532.59 ,$222.42 ,$458.46 ,$644.00 ,$556.05 ,$222.42 ,$226.87 ,$537.10 ,$537.10 ,$537.10 ,$222.42 ,$537.10 ,$551.26 ,$551.26 ,$579.60 ,$529.79 ,$547.40 ,$222.42 ,$222.42 ,$361.28 ,$222.42 ,$266.62 ,$313.39 ,$299.15 ,$233.55 ,$547.40 ,$532.59 ,$180.32 ,$579.60 ,$644.00 ,$531.94 ,$222.42 ,$418.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$1,030.00 ",$741.60 ,$288.40 ,"$1,030.00 ",$895.20 ,$824.00 ,$350.92 ,$288.40 ,$899.19 ,$946.57 ,$327.65 ,$851.81 ,$350.92 ,$723.32 ,"$1,030.00 ",$877.30 ,$350.92 ,$357.94 ,$859.02 ,$859.02 ,$859.02 ,$350.92 ,$859.02 ,$881.68 ,$881.68 ,$927.00 ,$835.86 ,$875.50 ,$350.92 ,$350.92 ,$577.83 ,$350.92 ,$426.42 ,$313.39 ,$299.15 ,$368.48 ,$875.50 ,$851.81 ,$288.40 ,$927.00 ,"$1,030.00 ",$850.78 ,$350.92 ,$669.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$4,518.00 ","$3,252.96 ",$259.20 ,"$4,518.00 ",$895.20 ,"$3,614.40 ",$350.92 ,"$1,265.04 ","$3,944.21 ","$4,152.04 ",$327.65 ,"$3,736.39 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,768.01 ","$3,768.01 ","$3,768.01 ",$350.92 ,"$3,768.01 ","$3,867.41 ","$3,867.41 ","$4,066.20 ",$835.86 ,"$3,840.30 ",$350.92 ,$350.92 ,"$2,534.60 ",$350.92 ,"$1,870.45 ",$271.55 ,$259.20 ,$368.48 ,"$3,840.30 ","$3,736.39 ","$1,265.04 ","$4,066.20 ","$1,348.00 ","$3,731.87 ",$350.92 ,"$2,936.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$4,518.00 ","$3,252.96 ",$231.35 ,"$4,518.00 ",$895.20 ,"$3,614.40 ",$350.92 ,"$1,265.04 ","$3,944.21 ","$4,152.04 ",$327.65 ,"$3,736.39 ",$350.92 ,$723.32 ,"$2,500.00 ",$877.30 ,$350.92 ,$357.94 ,"$3,768.01 ","$3,768.01 ","$3,768.01 ",$350.92 ,"$3,768.01 ","$3,867.41 ","$3,867.41 ","$4,066.20 ",$835.86 ,"$3,840.30 ",$350.92 ,$350.92 ,"$2,534.60 ",$350.92 ,"$1,870.45 ",$242.36 ,$231.35 ,$368.48 ,"$3,840.30 ","$3,736.39 ","$1,265.04 ","$4,066.20 ","$1,348.00 ","$3,731.87 ",$350.92 ,"$2,936.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),62300010,A6197,HC DRESSING ALGINATE >16 = <48 SQ IN,623,1 ,$20.00 ,$14.40 ,$5.60 ,$20.00 , N/A ,$16.00 , N/A ,$5.60 ,$17.46 ,$18.38 , N/A ,$16.54 , N/A , N/A , N/A , N/A , N/A , N/A ,$16.68 ,$16.68 ,$16.68 , N/A ,$16.68 ,$17.12 ,$17.12 ,$18.00 , N/A ,$17.00 , N/A , N/A ,$11.22 , N/A ,$8.28 , N/A , N/A , N/A ,$17.00 ,$16.54 ,$5.60 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3480,0.9 % NACL WITH KCL 40 MEQ 40-0.9 MEQ/L-% SOLN per2 mEq,636,1 ,$2.75 ,$1.98 ,$0.23 ,$2.75 , N/A ,$2.20 , N/A ,$0.77 ,$2.40 ,$2.53 , N/A ,$2.27 , N/A , N/A ,$2.53 , N/A , N/A , N/A ,$2.29 ,$2.29 ,$2.29 , N/A ,$2.29 ,$2.35 ,$2.35 ,$2.48 , N/A ,$2.34 , N/A , N/A ,$1.54 , N/A ,$1.14 , N/A , N/A , N/A ,$2.34 ,$2.27 ,$0.77 ,$2.48 ,$2.16 ,$0.23 , N/A ,$1.79 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,P9047,ALBUMIN HUMAN 25 % SOLN per50 mL,636,1 ,$137.88 ,$99.27 ,$38.61 ,$137.88 ,$132.70 ,$110.30 ,$52.02 ,$38.61 ,$120.37 ,$126.71 ,$52.02 ,$114.03 ,$52.02 ,$107.22 ,$126.85 ,$130.05 ,$52.02 ,$53.06 ,$114.99 ,$114.99 ,$114.99 ,$52.02 ,$114.99 ,$118.03 ,$118.03 ,$124.09 ,$132.69 ,$117.20 ,$52.02 ,$52.02 ,$77.35 ,$52.02 ,$57.08 ,$137.88 ,$137.88 ,$54.62 ,$117.20 ,$114.03 ,$38.61 ,$124.09 ,$108.24 ,$87.07 ,$55.71 ,$89.62 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2997,ALTEPLASE 2 MG SOLR per1 mg,636,1 ,$193.00 ,$138.96 ,$53.54 ,$218.93 ,$218.93 ,$154.40 ,$85.82 ,$54.04 ,$168.49 ,$177.37 ,$85.82 ,$159.61 ,$85.82 ,$176.88 ,$177.56 ,$189.14 ,$85.82 ,$87.53 ,$160.96 ,$160.96 ,$160.96 ,$85.82 ,$160.96 ,$165.21 ,$165.21 ,$173.70 ,$193.00 ,$164.05 ,$85.82 ,$85.82 ,$108.27 ,$85.82 ,$79.90 ,$56.09 ,$53.54 ,$90.10 ,$164.05 ,$159.61 ,$54.04 ,$173.70 ,$151.51 ,$145.25 ,$91.90 ,$125.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0280,AMINOPHYLLINE 25 MG/ML SOLN per250 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$21.60 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0282,AMIODARONE 150 MG/3ML SOLN 3 ML VIAL per30 mg,636,1 ,$7.00 ,$5.04 ,$1.35 ,$7.00 , N/A ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 , N/A ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$1.35 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0282,AMIODARONE 360-4.14 MG/200ML-% SOLN per30 mg,636,1 ,$12.50 ,$9.00 ,$1.35 ,$12.50 , N/A ,$10.00 , N/A ,$3.50 ,$10.91 ,$11.49 , N/A ,$10.34 , N/A , N/A ,$11.50 , N/A , N/A , N/A ,$10.43 ,$10.43 ,$10.43 , N/A ,$10.43 ,$10.70 ,$10.70 ,$11.25 , N/A ,$10.63 , N/A , N/A ,$7.01 , N/A ,$5.18 , N/A , N/A , N/A ,$10.63 ,$10.34 ,$3.50 ,$11.25 ,$9.81 ,$1.35 , N/A ,$8.13 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0290,AMPICILLIN 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$8.75 ,$6.30 ,$1.20 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$1.20 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0295,AMPICILLIN-SULBACTAM 3 (2-1) G SOLR 1 EACH VIAL per1.5 g,636,1 ,$19.25 ,$13.86 ,$3.76 ,$19.25 , N/A ,$15.40 , N/A ,$5.39 ,$16.81 ,$17.69 , N/A ,$15.92 , N/A , N/A ,$17.71 , N/A , N/A , N/A ,$16.05 ,$16.05 ,$16.05 , N/A ,$16.05 ,$16.48 ,$16.48 ,$17.33 , N/A ,$16.36 , N/A , N/A ,$10.80 , N/A ,$7.97 , N/A , N/A , N/A ,$16.36 ,$15.92 ,$5.39 ,$17.33 ,$15.11 ,$3.76 , N/A ,$12.51 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0461,ATROPINE 1 MG/ML SOLN per0.01 mg,636,1 ,$0.35 ,$0.25 ,$0.10 ,$0.35 , N/A ,$0.28 , N/A ,$0.10 ,$0.31 ,$0.32 , N/A ,$0.29 , N/A , N/A ,$0.32 , N/A , N/A , N/A ,$0.29 ,$0.29 ,$0.29 , N/A ,$0.29 ,$0.30 ,$0.30 ,$0.32 , N/A ,$0.30 , N/A , N/A ,$0.20 , N/A ,$0.14 , N/A , N/A , N/A ,$0.30 ,$0.29 ,$0.10 ,$0.32 ,$0.27 ,$0.10 , N/A ,$0.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0461,ATROPINE 1 MG/10ML SOSY per0.01 mg,636,1 ,$0.35 ,$0.25 ,$0.10 ,$0.35 , N/A ,$0.28 , N/A ,$0.10 ,$0.31 ,$0.32 , N/A ,$0.29 , N/A , N/A ,$0.32 , N/A , N/A , N/A ,$0.29 ,$0.29 ,$0.29 , N/A ,$0.29 ,$0.30 ,$0.30 ,$0.32 , N/A ,$0.30 , N/A , N/A ,$0.20 , N/A ,$0.14 , N/A , N/A , N/A ,$0.30 ,$0.29 ,$0.10 ,$0.32 ,$0.27 ,$0.10 , N/A ,$0.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0456,AZITHROMYCIN 500 MG SOLR 1 EACH VIAL per500 mg,636,1 ,$35.00 ,$25.20 ,$4.24 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$4.24 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0610,CALCIUM GLUCONATE 10 % SOLN 10 ML VIAL per10 mL,636,1 ,$35.00 ,$25.20 ,$8.53 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$8.53 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0690,CEFAZOLIN 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$17.50 ,$12.60 ,$1.20 ,$17.50 , N/A ,$14.00 , N/A ,$4.90 ,$15.28 ,$16.08 , N/A ,$14.47 , N/A , N/A ,$16.10 , N/A , N/A , N/A ,$14.60 ,$14.60 ,$14.60 , N/A ,$14.60 ,$14.98 ,$14.98 ,$15.75 , N/A ,$14.88 , N/A , N/A ,$9.82 , N/A ,$7.25 , N/A , N/A , N/A ,$14.88 ,$14.47 ,$4.90 ,$15.75 ,$13.74 ,$1.20 , N/A ,$11.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0690,CEFAZOLIN 2-3 GM-%(50ML) SOLR per500 mg,636,1 ,$37.50 ,$27.00 ,$1.20 ,$37.50 , N/A ,$30.00 , N/A ,$10.50 ,$32.74 ,$34.46 , N/A ,$31.01 , N/A , N/A ,$34.50 , N/A , N/A , N/A ,$31.28 ,$31.28 ,$31.28 , N/A ,$31.28 ,$32.10 ,$32.10 ,$33.75 , N/A ,$31.88 , N/A , N/A ,$21.04 , N/A ,$15.53 , N/A , N/A , N/A ,$31.88 ,$31.01 ,$10.50 ,$33.75 ,$29.44 ,$1.20 , N/A ,$24.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0692,CEFEPIME 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$17.50 ,$12.60 ,$2.13 ,$17.50 , N/A ,$14.00 , N/A ,$4.90 ,$15.28 ,$16.08 , N/A ,$14.47 , N/A , N/A ,$16.10 , N/A , N/A , N/A ,$14.60 ,$14.60 ,$14.60 , N/A ,$14.60 ,$14.98 ,$14.98 ,$15.75 , N/A ,$14.88 , N/A , N/A ,$9.82 , N/A ,$7.25 , N/A , N/A , N/A ,$14.88 ,$14.47 ,$4.90 ,$15.75 ,$13.74 ,$2.13 , N/A ,$11.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0692,CEFEPIME 2 G SOLR 1 EACH VIAL per500 mg,636,1 ,$8.75 ,$6.30 ,$2.13 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$2.13 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0712,CEFTAROLINE 600 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$8.90 ,$6.41 ,$2.49 ,$9.43 ,$9.43 ,$7.12 ,$3.69 ,$2.49 ,$7.77 ,$8.18 ,$3.69 ,$7.36 ,$3.69 ,$7.61 ,$8.19 ,$8.72 ,$3.69 ,$3.77 ,$7.42 ,$7.42 ,$7.42 ,$3.69 ,$7.42 ,$7.62 ,$7.62 ,$8.01 ,$8.90 ,$7.57 ,$3.69 ,$3.69 ,$4.99 ,$3.69 ,$3.68 ,$8.90 ,$8.90 ,$3.87 ,$7.57 ,$7.36 ,$2.49 ,$8.01 ,$6.99 ,$6.24 ,$3.95 ,$5.79 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0696,CEFTRIAXONE 1 G SOLR 1 EACH VIAL per250 mg,636,1 ,$23.00 ,$16.56 ,$0.87 ,$23.00 , N/A ,$18.40 , N/A ,$6.44 ,$20.08 ,$21.14 , N/A ,$19.02 , N/A , N/A ,$21.16 , N/A , N/A , N/A ,$19.18 ,$19.18 ,$19.18 , N/A ,$19.18 ,$19.69 ,$19.69 ,$20.70 , N/A ,$19.55 , N/A , N/A ,$12.90 , N/A ,$9.52 , N/A , N/A , N/A ,$19.55 ,$19.02 ,$6.44 ,$20.70 ,$18.06 ,$0.87 , N/A ,$14.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0696,CEFTRIAXONE 2 G SOLR 1 EACH VIAL per250 mg,636,1 ,$22.88 ,$16.47 ,$0.87 ,$22.88 , N/A ,$18.30 , N/A ,$6.41 ,$19.97 ,$21.03 , N/A ,$18.92 , N/A , N/A ,$21.05 , N/A , N/A , N/A ,$19.08 ,$19.08 ,$19.08 , N/A ,$19.08 ,$19.59 ,$19.59 ,$20.59 , N/A ,$19.45 , N/A , N/A ,$12.84 , N/A ,$9.47 , N/A , N/A , N/A ,$19.45 ,$18.92 ,$6.41 ,$20.59 ,$17.96 ,$0.87 , N/A ,$14.87 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0696,CEFTRIAXONE 250 MG SOLR 1 EACH VIAL per250 mg,636,1 ,$35.00 ,$25.20 ,$0.87 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$0.87 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0834,COSYNTROPIN 0.25 MG SOLR per0.25 mg,636,1 ,$256.00 ,$184.32 ,$40.29 ,$256.00 , N/A ,$204.80 , N/A ,$71.68 ,$223.49 ,$235.26 , N/A ,$211.71 , N/A , N/A ,$235.52 , N/A , N/A , N/A ,$213.50 ,$213.50 ,$213.50 , N/A ,$213.50 ,$219.14 ,$219.14 ,$230.40 , N/A ,$217.60 , N/A , N/A ,$143.62 , N/A ,$105.98 ,$56.09 ,$53.54 , N/A ,$217.60 ,$211.71 ,$71.68 ,$230.40 ,$200.96 ,$40.29 , N/A ,$166.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3420,CYANOCOBALAMIN 1000 MCG/ML SOLN per1000 mcg,636,1 ,$35.00 ,$25.20 ,$3.38 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$3.38 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0878,DAPTOMYCIN 500 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$0.14 ,$0.10 ,$0.04 ,$0.14 , N/A ,$0.11 , N/A ,$0.04 ,$0.12 ,$0.13 , N/A ,$0.12 , N/A , N/A ,$0.13 , N/A , N/A , N/A ,$0.12 ,$0.12 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.12 ,$0.13 , N/A ,$0.12 , N/A , N/A ,$0.08 , N/A ,$0.06 ,$0.14 ,$0.14 , N/A ,$0.12 ,$0.12 ,$0.04 ,$0.13 ,$0.11 ,$0.08 , N/A ,$0.09 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0897,DENOSUMAB 60 MG/ML SOSY per1 mg,636,1 ,$96.02 ,$69.13 ,$22.56 ,$96.02 ,$57.55 ,$76.82 ,$22.56 ,$26.89 ,$83.83 ,$88.24 ,$22.56 ,$79.41 ,$22.56 ,$46.50 ,$88.34 ,$56.40 ,$22.56 ,$23.01 ,$80.08 ,$80.08 ,$80.08 ,$22.56 ,$80.08 ,$82.19 ,$82.19 ,$86.42 ,$57.55 ,$81.62 ,$22.56 ,$22.56 ,$53.87 ,$22.56 ,$39.75 ,$96.02 ,$96.02 ,$23.69 ,$81.62 ,$79.41 ,$26.89 ,$86.42 ,$75.38 ,$38.07 ,$24.16 ,$62.41 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1100,DEXAMETHASONE 10 MG/ML SOLN per1 mg,636,1 ,$3.50 ,$2.52 ,$0.21 ,$3.50 , N/A ,$2.80 , N/A ,$0.98 ,$3.06 ,$3.22 , N/A ,$2.89 , N/A , N/A ,$3.22 , N/A , N/A , N/A ,$2.92 ,$2.92 ,$2.92 , N/A ,$2.92 ,$3.00 ,$3.00 ,$3.15 , N/A ,$2.98 , N/A , N/A ,$1.96 , N/A ,$1.45 , N/A , N/A , N/A ,$2.98 ,$2.89 ,$0.98 ,$3.15 ,$2.75 ,$0.21 , N/A ,$2.28 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J8540,DEXAMETHASONE 4 MG TABS per0.25 mg,636,1 ,$0.14 ,$0.10 ,$0.04 ,$0.14 , N/A ,$0.11 , N/A ,$0.04 ,$0.12 ,$0.13 , N/A ,$0.12 , N/A , N/A ,$0.13 , N/A , N/A , N/A ,$0.12 ,$0.12 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.12 ,$0.13 , N/A ,$0.12 , N/A , N/A ,$0.08 , N/A ,$0.06 , N/A , N/A , N/A ,$0.12 ,$0.12 ,$0.04 ,$0.13 ,$0.11 ,$0.14 , N/A ,$0.09 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1100,DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL per1 mg,636,1 ,$2.19 ,$1.58 ,$0.21 ,$2.19 , N/A ,$1.75 , N/A ,$0.61 ,$1.91 ,$2.01 , N/A ,$1.81 , N/A , N/A ,$2.01 , N/A , N/A , N/A ,$1.83 ,$1.83 ,$1.83 , N/A ,$1.83 ,$1.87 ,$1.87 ,$1.97 , N/A ,$1.86 , N/A , N/A ,$1.23 , N/A ,$0.91 , N/A , N/A , N/A ,$1.86 ,$1.81 ,$0.61 ,$1.97 ,$1.72 ,$0.21 , N/A ,$1.42 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1100,DEXAMETHASONE 4 MG/ML SOLN per1 mg,636,1 ,$8.75 ,$6.30 ,$0.21 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$0.21 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3480,DEXTROSE 5 % AND 0.45 % NACL WITH KCL 20 MEQ 20-5-0.45 MEQ/L-%-% SOLN per2 mEq,636,1 ,$5.50 ,$3.96 ,$0.23 ,$5.50 , N/A ,$4.40 , N/A ,$1.54 ,$4.80 ,$5.05 , N/A ,$4.55 , N/A , N/A ,$5.06 , N/A , N/A , N/A ,$4.59 ,$4.59 ,$4.59 , N/A ,$4.59 ,$4.71 ,$4.71 ,$4.95 , N/A ,$4.68 , N/A , N/A ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.68 ,$4.55 ,$1.54 ,$4.95 ,$4.32 ,$0.23 , N/A ,$3.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3480,0.9 % NACL WITH KCL 20 MEQ 20-0.9 MEQ/L-% SOLN per2 mEq,636,1 ,$5.50 ,$3.96 ,$0.23 ,$5.50 , N/A ,$4.40 , N/A ,$1.54 ,$4.80 ,$5.05 , N/A ,$4.55 , N/A , N/A ,$5.06 , N/A , N/A , N/A ,$4.59 ,$4.59 ,$4.59 , N/A ,$4.59 ,$4.71 ,$4.71 ,$4.95 , N/A ,$4.68 , N/A , N/A ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.68 ,$4.55 ,$1.54 ,$4.95 ,$4.32 ,$0.23 , N/A ,$3.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,N/A,DEXTROSE 5 % SOLN,636,1 ,$55.00 ,$39.60 ,$15.40 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$27.50 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7042,DEXTROSE 5 %-SODIUM CHLORIDE 0.9 % 5-0.9 % SOLN per500 mL,636,1 ,$27.50 ,$19.80 ,$1.75 ,$27.50 , N/A ,$22.00 , N/A ,$7.70 ,$24.01 ,$25.27 , N/A ,$22.74 , N/A , N/A ,$25.30 , N/A , N/A , N/A ,$22.94 ,$22.94 ,$22.94 , N/A ,$22.94 ,$23.54 ,$23.54 ,$24.75 , N/A ,$23.38 , N/A , N/A ,$15.43 , N/A ,$11.39 , N/A , N/A , N/A ,$23.38 ,$22.74 ,$7.70 ,$24.75 ,$21.59 ,$1.75 , N/A ,$17.88 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3360,DIAZEPAM 5 MG/ML SOLN per5 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$14.11 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0500,DICYCLOMINE 10 MG/ML SOLN per20 mg,636,1 ,$202.00 ,$145.44 ,$39.91 ,$202.00 , N/A ,$161.60 , N/A ,$56.56 ,$176.35 ,$185.64 , N/A ,$167.05 , N/A , N/A ,$185.84 , N/A , N/A , N/A ,$168.47 ,$168.47 ,$168.47 , N/A ,$168.47 ,$172.91 ,$172.91 ,$181.80 , N/A ,$171.70 , N/A , N/A ,$113.32 , N/A ,$83.63 , N/A , N/A , N/A ,$171.70 ,$167.05 ,$56.56 ,$181.80 ,$158.57 ,$39.91 , N/A ,$131.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1160,DIGOXIN 0.25 MG/ML SOLN per0.5 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$13.40 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1200,DIPHENHYDRAMINE 50 MG/ML SOLN per50 mg,636,1 ,$35.00 ,$25.20 ,$1.91 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$1.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1265,DOPAMINE 1.6-5 MG/ML-% SOLN per40 mg,636,1 ,$15.00 ,$10.80 ,$1.02 ,$15.00 , N/A ,$12.00 , N/A ,$4.20 ,$13.10 ,$13.79 , N/A ,$12.41 , N/A , N/A ,$13.80 , N/A , N/A , N/A ,$12.51 ,$12.51 ,$12.51 , N/A ,$12.51 ,$12.84 ,$12.84 ,$13.50 , N/A ,$12.75 , N/A , N/A ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$12.75 ,$12.41 ,$4.20 ,$13.50 ,$11.78 ,$1.02 , N/A ,$9.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1790,DROPERIDOL 2.5 MG/ML SOLN per5 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$17.04 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 100 MG/ML SOLN per10 mg,636,1 ,$3.60 ,$2.59 ,$1.01 ,$3.60 , N/A ,$2.88 , N/A ,$1.01 ,$3.14 ,$3.31 , N/A ,$2.98 , N/A , N/A ,$3.31 , N/A , N/A , N/A ,$3.00 ,$3.00 ,$3.00 , N/A ,$3.00 ,$3.08 ,$3.08 ,$3.24 , N/A ,$3.06 , N/A , N/A ,$2.02 , N/A ,$1.49 , N/A , N/A , N/A ,$3.06 ,$2.98 ,$1.01 ,$3.24 ,$2.83 ,$1.34 , N/A ,$2.34 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 100 MG/ML SOSY 1 ML SYRINGE per10 mg,636,1 ,$4.80 ,$3.46 ,$1.34 ,$4.80 , N/A ,$3.84 , N/A ,$1.34 ,$4.19 ,$4.41 , N/A ,$3.97 , N/A , N/A ,$4.42 , N/A , N/A , N/A ,$4.00 ,$4.00 ,$4.00 , N/A ,$4.00 ,$4.11 ,$4.11 ,$4.32 , N/A ,$4.08 , N/A , N/A ,$2.69 , N/A ,$1.99 , N/A , N/A , N/A ,$4.08 ,$3.97 ,$1.34 ,$4.32 ,$3.77 ,$1.34 , N/A ,$3.12 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 120 MG/0.8ML SOSY per10 mg,636,1 ,$3.63 ,$2.61 ,$1.02 ,$3.63 , N/A ,$2.90 , N/A ,$1.02 ,$3.17 ,$3.34 , N/A ,$3.00 , N/A , N/A ,$3.34 , N/A , N/A , N/A ,$3.03 ,$3.03 ,$3.03 , N/A ,$3.03 ,$3.11 ,$3.11 ,$3.27 , N/A ,$3.09 , N/A , N/A ,$2.04 , N/A ,$1.50 , N/A , N/A , N/A ,$3.09 ,$3.00 ,$1.02 ,$3.27 ,$2.85 ,$1.34 , N/A ,$2.36 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 30 MG/0.3ML SOSY per10 mg,636,1 ,$11.67 ,$8.40 ,$1.34 ,$11.67 , N/A ,$9.34 , N/A ,$3.27 ,$10.19 ,$10.72 , N/A ,$9.65 , N/A , N/A ,$10.74 , N/A , N/A , N/A ,$9.73 ,$9.73 ,$9.73 , N/A ,$9.73 ,$9.99 ,$9.99 ,$10.50 , N/A ,$9.92 , N/A , N/A ,$6.55 , N/A ,$4.83 , N/A , N/A , N/A ,$9.92 ,$9.65 ,$3.27 ,$10.50 ,$9.16 ,$1.34 , N/A ,$7.59 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 40 MG/0.4ML SOSY per10 mg,636,1 ,$8.75 ,$6.30 ,$1.34 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$1.34 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 60 MG/0.6ML SOSY 0.6 ML SYRINGE per10 mg,636,1 ,$5.83 ,$4.20 ,$1.34 ,$5.83 , N/A ,$4.66 , N/A ,$1.63 ,$5.09 ,$5.36 , N/A ,$4.82 , N/A , N/A ,$5.36 , N/A , N/A , N/A ,$4.86 ,$4.86 ,$4.86 , N/A ,$4.86 ,$4.99 ,$4.99 ,$5.25 , N/A ,$4.96 , N/A , N/A ,$3.27 , N/A ,$2.41 , N/A , N/A , N/A ,$4.96 ,$4.82 ,$1.63 ,$5.25 ,$4.58 ,$1.34 , N/A ,$3.79 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 80 MG/0.8ML SOLN per10 mg,636,1 ,$4.38 ,$3.15 ,$1.23 ,$4.38 , N/A ,$3.50 , N/A ,$1.23 ,$3.82 ,$4.03 , N/A ,$3.62 , N/A , N/A ,$4.03 , N/A , N/A , N/A ,$3.65 ,$3.65 ,$3.65 , N/A ,$3.65 ,$3.75 ,$3.75 ,$3.94 , N/A ,$3.72 , N/A , N/A ,$2.46 , N/A ,$1.81 , N/A , N/A , N/A ,$3.72 ,$3.62 ,$1.23 ,$3.94 ,$3.44 ,$1.34 , N/A ,$2.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1650,ENOXAPARIN 80 MG/0.8 ML SOSY per10 mg,636,1 ,$4.38 ,$3.15 ,$1.23 ,$4.38 , N/A ,$3.50 , N/A ,$1.23 ,$3.82 ,$4.03 , N/A ,$3.62 , N/A , N/A ,$4.03 , N/A , N/A , N/A ,$3.65 ,$3.65 ,$3.65 , N/A ,$3.65 ,$3.75 ,$3.75 ,$3.94 , N/A ,$3.72 , N/A , N/A ,$2.46 , N/A ,$1.81 , N/A , N/A , N/A ,$3.72 ,$3.62 ,$1.23 ,$3.94 ,$3.44 ,$1.34 , N/A ,$2.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3490,EPHEDRINE 50 MG/ML SOLN per50 mg,636,1 ,$70.00 ,$50.40 ,$19.60 ,$70.00 , N/A ,$56.00 , N/A ,$19.60 ,$61.11 ,$64.33 , N/A ,$57.89 , N/A , N/A ,$64.40 , N/A , N/A , N/A ,$58.38 ,$58.38 ,$58.38 , N/A ,$58.38 ,$59.92 ,$59.92 ,$63.00 , N/A ,$59.50 , N/A , N/A ,$39.27 , N/A ,$28.98 , N/A , N/A , N/A ,$59.50 ,$57.89 ,$19.60 ,$63.00 ,$54.95 , N/A , N/A ,$45.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0171,EPINEPHRINE 1 MG/10ML SOSY per0.1 mg,636,1 ,$3.50 ,$2.52 ,$0.98 ,$3.50 , N/A ,$2.80 , N/A ,$0.98 ,$3.06 ,$3.22 , N/A ,$2.89 , N/A , N/A ,$3.22 , N/A , N/A , N/A ,$2.92 ,$2.92 ,$2.92 , N/A ,$2.92 ,$3.00 ,$3.00 ,$3.15 , N/A ,$2.98 , N/A , N/A ,$1.96 , N/A ,$1.45 , N/A , N/A , N/A ,$2.98 ,$2.89 ,$0.98 ,$3.15 ,$2.75 ,$1.19 , N/A ,$2.28 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0171,EPINEPHRINE PF 1 MG/ML SOLN 1 ML AMPULE per0.1 mg,636,1 ,$11.67 ,$8.40 ,$1.19 ,$11.67 , N/A ,$9.34 , N/A ,$3.27 ,$10.19 ,$10.72 , N/A ,$9.65 , N/A , N/A ,$10.74 , N/A , N/A , N/A ,$9.73 ,$9.73 ,$9.73 , N/A ,$9.73 ,$9.99 ,$9.99 ,$10.50 , N/A ,$9.92 , N/A , N/A ,$6.55 , N/A ,$4.83 , N/A , N/A , N/A ,$9.92 ,$9.65 ,$3.27 ,$10.50 ,$9.16 ,$1.19 , N/A ,$7.59 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,Q5106,EPOETIN ALFA-EPBX 10000 UNITS/ML SOLN per1000 Units,636,1 ,$26.50 ,$19.08 ,$7.42 ,$26.50 ,$21.28 ,$21.20 ,$8.34 ,$7.42 ,$23.13 ,$24.35 ,$8.34 ,$21.92 ,$8.34 ,$17.20 ,$24.38 ,$20.85 ,$8.34 ,$8.51 ,$22.10 ,$22.10 ,$22.10 ,$8.34 ,$22.10 ,$22.68 ,$22.68 ,$23.85 ,$21.29 ,$22.53 ,$8.34 ,$8.34 ,$14.87 ,$8.34 ,$10.97 ,$26.50 ,$26.50 ,$8.76 ,$22.53 ,$21.92 ,$7.42 ,$23.85 ,$20.80 ,$13.30 ,$8.94 ,$17.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3032,EPTINEZUMAB-JJMR 100 MG/ML SOLN 1 ML VIAL per1 mg,636,1 ,$62.79 ,$45.21 ,$16.67 ,$62.79 ,$42.53 ,$50.23 ,$16.67 ,$17.58 ,$54.82 ,$57.70 ,$16.67 ,$51.93 ,$16.67 ,$34.36 ,$57.77 ,$41.68 ,$16.67 ,$17.00 ,$52.37 ,$52.37 ,$52.37 ,$16.67 ,$52.37 ,$53.75 ,$53.75 ,$56.51 ,$42.52 ,$53.37 ,$16.67 ,$16.67 ,$35.23 ,$16.67 ,$26.00 ,$62.79 ,$62.79 ,$17.50 ,$53.37 ,$51.93 ,$17.58 ,$56.51 ,$49.29 ,$27.87 ,$17.86 ,$40.81 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1335,ERTAPENEM 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$140.50 ,$101.16 ,$25.36 ,$140.50 , N/A ,$112.40 , N/A ,$39.34 ,$122.66 ,$129.12 , N/A ,$116.19 , N/A , N/A ,$129.26 , N/A , N/A , N/A ,$117.18 ,$117.18 ,$117.18 , N/A ,$117.18 ,$120.27 ,$120.27 ,$126.45 , N/A ,$119.43 , N/A , N/A ,$78.82 , N/A ,$58.17 , N/A , N/A , N/A ,$119.43 ,$116.19 ,$39.34 ,$126.45 ,$110.29 ,$25.36 , N/A ,$91.33 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3010,FENTANYL 100 MCG/2ML SOLN per0.1 mg,636,1 ,$35.00 ,$25.20 ,$1.52 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$1.52 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1940,FUROSEMIDE 10 MG/ML SOLN per20 mg,636,1 ,$35.00 ,$25.20 ,$1.09 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$1.09 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1580,GENTAMICIN 40 MG/ML SOLN 2 ML VIAL per80 mg,636,1 ,$17.50 ,$12.60 ,$4.60 ,$17.50 , N/A ,$14.00 , N/A ,$4.90 ,$15.28 ,$16.08 , N/A ,$14.47 , N/A , N/A ,$16.10 , N/A , N/A , N/A ,$14.60 ,$14.60 ,$14.60 , N/A ,$14.60 ,$14.98 ,$14.98 ,$15.75 , N/A ,$14.88 , N/A , N/A ,$9.82 , N/A ,$7.25 , N/A , N/A , N/A ,$14.88 ,$14.47 ,$4.90 ,$15.75 ,$13.74 ,$4.60 , N/A ,$11.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1610,GLUCAGON 1 MG SOLR per1 mg,636,1 ,$412.00 ,$296.64 ,$53.54 ,$475.65 ,$475.65 ,$329.60 ,$186.45 ,$115.36 ,$359.68 ,$378.63 ,$186.45 ,$340.72 ,$186.45 ,$384.32 ,$379.04 ,$403.76 ,$186.45 ,$190.19 ,$343.61 ,$343.61 ,$343.61 ,$186.45 ,$343.61 ,$352.67 ,$352.67 ,$370.80 ,$412.00 ,$350.20 ,$186.45 ,$186.45 ,$231.13 ,$186.45 ,$170.57 ,$56.09 ,$53.54 ,$195.77 ,$350.20 ,$340.72 ,$115.36 ,$370.80 ,$323.42 ,$286.74 ,$199.69 ,$267.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3490,GLYCOPYRROLATE 0.2 MG/ML SOLN per1 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 , N/A , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1630,HALOPERIDOL LACTATE 5 MG/ML SOLN per5 mg,636,1 ,$35.00 ,$25.20 ,$1.42 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$1.42 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 25000-0.45 UT/250ML-% SOLN per1000 Units,636,1 ,$6.00 ,$4.32 ,$0.21 ,$6.00 , N/A ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 , N/A ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$0.21 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1644,HEPARIN (PORCINE) 5000 UNIT/ML SOLN per1000 Units,636,1 ,$7.00 ,$5.04 ,$0.21 ,$7.00 , N/A ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 , N/A ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$0.21 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1642,HEPARIN FLUSH 100 UNIT/ML SOLN per10 Units,636,1 ,$0.45 ,$0.32 ,$0.03 ,$0.45 , N/A ,$0.36 , N/A ,$0.13 ,$0.39 ,$0.41 , N/A ,$0.37 , N/A , N/A , N/A , N/A , N/A , N/A ,$0.38 ,$0.38 ,$0.38 , N/A ,$0.38 ,$0.39 ,$0.39 ,$0.41 , N/A ,$0.38 , N/A , N/A ,$0.25 , N/A ,$0.19 , N/A , N/A , N/A ,$0.38 ,$0.37 ,$0.13 ,$0.41 ,$0.35 ,$0.03 , N/A ,$0.29 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0360,HYDRALAZINE 20 MG/ML SOLN per20 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$11.15 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLR per100 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$29.50 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1170,HYDROMORPHONE 1 MG/ML SOLN per4 mg,636,1 ,$35.00 ,$25.20 ,$6.96 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$6.96 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7325,HYLAN 48 MG/6ML SOSY per1 mg,636,1 ,$68.49 ,$49.31 ,$9.46 ,$68.49 ,$24.13 ,$54.79 ,$9.46 ,$19.18 ,$59.79 ,$62.94 ,$9.46 ,$56.64 ,$9.46 ,$19.49 ,$63.01 ,$23.65 ,$9.46 ,$9.64 ,$57.12 ,$57.12 ,$57.12 ,$9.46 ,$57.12 ,$58.63 ,$58.63 ,$61.64 ,$24.12 ,$58.22 ,$9.46 ,$9.46 ,$38.42 ,$9.46 ,$28.35 ,$68.49 ,$68.49 ,$9.93 ,$58.22 ,$56.64 ,$19.18 ,$61.64 ,$53.76 ,$16.15 ,$10.12 ,$44.52 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1745,INFLIXIMAB 100 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$455.45 ,$327.92 ,$33.36 ,$455.45 ,$85.10 ,$364.36 ,$33.36 ,$127.53 ,$397.61 ,$418.56 ,$33.36 ,$376.66 ,$33.36 ,$68.77 ,$419.01 ,$83.40 ,$33.36 ,$34.03 ,$379.85 ,$379.85 ,$379.85 ,$33.36 ,$379.85 ,$389.87 ,$389.87 ,$409.91 ,$85.11 ,$387.13 ,$33.36 ,$33.36 ,$255.51 ,$33.36 ,$188.56 ,$455.45 ,$455.45 ,$35.03 ,$387.13 ,$376.66 ,$127.53 ,$409.91 ,$357.53 ,$57.52 ,$35.73 ,$296.04 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,Q5104,INFLIXIMAB-ABDA 100 MG SOLR 1 EACH VIAL per10 mg,636,1 ,$293.83 ,$211.56 ,$35.70 ,$293.83 ,$91.08 ,$235.06 ,$35.70 ,$82.27 ,$256.51 ,$270.03 ,$35.70 ,$243.00 ,$35.70 ,$73.59 ,$270.32 ,$89.26 ,$35.70 ,$36.42 ,$245.05 ,$245.05 ,$245.05 ,$35.70 ,$245.05 ,$251.52 ,$251.52 ,$264.45 ,$91.08 ,$249.76 ,$35.70 ,$35.70 ,$164.84 ,$35.70 ,$121.65 ,$293.83 ,$293.83 ,$37.48 ,$249.76 ,$243.00 ,$82.27 ,$264.45 ,$230.66 ,$75.03 ,$38.24 ,$190.99 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,90686,INFLUENZA VIRUS VACCINE (QUAD) 0.5 ML SUSY per0.5 mL,636,1 ,$46.50 ,$33.48 ,$12.76 ,$46.50 ,$32.55 ,$37.20 ,$12.76 ,$13.02 ,$40.59 ,$42.73 ,$12.76 ,$38.46 ,$12.76 ,$26.30 ,$42.78 ,$31.90 ,$12.76 ,$13.01 ,$38.78 ,$38.78 ,$38.78 ,$12.76 ,$38.78 ,$39.80 ,$39.80 ,$41.85 ,$32.55 ,$39.53 ,$12.76 ,$12.76 ,$26.09 ,$12.76 ,$19.25 ,$15.38 ,$14.68 ,$13.40 ,$39.53 ,$38.46 ,$13.02 ,$41.85 ,$36.50 ,$35.51 ,$13.66 ,$30.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1756,IRON SUCROSE 20 MG/ML SOLN per1 mg,636,1 ,$1.39 ,$1.00 ,$0.36 ,$1.39 , N/A ,$1.11 , N/A ,$0.39 ,$1.21 ,$1.28 , N/A ,$1.15 , N/A , N/A ,$1.28 , N/A , N/A , N/A ,$1.16 ,$1.16 ,$1.16 , N/A ,$1.16 ,$1.19 ,$1.19 ,$1.25 , N/A ,$1.18 , N/A , N/A ,$0.78 , N/A ,$0.58 ,$1.39 ,$1.39 , N/A ,$1.18 ,$1.15 ,$0.39 ,$1.25 ,$1.09 ,$0.36 , N/A ,$0.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1756,IRON SUCROSE 20 MG/ML SOLN 5 ML VIAL per1 mg,636,1 ,$1.39 ,$1.00 ,$0.36 ,$1.39 , N/A ,$1.11 , N/A ,$0.39 ,$1.21 ,$1.28 , N/A ,$1.15 , N/A , N/A ,$1.28 , N/A , N/A , N/A ,$1.16 ,$1.16 ,$1.16 , N/A ,$1.16 ,$1.19 ,$1.19 ,$1.25 , N/A ,$1.18 , N/A , N/A ,$0.78 , N/A ,$0.58 ,$1.39 ,$1.39 , N/A ,$1.18 ,$1.15 ,$0.39 ,$1.25 ,$1.09 ,$0.36 , N/A ,$0.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1885,KETOROLAC 30 MG/ML SOLN per15 mg,636,1 ,$35.00 ,$25.20 ,$0.97 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$0.97 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1885,KETOROLAC 60 MG/2ML SOLN per15 mg,636,1 ,$8.75 ,$6.30 ,$0.97 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$0.97 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7120,"LACTATED RINGERS SOLN 1,000 ML FLEX CONT per1000 mL",636,1 ,$55.00 ,$39.60 ,$4.13 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$4.13 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1953,LEVETIRACETAM 500 MG/5ML SOLN 5 ML VIAL per10 mg,636,1 ,$0.20 ,$0.14 ,$0.06 ,$0.20 , N/A ,$0.16 , N/A ,$0.06 ,$0.17 ,$0.18 , N/A ,$0.17 , N/A , N/A ,$0.18 , N/A , N/A , N/A ,$0.17 ,$0.17 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.17 ,$0.18 , N/A ,$0.17 , N/A , N/A ,$0.11 , N/A ,$0.08 , N/A , N/A , N/A ,$0.17 ,$0.17 ,$0.06 ,$0.18 ,$0.16 ,$0.15 , N/A ,$0.13 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1956,LEVOFLOXACIN 250 MG/50ML SOLN per250 mg,636,1 ,$150.00 ,$108.00 ,$1.60 ,$150.00 , N/A ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 , N/A ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$1.60 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1956,LEVOFLOXACIN 500 MG/100ML SOLN per250 mg,636,1 ,$75.00 ,$54.00 ,$1.60 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$1.60 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1956,LEVOFLOXACIN 750 MG/150ML SOLN per250 mg,636,1 ,$50.00 ,$36.00 ,$1.60 ,$50.00 , N/A ,$40.00 , N/A ,$14.00 ,$43.65 ,$45.95 , N/A ,$41.35 , N/A , N/A ,$46.00 , N/A , N/A , N/A ,$41.70 ,$41.70 ,$41.70 , N/A ,$41.70 ,$42.80 ,$42.80 ,$45.00 , N/A ,$42.50 , N/A , N/A ,$28.05 , N/A ,$20.70 , N/A , N/A , N/A ,$42.50 ,$41.35 ,$14.00 ,$45.00 ,$39.25 ,$1.60 , N/A ,$32.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2020,LINEZOLID 600 MG/300ML SOLN per200 mg,636,1 ,$50.00 ,$36.00 ,$5.33 ,$50.00 , N/A ,$40.00 , N/A ,$14.00 ,$43.65 ,$45.95 , N/A ,$41.35 , N/A , N/A ,$46.00 , N/A , N/A , N/A ,$41.70 ,$41.70 ,$41.70 , N/A ,$41.70 ,$42.80 ,$42.80 ,$45.00 , N/A ,$42.50 , N/A , N/A ,$28.05 , N/A ,$20.70 ,$50.00 ,$50.00 , N/A ,$42.50 ,$41.35 ,$14.00 ,$45.00 ,$39.25 ,$5.33 , N/A ,$32.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2060,LORAZEPAM 2 MG/ML SOLN per2 mg,636,1 ,$35.00 ,$25.20 ,$1.50 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$1.50 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 1-5 GM/100ML-% SOLN per500 mg,636,1 ,$75.00 ,$54.00 ,$1.09 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$1.09 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3475,MAGNESIUM SULFATE 2 GM/50ML SOLN per500 mg,636,1 ,$37.50 ,$27.00 ,$1.09 ,$37.50 , N/A ,$30.00 , N/A ,$10.50 ,$32.74 ,$34.46 , N/A ,$31.01 , N/A , N/A ,$34.50 , N/A , N/A , N/A ,$31.28 ,$31.28 ,$31.28 , N/A ,$31.28 ,$32.10 ,$32.10 ,$33.75 , N/A ,$31.88 , N/A , N/A ,$21.04 , N/A ,$15.53 , N/A , N/A , N/A ,$31.88 ,$31.01 ,$10.50 ,$33.75 ,$29.44 ,$1.09 , N/A ,$24.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2175,MEPERIDINE 25 MG/ML SOLN per100 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$15.82 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2185,MEROPENEM 1 G SOLR 1 EACH VIAL per100 mg,636,1 ,$7.20 ,$5.18 ,$1.02 ,$7.20 , N/A ,$5.76 , N/A ,$2.02 ,$6.29 ,$6.62 , N/A ,$5.95 , N/A , N/A ,$6.62 , N/A , N/A , N/A ,$6.00 ,$6.00 ,$6.00 , N/A ,$6.00 ,$6.16 ,$6.16 ,$6.48 , N/A ,$6.12 , N/A , N/A ,$4.04 , N/A ,$2.98 , N/A , N/A , N/A ,$6.12 ,$5.95 ,$2.02 ,$6.48 ,$5.65 ,$1.02 , N/A ,$4.68 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1030,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP per40 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$13.30 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1040,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP per80 mg,636,1 ,$29.50 ,$21.24 ,$8.26 ,$29.50 , N/A ,$23.60 , N/A ,$8.26 ,$25.75 ,$27.11 , N/A ,$24.40 , N/A , N/A ,$27.14 , N/A , N/A , N/A ,$24.60 ,$24.60 ,$24.60 , N/A ,$24.60 ,$25.25 ,$25.25 ,$26.55 , N/A ,$25.08 , N/A , N/A ,$16.55 , N/A ,$12.21 , N/A , N/A , N/A ,$25.08 ,$24.40 ,$8.26 ,$26.55 ,$23.16 ,$20.16 , N/A ,$19.18 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLR per125 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$9.82 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2930,METHYLPREDNISOLONE SODIUM SUCCINATE 1000 MG SOLR 1 EACH VIAL per125 mg,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$9.82 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2920,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLR per40 mg,636,1 ,$35.00 ,$25.20 ,$6.73 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$6.73 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2765,METOCLOPRAMIDE 5 MG/ML SOLN per10 mg,636,1 ,$35.00 ,$25.20 ,$1.82 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$1.82 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2248,MICAFUNGIN 100 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$4.49 ,$3.23 ,$1.26 ,$4.49 , N/A ,$3.59 , N/A ,$1.26 ,$3.92 ,$4.13 , N/A ,$3.71 , N/A , N/A ,$4.13 , N/A , N/A , N/A ,$3.74 ,$3.74 ,$3.74 , N/A ,$3.74 ,$3.84 ,$3.84 ,$4.04 , N/A ,$3.82 , N/A , N/A ,$2.52 , N/A ,$1.86 ,$4.49 ,$4.49 , N/A ,$3.82 ,$3.71 ,$1.26 ,$4.04 ,$3.52 ,$1.52 , N/A ,$2.92 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2250,MIDAZOLAM 100 MG/100ML NS SOLN per1 mg,636,1 ,$1.50 ,$1.08 ,$0.26 ,$1.50 , N/A ,$1.20 , N/A ,$0.42 ,$1.31 ,$1.38 , N/A ,$1.24 , N/A , N/A ,$1.38 , N/A , N/A , N/A ,$1.25 ,$1.25 ,$1.25 , N/A ,$1.25 ,$1.28 ,$1.28 ,$1.35 , N/A ,$1.28 , N/A , N/A ,$0.84 , N/A ,$0.62 , N/A , N/A , N/A ,$1.28 ,$1.24 ,$0.42 ,$1.35 ,$1.18 ,$0.26 , N/A ,$0.98 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2250,MIDAZOLAM 2 MG/2ML SOLN per1 mg,636,1 ,$17.50 ,$12.60 ,$0.26 ,$17.50 , N/A ,$14.00 , N/A ,$4.90 ,$15.28 ,$16.08 , N/A ,$14.47 , N/A , N/A ,$16.10 , N/A , N/A , N/A ,$14.60 ,$14.60 ,$14.60 , N/A ,$14.60 ,$14.98 ,$14.98 ,$15.75 , N/A ,$14.88 , N/A , N/A ,$9.82 , N/A ,$7.25 , N/A , N/A , N/A ,$14.88 ,$14.47 ,$4.90 ,$15.75 ,$13.74 ,$0.26 , N/A ,$11.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2250,MIDAZOLAM 5 MG/5ML SOLN per1 mg,636,1 ,$7.00 ,$5.04 ,$0.26 ,$7.00 , N/A ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 , N/A ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$0.26 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2250,MIDAZOLAM 5 MG/ML SOLN per1 mg,636,1 ,$11.67 ,$8.40 ,$0.26 ,$11.67 , N/A ,$9.34 , N/A ,$3.27 ,$10.19 ,$10.72 , N/A ,$9.65 , N/A , N/A ,$10.74 , N/A , N/A , N/A ,$9.73 ,$9.73 ,$9.73 , N/A ,$9.73 ,$9.99 ,$9.99 ,$10.50 , N/A ,$9.92 , N/A , N/A ,$6.55 , N/A ,$4.83 , N/A , N/A , N/A ,$9.92 ,$9.65 ,$3.27 ,$10.50 ,$9.16 ,$0.26 , N/A ,$7.59 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2270,MORPHINE 4 MG/ML SOLN per10 mg,636,1 ,$35.00 ,$25.20 ,$4.06 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$4.06 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2270,MORPHINE 10 MG/ML SOLN per10 mg,636,1 ,$35.00 ,$25.20 ,$4.06 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$4.06 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2270,MORPHINE 2 MG/ML SOLN per10 mg,636,1 ,$35.00 ,$25.20 ,$4.06 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$4.06 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2310,NALOXONE 2 MG/2ML SOSY per1 mg,636,1 ,$39.75 ,$28.62 ,$11.13 ,$39.75 , N/A ,$31.80 , N/A ,$11.13 ,$34.70 ,$36.53 , N/A ,$32.87 , N/A , N/A ,$36.57 , N/A , N/A , N/A ,$33.15 ,$33.15 ,$33.15 , N/A ,$33.15 ,$34.03 ,$34.03 ,$35.78 , N/A ,$33.79 , N/A , N/A ,$22.30 , N/A ,$16.46 , N/A , N/A , N/A ,$33.79 ,$32.87 ,$11.13 ,$35.78 ,$31.20 ,$17.00 , N/A ,$25.84 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2315,NALTREXONE 380 MG SUSR per1 mg,636,1 ,$9.48 ,$6.83 ,$2.65 ,$9.48 ,$9.33 ,$7.58 ,$3.66 ,$2.65 ,$8.28 ,$8.71 ,$3.66 ,$7.84 ,$3.66 ,$7.53 ,$8.72 ,$9.14 ,$3.66 ,$3.72 ,$7.91 ,$7.91 ,$7.91 ,$3.66 ,$7.91 ,$8.11 ,$8.11 ,$8.53 ,$9.32 ,$8.06 ,$3.66 ,$3.66 ,$5.32 ,$3.66 ,$3.92 ,$9.48 ,$9.48 ,$3.83 ,$8.06 ,$7.84 ,$2.65 ,$8.53 ,$7.44 ,$6.17 ,$3.91 ,$6.16 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2405,ONDANSETRON 4 MG/2ML SOLN per1 mg,636,1 ,$8.75 ,$6.30 ,$0.15 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$0.15 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2405,ONDANSETRON 4 MG/2ML SOLN 2 ML VIAL per1 mg,636,1 ,$8.75 ,$6.30 ,$0.15 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$0.15 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2360,ORPHENADRINE 30 MG/ML SOLN per60 mg,636,1 ,$37.50 ,$27.00 ,$7.08 ,$37.50 , N/A ,$30.00 , N/A ,$10.50 ,$32.74 ,$34.46 , N/A ,$31.01 , N/A , N/A ,$34.50 , N/A , N/A , N/A ,$31.28 ,$31.28 ,$31.28 , N/A ,$31.28 ,$32.10 ,$32.10 ,$33.75 , N/A ,$31.88 , N/A , N/A ,$21.04 , N/A ,$15.53 , N/A , N/A , N/A ,$31.88 ,$31.01 ,$10.50 ,$33.75 ,$29.44 ,$7.08 , N/A ,$24.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2700,OXACILLIN 2 G SOLR 1 EACH VIAL per250 mg,636,1 ,$7.06 ,$5.08 ,$1.98 ,$7.06 , N/A ,$5.65 , N/A ,$1.98 ,$6.16 ,$6.49 , N/A ,$5.84 , N/A , N/A ,$6.50 , N/A , N/A , N/A ,$5.89 ,$5.89 ,$5.89 , N/A ,$5.89 ,$6.04 ,$6.04 ,$6.35 , N/A ,$6.00 , N/A , N/A ,$3.96 , N/A ,$2.92 , N/A , N/A , N/A ,$6.00 ,$5.84 ,$1.98 ,$6.35 ,$5.54 ,$2.11 , N/A ,$4.59 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,C9113,PANTOPRAZOLE 40 MG SOLR 1 EACH VIAL per1 vial,636,1 ,$35.00 ,$25.20 ,$9.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 , N/A , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML SUSY per100000 Units,636,1 ,$37.88 ,$27.27 ,$10.61 ,$46.48 ,$46.48 ,$30.30 ,$18.22 ,$10.61 ,$33.07 ,$34.81 ,$18.22 ,$31.33 ,$18.22 ,$37.55 ,$34.85 ,$37.12 ,$18.22 ,$18.58 ,$31.59 ,$31.59 ,$31.59 ,$18.22 ,$31.59 ,$32.43 ,$32.43 ,$34.09 ,$37.88 ,$32.20 ,$18.22 ,$18.22 ,$21.25 ,$18.22 ,$15.68 , N/A , N/A ,$19.13 ,$32.20 ,$31.33 ,$10.61 ,$34.09 ,$29.74 ,$29.88 ,$19.51 ,$24.62 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2370,PHENYLEPHRINE 10 MG/ML SOLN per1 mL,636,1 ,$35.00 ,$25.20 ,$6.80 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$6.80 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3430,PHYTONADIONE 10 MG/ML SOLN per1 mg,636,1 ,$11.80 ,$8.50 ,$3.30 ,$11.80 , N/A ,$9.44 , N/A ,$3.30 ,$10.30 ,$10.84 , N/A ,$9.76 , N/A , N/A ,$10.86 , N/A , N/A , N/A ,$9.84 ,$9.84 ,$9.84 , N/A ,$9.84 ,$10.10 ,$10.10 ,$10.62 , N/A ,$10.03 , N/A , N/A ,$6.62 , N/A ,$4.89 , N/A , N/A , N/A ,$10.03 ,$9.76 ,$3.30 ,$10.62 ,$9.26 ,$5.26 , N/A ,$7.67 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2543,PIPERACILLIN-TAZOBACTAM 3.375 (3-0.375) G SOLR 1 EACH VIAL per1.125 g,636,1 ,$14.67 ,$10.56 ,$2.51 ,$14.67 , N/A ,$11.74 , N/A ,$4.11 ,$12.81 ,$13.48 , N/A ,$12.13 , N/A , N/A ,$13.50 , N/A , N/A , N/A ,$12.23 ,$12.23 ,$12.23 , N/A ,$12.23 ,$12.56 ,$12.56 ,$13.20 , N/A ,$12.47 , N/A , N/A ,$8.23 , N/A ,$6.07 , N/A , N/A , N/A ,$12.47 ,$12.13 ,$4.11 ,$13.20 ,$11.52 ,$2.51 , N/A ,$9.54 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2543,PIPERACILLIN-TAZOBACTAM 4.5 (4-0.5) G SOLR 1 EACH VIAL per1.125 g,636,1 ,$10.88 ,$7.83 ,$2.51 ,$10.88 , N/A ,$8.70 , N/A ,$3.05 ,$9.50 ,$10.00 , N/A ,$9.00 , N/A , N/A ,$10.01 , N/A , N/A , N/A ,$9.07 ,$9.07 ,$9.07 , N/A ,$9.07 ,$9.31 ,$9.31 ,$9.79 , N/A ,$9.25 , N/A , N/A ,$6.10 , N/A ,$4.50 , N/A , N/A , N/A ,$9.25 ,$9.00 ,$3.05 ,$9.79 ,$8.54 ,$2.51 , N/A ,$7.07 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML SOLN per2 mEq,636,1 ,$30.00 ,$21.60 ,$0.23 ,$30.00 , N/A ,$24.00 , N/A ,$8.40 ,$26.19 ,$27.57 , N/A ,$24.81 , N/A , N/A ,$27.60 , N/A , N/A , N/A ,$25.02 ,$25.02 ,$25.02 , N/A ,$25.02 ,$25.68 ,$25.68 ,$27.00 , N/A ,$25.50 , N/A , N/A ,$16.83 , N/A ,$12.42 , N/A , N/A , N/A ,$25.50 ,$24.81 ,$8.40 ,$27.00 ,$23.55 ,$0.23 , N/A ,$19.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7510,PREDNISOLONE 15 MG/5ML SOLN per5 mg,636,1 ,$0.81 ,$0.58 ,$0.23 ,$0.81 , N/A ,$0.65 , N/A ,$0.23 ,$0.71 ,$0.74 , N/A ,$0.67 , N/A , N/A ,$0.75 , N/A , N/A , N/A ,$0.68 ,$0.68 ,$0.68 , N/A ,$0.68 ,$0.69 ,$0.69 ,$0.73 , N/A ,$0.69 , N/A , N/A ,$0.45 , N/A ,$0.34 , N/A , N/A , N/A ,$0.69 ,$0.67 ,$0.23 ,$0.73 ,$0.64 ,$0.38 , N/A ,$0.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7512,PREDNISONE 10 MG TABS per1 mg,636,1 ,$0.25 ,$0.18 ,$0.03 ,$0.25 , N/A ,$0.20 , N/A ,$0.07 ,$0.22 ,$0.23 , N/A ,$0.21 , N/A , N/A ,$0.23 , N/A , N/A , N/A ,$0.21 ,$0.21 ,$0.21 , N/A ,$0.21 ,$0.21 ,$0.21 ,$0.23 , N/A ,$0.21 , N/A , N/A ,$0.14 , N/A ,$0.10 , N/A , N/A , N/A ,$0.21 ,$0.21 ,$0.07 ,$0.23 ,$0.20 ,$0.03 , N/A ,$0.16 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7512,PREDNISONE 20 MG TABS per1 mg,636,1 ,$0.11 ,$0.08 ,$0.03 ,$0.11 , N/A ,$0.09 , N/A ,$0.03 ,$0.10 ,$0.10 , N/A ,$0.09 , N/A , N/A ,$0.10 , N/A , N/A , N/A ,$0.09 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.10 , N/A ,$0.09 , N/A , N/A ,$0.06 , N/A ,$0.05 , N/A , N/A , N/A ,$0.09 ,$0.09 ,$0.03 ,$0.10 ,$0.09 ,$0.03 , N/A ,$0.07 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7512,PREDNISONE 5 MG TABS per1 mg,636,1 ,$0.90 ,$0.65 ,$0.03 ,$0.90 , N/A ,$0.72 , N/A ,$0.25 ,$0.79 ,$0.83 , N/A ,$0.74 , N/A , N/A ,$0.83 , N/A , N/A , N/A ,$0.75 ,$0.75 ,$0.75 , N/A ,$0.75 ,$0.77 ,$0.77 ,$0.81 , N/A ,$0.77 , N/A , N/A ,$0.50 , N/A ,$0.37 , N/A , N/A , N/A ,$0.77 ,$0.74 ,$0.25 ,$0.81 ,$0.71 ,$0.03 , N/A ,$0.59 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0780,PROCHLORPERAZINE 10 MG/2ML SOLN per10 mg,636,1 ,$44.50 ,$32.04 ,$4.87 ,$44.50 , N/A ,$35.60 , N/A ,$12.46 ,$38.85 ,$40.90 , N/A ,$36.80 , N/A , N/A ,$40.94 , N/A , N/A , N/A ,$37.11 ,$37.11 ,$37.11 , N/A ,$37.11 ,$38.09 ,$38.09 ,$40.05 , N/A ,$37.83 , N/A , N/A ,$24.96 , N/A ,$18.42 , N/A , N/A , N/A ,$37.83 ,$36.80 ,$12.46 ,$40.05 ,$34.93 ,$4.87 , N/A ,$28.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2550,PROMETHAZINE 25 MG/ML SOLN per50 mg,636,1 ,$35.00 ,$25.20 ,$5.31 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$5.31 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2704,PROPOFOL 500 MG/50ML EMUL per10 mg,636,1 ,$5.36 ,$3.86 ,$0.23 ,$5.36 , N/A ,$4.29 , N/A ,$1.50 ,$4.68 ,$4.93 , N/A ,$4.43 , N/A , N/A ,$4.93 , N/A , N/A , N/A ,$4.47 ,$4.47 ,$4.47 , N/A ,$4.47 ,$4.59 ,$4.59 ,$4.82 , N/A ,$4.56 , N/A , N/A ,$3.01 , N/A ,$2.22 , N/A , N/A , N/A ,$4.56 ,$4.43 ,$1.50 ,$4.82 ,$4.21 ,$0.23 , N/A ,$3.48 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7168,PROTHROMBIN COMPLEX CONCENTRATE (HUMAN) 500 UNITS KIT per1 Int'l Units,636,1 ,$10.60 ,$7.63 ,$2.14 ,$10.60 ,$5.45 ,$8.48 ,$2.14 ,$2.97 ,$9.25 ,$9.74 ,$2.14 ,$8.77 ,$2.14 ,$4.41 ,$9.75 ,$5.34 ,$2.14 ,$2.18 ,$8.84 ,$8.84 ,$8.84 ,$2.14 ,$8.84 ,$9.07 ,$9.07 ,$9.54 ,$5.46 ,$9.01 ,$2.14 ,$2.14 ,$5.95 ,$2.14 ,$4.39 ,$10.60 ,$10.60 ,$2.24 ,$9.01 ,$8.77 ,$2.97 ,$9.54 ,$8.32 ,$3.45 ,$2.29 ,$6.89 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2785,REGADENOSON 0.4 MG/5ML SOLN per0.1 mg,636,1 ,$150.25 ,$108.18 ,$42.07 ,$150.25 , N/A ,$120.20 , N/A ,$42.07 ,$131.17 ,$138.08 , N/A ,$124.26 , N/A , N/A ,$138.23 , N/A , N/A , N/A ,$125.31 ,$125.31 ,$125.31 , N/A ,$125.31 ,$128.61 ,$128.61 ,$135.23 , N/A ,$127.71 , N/A , N/A ,$84.29 , N/A ,$62.20 , N/A , N/A , N/A ,$127.71 ,$124.26 ,$42.07 ,$135.23 ,$117.95 ,$100.90 , N/A ,$97.66 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0248,REMDESIVIR 5 MG/ML SOLN 20 ML VIAL per1 mg,636,1 ,$20.28 ,$14.60 ,$5.40 ,$20.28 ,$13.78 ,$16.22 ,$5.40 ,$5.68 ,$17.70 ,$18.64 ,$5.40 ,$16.77 ,$5.40 ,$11.13 ,$18.66 ,$13.50 ,$5.40 ,$5.51 ,$16.91 ,$16.91 ,$16.91 ,$5.40 ,$16.91 ,$17.36 ,$17.36 ,$18.25 ,$13.78 ,$17.24 ,$5.40 ,$5.40 ,$11.38 ,$5.40 ,$8.40 ,$20.28 ,$20.28 ,$5.67 ,$17.24 ,$16.77 ,$5.68 ,$18.25 ,$15.92 ,$9.09 ,$5.78 ,$13.18 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0248,REMDESIVIR 100 MG SOLR 1 EACH VIAL per1 mg,636,1 ,$20.28 ,$14.60 ,$5.40 ,$20.28 ,$13.78 ,$16.22 ,$5.40 ,$5.68 ,$17.70 ,$18.64 ,$5.40 ,$16.77 ,$5.40 ,$11.13 ,$18.66 ,$13.50 ,$5.40 ,$5.51 ,$16.91 ,$16.91 ,$16.91 ,$5.40 ,$16.91 ,$17.36 ,$17.36 ,$18.25 ,$13.78 ,$17.24 ,$5.40 ,$5.40 ,$11.38 ,$5.40 ,$8.40 ,$20.28 ,$20.28 ,$5.67 ,$17.24 ,$16.77 ,$5.68 ,$18.25 ,$15.92 ,$9.09 ,$5.78 ,$13.18 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3111,ROMOSOZUMAB-AQQG 105 MG/1.17ML SOSY per1 mg,636,1 ,$39.15 ,$28.19 ,$9.70 ,$39.15 ,$24.75 ,$31.32 ,$9.70 ,$10.96 ,$34.18 ,$35.98 ,$9.70 ,$32.38 ,$9.70 ,$19.99 ,$36.02 ,$24.25 ,$9.70 ,$9.90 ,$32.65 ,$32.65 ,$32.65 ,$9.70 ,$32.65 ,$33.51 ,$33.51 ,$35.24 ,$24.74 ,$33.28 ,$9.70 ,$9.70 ,$21.96 ,$9.70 ,$16.21 ,$39.15 ,$39.15 ,$10.18 ,$33.28 ,$32.38 ,$10.96 ,$35.24 ,$30.73 ,$16.43 ,$10.39 ,$25.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J2795,ROPIVACAINE 1 % 10 MG/ML SOLN per1 mg,636,1 ,$0.12 ,$0.09 ,$0.03 ,$0.12 , N/A ,$0.10 , N/A ,$0.03 ,$0.10 ,$0.11 , N/A ,$0.10 , N/A , N/A ,$0.11 , N/A , N/A , N/A ,$0.10 ,$0.10 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.10 ,$0.11 , N/A ,$0.10 , N/A , N/A ,$0.07 , N/A ,$0.05 , N/A , N/A , N/A ,$0.10 ,$0.10 ,$0.03 ,$0.11 ,$0.09 ,$0.12 , N/A ,$0.08 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7030,SODIUM CHLORIDE 0.9% SOLN per1000 mL,636,1 ,$55.00 ,$39.60 ,$4.36 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$4.36 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7030,SODIUM CHLORIDE 0.9 % SOLN 20 ML VIAL per1000 mL,636,1 ,$55.00 ,$39.60 ,$4.36 ,$55.00 , N/A ,$44.00 , N/A ,$15.40 ,$48.02 ,$50.55 , N/A ,$45.49 , N/A , N/A ,$50.60 , N/A , N/A , N/A ,$45.87 ,$45.87 ,$45.87 , N/A ,$45.87 ,$47.08 ,$47.08 ,$49.50 , N/A ,$46.75 , N/A , N/A ,$30.86 , N/A ,$22.77 , N/A , N/A , N/A ,$46.75 ,$45.49 ,$15.40 ,$49.50 ,$43.18 ,$4.36 , N/A ,$35.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J7131,SODIUM CHLORIDE 3% per1 mL,636,1 ,$0.55 ,$0.40 ,$0.10 ,$0.55 , N/A ,$0.44 , N/A ,$0.15 ,$0.48 ,$0.51 , N/A ,$0.45 , N/A , N/A ,$0.51 , N/A , N/A , N/A ,$0.46 ,$0.46 ,$0.46 , N/A ,$0.46 ,$0.47 ,$0.47 ,$0.50 , N/A ,$0.47 , N/A , N/A ,$0.31 , N/A ,$0.23 , N/A , N/A , N/A ,$0.47 ,$0.45 ,$0.15 ,$0.50 ,$0.43 ,$0.10 , N/A ,$0.36 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J0330,SUCCINYLCHOLINE 20 MG/ML SOLN per20 mg,636,1 ,$3.89 ,$2.80 ,$1.09 ,$3.89 , N/A ,$3.11 , N/A ,$1.09 ,$3.40 ,$3.57 , N/A ,$3.22 , N/A , N/A ,$3.58 , N/A , N/A , N/A ,$3.24 ,$3.24 ,$3.24 , N/A ,$3.24 ,$3.33 ,$3.33 ,$3.50 , N/A ,$3.31 , N/A , N/A ,$2.18 , N/A ,$1.61 , N/A , N/A , N/A ,$3.31 ,$3.22 ,$1.09 ,$3.50 ,$3.05 ,$3.12 , N/A ,$2.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SOLN per6 mg,636,1 ,$170.00 ,$122.40 ,$47.60 ,$170.00 , N/A ,$136.00 , N/A ,$47.60 ,$148.41 ,$156.23 , N/A ,$140.59 , N/A , N/A ,$156.40 , N/A , N/A , N/A ,$141.78 ,$141.78 ,$141.78 , N/A ,$141.78 ,$145.52 ,$145.52 ,$153.00 , N/A ,$144.50 , N/A , N/A ,$95.37 , N/A ,$70.38 , N/A , N/A , N/A ,$144.50 ,$140.59 ,$47.60 ,$153.00 ,$133.45 ,$170.00 , N/A ,$110.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,90715,TDAP 5-2-15.5 LF-MCG/0.5 SUSP per0.5 mL,636,1 ,$120.50 ,$86.76 ,$14.68 ,$120.50 , N/A ,$96.40 , N/A ,$33.74 ,$105.20 ,$110.74 , N/A ,$99.65 , N/A , N/A ,$110.86 , N/A , N/A , N/A ,$100.50 ,$100.50 ,$100.50 , N/A ,$100.50 ,$103.15 ,$103.15 ,$108.45 , N/A ,$102.43 , N/A , N/A ,$67.60 , N/A ,$49.89 ,$15.38 ,$14.68 , N/A ,$102.43 ,$99.65 ,$33.74 ,$108.45 ,$94.59 ,$61.88 , N/A ,$78.33 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3101,TENECTEPLASE 50 MG KIT per1 mg,636,1 ,$540.39 ,$389.08 ,$140.82 ,$540.39 ,$359.23 ,$432.31 ,$140.82 ,$151.31 ,$471.76 ,$496.62 ,$140.82 ,$446.90 ,$140.82 ,$290.26 ,$497.16 ,$352.05 ,$140.82 ,$143.63 ,$450.69 ,$450.69 ,$450.69 ,$140.82 ,$450.69 ,$462.57 ,$462.57 ,$486.35 ,$359.23 ,$459.33 ,$140.82 ,$140.82 ,$303.16 ,$140.82 ,$223.72 ,$540.39 ,$540.39 ,$147.86 ,$459.33 ,$446.90 ,$151.31 ,$486.35 ,$424.21 ,$237.02 ,$150.81 ,$351.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J1071,TESTOSTERONE CYPIONATE 200 MG/ML SOLN per1 mg,636,1 ,$0.44 ,$0.32 ,$0.05 ,$0.44 , N/A ,$0.35 , N/A ,$0.12 ,$0.38 ,$0.40 , N/A ,$0.36 , N/A , N/A ,$0.40 , N/A , N/A , N/A ,$0.37 ,$0.37 ,$0.37 , N/A ,$0.37 ,$0.38 ,$0.38 ,$0.40 , N/A ,$0.37 , N/A , N/A ,$0.25 , N/A ,$0.18 , N/A , N/A , N/A ,$0.37 ,$0.36 ,$0.12 ,$0.40 ,$0.35 ,$0.05 , N/A ,$0.29 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3411,THIAMINE 100 MG/ML SOLN 2 ML VIAL per100 mg,636,1 ,$35.00 ,$25.20 ,$4.62 ,$35.00 , N/A ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 , N/A ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$4.62 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP per10 mg,636,1 ,$8.75 ,$6.30 ,$1.75 ,$8.75 , N/A ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 , N/A ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$1.75 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1 G SOLR 1 EACH VIAL per500 mg,636,1 ,$19.33 ,$13.92 ,$4.72 ,$19.33 , N/A ,$15.46 , N/A ,$5.41 ,$16.88 ,$17.76 , N/A ,$15.99 , N/A , N/A ,$17.78 , N/A , N/A , N/A ,$16.12 ,$16.12 ,$16.12 , N/A ,$16.12 ,$16.55 ,$16.55 ,$17.40 , N/A ,$16.43 , N/A , N/A ,$10.84 , N/A ,$8.00 , N/A , N/A , N/A ,$16.43 ,$15.99 ,$5.41 ,$17.40 ,$15.17 ,$4.72 , N/A ,$12.56 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1000 MG/200ML SOLN per500 mg,636,1 ,$75.00 ,$54.00 ,$4.72 ,$75.00 , N/A ,$60.00 , N/A ,$21.00 ,$65.48 ,$68.93 , N/A ,$62.03 , N/A , N/A ,$69.00 , N/A , N/A , N/A ,$62.55 ,$62.55 ,$62.55 , N/A ,$62.55 ,$64.20 ,$64.20 ,$67.50 , N/A ,$63.75 , N/A , N/A ,$42.08 , N/A ,$31.05 , N/A , N/A , N/A ,$63.75 ,$62.03 ,$21.00 ,$67.50 ,$58.88 ,$4.72 , N/A ,$48.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1500 MG/300ML SOLN per500 mg,636,1 ,$50.00 ,$36.00 ,$4.72 ,$50.00 , N/A ,$40.00 , N/A ,$14.00 ,$43.65 ,$45.95 , N/A ,$41.35 , N/A , N/A ,$46.00 , N/A , N/A , N/A ,$41.70 ,$41.70 ,$41.70 , N/A ,$41.70 ,$42.80 ,$42.80 ,$45.00 , N/A ,$42.50 , N/A , N/A ,$28.05 , N/A ,$20.70 , N/A , N/A , N/A ,$42.50 ,$41.35 ,$14.00 ,$45.00 ,$39.25 ,$4.72 , N/A ,$32.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1250 MG/250ML SOLN per500 mg,636,1 ,$50.00 ,$36.00 ,$4.72 ,$50.00 , N/A ,$40.00 , N/A ,$14.00 ,$43.65 ,$45.95 , N/A ,$41.35 , N/A , N/A ,$46.00 , N/A , N/A , N/A ,$41.70 ,$41.70 ,$41.70 , N/A ,$41.70 ,$42.80 ,$42.80 ,$45.00 , N/A ,$42.50 , N/A , N/A ,$28.05 , N/A ,$20.70 , N/A , N/A , N/A ,$42.50 ,$41.35 ,$14.00 ,$45.00 ,$39.25 ,$4.72 , N/A ,$32.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 2000 MG/400ML SOLN per500 mg,636,1 ,$37.50 ,$27.00 ,$4.72 ,$37.50 , N/A ,$30.00 , N/A ,$10.50 ,$32.74 ,$34.46 , N/A ,$31.01 , N/A , N/A ,$34.50 , N/A , N/A , N/A ,$31.28 ,$31.28 ,$31.28 , N/A ,$31.28 ,$32.10 ,$32.10 ,$33.75 , N/A ,$31.88 , N/A , N/A ,$21.04 , N/A ,$15.53 , N/A , N/A , N/A ,$31.88 ,$31.01 ,$10.50 ,$33.75 ,$29.44 ,$4.72 , N/A ,$24.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 1750 MG/350ML SOLN per500 mg,636,1 ,$37.50 ,$27.00 ,$4.72 ,$37.50 , N/A ,$30.00 , N/A ,$10.50 ,$32.74 ,$34.46 , N/A ,$31.01 , N/A , N/A ,$34.50 , N/A , N/A , N/A ,$31.28 ,$31.28 ,$31.28 , N/A ,$31.28 ,$32.10 ,$32.10 ,$33.75 , N/A ,$31.88 , N/A , N/A ,$21.04 , N/A ,$15.53 , N/A , N/A , N/A ,$31.88 ,$31.01 ,$10.50 ,$33.75 ,$29.44 ,$4.72 , N/A ,$24.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3370,VANCOMYCIN 750 MG SOLR 1 EACH VIAL per500 mg,636,1 ,$17.50 ,$12.60 ,$4.72 ,$17.50 , N/A ,$14.00 , N/A ,$4.90 ,$15.28 ,$16.08 , N/A ,$14.47 , N/A , N/A ,$16.10 , N/A , N/A , N/A ,$14.60 ,$14.60 ,$14.60 , N/A ,$14.60 ,$14.98 ,$14.98 ,$15.75 , N/A ,$14.88 , N/A , N/A ,$9.82 , N/A ,$7.25 , N/A , N/A , N/A ,$14.88 ,$14.47 ,$4.90 ,$15.75 ,$13.74 ,$4.72 , N/A ,$11.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600002,J3489,ZOLEDRONIC ACID 5 MG/100ML SOLN per1 mg,636,1 ,$144.00 ,$103.68 ,$18.38 ,$144.00 , N/A ,$115.20 , N/A ,$40.32 ,$125.71 ,$132.34 , N/A ,$119.09 , N/A , N/A ,$132.48 , N/A , N/A , N/A ,$120.10 ,$120.10 ,$120.10 , N/A ,$120.10 ,$123.26 ,$123.26 ,$129.60 , N/A ,$122.40 , N/A , N/A ,$80.78 , N/A ,$59.62 ,$122.00 ,$116.46 , N/A ,$122.40 ,$119.09 ,$40.32 ,$129.60 ,$113.04 ,$18.38 , N/A ,$93.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600012,Q9963,DIATRIZOATE MEGLUMINE  AND  SODIUM 66-10 % SOLN per1 mL,636,1 ,$2.66 ,$1.92 ,$0.35 ,$2.66 , N/A ,$2.13 , N/A ,$0.74 ,$2.32 ,$2.44 , N/A ,$2.20 , N/A , N/A , N/A , N/A , N/A , N/A ,$2.22 ,$2.22 ,$2.22 , N/A ,$2.22 ,$2.28 ,$2.28 ,$2.39 , N/A ,$2.26 , N/A , N/A ,$1.49 , N/A ,$1.10 , N/A , N/A , N/A ,$2.26 ,$2.20 ,$0.74 ,$2.39 ,$2.09 ,$0.35 , N/A ,$1.73 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600012,A9579,GADOTERIDOL 279.3 MG/ML SOLN per1 mL,636,1 ,$17.90 ,$12.89 ,$2.61 ,$17.90 , N/A ,$14.32 , N/A ,$5.01 ,$15.63 ,$16.45 , N/A ,$14.80 , N/A , N/A , N/A , N/A , N/A , N/A ,$14.93 ,$14.93 ,$14.93 , N/A ,$14.93 ,$15.32 ,$15.32 ,$16.11 , N/A ,$15.22 , N/A , N/A ,$10.04 , N/A ,$7.41 , N/A , N/A , N/A ,$15.22 ,$14.80 ,$5.01 ,$16.11 ,$14.05 ,$2.61 , N/A ,$11.64 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600012,Q9967,IOPAMIDOL 61 % SOLN per1 mL,636,1 ,$1.52 ,$1.09 ,$0.28 ,$1.52 , N/A ,$1.22 , N/A ,$0.43 ,$1.33 ,$1.40 , N/A ,$1.26 , N/A , N/A , N/A , N/A , N/A , N/A ,$1.27 ,$1.27 ,$1.27 , N/A ,$1.27 ,$1.30 ,$1.30 ,$1.37 , N/A ,$1.29 , N/A , N/A ,$0.85 , N/A ,$0.63 , N/A , N/A , N/A ,$1.29 ,$1.26 ,$0.43 ,$1.37 ,$1.19 ,$0.28 , N/A ,$0.99 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600012,Q9967,IOPAMIDOL 76 % SOLN per1 mL,636,1 ,$3.30 ,$2.38 ,$0.28 ,$3.30 , N/A ,$2.64 , N/A ,$0.92 ,$2.88 ,$3.03 , N/A ,$2.73 , N/A , N/A , N/A , N/A , N/A , N/A ,$2.75 ,$2.75 ,$2.75 , N/A ,$2.75 ,$2.82 ,$2.82 ,$2.97 , N/A ,$2.81 , N/A , N/A ,$1.85 , N/A ,$1.37 , N/A , N/A , N/A ,$2.81 ,$2.73 ,$0.92 ,$2.97 ,$2.59 ,$0.28 , N/A ,$2.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63600012,Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML SUSP per1 mL,636,1 ,$502.00 ,$361.44 ,$75.54 ,$502.00 , N/A ,$401.60 , N/A ,$140.56 ,$438.25 ,$461.34 , N/A ,$415.15 , N/A , N/A , N/A , N/A , N/A , N/A ,$418.67 ,$418.67 ,$418.67 , N/A ,$418.67 ,$429.71 ,$429.71 ,$451.80 , N/A ,$426.70 , N/A , N/A ,$281.62 , N/A ,$207.83 , N/A , N/A , N/A ,$426.70 ,$415.15 ,$140.56 ,$451.80 ,$394.07 ,$75.54 , N/A ,$326.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ARIPIPRAZOLE 5 MG TABS,637,1 ,$45.00 ,$32.40 ,$12.60 ,$112.50 ,$112.50 ,$36.00 , N/A ,$12.60 ,$39.29 ,$41.36 , N/A ,$37.22 , N/A , N/A ,$41.40 , N/A , N/A , N/A ,$37.53 ,$37.53 ,$37.53 , N/A ,$37.53 ,$38.52 ,$38.52 ,$40.50 ,$45.00 ,$38.25 , N/A , N/A ,$25.25 , N/A ,$18.63 , N/A , N/A , N/A ,$38.25 ,$37.22 ,$12.60 ,$40.50 ,$35.33 ,$37.17 , N/A ,$29.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ARTIFICIAL TEARS 83-15 % OINT 3.5 G TUBE,637,1 ,$15.00 ,$10.80 ,$4.20 ,$37.50 ,$37.50 ,$12.00 , N/A ,$4.20 ,$13.10 ,$13.79 , N/A ,$12.41 , N/A , N/A ,$13.80 , N/A , N/A , N/A ,$12.51 ,$12.51 ,$12.51 , N/A ,$12.51 ,$12.84 ,$12.84 ,$13.50 ,$15.00 ,$12.75 , N/A , N/A ,$8.42 , N/A ,$6.21 , N/A , N/A , N/A ,$12.75 ,$12.41 ,$4.20 ,$13.50 ,$11.78 ,$12.39 , N/A ,$9.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AZELASTINE 0.05 % SOLN 6 ML BOTTLE,637,1 ,$156.50 ,$112.68 ,$43.82 ,$391.25 ,$391.25 ,$125.20 , N/A ,$43.82 ,$136.62 ,$143.82 , N/A ,$129.43 , N/A , N/A ,$143.98 , N/A , N/A , N/A ,$130.52 ,$130.52 ,$130.52 , N/A ,$130.52 ,$133.96 ,$133.96 ,$140.85 ,$156.50 ,$133.03 , N/A , N/A ,$87.80 , N/A ,$64.79 , N/A , N/A , N/A ,$133.03 ,$129.43 ,$43.82 ,$140.85 ,$122.85 ,$129.27 , N/A ,$101.73 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AZITHROMYCIN 250 MG TABS,637,1 ,$12.00 ,$8.64 ,$3.36 ,$30.00 ,$30.00 ,$9.60 , N/A ,$3.36 ,$10.48 ,$11.03 , N/A ,$9.92 , N/A , N/A ,$11.04 , N/A , N/A , N/A ,$10.01 ,$10.01 ,$10.01 , N/A ,$10.01 ,$10.27 ,$10.27 ,$10.80 ,$12.00 ,$10.20 , N/A , N/A ,$6.73 , N/A ,$4.97 , N/A , N/A , N/A ,$10.20 ,$9.92 ,$3.36 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINT 3.5 G TUBE,637,1 ,$43.00 ,$30.96 ,$12.04 ,$107.50 ,$107.50 ,$34.40 , N/A ,$12.04 ,$37.54 ,$39.52 , N/A ,$35.56 , N/A , N/A ,$39.56 , N/A , N/A , N/A ,$35.86 ,$35.86 ,$35.86 , N/A ,$35.86 ,$36.81 ,$36.81 ,$38.70 ,$43.00 ,$36.55 , N/A , N/A ,$24.12 , N/A ,$17.80 , N/A , N/A , N/A ,$36.55 ,$35.56 ,$12.04 ,$38.70 ,$33.76 ,$35.52 , N/A ,$27.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BETAMETHASONE DIPROPIONATE 0.05 % CREA 15 G TUBE,637,1 ,$62.50 ,$45.00 ,$17.50 ,$156.25 ,$156.25 ,$50.00 , N/A ,$17.50 ,$54.56 ,$57.44 , N/A ,$51.69 , N/A , N/A ,$57.50 , N/A , N/A , N/A ,$52.13 ,$52.13 ,$52.13 , N/A ,$52.13 ,$53.50 ,$53.50 ,$56.25 ,$62.50 ,$53.13 , N/A , N/A ,$35.06 , N/A ,$25.88 , N/A , N/A , N/A ,$53.13 ,$51.69 ,$17.50 ,$56.25 ,$49.06 ,$51.63 , N/A ,$40.63 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BREXPIPRAZOLE 1 MG TABS,637,1 ,$80.00 ,$57.60 ,$22.40 ,$200.00 ,$200.00 ,$64.00 , N/A ,$22.40 ,$69.84 ,$73.52 , N/A ,$66.16 , N/A , N/A ,$73.60 , N/A , N/A , N/A ,$66.72 ,$66.72 ,$66.72 , N/A ,$66.72 ,$68.48 ,$68.48 ,$72.00 ,$80.00 ,$68.00 , N/A , N/A ,$44.88 , N/A ,$33.12 , N/A , N/A , N/A ,$68.00 ,$66.16 ,$22.40 ,$72.00 ,$62.80 ,$66.08 , N/A ,$52.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CALCITONIN 200 UNIT/ACT SOLN 3.7 ML BOTTLE,637,1 ,$178.00 ,$128.16 ,$49.84 ,$445.00 ,$445.00 ,$142.40 , N/A ,$49.84 ,$155.39 ,$163.58 , N/A ,$147.21 , N/A , N/A ,$163.76 , N/A , N/A , N/A ,$148.45 ,$148.45 ,$148.45 , N/A ,$148.45 ,$152.37 ,$152.37 ,$160.20 ,$178.00 ,$151.30 , N/A , N/A ,$99.86 , N/A ,$73.69 , N/A , N/A , N/A ,$151.30 ,$147.21 ,$49.84 ,$160.20 ,$139.73 ,$147.03 , N/A ,$115.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CIPROFLOXACIN 500 MG TABS,637,1 ,$8.00 ,$5.76 ,$2.24 ,$20.00 ,$20.00 ,$6.40 , N/A ,$2.24 ,$6.98 ,$7.35 , N/A ,$6.62 , N/A , N/A ,$7.36 , N/A , N/A , N/A ,$6.67 ,$6.67 ,$6.67 , N/A ,$6.67 ,$6.85 ,$6.85 ,$7.20 ,$8.00 ,$6.80 , N/A , N/A ,$4.49 , N/A ,$3.31 , N/A , N/A , N/A ,$6.80 ,$6.62 ,$2.24 ,$7.20 ,$6.28 ,$6.61 , N/A ,$5.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMOXICILLIN-CLAVULANATE 875-125 MG TABS,637,1 ,$8.00 ,$5.76 ,$2.24 ,$20.00 ,$20.00 ,$6.40 , N/A ,$2.24 ,$6.98 ,$7.35 , N/A ,$6.62 , N/A , N/A ,$7.36 , N/A , N/A , N/A ,$6.67 ,$6.67 ,$6.67 , N/A ,$6.67 ,$6.85 ,$6.85 ,$7.20 ,$8.00 ,$6.80 , N/A , N/A ,$4.49 , N/A ,$3.31 , N/A , N/A , N/A ,$6.80 ,$6.62 ,$2.24 ,$7.20 ,$6.28 ,$6.61 , N/A ,$5.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CEFDINIR 300 MG CAPS,637,1 ,$8.00 ,$5.76 ,$2.24 ,$20.00 ,$20.00 ,$6.40 , N/A ,$2.24 ,$6.98 ,$7.35 , N/A ,$6.62 , N/A , N/A ,$7.36 , N/A , N/A , N/A ,$6.67 ,$6.67 ,$6.67 , N/A ,$6.67 ,$6.85 ,$6.85 ,$7.20 ,$8.00 ,$6.80 , N/A , N/A ,$4.49 , N/A ,$3.31 , N/A , N/A , N/A ,$6.80 ,$6.62 ,$2.24 ,$7.20 ,$6.28 ,$6.61 , N/A ,$5.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,COLCHICINE 0.6 MG TABS,637,1 ,$12.50 ,$9.00 ,$3.50 ,$31.25 ,$31.25 ,$10.00 , N/A ,$3.50 ,$10.91 ,$11.49 , N/A ,$10.34 , N/A , N/A ,$11.50 , N/A , N/A , N/A ,$10.43 ,$10.43 ,$10.43 , N/A ,$10.43 ,$10.70 ,$10.70 ,$11.25 ,$12.50 ,$10.63 , N/A , N/A ,$7.01 , N/A ,$5.18 , N/A , N/A , N/A ,$10.63 ,$10.34 ,$3.50 ,$11.25 ,$9.81 ,$10.33 , N/A ,$8.13 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DICLOFENAC SODIUM 1 % GEL 100 G TUBE,637,1 ,$88.00 ,$63.36 ,$24.64 ,$220.00 ,$220.00 ,$70.40 , N/A ,$24.64 ,$76.82 ,$80.87 , N/A ,$72.78 , N/A , N/A ,$80.96 , N/A , N/A , N/A ,$73.39 ,$73.39 ,$73.39 , N/A ,$73.39 ,$75.33 ,$75.33 ,$79.20 ,$88.00 ,$74.80 , N/A , N/A ,$49.37 , N/A ,$36.43 , N/A , N/A , N/A ,$74.80 ,$72.78 ,$24.64 ,$79.20 ,$69.08 ,$72.69 , N/A ,$57.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DORZOLAMIDE 2 % SOLN 10 ML BOTTLE,637,1 ,$100.50 ,$72.36 ,$28.14 ,$251.25 ,$251.25 ,$80.40 , N/A ,$28.14 ,$87.74 ,$92.36 , N/A ,$83.11 , N/A , N/A ,$92.46 , N/A , N/A , N/A ,$83.82 ,$83.82 ,$83.82 , N/A ,$83.82 ,$86.03 ,$86.03 ,$90.45 ,$100.50 ,$85.43 , N/A , N/A ,$56.38 , N/A ,$41.61 , N/A , N/A , N/A ,$85.43 ,$83.11 ,$28.14 ,$90.45 ,$78.89 ,$83.01 , N/A ,$65.33 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DRONEDARONE 400 MG TABS,637,1 ,$21.00 ,$15.12 ,$5.88 ,$52.50 ,$52.50 ,$16.80 , N/A ,$5.88 ,$18.33 ,$19.30 , N/A ,$17.37 , N/A , N/A ,$19.32 , N/A , N/A , N/A ,$17.51 ,$17.51 ,$17.51 , N/A ,$17.51 ,$17.98 ,$17.98 ,$18.90 ,$21.00 ,$17.85 , N/A , N/A ,$11.78 , N/A ,$8.69 , N/A , N/A , N/A ,$17.85 ,$17.37 ,$5.88 ,$18.90 ,$16.49 ,$17.35 , N/A ,$13.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DULOXETINE 20 MG CPEP,637,1 ,$12.25 ,$8.82 ,$3.43 ,$30.63 ,$30.63 ,$9.80 , N/A ,$3.43 ,$10.69 ,$11.26 , N/A ,$10.13 , N/A , N/A ,$11.27 , N/A , N/A , N/A ,$10.22 ,$10.22 ,$10.22 , N/A ,$10.22 ,$10.49 ,$10.49 ,$11.03 ,$12.25 ,$10.41 , N/A , N/A ,$6.87 , N/A ,$5.07 , N/A , N/A , N/A ,$10.41 ,$10.13 ,$3.43 ,$11.03 ,$9.62 ,$10.12 , N/A ,$7.96 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DULOXETINE 30 MG CPEP,637,1 ,$11.75 ,$8.46 ,$3.29 ,$29.38 ,$29.38 ,$9.40 , N/A ,$3.29 ,$10.26 ,$10.80 , N/A ,$9.72 , N/A , N/A ,$10.81 , N/A , N/A , N/A ,$9.80 ,$9.80 ,$9.80 , N/A ,$9.80 ,$10.06 ,$10.06 ,$10.58 ,$11.75 ,$9.99 , N/A , N/A ,$6.59 , N/A ,$4.86 , N/A , N/A , N/A ,$9.99 ,$9.72 ,$3.29 ,$10.58 ,$9.22 ,$9.71 , N/A ,$7.64 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ALOGLIPTIN 12.5 MG TABS,637,1 ,$11.75 ,$8.46 ,$3.29 ,$29.38 ,$29.38 ,$9.40 , N/A ,$3.29 ,$10.26 ,$10.80 , N/A ,$9.72 , N/A , N/A ,$10.81 , N/A , N/A , N/A ,$9.80 ,$9.80 ,$9.80 , N/A ,$9.80 ,$10.06 ,$10.06 ,$10.58 ,$11.75 ,$9.99 , N/A , N/A ,$6.59 , N/A ,$4.86 , N/A , N/A , N/A ,$9.99 ,$9.72 ,$3.29 ,$10.58 ,$9.22 ,$9.71 , N/A ,$7.64 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,EMPAGLIFLOZIN 10 MG TABS,637,1 ,$34.50 ,$24.84 ,$9.66 ,$86.25 ,$86.25 ,$27.60 , N/A ,$9.66 ,$30.12 ,$31.71 , N/A ,$28.53 , N/A , N/A ,$31.74 , N/A , N/A , N/A ,$28.77 ,$28.77 ,$28.77 , N/A ,$28.77 ,$29.53 ,$29.53 ,$31.05 ,$34.50 ,$29.33 , N/A , N/A ,$19.35 , N/A ,$14.28 , N/A , N/A , N/A ,$29.33 ,$28.53 ,$9.66 ,$31.05 ,$27.08 ,$28.50 , N/A ,$22.43 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,EZETIMIBE 10 MG TABS,637,1 ,$19.00 ,$13.68 ,$5.32 ,$47.50 ,$47.50 ,$15.20 , N/A ,$5.32 ,$16.59 ,$17.46 , N/A ,$15.71 , N/A , N/A ,$17.48 , N/A , N/A , N/A ,$15.85 ,$15.85 ,$15.85 , N/A ,$15.85 ,$16.26 ,$16.26 ,$17.10 ,$19.00 ,$16.15 , N/A , N/A ,$10.66 , N/A ,$7.87 , N/A , N/A , N/A ,$16.15 ,$15.71 ,$5.32 ,$17.10 ,$14.92 ,$15.69 , N/A ,$12.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FENTANYL 75 MCG/HR PT72,637,1 ,$60.50 ,$43.56 ,$16.94 ,$151.25 ,$151.25 ,$48.40 , N/A ,$16.94 ,$52.82 ,$55.60 , N/A ,$50.03 , N/A , N/A ,$55.66 , N/A , N/A , N/A ,$50.46 ,$50.46 ,$50.46 , N/A ,$50.46 ,$51.79 ,$51.79 ,$54.45 ,$60.50 ,$51.43 , N/A , N/A ,$33.94 , N/A ,$25.05 , N/A , N/A , N/A ,$51.43 ,$50.03 ,$16.94 ,$54.45 ,$47.49 ,$49.97 , N/A ,$39.33 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUCONAZOLE 100 MG TABS,637,1 ,$14.50 ,$10.44 ,$4.06 ,$36.25 ,$36.25 ,$11.60 , N/A ,$4.06 ,$12.66 ,$13.33 , N/A ,$11.99 , N/A , N/A ,$13.34 , N/A , N/A , N/A ,$12.09 ,$12.09 ,$12.09 , N/A ,$12.09 ,$12.41 ,$12.41 ,$13.05 ,$14.50 ,$12.33 , N/A , N/A ,$8.13 , N/A ,$6.00 , N/A , N/A , N/A ,$12.33 ,$11.99 ,$4.06 ,$13.05 ,$11.38 ,$11.98 , N/A ,$9.43 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE PROPIONATE 50 MCG/ACT SUSP 16 G BOTTLE,637,1 ,$128.00 ,$92.16 ,$35.84 ,$320.00 ,$320.00 ,$102.40 , N/A ,$35.84 ,$111.74 ,$117.63 , N/A ,$105.86 , N/A , N/A ,$117.76 , N/A , N/A , N/A ,$106.75 ,$106.75 ,$106.75 , N/A ,$106.75 ,$109.57 ,$109.57 ,$115.20 ,$128.00 ,$108.80 , N/A , N/A ,$71.81 , N/A ,$52.99 , N/A , N/A , N/A ,$108.80 ,$105.86 ,$35.84 ,$115.20 ,$100.48 ,$105.73 , N/A ,$83.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 230-21 MCG/ACT AERO,637,1 ,$19.50 ,$14.04 ,$5.46 ,$48.75 ,$48.75 ,$15.60 , N/A ,$5.46 ,$17.02 ,$17.92 , N/A ,$16.13 , N/A , N/A ,$17.94 , N/A , N/A , N/A ,$16.26 ,$16.26 ,$16.26 , N/A ,$16.26 ,$16.69 ,$16.69 ,$17.55 ,$19.50 ,$16.58 , N/A , N/A ,$10.94 , N/A ,$8.07 , N/A , N/A , N/A ,$16.58 ,$16.13 ,$5.46 ,$17.55 ,$15.31 ,$16.11 , N/A ,$12.68 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 250-50 MCG/DOSE AEPB 60 EACH DISP PACK,637,1 ,$674.00 ,$485.28 ,$188.72 ,"$1,685.00 ","$1,685.00 ",$539.20 , N/A ,$188.72 ,$588.40 ,$619.41 , N/A ,$557.40 , N/A , N/A ,$620.08 , N/A , N/A , N/A ,$562.12 ,$562.12 ,$562.12 , N/A ,$562.12 ,$576.94 ,$576.94 ,$606.60 ,$674.00 ,$572.90 , N/A , N/A ,$378.11 , N/A ,$279.04 , N/A , N/A , N/A ,$572.90 ,$557.40 ,$188.72 ,$606.60 ,$529.09 ,$556.72 , N/A ,$438.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 500-50 MCG/DOSE AEPB,637,1 ,$31.82 ,$22.91 ,$8.91 ,$79.55 ,$79.55 ,$25.46 , N/A ,$8.91 ,$27.78 ,$29.24 , N/A ,$26.32 , N/A , N/A ,$29.27 , N/A , N/A , N/A ,$26.54 ,$26.54 ,$26.54 , N/A ,$26.54 ,$27.24 ,$27.24 ,$28.64 ,$31.82 ,$27.05 , N/A , N/A ,$17.85 , N/A ,$13.17 , N/A , N/A , N/A ,$27.05 ,$26.32 ,$8.91 ,$28.64 ,$24.98 ,$26.28 , N/A ,$20.68 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FOSFOMYCIN 3 G PACK,637,1 ,$148.00 ,$106.56 ,$41.44 ,$370.00 ,$370.00 ,$118.40 , N/A ,$41.44 ,$129.20 ,$136.01 , N/A ,$122.40 , N/A , N/A ,$136.16 , N/A , N/A , N/A ,$123.43 ,$123.43 ,$123.43 , N/A ,$123.43 ,$126.69 ,$126.69 ,$133.20 ,$148.00 ,$125.80 , N/A , N/A ,$83.03 , N/A ,$61.27 , N/A , N/A , N/A ,$125.80 ,$122.40 ,$41.44 ,$133.20 ,$116.18 ,$122.25 , N/A ,$96.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GENTAMICIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$29.00 ,$20.88 ,$8.12 ,$72.50 ,$72.50 ,$23.20 , N/A ,$8.12 ,$25.32 ,$26.65 , N/A ,$23.98 , N/A , N/A ,$26.68 , N/A , N/A , N/A ,$24.19 ,$24.19 ,$24.19 , N/A ,$24.19 ,$24.82 ,$24.82 ,$26.10 ,$29.00 ,$24.65 , N/A , N/A ,$16.27 , N/A ,$12.01 , N/A , N/A , N/A ,$24.65 ,$23.98 ,$8.12 ,$26.10 ,$22.77 ,$23.95 , N/A ,$18.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ERYTHROMYCIN 5 MG/GM OINT 3.5 G TUBE,637,1 ,$29.00 ,$20.88 ,$8.12 ,$72.50 ,$72.50 ,$23.20 , N/A ,$8.12 ,$25.32 ,$26.65 , N/A ,$23.98 , N/A , N/A ,$26.68 , N/A , N/A , N/A ,$24.19 ,$24.19 ,$24.19 , N/A ,$24.19 ,$24.82 ,$24.82 ,$26.10 ,$29.00 ,$24.65 , N/A , N/A ,$16.27 , N/A ,$12.01 , N/A , N/A , N/A ,$24.65 ,$23.98 ,$8.12 ,$26.10 ,$22.77 ,$23.95 , N/A ,$18.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,J1815,INSULIN DETEMIR 100 UNIT/ML SOLN per5 Units,637,1 ,$11.67 ,$8.40 ,$3.27 ,$29.18 ,$29.18 ,$9.34 , N/A ,$3.27 ,$10.19 ,$10.72 , N/A ,$9.65 , N/A , N/A ,$10.74 , N/A , N/A , N/A ,$9.73 ,$9.73 ,$9.73 , N/A ,$9.73 ,$9.99 ,$9.99 ,$10.50 ,$11.67 ,$9.92 , N/A , N/A ,$6.55 , N/A ,$4.83 , N/A , N/A , N/A ,$9.92 ,$9.65 ,$3.27 ,$10.50 ,$9.16 ,$9.64 , N/A ,$7.59 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,J1815,INSULIN GLARGINE 100 UNIT/ML SOLN per5 Units,637,1 ,$8.75 ,$6.30 ,$2.45 ,$21.88 ,$21.88 ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 ,$8.75 ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$7.23 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,J1815,INSULIN LISPRO 100 UNIT/ML SOLN per5 Units,637,1 ,$35.00 ,$25.20 ,$9.80 ,$87.50 ,$87.50 ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 ,$35.00 ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,J1815,INSULIN NPH-INSULIN REGULAR (70-30) 100 UNIT/ML SUSP per5 Units,637,1 ,$5.83 ,$4.20 ,$1.63 ,$14.58 ,$14.58 ,$4.66 , N/A ,$1.63 ,$5.09 ,$5.36 , N/A ,$4.82 , N/A , N/A ,$5.36 , N/A , N/A , N/A ,$4.86 ,$4.86 ,$4.86 , N/A ,$4.86 ,$4.99 ,$4.99 ,$5.25 ,$5.83 ,$4.96 , N/A , N/A ,$3.27 , N/A ,$2.41 , N/A , N/A , N/A ,$4.96 ,$4.82 ,$1.63 ,$5.25 ,$4.58 ,$4.82 , N/A ,$3.79 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,J1815,INSULIN REGULAR 100 UNIT/ML SOLN per5 Units,637,1 ,$17.50 ,$12.60 ,$4.90 ,$43.75 ,$43.75 ,$14.00 , N/A ,$4.90 ,$15.28 ,$16.08 , N/A ,$14.47 , N/A , N/A ,$16.10 , N/A , N/A , N/A ,$14.60 ,$14.60 ,$14.60 , N/A ,$14.60 ,$14.98 ,$14.98 ,$15.75 ,$17.50 ,$14.88 , N/A , N/A ,$9.82 , N/A ,$7.25 , N/A , N/A , N/A ,$14.88 ,$14.47 ,$4.90 ,$15.75 ,$13.74 ,$14.46 , N/A ,$11.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,IPRATROPIUM-ALBUTEROL 20-100 MCG/ACT AERS 4 G INHALER,637,1 ,$830.50 ,$597.96 ,$232.54 ,"$2,076.25 ","$2,076.25 ",$664.40 , N/A ,$232.54 ,$725.03 ,$763.23 , N/A ,$686.82 , N/A , N/A ,$764.06 , N/A , N/A , N/A ,$692.64 ,$692.64 ,$692.64 , N/A ,$692.64 ,$710.91 ,$710.91 ,$747.45 ,$830.50 ,$705.93 , N/A , N/A ,$465.91 , N/A ,$343.83 , N/A , N/A , N/A ,$705.93 ,$686.82 ,$232.54 ,$747.45 ,$651.94 ,$685.99 , N/A ,$539.83 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,IVABRADINE 5 MG TABS,637,1 ,$16.00 ,$11.52 ,$4.48 ,$40.00 ,$40.00 ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A ,$14.72 , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 ,$16.00 ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,APIXABAN 2.5 MG TABS,637,1 ,$16.00 ,$11.52 ,$4.48 ,$40.00 ,$40.00 ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A ,$14.72 , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 ,$16.00 ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,APIXABAN 5 MG TABS,637,1 ,$16.00 ,$11.52 ,$4.48 ,$40.00 ,$40.00 ,$12.80 , N/A ,$4.48 ,$13.97 ,$14.70 , N/A ,$13.23 , N/A , N/A ,$14.72 , N/A , N/A , N/A ,$13.34 ,$13.34 ,$13.34 , N/A ,$13.34 ,$13.70 ,$13.70 ,$14.40 ,$16.00 ,$13.60 , N/A , N/A ,$8.98 , N/A ,$6.62 , N/A , N/A , N/A ,$13.60 ,$13.23 ,$4.48 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,KETOROLAC 0.5 % SOLN 5 ML BOTTLE,637,1 ,$158.50 ,$114.12 ,$44.38 ,$396.25 ,$396.25 ,$126.80 , N/A ,$44.38 ,$138.37 ,$145.66 , N/A ,$131.08 , N/A , N/A ,$145.82 , N/A , N/A , N/A ,$132.19 ,$132.19 ,$132.19 , N/A ,$132.19 ,$135.68 ,$135.68 ,$142.65 ,$158.50 ,$134.73 , N/A , N/A ,$88.92 , N/A ,$65.62 , N/A , N/A , N/A ,$134.73 ,$131.08 ,$44.38 ,$142.65 ,$124.42 ,$130.92 , N/A ,$103.03 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LATANOPROST 0.005 % SOLN 2.5 ML BOTTLE,637,1 ,$142.50 ,$102.60 ,$39.90 ,$356.25 ,$356.25 ,$114.00 , N/A ,$39.90 ,$124.40 ,$130.96 , N/A ,$117.85 , N/A , N/A ,$131.10 , N/A , N/A , N/A ,$118.85 ,$118.85 ,$118.85 , N/A ,$118.85 ,$121.98 ,$121.98 ,$128.25 ,$142.50 ,$121.13 , N/A , N/A ,$79.94 , N/A ,$59.00 , N/A , N/A , N/A ,$121.13 ,$117.85 ,$39.90 ,$128.25 ,$111.86 ,$117.71 , N/A ,$92.63 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOFLOXACIN 750 MG TABS,637,1 ,$37.00 ,$26.64 ,$10.36 ,$92.50 ,$92.50 ,$29.60 , N/A ,$10.36 ,$32.30 ,$34.00 , N/A ,$30.60 , N/A , N/A ,$34.04 , N/A , N/A , N/A ,$30.86 ,$30.86 ,$30.86 , N/A ,$30.86 ,$31.67 ,$31.67 ,$33.30 ,$37.00 ,$31.45 , N/A , N/A ,$20.76 , N/A ,$15.32 , N/A , N/A , N/A ,$31.45 ,$30.60 ,$10.36 ,$33.30 ,$29.05 ,$30.56 , N/A ,$24.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LINEZOLID 600 MG TABS,637,1 ,$275.50 ,$198.36 ,$77.14 ,$688.75 ,$688.75 ,$220.40 , N/A ,$77.14 ,$240.51 ,$253.18 , N/A ,$227.84 , N/A , N/A ,$253.46 , N/A , N/A , N/A ,$229.77 ,$229.77 ,$229.77 , N/A ,$229.77 ,$235.83 ,$235.83 ,$247.95 ,$275.50 ,$234.18 , N/A , N/A ,$154.56 , N/A ,$114.06 , N/A , N/A , N/A ,$234.18 ,$227.84 ,$77.14 ,$247.95 ,$216.27 ,$227.56 , N/A ,$179.08 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LURASIDONE 80 MG TABS,637,1 ,$85.50 ,$61.56 ,$23.94 ,$213.75 ,$213.75 ,$68.40 , N/A ,$23.94 ,$74.64 ,$78.57 , N/A ,$70.71 , N/A , N/A ,$78.66 , N/A , N/A , N/A ,$71.31 ,$71.31 ,$71.31 , N/A ,$71.31 ,$73.19 ,$73.19 ,$76.95 ,$85.50 ,$72.68 , N/A , N/A ,$47.97 , N/A ,$35.40 , N/A , N/A , N/A ,$72.68 ,$70.71 ,$23.94 ,$76.95 ,$67.12 ,$70.62 , N/A ,$55.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MELOXICAM 7.5 MG TABS,637,1 ,$4.75 ,$3.42 ,$1.33 ,$11.88 ,$11.88 ,$3.80 , N/A ,$1.33 ,$4.15 ,$4.37 , N/A ,$3.93 , N/A , N/A ,$4.37 , N/A , N/A , N/A ,$3.96 ,$3.96 ,$3.96 , N/A ,$3.96 ,$4.07 ,$4.07 ,$4.28 ,$4.75 ,$4.04 , N/A , N/A ,$2.66 , N/A ,$1.97 , N/A , N/A , N/A ,$4.04 ,$3.93 ,$1.33 ,$4.28 ,$3.73 ,$3.92 , N/A ,$3.09 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MESALAMINE EC 1.2 G TBEC,637,1 ,$18.75 ,$13.50 ,$5.25 ,$46.88 ,$46.88 ,$15.00 , N/A ,$5.25 ,$16.37 ,$17.23 , N/A ,$15.51 , N/A , N/A ,$17.25 , N/A , N/A , N/A ,$15.64 ,$15.64 ,$15.64 , N/A ,$15.64 ,$16.05 ,$16.05 ,$16.88 ,$18.75 ,$15.94 , N/A , N/A ,$10.52 , N/A ,$7.76 , N/A , N/A , N/A ,$15.94 ,$15.51 ,$5.25 ,$16.88 ,$14.72 ,$15.49 , N/A ,$12.19 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MIRABEGRON ER 25 MG TB24,637,1 ,$26.00 ,$18.72 ,$7.28 ,$65.00 ,$65.00 ,$20.80 , N/A ,$7.28 ,$22.70 ,$23.89 , N/A ,$21.50 , N/A , N/A ,$23.92 , N/A , N/A , N/A ,$21.68 ,$21.68 ,$21.68 , N/A ,$21.68 ,$22.26 ,$22.26 ,$23.40 ,$26.00 ,$22.10 , N/A , N/A ,$14.59 , N/A ,$10.76 , N/A , N/A , N/A ,$22.10 ,$21.50 ,$7.28 ,$23.40 ,$20.41 ,$21.48 , N/A ,$16.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MEDIHONEY WOUND/BURN DRESSING GEL 44 ML TUBE,637,1 ,$26.00 ,$18.72 ,$7.28 ,$65.00 ,$65.00 ,$20.80 , N/A ,$7.28 ,$22.70 ,$23.89 , N/A ,$21.50 , N/A , N/A ,$23.92 , N/A , N/A , N/A ,$21.68 ,$21.68 ,$21.68 , N/A ,$21.68 ,$22.26 ,$22.26 ,$23.40 ,$26.00 ,$22.10 , N/A , N/A ,$14.59 , N/A ,$10.76 , N/A , N/A , N/A ,$22.10 ,$21.50 ,$7.28 ,$23.40 ,$20.41 ,$21.48 , N/A ,$16.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MUPIROCIN 2 % OINT 22 G TUBE,637,1 ,$64.50 ,$46.44 ,$18.06 ,$161.25 ,$161.25 ,$51.60 , N/A ,$18.06 ,$56.31 ,$59.28 , N/A ,$53.34 , N/A , N/A ,$59.34 , N/A , N/A , N/A ,$53.79 ,$53.79 ,$53.79 , N/A ,$53.79 ,$55.21 ,$55.21 ,$58.05 ,$64.50 ,$54.83 , N/A , N/A ,$36.18 , N/A ,$26.70 , N/A , N/A , N/A ,$54.83 ,$53.34 ,$18.06 ,$58.05 ,$50.63 ,$53.28 , N/A ,$41.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NEOMYCIN-POLYMYXIN-HYDROCORTISONE 3.5-10000-1 SUSP 10 ML BOTTLE,637,1 ,$157.50 ,$113.40 ,$44.10 ,$393.75 ,$393.75 ,$126.00 , N/A ,$44.10 ,$137.50 ,$144.74 , N/A ,$130.25 , N/A , N/A ,$144.90 , N/A , N/A , N/A ,$131.36 ,$131.36 ,$131.36 , N/A ,$131.36 ,$134.82 ,$134.82 ,$141.75 ,$157.50 ,$133.88 , N/A , N/A ,$88.36 , N/A ,$65.21 , N/A , N/A , N/A ,$133.88 ,$130.25 ,$44.10 ,$141.75 ,$123.64 ,$130.10 , N/A ,$102.38 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NICOTINE 10 MG INHA 168 EACH INHALER,637,1 ,$5.17 ,$3.72 ,$1.45 ,$12.93 ,$12.93 ,$4.14 , N/A ,$1.45 ,$4.51 ,$4.75 , N/A ,$4.28 , N/A , N/A ,$4.76 , N/A , N/A , N/A ,$4.31 ,$4.31 ,$4.31 , N/A ,$4.31 ,$4.43 ,$4.43 ,$4.65 ,$5.17 ,$4.39 , N/A , N/A ,$2.90 , N/A ,$2.14 , N/A , N/A , N/A ,$4.39 ,$4.28 ,$1.45 ,$4.65 ,$4.06 ,$4.27 , N/A ,$3.36 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM POWD 15 G BOTTLE,637,1 ,$41.50 ,$29.88 ,$11.62 ,$103.75 ,$103.75 ,$33.20 , N/A ,$11.62 ,$36.23 ,$38.14 , N/A ,$34.32 , N/A , N/A ,$38.18 , N/A , N/A , N/A ,$34.61 ,$34.61 ,$34.61 , N/A ,$34.61 ,$35.52 ,$35.52 ,$37.35 ,$41.50 ,$35.28 , N/A , N/A ,$23.28 , N/A ,$17.18 , N/A , N/A , N/A ,$35.28 ,$34.32 ,$11.62 ,$37.35 ,$32.58 ,$34.28 , N/A ,$26.98 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM POWD 30 G BOTTLE,637,1 ,$81.00 ,$58.32 ,$22.68 ,$202.50 ,$202.50 ,$64.80 , N/A ,$22.68 ,$70.71 ,$74.44 , N/A ,$66.99 , N/A , N/A ,$74.52 , N/A , N/A , N/A ,$67.55 ,$67.55 ,$67.55 , N/A ,$67.55 ,$69.34 ,$69.34 ,$72.90 ,$81.00 ,$68.85 , N/A , N/A ,$45.44 , N/A ,$33.53 , N/A , N/A , N/A ,$68.85 ,$66.99 ,$22.68 ,$72.90 ,$63.59 ,$66.91 , N/A ,$52.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% CREA 15 G TUBE,637,1 ,$168.00 ,$120.96 ,$47.04 ,$420.00 ,$420.00 ,$134.40 , N/A ,$47.04 ,$146.66 ,$154.39 , N/A ,$138.94 , N/A , N/A ,$154.56 , N/A , N/A , N/A ,$140.11 ,$140.11 ,$140.11 , N/A ,$140.11 ,$143.81 ,$143.81 ,$151.20 ,$168.00 ,$142.80 , N/A , N/A ,$94.25 , N/A ,$69.55 , N/A , N/A , N/A ,$142.80 ,$138.94 ,$47.04 ,$151.20 ,$131.88 ,$138.77 , N/A ,$109.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OLANZAPINE 2.5 MG TABS,637,1 ,$17.00 ,$12.24 ,$4.76 ,$42.50 ,$42.50 ,$13.60 , N/A ,$4.76 ,$14.84 ,$15.62 , N/A ,$14.06 , N/A , N/A ,$15.64 , N/A , N/A , N/A ,$14.18 ,$14.18 ,$14.18 , N/A ,$14.18 ,$14.55 ,$14.55 ,$15.30 ,$17.00 ,$14.45 , N/A , N/A ,$9.54 , N/A ,$7.04 , N/A , N/A , N/A ,$14.45 ,$14.06 ,$4.76 ,$15.30 ,$13.35 ,$14.04 , N/A ,$11.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROCORTISONE 2.5 % CREA 30 G TUBE,637,1 ,$17.00 ,$12.24 ,$4.76 ,$42.50 ,$42.50 ,$13.60 , N/A ,$4.76 ,$14.84 ,$15.62 , N/A ,$14.06 , N/A , N/A ,$15.64 , N/A , N/A , N/A ,$14.18 ,$14.18 ,$14.18 , N/A ,$14.18 ,$14.55 ,$14.55 ,$15.30 ,$17.00 ,$14.45 , N/A , N/A ,$9.54 , N/A ,$7.04 , N/A , N/A , N/A ,$14.45 ,$14.06 ,$4.76 ,$15.30 ,$13.35 ,$14.04 , N/A ,$11.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OLANZAPINE 5 MG TABS,637,1 ,$16.50 ,$11.88 ,$4.62 ,$41.25 ,$41.25 ,$13.20 , N/A ,$4.62 ,$14.40 ,$15.16 , N/A ,$13.65 , N/A , N/A ,$15.18 , N/A , N/A , N/A ,$13.76 ,$13.76 ,$13.76 , N/A ,$13.76 ,$14.12 ,$14.12 ,$14.85 ,$16.50 ,$14.03 , N/A , N/A ,$9.26 , N/A ,$6.83 , N/A , N/A , N/A ,$14.03 ,$13.65 ,$4.62 ,$14.85 ,$12.95 ,$13.63 , N/A ,$10.73 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OMEPRAZOLE 2 MG/ML SUSP,637,1 ,$28.00 ,$20.16 ,$7.84 ,$70.00 ,$70.00 ,$22.40 , N/A ,$7.84 ,$24.44 ,$25.73 , N/A ,$23.16 , N/A , N/A ,$25.76 , N/A , N/A , N/A ,$23.35 ,$23.35 ,$23.35 , N/A ,$23.35 ,$23.97 ,$23.97 ,$25.20 ,$28.00 ,$23.80 , N/A , N/A ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 , N/A ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ONDANSETRON 4 MG TBDP,637,1 ,$35.00 ,$25.20 ,$9.80 ,$87.50 ,$87.50 ,$28.00 , N/A ,$9.80 ,$30.56 ,$32.17 , N/A ,$28.95 , N/A , N/A ,$32.20 , N/A , N/A , N/A ,$29.19 ,$29.19 ,$29.19 , N/A ,$29.19 ,$29.96 ,$29.96 ,$31.50 ,$35.00 ,$29.75 , N/A , N/A ,$19.64 , N/A ,$14.49 , N/A , N/A , N/A ,$29.75 ,$28.95 ,$9.80 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OSELTAMIVIR 30 MG CAPS,637,1 ,$21.50 ,$15.48 ,$6.02 ,$53.75 ,$53.75 ,$17.20 , N/A ,$6.02 ,$18.77 ,$19.76 , N/A ,$17.78 , N/A , N/A ,$19.78 , N/A , N/A , N/A ,$17.93 ,$17.93 ,$17.93 , N/A ,$17.93 ,$18.40 ,$18.40 ,$19.35 ,$21.50 ,$18.28 , N/A , N/A ,$12.06 , N/A ,$8.90 , N/A , N/A , N/A ,$18.28 ,$17.78 ,$6.02 ,$19.35 ,$16.88 ,$17.76 , N/A ,$13.98 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OSELTAMIVIR 75 MG CAPS,637,1 ,$23.50 ,$16.92 ,$6.58 ,$58.75 ,$58.75 ,$18.80 , N/A ,$6.58 ,$20.52 ,$21.60 , N/A ,$19.43 , N/A , N/A ,$21.62 , N/A , N/A , N/A ,$19.60 ,$19.60 ,$19.60 , N/A ,$19.60 ,$20.12 ,$20.12 ,$21.15 ,$23.50 ,$19.98 , N/A , N/A ,$13.18 , N/A ,$9.73 , N/A , N/A , N/A ,$19.98 ,$19.43 ,$6.58 ,$21.15 ,$18.45 ,$19.41 , N/A ,$15.28 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AZITHROMYCIN 500 MG TABS,637,1 ,$23.50 ,$16.92 ,$6.58 ,$58.75 ,$58.75 ,$18.80 , N/A ,$6.58 ,$20.52 ,$21.60 , N/A ,$19.43 , N/A , N/A ,$21.62 , N/A , N/A , N/A ,$19.60 ,$19.60 ,$19.60 , N/A ,$19.60 ,$20.12 ,$20.12 ,$21.15 ,$23.50 ,$19.98 , N/A , N/A ,$13.18 , N/A ,$9.73 , N/A , N/A , N/A ,$19.98 ,$19.43 ,$6.58 ,$21.15 ,$18.45 ,$19.41 , N/A ,$15.28 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OXYCODONE ER 10 MG T12A,637,1 ,$8.75 ,$6.30 ,$2.45 ,$21.88 ,$21.88 ,$7.00 , N/A ,$2.45 ,$7.64 ,$8.04 , N/A ,$7.24 , N/A , N/A ,$8.05 , N/A , N/A , N/A ,$7.30 ,$7.30 ,$7.30 , N/A ,$7.30 ,$7.49 ,$7.49 ,$7.88 ,$8.75 ,$7.44 , N/A , N/A ,$4.91 , N/A ,$3.62 , N/A , N/A , N/A ,$7.44 ,$7.24 ,$2.45 ,$7.88 ,$6.87 ,$7.23 , N/A ,$5.69 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PRAVASTATIN 20 MG TABS,637,1 ,$5.00 ,$3.60 ,$1.40 ,$12.50 ,$12.50 ,$4.00 , N/A ,$1.40 ,$4.37 ,$4.60 , N/A ,$4.14 , N/A , N/A ,$4.60 , N/A , N/A , N/A ,$4.17 ,$4.17 ,$4.17 , N/A ,$4.17 ,$4.28 ,$4.28 ,$4.50 ,$5.00 ,$4.25 , N/A , N/A ,$2.81 , N/A ,$2.07 , N/A , N/A , N/A ,$4.25 ,$4.14 ,$1.40 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN-CODEINE 120-12 MG/5ML SOLN,637,1 ,$5.00 ,$3.60 ,$1.40 ,$12.50 ,$12.50 ,$4.00 , N/A ,$1.40 ,$4.37 ,$4.60 , N/A ,$4.14 , N/A , N/A ,$4.60 , N/A , N/A , N/A ,$4.17 ,$4.17 ,$4.17 , N/A ,$4.17 ,$4.28 ,$4.28 ,$4.50 ,$5.00 ,$4.25 , N/A , N/A ,$2.81 , N/A ,$2.07 , N/A , N/A , N/A ,$4.25 ,$4.14 ,$1.40 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FINASTERIDE 5 MG TABS,637,1 ,$5.00 ,$3.60 ,$1.40 ,$12.50 ,$12.50 ,$4.00 , N/A ,$1.40 ,$4.37 ,$4.60 , N/A ,$4.14 , N/A , N/A ,$4.60 , N/A , N/A , N/A ,$4.17 ,$4.17 ,$4.17 , N/A ,$4.17 ,$4.28 ,$4.28 ,$4.50 ,$5.00 ,$4.25 , N/A , N/A ,$2.81 , N/A ,$2.07 , N/A , N/A , N/A ,$4.25 ,$4.14 ,$1.40 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PHENOL 1.4 % LIQD 177 ML SPRAY BOTTLE,637,1 ,$5.00 ,$3.60 ,$1.40 ,$12.50 ,$12.50 ,$4.00 , N/A ,$1.40 ,$4.37 ,$4.60 , N/A ,$4.14 , N/A , N/A ,$4.60 , N/A , N/A , N/A ,$4.17 ,$4.17 ,$4.17 , N/A ,$4.17 ,$4.28 ,$4.28 ,$4.50 ,$5.00 ,$4.25 , N/A , N/A ,$2.81 , N/A ,$2.07 , N/A , N/A , N/A ,$4.25 ,$4.14 ,$1.40 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PRAVASTATIN 10 MG TABS,637,1 ,$5.00 ,$3.60 ,$1.40 ,$12.50 ,$12.50 ,$4.00 , N/A ,$1.40 ,$4.37 ,$4.60 , N/A ,$4.14 , N/A , N/A ,$4.60 , N/A , N/A , N/A ,$4.17 ,$4.17 ,$4.17 , N/A ,$4.17 ,$4.28 ,$4.28 ,$4.50 ,$5.00 ,$4.25 , N/A , N/A ,$2.81 , N/A ,$2.07 , N/A , N/A , N/A ,$4.25 ,$4.14 ,$1.40 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PREGABALIN 50 MG CAPS,637,1 ,$11.00 ,$7.92 ,$3.08 ,$27.50 ,$27.50 ,$8.80 , N/A ,$3.08 ,$9.60 ,$10.11 , N/A ,$9.10 , N/A , N/A ,$10.12 , N/A , N/A , N/A ,$9.17 ,$9.17 ,$9.17 , N/A ,$9.17 ,$9.42 ,$9.42 ,$9.90 ,$11.00 ,$9.35 , N/A , N/A ,$6.17 , N/A ,$4.55 , N/A , N/A , N/A ,$9.35 ,$9.10 ,$3.08 ,$9.90 ,$8.64 ,$9.09 , N/A ,$7.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,RISPERIDONE 0.25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$15.00 ,$15.00 ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 ,$6.00 ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,"BENADRYL,MAALOX,LIDOCAINE 0.68%,SIMETHICONE SUSP",637,1 ,$6.00 ,$4.32 ,$1.68 ,$15.00 ,$15.00 ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 ,$6.00 ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MAGNESIUM-ALUMINUM-SIMETHICONE 400-400-40 MG/5ML SUSP 30 ML CUP,637,1 ,$6.00 ,$4.32 ,$1.68 ,$15.00 ,$15.00 ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 ,$6.00 ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OXYMETAZOLINE 0.05 % SOLN 30 ML BOTTLE,637,1 ,$6.00 ,$4.32 ,$1.68 ,$15.00 ,$15.00 ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 ,$6.00 ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PANTOPRAZOLE EC 20 MG TBEC,637,1 ,$6.00 ,$4.32 ,$1.68 ,$15.00 ,$15.00 ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 ,$6.00 ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,QUETIAPINE 25 MG TABS,637,1 ,$6.00 ,$4.32 ,$1.68 ,$15.00 ,$15.00 ,$4.80 , N/A ,$1.68 ,$5.24 ,$5.51 , N/A ,$4.96 , N/A , N/A ,$5.52 , N/A , N/A , N/A ,$5.00 ,$5.00 ,$5.00 , N/A ,$5.00 ,$5.14 ,$5.14 ,$5.40 ,$6.00 ,$5.10 , N/A , N/A ,$3.37 , N/A ,$2.48 , N/A , N/A , N/A ,$5.10 ,$4.96 ,$1.68 ,$5.40 ,$4.71 ,$4.96 , N/A ,$3.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,RISPERIDONE 1 MG TABS,637,1 ,$7.00 ,$5.04 ,$1.96 ,$17.50 ,$17.50 ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 ,$7.00 ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BUPROPION XL 150 MG TB24,637,1 ,$7.00 ,$5.04 ,$1.96 ,$17.50 ,$17.50 ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 ,$7.00 ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CELECOXIB 100 MG CAPS,637,1 ,$7.00 ,$5.04 ,$1.96 ,$17.50 ,$17.50 ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 ,$7.00 ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CLOPIDOGREL 75 MG TABS,637,1 ,$7.00 ,$5.04 ,$1.96 ,$17.50 ,$17.50 ,$5.60 , N/A ,$1.96 ,$6.11 ,$6.43 , N/A ,$5.79 , N/A , N/A ,$6.44 , N/A , N/A , N/A ,$5.84 ,$5.84 ,$5.84 , N/A ,$5.84 ,$5.99 ,$5.99 ,$6.30 ,$7.00 ,$5.95 , N/A , N/A ,$3.93 , N/A ,$2.90 , N/A , N/A , N/A ,$5.95 ,$5.79 ,$1.96 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,RIVAROXABAN 10 MG TABS,637,1 ,$31.00 ,$22.32 ,$8.68 ,$77.50 ,$77.50 ,$24.80 , N/A ,$8.68 ,$27.06 ,$28.49 , N/A ,$25.64 , N/A , N/A ,$28.52 , N/A , N/A , N/A ,$25.85 ,$25.85 ,$25.85 , N/A ,$25.85 ,$26.54 ,$26.54 ,$27.90 ,$31.00 ,$26.35 , N/A , N/A ,$17.39 , N/A ,$12.83 , N/A , N/A , N/A ,$26.35 ,$25.64 ,$8.68 ,$27.90 ,$24.34 ,$25.61 , N/A ,$20.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SACUBITRIL-VALSARTAN 24-26 MG TABS,637,1 ,$19.25 ,$13.86 ,$5.39 ,$48.13 ,$48.13 ,$15.40 , N/A ,$5.39 ,$16.81 ,$17.69 , N/A ,$15.92 , N/A , N/A ,$17.71 , N/A , N/A , N/A ,$16.05 ,$16.05 ,$16.05 , N/A ,$16.05 ,$16.48 ,$16.48 ,$17.33 ,$19.25 ,$16.36 , N/A , N/A ,$10.80 , N/A ,$7.97 , N/A , N/A , N/A ,$16.36 ,$15.92 ,$5.39 ,$17.33 ,$15.11 ,$15.90 , N/A ,$12.51 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SILVER SULFADIAZINE 1 % CREA 50 G JAR,637,1 ,$23.00 ,$16.56 ,$6.44 ,$57.50 ,$57.50 ,$18.40 , N/A ,$6.44 ,$20.08 ,$21.14 , N/A ,$19.02 , N/A , N/A ,$21.16 , N/A , N/A , N/A ,$19.18 ,$19.18 ,$19.18 , N/A ,$19.18 ,$19.69 ,$19.69 ,$20.70 ,$23.00 ,$19.55 , N/A , N/A ,$12.90 , N/A ,$9.52 , N/A , N/A , N/A ,$19.55 ,$19.02 ,$6.44 ,$20.70 ,$18.06 ,$19.00 , N/A ,$14.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SODIUM POLYSTYRENE 15 GM/60ML SUSP,637,1 ,$37.75 ,$27.18 ,$10.57 ,$94.38 ,$94.38 ,$30.20 , N/A ,$10.57 ,$32.96 ,$34.69 , N/A ,$31.22 , N/A , N/A ,$34.73 , N/A , N/A , N/A ,$31.48 ,$31.48 ,$31.48 , N/A ,$31.48 ,$32.31 ,$32.31 ,$33.98 ,$37.75 ,$32.09 , N/A , N/A ,$21.18 , N/A ,$15.63 , N/A , N/A , N/A ,$32.09 ,$31.22 ,$10.57 ,$33.98 ,$29.63 ,$31.18 , N/A ,$24.54 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SOLIFENACIN 5 MG TABS,637,1 ,$22.00 ,$15.84 ,$6.16 ,$55.00 ,$55.00 ,$17.60 , N/A ,$6.16 ,$19.21 ,$20.22 , N/A ,$18.19 , N/A , N/A ,$20.24 , N/A , N/A , N/A ,$18.35 ,$18.35 ,$18.35 , N/A ,$18.35 ,$18.83 ,$18.83 ,$19.80 ,$22.00 ,$18.70 , N/A , N/A ,$12.34 , N/A ,$9.11 , N/A , N/A , N/A ,$18.70 ,$18.19 ,$6.16 ,$19.80 ,$17.27 ,$18.17 , N/A ,$14.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FENTANYL 25 MCG/HR PT72,637,1 ,$22.00 ,$15.84 ,$6.16 ,$55.00 ,$55.00 ,$17.60 , N/A ,$6.16 ,$19.21 ,$20.22 , N/A ,$18.19 , N/A , N/A ,$20.24 , N/A , N/A , N/A ,$18.35 ,$18.35 ,$18.35 , N/A ,$18.35 ,$18.83 ,$18.83 ,$19.80 ,$22.00 ,$18.70 , N/A , N/A ,$12.34 , N/A ,$9.11 , N/A , N/A , N/A ,$18.70 ,$18.19 ,$6.16 ,$19.80 ,$17.27 ,$18.17 , N/A ,$14.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SUMATRIPTAN 50 MG TABS,637,1 ,$38.00 ,$27.36 ,$10.64 ,$95.00 ,$95.00 ,$30.40 , N/A ,$10.64 ,$33.17 ,$34.92 , N/A ,$31.43 , N/A , N/A ,$34.96 , N/A , N/A , N/A ,$31.69 ,$31.69 ,$31.69 , N/A ,$31.69 ,$32.53 ,$32.53 ,$34.20 ,$38.00 ,$32.30 , N/A , N/A ,$21.32 , N/A ,$15.73 , N/A , N/A , N/A ,$32.30 ,$31.43 ,$10.64 ,$34.20 ,$29.83 ,$31.39 , N/A ,$24.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,THEOPHYLLINE ER 100 MG CP24,637,1 ,$5.25 ,$3.78 ,$1.47 ,$13.13 ,$13.13 ,$4.20 , N/A ,$1.47 ,$4.58 ,$4.82 , N/A ,$4.34 , N/A , N/A ,$4.83 , N/A , N/A , N/A ,$4.38 ,$4.38 ,$4.38 , N/A ,$4.38 ,$4.49 ,$4.49 ,$4.73 ,$5.25 ,$4.46 , N/A , N/A ,$2.95 , N/A ,$2.17 , N/A , N/A , N/A ,$4.46 ,$4.34 ,$1.47 ,$4.73 ,$4.12 ,$4.34 , N/A ,$3.41 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TICAGRELOR 90 MG TABS,637,1 ,$13.00 ,$9.36 ,$3.64 ,$32.50 ,$32.50 ,$10.40 , N/A ,$3.64 ,$11.35 ,$11.95 , N/A ,$10.75 , N/A , N/A ,$11.96 , N/A , N/A , N/A ,$10.84 ,$10.84 ,$10.84 , N/A ,$10.84 ,$11.13 ,$11.13 ,$11.70 ,$13.00 ,$11.05 , N/A , N/A ,$7.29 , N/A ,$5.38 , N/A , N/A , N/A ,$11.05 ,$10.75 ,$3.64 ,$11.70 ,$10.21 ,$10.74 , N/A ,$8.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BACITRACIN 500 UNIT/GM OINT 28 G TUBE,637,1 ,$13.00 ,$9.36 ,$3.64 ,$32.50 ,$32.50 ,$10.40 , N/A ,$3.64 ,$11.35 ,$11.95 , N/A ,$10.75 , N/A , N/A ,$11.96 , N/A , N/A , N/A ,$10.84 ,$10.84 ,$10.84 , N/A ,$10.84 ,$11.13 ,$11.13 ,$11.70 ,$13.00 ,$11.05 , N/A , N/A ,$7.29 , N/A ,$5.38 , N/A , N/A , N/A ,$11.05 ,$10.75 ,$3.64 ,$11.70 ,$10.21 ,$10.74 , N/A ,$8.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TIMOLOL 0.25 % SOLN 5 ML BOTTLE,637,1 ,$5.50 ,$3.96 ,$1.54 ,$13.75 ,$13.75 ,$4.40 , N/A ,$1.54 ,$4.80 ,$5.05 , N/A ,$4.55 , N/A , N/A ,$5.06 , N/A , N/A , N/A ,$4.59 ,$4.59 ,$4.59 , N/A ,$4.59 ,$4.71 ,$4.71 ,$4.95 ,$5.50 ,$4.68 , N/A , N/A ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.68 ,$4.55 ,$1.54 ,$4.95 ,$4.32 ,$4.54 , N/A ,$3.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MENTHOL-METHYL SALICYLATE 10-15 % CREA 85 G TUBE,637,1 ,$5.50 ,$3.96 ,$1.54 ,$13.75 ,$13.75 ,$4.40 , N/A ,$1.54 ,$4.80 ,$5.05 , N/A ,$4.55 , N/A , N/A ,$5.06 , N/A , N/A , N/A ,$4.59 ,$4.59 ,$4.59 , N/A ,$4.59 ,$4.71 ,$4.71 ,$4.95 ,$5.50 ,$4.68 , N/A , N/A ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.68 ,$4.55 ,$1.54 ,$4.95 ,$4.32 ,$4.54 , N/A ,$3.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NITROFURANTOIN (MACROCRYSTAL-MONOHYDRATE) 100 MG CAPS,637,1 ,$5.50 ,$3.96 ,$1.54 ,$13.75 ,$13.75 ,$4.40 , N/A ,$1.54 ,$4.80 ,$5.05 , N/A ,$4.55 , N/A , N/A ,$5.06 , N/A , N/A , N/A ,$4.59 ,$4.59 ,$4.59 , N/A ,$4.59 ,$4.71 ,$4.71 ,$4.95 ,$5.50 ,$4.68 , N/A , N/A ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.68 ,$4.55 ,$1.54 ,$4.95 ,$4.32 ,$4.54 , N/A ,$3.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PROPYLTHIOURACIL 50 MG TABS,637,1 ,$5.50 ,$3.96 ,$1.54 ,$13.75 ,$13.75 ,$4.40 , N/A ,$1.54 ,$4.80 ,$5.05 , N/A ,$4.55 , N/A , N/A ,$5.06 , N/A , N/A , N/A ,$4.59 ,$4.59 ,$4.59 , N/A ,$4.59 ,$4.71 ,$4.71 ,$4.95 ,$5.50 ,$4.68 , N/A , N/A ,$3.09 , N/A ,$2.28 , N/A , N/A , N/A ,$4.68 ,$4.55 ,$1.54 ,$4.95 ,$4.32 ,$4.54 , N/A ,$3.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TIMOLOL 0.5 % SOLN 10 ML BOTTLE,637,1 ,$49.00 ,$35.28 ,$13.72 ,$122.50 ,$122.50 ,$39.20 , N/A ,$13.72 ,$42.78 ,$45.03 , N/A ,$40.52 , N/A , N/A ,$45.08 , N/A , N/A , N/A ,$40.87 ,$40.87 ,$40.87 , N/A ,$40.87 ,$41.94 ,$41.94 ,$44.10 ,$49.00 ,$41.65 , N/A , N/A ,$27.49 , N/A ,$20.29 , N/A , N/A , N/A ,$41.65 ,$40.52 ,$13.72 ,$44.10 ,$38.47 ,$40.47 , N/A ,$31.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TIMOLOL 0.5 % SOLN 5 ML BOTTLE,637,1 ,$25.50 ,$18.36 ,$7.14 ,$63.75 ,$63.75 ,$20.40 , N/A ,$7.14 ,$22.26 ,$23.43 , N/A ,$21.09 , N/A , N/A ,$23.46 , N/A , N/A , N/A ,$21.27 ,$21.27 ,$21.27 , N/A ,$21.27 ,$21.83 ,$21.83 ,$22.95 ,$25.50 ,$21.68 , N/A , N/A ,$14.31 , N/A ,$10.56 , N/A , N/A , N/A ,$21.68 ,$21.09 ,$7.14 ,$22.95 ,$20.02 ,$21.06 , N/A ,$16.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOFLOXACIN 500 MG TABS,637,1 ,$25.50 ,$18.36 ,$7.14 ,$63.75 ,$63.75 ,$20.40 , N/A ,$7.14 ,$22.26 ,$23.43 , N/A ,$21.09 , N/A , N/A ,$23.46 , N/A , N/A , N/A ,$21.27 ,$21.27 ,$21.27 , N/A ,$21.27 ,$21.83 ,$21.83 ,$22.95 ,$25.50 ,$21.68 , N/A , N/A ,$14.31 , N/A ,$10.56 , N/A , N/A , N/A ,$21.68 ,$21.09 ,$7.14 ,$22.95 ,$20.02 ,$21.06 , N/A ,$16.58 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TIOTROPIUM 18 MCG CAPS,637,1 ,$35.50 ,$25.56 ,$9.94 ,$88.75 ,$88.75 ,$28.40 , N/A ,$9.94 ,$30.99 ,$32.62 , N/A ,$29.36 , N/A , N/A ,$32.66 , N/A , N/A , N/A ,$29.61 ,$29.61 ,$29.61 , N/A ,$29.61 ,$30.39 ,$30.39 ,$31.95 ,$35.50 ,$30.18 , N/A , N/A ,$19.92 , N/A ,$14.70 , N/A , N/A , N/A ,$30.18 ,$29.36 ,$9.94 ,$31.95 ,$27.87 ,$29.32 , N/A ,$23.08 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TOBRAMYCIN 0.3 % SOLN 5 ML BOTTLE,637,1 ,$9.50 ,$6.84 ,$2.66 ,$23.75 ,$23.75 ,$7.60 , N/A ,$2.66 ,$8.29 ,$8.73 , N/A ,$7.86 , N/A , N/A ,$8.74 , N/A , N/A , N/A ,$7.92 ,$7.92 ,$7.92 , N/A ,$7.92 ,$8.13 ,$8.13 ,$8.55 ,$9.50 ,$8.08 , N/A , N/A ,$5.33 , N/A ,$3.93 , N/A , N/A , N/A ,$8.08 ,$7.86 ,$2.66 ,$8.55 ,$7.46 ,$7.85 , N/A ,$6.18 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % SUSP 2.5 ML BOTTLE,637,1 ,$150.00 ,$108.00 ,$42.00 ,$375.00 ,$375.00 ,$120.00 , N/A ,$42.00 ,$130.95 ,$137.85 , N/A ,$124.05 , N/A , N/A ,$138.00 , N/A , N/A , N/A ,$125.10 ,$125.10 ,$125.10 , N/A ,$125.10 ,$128.40 ,$128.40 ,$135.00 ,$150.00 ,$127.50 , N/A , N/A ,$84.15 , N/A ,$62.10 , N/A , N/A , N/A ,$127.50 ,$124.05 ,$42.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TRIAMCINOLONE 0.1 % OINT 15 G TUBE,637,1 ,$8.50 ,$6.12 ,$2.38 ,$21.25 ,$21.25 ,$6.80 , N/A ,$2.38 ,$7.42 ,$7.81 , N/A ,$7.03 , N/A , N/A ,$7.82 , N/A , N/A , N/A ,$7.09 ,$7.09 ,$7.09 , N/A ,$7.09 ,$7.28 ,$7.28 ,$7.65 ,$8.50 ,$7.23 , N/A , N/A ,$4.77 , N/A ,$3.52 , N/A , N/A , N/A ,$7.23 ,$7.03 ,$2.38 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CITRIC ACID-SODIUM CITRATE 500-334 MG/5ML SOLN,637,1 ,$8.50 ,$6.12 ,$2.38 ,$21.25 ,$21.25 ,$6.80 , N/A ,$2.38 ,$7.42 ,$7.81 , N/A ,$7.03 , N/A , N/A ,$7.82 , N/A , N/A , N/A ,$7.09 ,$7.09 ,$7.09 , N/A ,$7.09 ,$7.28 ,$7.28 ,$7.65 ,$8.50 ,$7.23 , N/A , N/A ,$4.77 , N/A ,$3.52 , N/A , N/A , N/A ,$7.23 ,$7.03 ,$2.38 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DOXYCYCLINE HYCLATE 100 MG TABS,637,1 ,$8.50 ,$6.12 ,$2.38 ,$21.25 ,$21.25 ,$6.80 , N/A ,$2.38 ,$7.42 ,$7.81 , N/A ,$7.03 , N/A , N/A ,$7.82 , N/A , N/A , N/A ,$7.09 ,$7.09 ,$7.09 , N/A ,$7.09 ,$7.28 ,$7.28 ,$7.65 ,$8.50 ,$7.23 , N/A , N/A ,$4.77 , N/A ,$3.52 , N/A , N/A , N/A ,$7.23 ,$7.03 ,$2.38 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MONTELUKAST 10 MG TABS,637,1 ,$8.50 ,$6.12 ,$2.38 ,$21.25 ,$21.25 ,$6.80 , N/A ,$2.38 ,$7.42 ,$7.81 , N/A ,$7.03 , N/A , N/A ,$7.82 , N/A , N/A , N/A ,$7.09 ,$7.09 ,$7.09 , N/A ,$7.09 ,$7.28 ,$7.28 ,$7.65 ,$8.50 ,$7.23 , N/A , N/A ,$4.77 , N/A ,$3.52 , N/A , N/A , N/A ,$7.23 ,$7.03 ,$2.38 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TRIAMCINOLONE 0.1 % CREA 15 G TUBE,637,1 ,$8.50 ,$6.12 ,$2.38 ,$21.25 ,$21.25 ,$6.80 , N/A ,$2.38 ,$7.42 ,$7.81 , N/A ,$7.03 , N/A , N/A ,$7.82 , N/A , N/A , N/A ,$7.09 ,$7.09 ,$7.09 , N/A ,$7.09 ,$7.28 ,$7.28 ,$7.65 ,$8.50 ,$7.23 , N/A , N/A ,$4.77 , N/A ,$3.52 , N/A , N/A , N/A ,$7.23 ,$7.03 ,$2.38 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TRIMETHOPRIM-POLYMYXIN B 10000-0.1 UNIT/ML-% SOLN 10 ML BOTTLE,637,1 ,$26.50 ,$19.08 ,$7.42 ,$66.25 ,$66.25 ,$21.20 , N/A ,$7.42 ,$23.13 ,$24.35 , N/A ,$21.92 , N/A , N/A ,$24.38 , N/A , N/A , N/A ,$22.10 ,$22.10 ,$22.10 , N/A ,$22.10 ,$22.68 ,$22.68 ,$23.85 ,$26.50 ,$22.53 , N/A , N/A ,$14.87 , N/A ,$10.97 , N/A , N/A , N/A ,$22.53 ,$21.92 ,$7.42 ,$23.85 ,$20.80 ,$21.89 , N/A ,$17.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/GM CREA 15 G TUBE,637,1 ,$26.50 ,$19.08 ,$7.42 ,$66.25 ,$66.25 ,$21.20 , N/A ,$7.42 ,$23.13 ,$24.35 , N/A ,$21.92 , N/A , N/A ,$24.38 , N/A , N/A , N/A ,$22.10 ,$22.10 ,$22.10 , N/A ,$22.10 ,$22.68 ,$22.68 ,$23.85 ,$26.50 ,$22.53 , N/A , N/A ,$14.87 , N/A ,$10.97 , N/A , N/A , N/A ,$22.53 ,$21.92 ,$7.42 ,$23.85 ,$20.80 ,$21.89 , N/A ,$17.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VALACYCLOVIR 500 MG TABS,637,1 ,$9.00 ,$6.48 ,$2.52 ,$22.50 ,$22.50 ,$7.20 , N/A ,$2.52 ,$7.86 ,$8.27 , N/A ,$7.44 , N/A , N/A ,$8.28 , N/A , N/A , N/A ,$7.51 ,$7.51 ,$7.51 , N/A ,$7.51 ,$7.70 ,$7.70 ,$8.10 ,$9.00 ,$7.65 , N/A , N/A ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CEFDINIR 125 MG/5ML SUSR,637,1 ,$9.00 ,$6.48 ,$2.52 ,$22.50 ,$22.50 ,$7.20 , N/A ,$2.52 ,$7.86 ,$8.27 , N/A ,$7.44 , N/A , N/A ,$8.28 , N/A , N/A , N/A ,$7.51 ,$7.51 ,$7.51 , N/A ,$7.51 ,$7.70 ,$7.70 ,$8.10 ,$9.00 ,$7.65 , N/A , N/A ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CLOTRIMAZOLE 1 % CREA 15 G TUBE,637,1 ,$9.00 ,$6.48 ,$2.52 ,$22.50 ,$22.50 ,$7.20 , N/A ,$2.52 ,$7.86 ,$8.27 , N/A ,$7.44 , N/A , N/A ,$8.28 , N/A , N/A , N/A ,$7.51 ,$7.51 ,$7.51 , N/A ,$7.51 ,$7.70 ,$7.70 ,$8.10 ,$9.00 ,$7.65 , N/A , N/A ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIBUCAINE 1 % OINT 28 G TUBE,637,1 ,$9.00 ,$6.48 ,$2.52 ,$22.50 ,$22.50 ,$7.20 , N/A ,$2.52 ,$7.86 ,$8.27 , N/A ,$7.44 , N/A , N/A ,$8.28 , N/A , N/A , N/A ,$7.51 ,$7.51 ,$7.51 , N/A ,$7.51 ,$7.70 ,$7.70 ,$8.10 ,$9.00 ,$7.65 , N/A , N/A ,$5.05 , N/A ,$3.73 , N/A , N/A , N/A ,$7.65 ,$7.44 ,$2.52 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VANCOMYCIN 125 MG CAPS,637,1 ,$47.00 ,$33.84 ,$13.16 ,$117.50 ,$117.50 ,$37.60 , N/A ,$13.16 ,$41.03 ,$43.19 , N/A ,$38.87 , N/A , N/A ,$43.24 , N/A , N/A , N/A ,$39.20 ,$39.20 ,$39.20 , N/A ,$39.20 ,$40.23 ,$40.23 ,$42.30 ,$47.00 ,$39.95 , N/A , N/A ,$26.37 , N/A ,$19.46 , N/A , N/A , N/A ,$39.95 ,$38.87 ,$13.16 ,$42.30 ,$36.90 ,$38.82 , N/A ,$30.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VENLAFAXINE XR 75 MG CP24,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ALFUZOSIN ER 10 MG TB24,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ESCITALOPRAM 10 MG TABS,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE PROPIONATE 220 MCG/ACT AERO,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MEGESTROL 400 MG/10ML SUSP,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PANTOPRAZOLE EC 40 MG TBEC,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TAMSULOSIN 0.4 MG CAPS,637,1 ,$6.50 ,$4.68 ,$1.82 ,$16.25 ,$16.25 ,$5.20 , N/A ,$1.82 ,$5.67 ,$5.97 , N/A ,$5.38 , N/A , N/A ,$5.98 , N/A , N/A , N/A ,$5.42 ,$5.42 ,$5.42 , N/A ,$5.42 ,$5.56 ,$5.56 ,$5.85 ,$6.50 ,$5.53 , N/A , N/A ,$3.65 , N/A ,$2.69 , N/A , N/A , N/A ,$5.53 ,$5.38 ,$1.82 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ZIPRASIDONE 20 MG CAPS,637,1 ,$13.50 ,$9.72 ,$3.78 ,$33.75 ,$33.75 ,$10.80 , N/A ,$3.78 ,$11.79 ,$12.41 , N/A ,$11.16 , N/A , N/A ,$12.42 , N/A , N/A , N/A ,$11.26 ,$11.26 ,$11.26 , N/A ,$11.26 ,$11.56 ,$11.56 ,$12.15 ,$13.50 ,$11.48 , N/A , N/A ,$7.57 , N/A ,$5.59 , N/A , N/A , N/A ,$11.48 ,$11.16 ,$3.78 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 115-21 MCG/ACT AERO,637,1 ,$13.50 ,$9.72 ,$3.78 ,$33.75 ,$33.75 ,$10.80 , N/A ,$3.78 ,$11.79 ,$12.41 , N/A ,$11.16 , N/A , N/A ,$12.42 , N/A , N/A , N/A ,$11.26 ,$11.26 ,$11.26 , N/A ,$11.26 ,$11.56 ,$11.56 ,$12.15 ,$13.50 ,$11.48 , N/A , N/A ,$7.57 , N/A ,$5.59 , N/A , N/A , N/A ,$11.48 ,$11.16 ,$3.78 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE-SALMETEROL 45-21 MCG/ACT AERO,637,1 ,$13.50 ,$9.72 ,$3.78 ,$33.75 ,$33.75 ,$10.80 , N/A ,$3.78 ,$11.79 ,$12.41 , N/A ,$11.16 , N/A , N/A ,$12.42 , N/A , N/A , N/A ,$11.26 ,$11.26 ,$11.26 , N/A ,$11.26 ,$11.56 ,$11.56 ,$12.15 ,$13.50 ,$11.48 , N/A , N/A ,$7.57 , N/A ,$5.59 , N/A , N/A , N/A ,$11.48 ,$11.16 ,$3.78 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SILODOSIN 4 MG CAPS,637,1 ,$13.50 ,$9.72 ,$3.78 ,$33.75 ,$33.75 ,$10.80 , N/A ,$3.78 ,$11.79 ,$12.41 , N/A ,$11.16 , N/A , N/A ,$12.42 , N/A , N/A , N/A ,$11.26 ,$11.26 ,$11.26 , N/A ,$11.26 ,$11.56 ,$11.56 ,$12.15 ,$13.50 ,$11.48 , N/A , N/A ,$7.57 , N/A ,$5.59 , N/A , N/A , N/A ,$11.48 ,$11.16 ,$3.78 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ZOLPIDEM 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 120 MG SUPP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 160 MG/5ML SOLN,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 160 MG/5ML SOLN 5 ML CUP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 325 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN 650 MG SUPP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAMINOPHEN-CODEINE 300-30 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACETAZOLAMIDE 250 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACIDOPHILUS CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ACYCLOVIR 200 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT AERS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ALLOPURINOL 100 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ALPRAZOLAM 0.25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ALPRAZOLAM 0.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMILORIDE 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMIODARONE 200 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMITRIPTYLINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMLODIPINE 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 125 MG/5ML SUSR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 250 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 400 MG/5ML SUSR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMOXICILLIN 500 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AMOXICILLIN-CLAVULANATE 200-28.5 MG/5ML SUSR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ANASTROZOLE 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ASPIRIN 300 MG SUPP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ASPIRIN 81 MG CHEW,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ASPIRIN EC 325 MG TBEC,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ASPIRIN EC 81 MG TBEC,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ATENOLOL 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ATORVASTATIN 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ATORVASTATIN 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ATORVASTATIN 40 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,AZITHROMYCIN 200 MG/5ML SUSR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,B COMPLEX CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,B-COMPLEX-C-FOLIC ACID 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BACLOFEN 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BENZOCAINE-MENTHOL 15-10 MG LOZG,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BENZOCAINE-MENTHOL 15-3.6 MG LOZG,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BENZONATATE 100 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BENZTROPINE 0.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BETHANECHOL 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BISACODYL 10 MG SUPP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BISACODYL EC 5 MG TBEC,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BUMETANIDE 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BUPRENORPHINE 2 MG SUBL,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BUPROPION SR 150 MG TB12,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,BUSPIRONE 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CALCITRIOL 0.25 MCG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CALCIUM CARB-CHOLECALCIFEROL 600-400 MG-UNIT TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CALCIUM CARBONATE 500 MG CHEW,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CALCIUM CARBONATE-VITAMIN D 600-400 MG-UNIT TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARBAMAZEPINE 100 MG CHEW,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARBAMAZEPINE 200 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA 25-100 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA 25-250 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA CR 25-100 MG TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARBIDOPA-LEVODOPA CR 50-200 MG TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARVEDILOL 12.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARVEDILOL 3.125 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CARVEDILOL 6.25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CEPHALEXIN 250 MG/5ML SUSR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CEPHALEXIN 500 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CETIRIZINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CHLORDIAZEPOXIDE 25 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CHLORTHALIDONE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CITALOPRAM 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CITALOPRAM 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CLINDAMYCIN 150 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CLONAZEPAM 0.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CLONIDINE 0.1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,COLESTIPOL 5 G PACK,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,CYCLOBENZAPRINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIAZEPAM 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DICLOFENAC EC 50 MG TBEC,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DICLOFENAC EC 75 MG TBEC,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DICYCLOMINE 10 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIGOXIN 0.125 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DILTIAZEM 30 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DILTIAZEM 60 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DILTIAZEM CD 120 MG CP24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DILTIAZEM CD 180 MG CP24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIPHENHYDRAMINE 12.5 MG/5ML LIQD,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIPHENHYDRAMINE 25 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIVALPROEX DR SPRINKLE 125 MG CSDR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DIVALPROEX EC 250 MG TBEC,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DOCUSATE SODIUM 100 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DONEPEZIL 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DONEPEZIL 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,DOXEPIN 10 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FAMOTIDINE 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FENOFIBRATE MICRONIZED 67 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FERROUS SULFATE (65 MG ELEMENTAL) 325 (65 FE) MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FERROUS SULFATE 220 (44 FE) MG/5ML ELIX,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FISH OIL 1000 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUDROCORTISONE 0.1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUOXETINE 10 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUOXETINE 20 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE 110 MCG/ACT AERO,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FLUTICASONE PROPIONATE 44 MCG/ACT AERO,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FOLIC ACID 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FUROSEMIDE 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FUROSEMIDE 40 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,FUROSEMIDE 80 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GABAPENTIN 100 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GABAPENTIN 300 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GABAPENTIN 400 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GEMFIBROZIL 600 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GLIMEPIRIDE 2 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GLIPIZIDE 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GLIPIZIDE XL 2.5 MG TB24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GLYCERIN-HYPROMELLOSE-PEG 400 0.2-0.2-1 % SOLN 15 ML BOTTLE,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GUAIFENESIN 100 MG/5ML SOLN,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GUAIFENESIN ER 600 MG TB12,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GUAIFENESIN-CODEINE 100-10 MG/5ML SOLN,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,GUAIFENESIN-DEXTROMETHORPHAN 100-10 MG/5ML SYRP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HALOPERIDOL 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDRALAZINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDRALAZINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROCHLOROTHIAZIDE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROCHLOROTHIAZIDE 25 MG TABS 1 EACH BLISTER,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 10-325 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROMORPHONE 2 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROXYCHLOROQUINE 200 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROXYZINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROXYZINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,HYDROXYZINE 50 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,IBUPROFEN 100 MG/5ML SUSP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,IBUPROFEN 400 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,IBUPROFEN 600 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,IRON POLYSACCHARIDES 150 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ISOSORBIDE DINITRATE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ISOSORBIDE MONONITRATE ER 30 MG TB24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LABETALOL 200 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LACTULOSE 10 GM/15ML SOLN,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LAMOTRIGINE 100 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LAMOTRIGINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVETIRACETAM 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 100 MCG TABS 1 EACH BLISTER,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 112 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 125 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 137 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 25 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 50 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 75 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 75 MCG TABS 1 EACH BLISTER,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LEVOTHYROXINE 88 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LISINOPRIL 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LISINOPRIL 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LISINOPRIL 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LITHIUM 300 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LOPERAMIDE 2 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LORATADINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LORAZEPAM 0.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LORAZEPAM 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LORAZEPAM 2 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LOSARTAN 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,LOSARTAN 50 MG TABS 1 EACH BLISTER,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MAGNESIUM CITRATE 1.745 GM/30ML SOLN,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MAGNESIUM HYDROXIDE 400 MG/5ML SUSP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MAGNESIUM OXIDE 400 (241.3 MG) MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MECLIZINE 12.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MECLIZINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MEDROXYPROGESTERONE 2.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MELATONIN 3 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MEMANTINE 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METFORMIN 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METFORMIN 850 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METHADONE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METHOCARBAMOL 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METHOCARBAMOL 750 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOCLOPRAMIDE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOLAZONE 2.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOPROLOL SUCCINATE ER 100 MG TB24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOPROLOL SUCCINATE ER 25 MG TB24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOPROLOL SUCCINATE ER 50 MG TB24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOPROLOL TARTRATE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METOPROLOL TARTRATE 50 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,METRONIDAZOLE 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MICONAZOLE 2 % CREA 28 G TUBE,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MIDODRINE 2.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MIRTAZAPINE 15 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MORPHINE CR 15 MG TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MORPHINE SULFATE 100 MG/5ML SOLN,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MULTI VITAMIN/MINERALS TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,MULTIVITAMIN TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NAPROXEN 250 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NICOTINE 14 MG/24HR PT24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NICOTINE 21 MG/24HR PT24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NIFEDIPINE ER 30 MG TB24,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NITROGLYCERIN 0.4 MG SUBL,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NITROGLYCERIN 2 % OINT,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NORTRIPTYLINE 25 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,NYSTATIN 100000 UNIT/ML SUSP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OSELTAMIVIR 6 MG/ML SUSR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OXYCODONE IMMEDIATE RELEASE 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OXYCODONE-ACETAMINOPHEN 5-325 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,OYSTER SHELL CALCIUM 500 MG (ELEMENTAL) 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PAROXETINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PAROXETINE 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PENICILLIN VK 250 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PHENAZOPYRIDINE 100 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PHENOL 1.4 % LIQD 177 ML BOTTLE,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PHENYTOIN ER 100 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,POLYETHYLENE GLYCOL PACK,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,POTASSIUM BICARBONATE 25 MEQ TBEF,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,POTASSIUM CHLORIDE CR 10 MEQ TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,POTASSIUM CHLORIDE CR 20 MEQ TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PRAMIPEXOLE 0.25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PRAMIPEXOLE 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PRAZOSIN 1 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PREGABALIN 75 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PRIMIDONE 50 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PROCHLORPERAZINE 10 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PROMETHAZINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PROPAFENONE 150 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PROPRANOLOL 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PSEUDOEPHEDRINE 30 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,PSYLLIUM 58.12 % PACK,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,QUETIAPINE 100 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,RIFAMPIN 300 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ROPINIROLE 0.25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ROPINIROLE 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SALINE ENEMA ADULT 7-19 GM/118ML ENEM,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SALSALATE 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SENNA 8.6 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SENNA-DOCUSATE 8.6-50 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SERTRALINE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SERTRALINE 50 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SIMETHICONE 80 MG CHEW,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SODIUM BICARBONATE 650 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SODIUM CHLORIDE 0.65 % SOLN 44 ML BOTTLE,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SODIUM CHLORIDE 1 GM TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SOTALOL 80 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SPIRONOLACTONE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SUCRALFATE 1 G TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML SUSP,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,SULFASALAZINE 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TIZANIDINE 2 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TOPIRAMATE 25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TORSEMIDE 20 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TRAMADOL 50 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TRAZODONE 50 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,TRIAMTERENE-HYDROCHLOROTHIAZIDE 37.5-25 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VERAPAMIL 120 MG TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VERAPAMIL 180 MG TBCR,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VITAMIN B-1 100 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VITAMIN B-12 1000 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VITAMIN B-12 500 MCG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VITAMIN C 500 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VITAMIN D3 (CHOLECALCIFEROL) 1000 UNIT TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,VITAMIN E 180 MG (400 UNIT) CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,WARFARIN 1 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,WARFARIN 2 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,WARFARIN 2.5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,WARFARIN 3 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,WARFARIN 5 MG TABS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),63700001,N/A,ZINC SULFATE 220 MG CAPS,637,1 ,$4.50 ,$3.24 ,$1.26 ,$11.25 ,$11.25 ,$3.60 , N/A ,$1.26 ,$3.93 ,$4.14 , N/A ,$3.72 , N/A , N/A ,$4.14 , N/A , N/A , N/A ,$3.75 ,$3.75 ,$3.75 , N/A ,$3.75 ,$3.85 ,$3.85 ,$4.05 ,$4.50 ,$3.83 , N/A , N/A ,$2.52 , N/A ,$1.86 , N/A , N/A , N/A ,$3.83 ,$3.72 ,$1.26 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 
HSHS GOOD SHEPHERD HOSPITAL (ACU),71000230,N/A,HC PHASE II RECOVERY 15 MIN,710,1 ,$170.00 ,$122.40 ,$47.60 ,$170.00 , N/A ,$136.00 , N/A ,$47.60 ,$148.41 ,$156.23 , N/A ,$140.59 , N/A , N/A ,$156.40 , N/A , N/A , N/A ,$141.78 ,$141.78 ,$141.78 , N/A ,$141.78 ,$145.52 ,$145.52 ,$153.00 , N/A ,$144.50 , N/A , N/A ,$95.37 , N/A ,$70.38 , N/A , N/A , N/A ,$144.50 ,$140.59 ,$47.60 ,$153.00 ,$133.45 ,$140.42 , N/A ,$110.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),71000233,N/A,HC PHASE I RECOVERY 30 MIN,710,1 ,"$1,305.00 ",$939.60 ,$365.40 ,"$1,305.00 ", N/A ,"$1,044.00 ", N/A ,$365.40 ,"$1,139.27 ","$1,199.30 ", N/A ,"$1,079.24 ", N/A , N/A ,"$1,200.60 ", N/A , N/A , N/A ,"$1,088.37 ","$1,088.37 ","$1,088.37 ", N/A ,"$1,088.37 ","$1,117.08 ","$1,117.08 ","$1,174.50 ", N/A ,"$1,109.25 ", N/A , N/A ,$732.11 , N/A ,$540.27 , N/A , N/A , N/A ,"$1,109.25 ","$1,079.24 ",$365.40 ,"$1,174.50 ","$1,024.43 ","$1,077.93 ", N/A ,$848.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),71000234,N/A,HC PHASE I RECOVERY 15 MIN,710,1 ,"$1,305.00 ",$939.60 ,$365.40 ,"$1,305.00 ", N/A ,"$1,044.00 ", N/A ,$365.40 ,"$1,139.27 ","$1,199.30 ", N/A ,"$1,079.24 ", N/A , N/A ,"$1,200.60 ", N/A , N/A , N/A ,"$1,088.37 ","$1,088.37 ","$1,088.37 ", N/A ,"$1,088.37 ","$1,117.08 ","$1,117.08 ","$1,174.50 ", N/A ,"$1,109.25 ", N/A , N/A ,$732.11 , N/A ,$540.27 , N/A , N/A , N/A ,"$1,109.25 ","$1,079.24 ",$365.40 ,"$1,174.50 ","$1,024.43 ","$1,077.93 ", N/A ,$848.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),73000002,93005,HC EKG,730,1 ,$346.00 ,$249.12 ,$17.20 ,$346.00 ,$139.68 ,$276.80 ,$54.75 ,$96.88 ,$302.06 ,$317.97 ,$51.12 ,$286.14 ,$54.75 ,$112.85 ,$318.32 ,$136.89 ,$54.75 ,$55.85 ,$288.56 ,$288.56 ,$288.56 ,$54.75 ,$288.56 ,$296.18 ,$296.18 ,$311.40 ,$130.41 ,$294.10 ,$54.75 ,$54.75 ,$194.11 ,$54.75 ,$143.24 ,$18.02 ,$17.20 ,$57.49 ,$294.10 ,$286.14 ,$96.88 ,$311.40 ,$271.61 ,$285.80 ,$54.75 ,$224.90 
HSHS GOOD SHEPHERD HOSPITAL (ACU),73000008,G0404,HC EKG WELCOME TO MEDICARE,730,1 ,$371.00 ,$267.12 ,$17.20 ,$371.00 ,$60.65 ,$296.80 ,$23.77 ,$103.88 ,$323.88 ,$340.95 ,$22.20 ,$306.82 ,$23.77 ,$49.00 ,$341.32 ,$59.44 ,$23.77 ,$24.25 ,$309.41 ,$309.41 ,$309.41 ,$23.77 ,$309.41 ,$317.58 ,$317.58 ,$333.90 ,$56.63 ,$315.35 ,$23.77 ,$23.77 ,$208.13 ,$23.77 ,$153.59 ,$18.02 ,$17.20 ,$24.96 ,$315.35 ,$306.82 ,$103.88 ,$333.90 ,$291.24 ,$306.45 ,$23.77 ,$241.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,"$1,856.00 ","$1,336.32 ",$46.14 ,"$1,856.00 ",$282.13 ,"$1,484.80 ",$110.59 ,$519.68 ,"$1,620.29 ","$1,705.66 ",$103.26 ,"$1,534.91 ",$110.59 ,$227.95 ,"$1,707.52 ",$276.49 ,$110.59 ,$112.81 ,"$1,547.90 ","$1,547.90 ","$1,547.90 ",$110.59 ,"$1,547.90 ","$1,588.74 ","$1,588.74 ","$1,670.40 ",$263.42 ,"$1,577.60 ",$110.59 ,$110.59 ,"$1,041.22 ",$110.59 ,$768.38 ,$48.33 ,$46.14 ,$116.13 ,"$1,577.60 ","$1,534.91 ",$519.68 ,"$1,670.40 ","$1,456.96 ","$1,533.06 ",$110.59 ,"$1,206.40 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),73100004,93270,HC CARDIAC EVENT RECORDER,731,1 ,$828.00 ,$596.16 ,$31.12 ,$828.00 ,$85.05 ,$662.40 ,$33.34 ,$231.84 ,$722.84 ,$760.93 ,$31.12 ,$684.76 ,$33.34 ,$68.71 ,$761.76 ,$83.35 ,$33.34 ,$34.01 ,$690.55 ,$690.55 ,$690.55 ,$33.34 ,$690.55 ,$708.77 ,$708.77 ,$745.20 ,$79.40 ,$703.80 ,$33.34 ,$33.34 ,$464.51 ,$33.34 ,$342.79 ,$48.33 ,$46.14 ,$35.01 ,$703.80 ,$684.76 ,$231.84 ,$745.20 ,$649.98 ,$683.93 ,$33.34 ,$538.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000003,95806,HC SLEEP STUDY UNATTENDED,740,1 ,$414.00 ,$298.08 ,$115.92 ,$414.00 ,$353.38 ,$331.20 ,$138.52 ,$115.92 ,$361.42 ,$380.47 ,$129.33 ,$342.38 ,$138.52 ,$285.51 ,$380.88 ,$346.31 ,$138.52 ,$141.30 ,$345.28 ,$345.28 ,$345.28 ,$138.52 ,$345.28 ,$354.38 ,$354.38 ,$372.60 ,$329.94 ,$351.90 ,$138.52 ,$138.52 ,$232.25 ,$138.52 ,$171.40 ,$414.00 ,$414.00 ,$145.45 ,$351.90 ,$342.38 ,$115.92 ,$372.60 ,$324.99 ,$341.96 ,$138.52 ,$269.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000006,95810,HC SLEEP STUDY,740,1 ,"$6,000.00 ","$4,320.00 ",$512.42 ,"$6,000.00 ","$2,270.33 ","$4,800.00 ",$889.97 ,"$1,680.00 ","$5,238.00 ","$5,514.00 ",$830.97 ,"$4,962.00 ",$889.97 ,"$1,834.41 ","$5,520.00 ","$2,224.92 ",$889.97 ,$907.76 ,"$5,004.00 ","$5,004.00 ","$5,004.00 ",$889.97 ,"$5,004.00 ","$5,136.00 ","$5,136.00 ","$5,400.00 ","$2,119.83 ","$5,100.00 ",$889.97 ,$889.97 ,"$3,366.00 ",$889.97 ,"$2,484.00 ",$536.82 ,$512.42 ,$934.51 ,"$5,100.00 ","$4,962.00 ","$1,680.00 ","$5,400.00 ","$4,710.00 ","$4,956.00 ",$889.97 ,"$3,900.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$7,333.00 ","$5,279.76 ",$512.42 ,"$7,333.00 ","$2,270.33 ","$5,866.40 ",$889.97 ,"$2,053.24 ","$6,401.71 ","$6,739.03 ",$830.97 ,"$6,064.39 ",$889.97 ,"$1,834.41 ","$6,746.36 ","$2,224.92 ",$889.97 ,$907.76 ,"$6,115.72 ","$6,115.72 ","$6,115.72 ",$889.97 ,"$6,115.72 ","$6,277.05 ","$6,277.05 ","$6,599.70 ","$2,119.83 ","$6,233.05 ",$889.97 ,$889.97 ,"$4,113.81 ",$889.97 ,"$3,035.86 ",$536.82 ,$512.42 ,$934.51 ,"$6,233.05 ","$6,064.39 ","$2,053.24 ","$6,599.70 ","$5,756.41 ","$6,057.06 ",$889.97 ,"$4,766.45 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000014,95816,HC EEG AWAKE/DROWSY,740,1 ,"$1,074.00 ",$773.28 ,$172.92 ,"$1,074.00 ",$680.48 ,$859.20 ,$266.75 ,$300.72 ,$937.60 ,$987.01 ,$249.07 ,$888.20 ,$266.75 ,$549.83 ,$988.08 ,$666.87 ,$266.75 ,$272.08 ,$895.72 ,$895.72 ,$895.72 ,$266.75 ,$895.72 ,$919.34 ,$919.34 ,$966.60 ,$635.37 ,$912.90 ,$266.75 ,$266.75 ,$602.51 ,$266.75 ,$444.64 ,$181.16 ,$172.92 ,$280.10 ,$912.90 ,$888.20 ,$300.72 ,$966.60 ,$843.09 ,$887.12 ,$266.75 ,$698.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000016,95819,HC EEG AWAKE/ASLEEP,740,1 ,"$1,567.00 ","$1,128.24 ",$172.92 ,"$1,567.00 ",$680.48 ,"$1,253.60 ",$266.75 ,$438.76 ,"$1,367.99 ","$1,440.07 ",$249.07 ,"$1,295.91 ",$266.75 ,$549.83 ,"$1,441.64 ",$666.87 ,$266.75 ,$272.08 ,"$1,306.88 ","$1,306.88 ","$1,306.88 ",$266.75 ,"$1,306.88 ","$1,341.35 ","$1,341.35 ","$1,410.30 ",$635.37 ,"$1,331.95 ",$266.75 ,$266.75 ,$879.09 ,$266.75 ,$648.74 ,$181.16 ,$172.92 ,$280.10 ,"$1,331.95 ","$1,295.91 ",$438.76 ,"$1,410.30 ","$1,230.10 ","$1,294.34 ",$266.75 ,"$1,018.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000025,95937,HC NEUROMUSCULAR JUNCTION TEST,740,1 ,$436.00 ,$313.92 ,$122.08 ,$436.00 ,$353.38 ,$348.80 ,$138.52 ,$122.08 ,$380.63 ,$400.68 ,$129.33 ,$360.57 ,$138.52 ,$285.51 ,$401.12 ,$346.31 ,$138.52 ,$141.30 ,$363.62 ,$363.62 ,$363.62 ,$138.52 ,$363.62 ,$373.22 ,$373.22 ,$392.40 ,$329.94 ,$370.60 ,$138.52 ,$138.52 ,$244.60 ,$138.52 ,$180.50 ,$229.71 ,$219.27 ,$145.45 ,$370.60 ,$360.57 ,$122.08 ,$392.40 ,$342.26 ,$360.14 ,$138.52 ,$283.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),74000035,G0399,HC SLEEP STUDY HOME ADULT,740,1 ,$414.00 ,$298.08 ,$79.75 ,$414.00 ,$353.38 ,$331.20 ,$138.52 ,$115.92 ,$361.42 ,$380.47 ,$129.33 ,$342.38 ,$138.52 ,$285.51 ,$380.88 ,$346.31 ,$138.52 ,$141.30 ,$345.28 ,$345.28 ,$345.28 ,$138.52 ,$345.28 ,$354.38 ,$354.38 ,$372.60 ,$329.94 ,$351.90 ,$138.52 ,$138.52 ,$232.25 ,$138.52 ,$171.40 ,$83.55 ,$79.75 ,$145.45 ,$351.90 ,$342.38 ,$115.92 ,$372.60 ,$324.99 ,$341.96 ,$138.52 ,$269.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$2,481.00 ","$1,786.32 ",$461.98 ,"$2,481.00 ","$2,005.80 ","$1,984.80 ",$786.27 ,$694.68 ,"$2,165.91 ","$2,280.04 ",$734.15 ,"$2,051.79 ",$786.27 ,"$1,620.68 ","$2,282.52 ","$1,965.68 ",$786.27 ,$802.00 ,"$2,069.15 ","$2,069.15 ","$2,069.15 ",$786.27 ,"$2,069.15 ","$2,123.74 ","$2,123.74 ","$2,232.90 ","$1,872.83 ","$2,108.85 ",$786.27 ,$786.27 ,"$1,391.84 ",$786.27 ,"$1,027.13 ",$483.98 ,$461.98 ,$825.63 ,"$2,108.85 ","$2,051.79 ",$694.68 ,"$2,232.90 ","$1,947.59 ","$2,049.31 ",$786.27 ,"$1,612.65 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$4,547.00 ","$3,273.84 ","$1,273.16 ","$4,547.00 ", N/A ,"$3,637.60 ", N/A ,"$1,273.16 ","$3,969.53 ","$4,178.69 ", N/A ,"$3,760.37 ", N/A , N/A ,"$4,183.24 ", N/A , N/A , N/A ,"$3,792.20 ","$3,792.20 ","$3,792.20 ", N/A ,"$3,792.20 ","$3,892.23 ","$3,892.23 ","$4,092.30 ", N/A ,"$3,864.95 ", N/A , N/A ,"$2,550.87 ", N/A ,"$1,882.46 ", N/A , N/A , N/A ,"$3,864.95 ","$3,760.37 ","$1,273.16 ","$4,092.30 ","$3,569.40 ","$3,755.82 ", N/A ,"$2,955.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$2,264.00 ","$1,630.08 ",$633.92 ,"$2,264.00 ", N/A ,"$1,811.20 ", N/A ,$633.92 ,"$1,976.47 ","$2,080.62 ", N/A ,"$1,872.33 ", N/A , N/A ,"$2,082.88 ", N/A , N/A , N/A ,"$1,888.18 ","$1,888.18 ","$1,888.18 ", N/A ,"$1,888.18 ","$1,937.98 ","$1,937.98 ","$2,037.60 ", N/A ,"$1,924.40 ", N/A , N/A ,"$1,270.10 ", N/A ,$937.30 , N/A , N/A , N/A ,"$1,924.40 ","$1,872.33 ",$633.92 ,"$2,037.60 ","$1,777.24 ","$1,870.06 ", N/A ,"$1,471.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$2,264.00 ","$1,630.08 ",$633.92 ,"$2,264.00 ", N/A ,"$1,811.20 ", N/A ,$633.92 ,"$1,976.47 ","$2,080.62 ", N/A ,"$1,872.33 ", N/A , N/A ,"$2,082.88 ", N/A , N/A , N/A ,"$1,888.18 ","$1,888.18 ","$1,888.18 ", N/A ,"$1,888.18 ","$1,937.98 ","$1,937.98 ","$2,037.60 ", N/A ,"$1,924.40 ", N/A , N/A ,"$1,270.10 ", N/A ,$937.30 , N/A , N/A , N/A ,"$1,924.40 ","$1,872.33 ",$633.92 ,"$2,037.60 ","$1,777.24 ","$1,870.06 ", N/A ,"$1,471.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$4,544.00 ","$3,271.68 ","$1,272.32 ","$4,544.00 ", N/A ,"$3,635.20 ", N/A ,"$1,272.32 ","$3,966.91 ","$4,175.94 ", N/A ,"$3,757.89 ", N/A , N/A ,"$4,180.48 ", N/A , N/A , N/A ,"$3,789.70 ","$3,789.70 ","$3,789.70 ", N/A ,"$3,789.70 ","$3,889.66 ","$3,889.66 ","$4,089.60 ", N/A ,"$3,862.40 ", N/A , N/A ,"$2,549.18 ", N/A ,"$1,881.22 ", N/A , N/A , N/A ,"$3,862.40 ","$3,757.89 ","$1,272.32 ","$4,089.60 ","$3,567.04 ","$3,753.34 ", N/A ,"$2,953.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$2,264.00 ","$1,630.08 ",$633.92 ,"$2,264.00 ", N/A ,"$1,811.20 ", N/A ,$633.92 ,"$1,976.47 ","$2,080.62 ", N/A ,"$1,872.33 ", N/A , N/A ,"$2,082.88 ", N/A , N/A , N/A ,"$1,888.18 ","$1,888.18 ","$1,888.18 ", N/A ,"$1,888.18 ","$1,937.98 ","$1,937.98 ","$2,037.60 ", N/A ,"$1,924.40 ", N/A , N/A ,"$1,270.10 ", N/A ,$937.30 , N/A , N/A , N/A ,"$1,924.40 ","$1,872.33 ",$633.92 ,"$2,037.60 ","$1,777.24 ","$1,870.06 ", N/A ,"$1,471.60 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$2,899.00 ","$2,087.28 ",$811.72 ,"$2,899.00 ", N/A ,"$2,319.20 ", N/A ,$811.72 ,"$2,530.83 ","$2,664.18 ", N/A ,"$2,397.47 ", N/A , N/A ,"$2,667.08 ", N/A , N/A , N/A ,"$2,417.77 ","$2,417.77 ","$2,417.77 ", N/A ,"$2,417.77 ","$2,481.54 ","$2,481.54 ","$2,609.10 ", N/A ,"$2,464.15 ", N/A , N/A ,"$1,626.34 ", N/A ,"$1,200.19 ", N/A , N/A , N/A ,"$2,464.15 ","$2,397.47 ",$811.72 ,"$2,609.10 ","$2,275.72 ","$2,394.57 ", N/A ,"$1,884.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001086,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN HOT BIOPSY - 43250,750,1 ,"$2,587.00 ","$1,862.64 ",$724.36 ,"$2,587.00 ", N/A ,"$2,069.60 ", N/A ,$724.36 ,"$2,258.45 ","$2,377.45 ", N/A ,"$2,139.45 ", N/A , N/A ,"$2,380.04 ", N/A , N/A , N/A ,"$2,157.56 ","$2,157.56 ","$2,157.56 ", N/A ,"$2,157.56 ","$2,214.47 ","$2,214.47 ","$2,328.30 ", N/A ,"$2,198.95 ", N/A , N/A ,"$1,451.31 ", N/A ,"$1,071.02 ", N/A , N/A , N/A ,"$2,198.95 ","$2,139.45 ",$724.36 ,"$2,328.30 ","$2,030.80 ","$2,136.86 ", N/A ,"$1,681.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$2,583.00 ","$1,859.76 ",$723.24 ,"$2,583.00 ", N/A ,"$2,066.40 ", N/A ,$723.24 ,"$2,254.96 ","$2,373.78 ", N/A ,"$2,136.14 ", N/A , N/A ,"$2,376.36 ", N/A , N/A , N/A ,"$2,154.22 ","$2,154.22 ","$2,154.22 ", N/A ,"$2,154.22 ","$2,211.05 ","$2,211.05 ","$2,324.70 ", N/A ,"$2,195.55 ", N/A , N/A ,"$1,449.06 ", N/A ,"$1,069.36 ", N/A , N/A , N/A ,"$2,195.55 ","$2,136.14 ",$723.24 ,"$2,324.70 ","$2,027.66 ","$2,133.56 ", N/A ,"$1,678.95 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001142,N/A,HC SIGMOIDOSCOPY DX W/BRUSH/WASH - 45330,750,1 ,$908.00 ,$653.76 ,$254.24 ,$908.00 , N/A ,$726.40 , N/A ,$254.24 ,$792.68 ,$834.45 , N/A ,$750.92 , N/A , N/A ,$835.36 , N/A , N/A , N/A ,$757.27 ,$757.27 ,$757.27 , N/A ,$757.27 ,$777.25 ,$777.25 ,$817.20 , N/A ,$771.80 , N/A , N/A ,$509.39 , N/A ,$375.91 , N/A , N/A , N/A ,$771.80 ,$750.92 ,$254.24 ,$817.20 ,$712.78 ,$750.01 , N/A ,$590.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$2,990.00 ","$2,152.80 ",$837.20 ,"$2,990.00 ", N/A ,"$2,392.00 ", N/A ,$837.20 ,"$2,610.27 ","$2,747.81 ", N/A ,"$2,472.73 ", N/A , N/A ,"$2,750.80 ", N/A , N/A , N/A ,"$2,493.66 ","$2,493.66 ","$2,493.66 ", N/A ,"$2,493.66 ","$2,559.44 ","$2,559.44 ","$2,691.00 ", N/A ,"$2,541.50 ", N/A , N/A ,"$1,677.39 ", N/A ,"$1,237.86 ", N/A , N/A , N/A ,"$2,541.50 ","$2,472.73 ",$837.20 ,"$2,691.00 ","$2,347.15 ","$2,469.74 ", N/A ,"$1,943.50 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$2,899.00 ","$2,087.28 ",$811.72 ,"$2,899.00 ", N/A ,"$2,319.20 ", N/A ,$811.72 ,"$2,530.83 ","$2,664.18 ", N/A ,"$2,397.47 ", N/A , N/A ,"$2,667.08 ", N/A , N/A , N/A ,"$2,417.77 ","$2,417.77 ","$2,417.77 ", N/A ,"$2,417.77 ","$2,481.54 ","$2,481.54 ","$2,609.10 ", N/A ,"$2,464.15 ", N/A , N/A ,"$1,626.34 ", N/A ,"$1,200.19 ", N/A , N/A , N/A ,"$2,464.15 ","$2,397.47 ",$811.72 ,"$2,609.10 ","$2,275.72 ","$2,394.57 ", N/A ,"$1,884.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$3,590.00 ","$2,584.80 ","$1,005.20 ","$3,590.00 ", N/A ,"$2,872.00 ", N/A ,"$1,005.20 ","$3,134.07 ","$3,299.21 ", N/A ,"$2,968.93 ", N/A , N/A ,"$3,302.80 ", N/A , N/A , N/A ,"$2,994.06 ","$2,994.06 ","$2,994.06 ", N/A ,"$2,994.06 ","$3,073.04 ","$3,073.04 ","$3,231.00 ", N/A ,"$3,051.50 ", N/A , N/A ,"$2,013.99 ", N/A ,"$1,486.26 ", N/A , N/A , N/A ,"$3,051.50 ","$2,968.93 ","$1,005.20 ","$3,231.00 ","$2,818.15 ","$2,965.34 ", N/A ,"$2,333.50 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$2,899.00 ","$2,087.28 ",$811.72 ,"$2,899.00 ", N/A ,"$2,319.20 ", N/A ,$811.72 ,"$2,530.83 ","$2,664.18 ", N/A ,"$2,397.47 ", N/A , N/A ,"$2,667.08 ", N/A , N/A , N/A ,"$2,417.77 ","$2,417.77 ","$2,417.77 ", N/A ,"$2,417.77 ","$2,481.54 ","$2,481.54 ","$2,609.10 ", N/A ,"$2,464.15 ", N/A , N/A ,"$1,626.34 ", N/A ,"$1,200.19 ", N/A , N/A , N/A ,"$2,464.15 ","$2,397.47 ",$811.72 ,"$2,609.10 ","$2,275.72 ","$2,394.57 ", N/A ,"$1,884.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$2,899.00 ","$2,087.28 ",$811.72 ,"$2,899.00 ", N/A ,"$2,319.20 ", N/A ,$811.72 ,"$2,530.83 ","$2,664.18 ", N/A ,"$2,397.47 ", N/A , N/A ,"$2,667.08 ", N/A , N/A , N/A ,"$2,417.77 ","$2,417.77 ","$2,417.77 ", N/A ,"$2,417.77 ","$2,481.54 ","$2,481.54 ","$2,609.10 ", N/A ,"$2,464.15 ", N/A , N/A ,"$1,626.34 ", N/A ,"$1,200.19 ", N/A , N/A , N/A ,"$2,464.15 ","$2,397.47 ",$811.72 ,"$2,609.10 ","$2,275.72 ","$2,394.57 ", N/A ,"$1,884.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001164,N/A,HC COLONOSCOPY W/BALLOON DILATION - 45386,750,1 ,"$2,899.00 ","$2,087.28 ",$811.72 ,"$2,899.00 ", N/A ,"$2,319.20 ", N/A ,$811.72 ,"$2,530.83 ","$2,664.18 ", N/A ,"$2,397.47 ", N/A , N/A ,"$2,667.08 ", N/A , N/A , N/A ,"$2,417.77 ","$2,417.77 ","$2,417.77 ", N/A ,"$2,417.77 ","$2,481.54 ","$2,481.54 ","$2,609.10 ", N/A ,"$2,464.15 ", N/A , N/A ,"$1,626.34 ", N/A ,"$1,200.19 ", N/A , N/A , N/A ,"$2,464.15 ","$2,397.47 ",$811.72 ,"$2,609.10 ","$2,275.72 ","$2,394.57 ", N/A ,"$1,884.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$7,550.00 ","$5,436.00 ","$2,114.00 ","$7,550.00 ", N/A ,"$6,040.00 ", N/A ,"$2,114.00 ","$6,591.15 ","$6,938.45 ", N/A ,"$6,243.85 ", N/A , N/A ,"$6,946.00 ", N/A , N/A , N/A ,"$6,296.70 ","$6,296.70 ","$6,296.70 ", N/A ,"$6,296.70 ","$6,462.80 ","$6,462.80 ","$6,795.00 ", N/A ,"$6,417.50 ", N/A , N/A ,"$4,235.55 ", N/A ,"$3,125.70 ", N/A , N/A , N/A ,"$6,417.50 ","$6,243.85 ","$2,114.00 ","$6,795.00 ","$5,926.75 ","$6,236.30 ", N/A ,"$4,907.50 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001171,N/A,HC COLONOSCOPY W/BAND LIGATION - 45398,750,1 ,"$2,899.00 ","$2,087.28 ",$811.72 ,"$2,899.00 ", N/A ,"$2,319.20 ", N/A ,$811.72 ,"$2,530.83 ","$2,664.18 ", N/A ,"$2,397.47 ", N/A , N/A ,"$2,667.08 ", N/A , N/A , N/A ,"$2,417.77 ","$2,417.77 ","$2,417.77 ", N/A ,"$2,417.77 ","$2,481.54 ","$2,481.54 ","$2,609.10 ", N/A ,"$2,464.15 ", N/A , N/A ,"$1,626.34 ", N/A ,"$1,200.19 ", N/A , N/A , N/A ,"$2,464.15 ","$2,397.47 ",$811.72 ,"$2,609.10 ","$2,275.72 ","$2,394.57 ", N/A ,"$1,884.35 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$2,220.00 ","$1,598.40 ",$621.60 ,"$2,220.00 ", N/A ,"$1,776.00 ", N/A ,$621.60 ,"$1,938.06 ","$2,040.18 ", N/A ,"$1,835.94 ", N/A , N/A ,"$2,042.40 ", N/A , N/A , N/A ,"$1,851.48 ","$1,851.48 ","$1,851.48 ", N/A ,"$1,851.48 ","$1,900.32 ","$1,900.32 ","$1,998.00 ", N/A ,"$1,887.00 ", N/A , N/A ,"$1,245.42 ", N/A ,$919.08 , N/A , N/A , N/A ,"$1,887.00 ","$1,835.94 ",$621.60 ,"$1,998.00 ","$1,742.70 ","$1,833.72 ", N/A ,"$1,443.00 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001200,G0104,HC COLONOSCOPY SCREEN W/FLEX SIGMOID - G0104,750,1 ,"$2,848.00 ","$2,050.56 ",$438.05 ,"$2,848.00 ","$2,019.25 ","$2,278.40 ",$791.55 ,$797.44 ,"$2,486.30 ","$2,617.31 ",$739.07 ,"$2,355.30 ",$791.55 ,"$1,631.53 ","$2,620.16 ","$1,978.86 ",$791.55 ,$807.37 ,"$2,375.23 ","$2,375.23 ","$2,375.23 ",$791.55 ,"$2,375.23 ","$2,437.89 ","$2,437.89 ","$2,563.20 ","$1,885.38 ","$2,420.80 ",$791.55 ,$791.55 ,"$1,597.73 ",$791.55 ,"$1,179.07 ",$458.91 ,$438.05 ,$831.16 ,"$2,420.80 ","$2,355.30 ",$797.44 ,"$2,563.20 ","$2,235.68 ","$2,352.45 ",$791.55 ,"$1,851.20 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001214,G0105,HC COLON SCREENING HIGH RISK- G0105,750,1 ,"$2,848.00 ","$2,050.56 ",$453.22 ,"$2,848.00 ","$2,019.25 ","$2,278.40 ",$791.55 ,$797.44 ,"$2,486.30 ","$2,617.31 ",$739.07 ,"$2,355.30 ",$791.55 ,"$1,631.53 ","$2,620.16 ","$1,978.86 ",$791.55 ,$807.37 ,"$2,375.23 ","$2,375.23 ","$2,375.23 ",$791.55 ,"$2,375.23 ","$2,437.89 ","$2,437.89 ","$2,563.20 ","$1,885.38 ","$2,420.80 ",$791.55 ,$791.55 ,"$1,597.73 ",$791.55 ,"$1,179.07 ",$474.80 ,$453.22 ,$831.16 ,"$2,420.80 ","$2,355.30 ",$797.44 ,"$2,563.20 ","$2,235.68 ","$2,352.45 ",$791.55 ,"$1,851.20 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),75001215,G0121,HC COLONOSCOPY SCREENING LOW RISK- G0121,750,1 ,"$2,686.00 ","$1,933.92 ",$453.22 ,"$2,686.00 ","$2,019.25 ","$2,148.80 ",$791.55 ,$752.08 ,"$2,344.88 ","$2,468.43 ",$739.07 ,"$2,221.32 ",$791.55 ,"$1,631.53 ","$2,471.12 ","$1,978.86 ",$791.55 ,$807.37 ,"$2,240.12 ","$2,240.12 ","$2,240.12 ",$791.55 ,"$2,240.12 ","$2,299.22 ","$2,299.22 ","$2,417.40 ","$1,885.38 ","$2,283.10 ",$791.55 ,$791.55 ,"$1,506.85 ",$791.55 ,"$1,112.00 ",$474.80 ,$453.22 ,$831.16 ,"$2,283.10 ","$2,221.32 ",$752.08 ,"$2,417.40 ","$2,108.51 ","$2,218.64 ",$791.55 ,"$1,745.90 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$1,775.00 ","$1,278.00 ",$497.00 ,"$1,775.00 ","$1,565.60 ","$1,420.00 ",$613.72 ,$497.00 ,"$1,549.58 ","$1,631.23 ",$573.04 ,"$1,467.93 ",$613.72 ,"$1,265.00 ","$1,633.00 ","$1,534.29 ",$613.72 ,$625.98 ,"$1,480.35 ","$1,480.35 ","$1,480.35 ",$613.72 ,"$1,480.35 ","$1,519.40 ","$1,519.40 ","$1,597.50 ","$1,461.81 ","$1,508.75 ",$613.72 ,$613.72 ,$995.78 ,$613.72 ,$734.85 ,$558.00 ,$532.63 ,$644.43 ,"$1,508.75 ","$1,467.93 ",$497.00 ,"$1,597.50 ","$1,393.38 ","$1,466.15 ",$613.72 ,"$1,153.75 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$270.00 ,$194.40 ,$75.60 ,$270.00 , N/A ,$216.00 , N/A ,$75.60 ,$235.71 ,$248.13 , N/A ,$223.29 , N/A , N/A ,$248.40 , N/A , N/A , N/A ,$225.18 ,$225.18 ,$225.18 , N/A ,$225.18 ,$231.12 ,$231.12 ,$243.00 , N/A ,$229.50 , N/A , N/A ,$151.47 , N/A ,$111.78 , N/A , N/A , N/A ,$229.50 ,$223.29 ,$75.60 ,$243.00 ,$211.95 ,$223.02 , N/A ,$175.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$72.00 ,$51.84 ,$20.16 ,$72.00 , N/A ,$57.60 , N/A ,$20.16 ,$62.86 ,$66.17 , N/A ,$59.54 , N/A , N/A ,$66.24 , N/A , N/A , N/A ,$60.05 ,$60.05 ,$60.05 , N/A ,$60.05 ,$61.63 ,$61.63 ,$64.80 , N/A ,$61.20 , N/A , N/A ,$40.39 , N/A ,$29.81 , N/A , N/A , N/A ,$61.20 ,$59.54 ,$20.16 ,$64.80 ,$56.52 ,$59.47 , N/A ,$46.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),76200022,G0378,HC OBSERVATION W/TELEMETRY PER HR,762,1 ,$72.00 ,$51.84 ,$20.16 ,$72.00 , N/A ,$57.60 , N/A ,$20.16 ,$62.86 ,$66.17 , N/A ,$59.54 , N/A , N/A ,$66.24 , N/A , N/A , N/A ,$60.05 ,$60.05 ,$60.05 , N/A ,$60.05 ,$61.63 ,$61.63 ,$64.80 , N/A ,$61.20 , N/A , N/A ,$40.39 , N/A ,$29.81 , N/A , N/A , N/A ,$61.20 ,$59.54 ,$20.16 ,$64.80 ,$56.52 ,$59.47 , N/A ,$46.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$41.00 ,$29.52 ,$11.48 ,$163.93 ,$163.93 ,$32.80 ,$40.18 ,$11.48 ,$35.79 ,$37.68 ,$40.18 ,$33.91 ,$40.18 ,$41.00 ,$37.72 ,$40.18 ,$64.26 ,$40.98 ,$34.19 ,$34.19 ,$34.19 ,$40.18 ,$34.19 ,$35.10 ,$35.10 ,$36.90 ,$41.00 ,$34.85 ,$40.18 ,$40.18 ,$23.00 ,$64.26 ,$16.97 , N/A , N/A ,$40.18 ,$34.85 ,$33.91 ,$11.48 ,$36.90 ,$32.19 ,$33.87 ,$64.26 ,$26.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$44.00 ,$31.68 ,$12.32 ,$102.95 ,$102.95 ,$35.20 ,$40.36 ,$12.32 ,$38.41 ,$40.44 ,$37.68 ,$36.39 ,$40.36 ,$44.00 ,$40.48 ,$43.12 ,$40.36 ,$41.16 ,$36.70 ,$36.70 ,$36.70 ,$40.36 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$44.00 ,$37.40 ,$40.36 ,$40.36 ,$24.68 ,$40.36 ,$18.22 , N/A , N/A ,$42.38 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$40.36 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$44.00 ,$31.68 ,$12.32 ,$102.95 ,$102.95 ,$35.20 ,$40.36 ,$12.32 ,$38.41 ,$40.44 ,$37.68 ,$36.39 ,$40.36 ,$44.00 ,$40.48 ,$43.12 ,$40.36 ,$41.16 ,$36.70 ,$36.70 ,$36.70 ,$40.36 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$44.00 ,$37.40 ,$40.36 ,$40.36 ,$24.68 ,$40.36 ,$18.22 , N/A , N/A ,$42.38 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$40.36 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$44.00 ,$31.68 ,$12.32 ,$102.95 ,$102.95 ,$35.20 ,$40.36 ,$12.32 ,$38.41 ,$40.44 ,$37.68 ,$36.39 ,$40.36 ,$44.00 ,$40.48 ,$43.12 ,$40.36 ,$41.16 ,$36.70 ,$36.70 ,$36.70 ,$40.36 ,$36.70 ,$37.66 ,$37.66 ,$39.60 ,$44.00 ,$37.40 ,$40.36 ,$40.36 ,$24.68 ,$40.36 ,$18.22 , N/A , N/A ,$42.38 ,$37.40 ,$36.39 ,$12.32 ,$39.60 ,$34.54 ,$36.34 ,$40.36 ,$28.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100020,0051A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, FIRST DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100021,0052A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, SECOND DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100022,0053A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, THIRD DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100023,0004A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, DILUENT RECONSTITUTED, BOOSTER DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100024,0054A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, BOOSTER DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100026,0071A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, FIRST DOSE (CHILD 5-11)",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100027,0072A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, SECOND DOSE (CHILD 5-11)",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100028,0034A,"HC ADMIN SARS-COV-2 VACCINE JOHNSON  AND  JOHNSON, BOOSTER DOSE",771,1 ,$124.00 ,$89.28 ,$34.72 ,$124.00 ,$100.88 ,$99.20 ,$39.54 ,$34.72 ,$108.25 ,$113.96 ,$36.93 ,$102.55 ,$39.54 ,$81.51 ,$114.08 ,$98.86 ,$39.54 ,$40.34 ,$103.42 ,$103.42 ,$103.42 ,$39.54 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$94.20 ,$105.40 ,$39.54 ,$39.54 ,$69.56 ,$39.54 ,$51.34 , N/A , N/A ,$41.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$39.54 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100029,M0220,"HC INTRAVENOUS INFUSION,  TIXAGEVIMAB AND CILGAVIMAB ADMINISTRATION",771,1 ,$124.00 ,$89.28 ,$34.72 ,$365.68 ,$365.68 ,$99.20 ,$121.52 ,$34.72 ,$108.25 ,$113.96 ,$121.52 ,$102.55 ,$121.52 ,$124.00 ,$114.08 ,$121.52 ,$143.34 ,$123.95 ,$103.42 ,$103.42 ,$103.42 ,$121.52 ,$103.42 ,$106.14 ,$106.14 ,$111.60 ,$124.00 ,$105.40 ,$121.52 ,$121.52 ,$69.56 ,$143.34 ,$51.34 , N/A , N/A ,$121.52 ,$105.40 ,$102.55 ,$34.72 ,$111.60 ,$97.34 ,$102.42 ,$143.34 ,$80.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100036,0134A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 50MCG/0.5ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$100.88 ,$96.00 ,$39.54 ,$33.60 ,$104.76 ,$110.28 ,$36.93 ,$99.24 ,$39.54 ,$81.51 ,$110.40 ,$98.86 ,$39.54 ,$40.34 ,$100.08 ,$100.08 ,$100.08 ,$39.54 ,$100.08 ,$102.72 ,$102.72 ,$108.00 ,$94.20 ,$102.00 ,$39.54 ,$39.54 ,$67.32 ,$39.54 ,$49.68 , N/A , N/A ,$41.52 ,$102.00 ,$99.24 ,$33.60 ,$108.00 ,$94.20 ,$99.12 ,$39.54 ,$78.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100037,0144A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 25MCG/0.25ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$100.88 ,$96.00 ,$39.54 ,$33.60 ,$104.76 ,$110.28 ,$36.93 ,$99.24 ,$39.54 ,$81.51 ,$110.40 ,$98.86 ,$39.54 ,$40.34 ,$100.08 ,$100.08 ,$100.08 ,$39.54 ,$100.08 ,$102.72 ,$102.72 ,$108.00 ,$94.20 ,$102.00 ,$39.54 ,$39.54 ,$67.32 ,$39.54 ,$49.68 , N/A , N/A ,$41.52 ,$102.00 ,$99.24 ,$33.60 ,$108.00 ,$94.20 ,$99.12 ,$39.54 ,$78.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100038,0124A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 30MCG/0.3ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$100.88 ,$96.00 ,$39.54 ,$33.60 ,$104.76 ,$110.28 ,$36.93 ,$99.24 ,$39.54 ,$81.51 ,$110.40 ,$98.86 ,$39.54 ,$40.34 ,$100.08 ,$100.08 ,$100.08 ,$39.54 ,$100.08 ,$102.72 ,$102.72 ,$108.00 ,$94.20 ,$102.00 ,$39.54 ,$39.54 ,$67.32 ,$39.54 ,$49.68 , N/A , N/A ,$41.52 ,$102.00 ,$99.24 ,$33.60 ,$108.00 ,$94.20 ,$99.12 ,$39.54 ,$78.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),77100039,0154A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 10MCG/0.2ML,771,1 ,$120.00 ,$86.40 ,$33.60 ,$120.00 ,$100.88 ,$96.00 ,$39.54 ,$33.60 ,$104.76 ,$110.28 ,$36.93 ,$99.24 ,$39.54 ,$81.51 ,$110.40 ,$98.86 ,$39.54 ,$40.34 ,$100.08 ,$100.08 ,$100.08 ,$39.54 ,$100.08 ,$102.72 ,$102.72 ,$108.00 ,$94.20 ,$102.00 ,$39.54 ,$39.54 ,$67.32 ,$39.54 ,$49.68 , N/A , N/A ,$41.52 ,$102.00 ,$99.24 ,$33.60 ,$108.00 ,$94.20 ,$99.12 ,$39.54 ,$78.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$92.00 ,$66.24 ,$9.75 ,$92.00 ,$71.60 ,$73.60 ,$28.07 ,$25.76 ,$80.32 ,$84.55 ,$28.07 ,$76.08 ,$28.07 ,$57.85 ,$84.64 ,$70.17 ,$28.07 ,$28.63 ,$76.73 ,$76.73 ,$76.73 ,$28.07 ,$76.73 ,$78.75 ,$78.75 ,$82.80 ,$71.60 ,$78.20 ,$28.07 ,$28.07 ,$51.61 ,$28.07 ,$38.09 ,$10.22 ,$9.75 ,$29.47 ,$78.20 ,$76.08 ,$25.76 ,$82.80 ,$72.22 ,$75.99 ,$30.06 ,$59.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000098,99221,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 1 LOW 40MIN - 95,960,1 ,$312.00 ,$224.64 ,$87.36 ,$312.00 , N/A ,$249.60 , N/A ,$87.36 ,$272.38 ,$286.73 , N/A ,$258.02 , N/A , N/A ,$287.04 , N/A , N/A , N/A ,$260.21 ,$260.21 ,$260.21 , N/A ,$260.21 ,$267.07 ,$267.07 ,$280.80 , N/A ,$265.20 , N/A , N/A ,$175.03 , N/A ,$141.83 , N/A , N/A , N/A ,$265.20 ,$258.02 ,$87.36 ,$280.80 ,$244.92 , N/A , N/A ,$202.80 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000099,99222,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 2 MODERATE 55 MIN -95,960,1 ,$415.00 ,$298.80 ,$116.20 ,$415.00 , N/A ,$332.00 , N/A ,$116.20 ,$362.30 ,$381.39 , N/A ,$343.21 , N/A , N/A ,$381.80 , N/A , N/A , N/A ,$346.11 ,$346.11 ,$346.11 , N/A ,$346.11 ,$355.24 ,$355.24 ,$373.50 , N/A ,$352.75 , N/A , N/A ,$232.82 , N/A ,$191.13 , N/A , N/A , N/A ,$352.75 ,$343.21 ,$116.20 ,$373.50 ,$325.78 , N/A , N/A ,$269.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000100,99223,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 3 HIGH 75 MIN -95,960,1 ,$605.00 ,$435.60 ,$169.40 ,$605.00 , N/A ,$484.00 , N/A ,$169.40 ,$528.17 ,$556.00 , N/A ,$500.34 , N/A , N/A ,$556.60 , N/A , N/A , N/A ,$504.57 ,$504.57 ,$504.57 , N/A ,$504.57 ,$517.88 ,$517.88 ,$544.50 , N/A ,$514.25 , N/A , N/A ,$339.41 , N/A ,$280.08 , N/A , N/A , N/A ,$514.25 ,$500.34 ,$169.40 ,$544.50 ,$474.93 , N/A , N/A ,$393.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000104,99231,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE  LVL 1 LOW 25 MIN - 95,960,1 ,$117.00 ,$84.24 ,$32.76 ,$117.00 , N/A ,$93.60 , N/A ,$32.76 ,$102.14 ,$107.52 , N/A ,$96.76 , N/A , N/A ,$107.64 , N/A , N/A , N/A ,$97.58 ,$97.58 ,$97.58 , N/A ,$97.58 ,$100.15 ,$100.15 ,$105.30 , N/A ,$99.45 , N/A , N/A ,$65.64 , N/A ,$54.56 , N/A , N/A , N/A ,$99.45 ,$96.76 ,$32.76 ,$105.30 ,$91.85 , N/A , N/A ,$76.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000105,99232,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE  LVL 2 MODERATE 35 MIN - 95,960,1 ,$216.00 ,$155.52 ,$60.48 ,$216.00 , N/A ,$172.80 , N/A ,$60.48 ,$188.57 ,$198.50 , N/A ,$178.63 , N/A , N/A ,$198.72 , N/A , N/A , N/A ,$180.14 ,$180.14 ,$180.14 , N/A ,$180.14 ,$184.90 ,$184.90 ,$194.40 , N/A ,$183.60 , N/A , N/A ,$121.18 , N/A ,$99.97 , N/A , N/A , N/A ,$183.60 ,$178.63 ,$60.48 ,$194.40 ,$169.56 , N/A , N/A ,$140.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000106,99233,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE  LVL 3 HIGH 50 MIN - 95,960,1 ,$315.00 ,$226.80 ,$88.20 ,$315.00 , N/A ,$252.00 , N/A ,$88.20 ,$275.00 ,$289.49 , N/A ,$260.51 , N/A , N/A ,$289.80 , N/A , N/A , N/A ,$262.71 ,$262.71 ,$262.71 , N/A ,$262.71 ,$269.64 ,$269.64 ,$283.50 , N/A ,$267.75 , N/A , N/A ,$176.72 , N/A ,$144.07 , N/A , N/A , N/A ,$267.75 ,$260.51 ,$88.20 ,$283.50 ,$247.28 , N/A , N/A ,$204.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000107,99234,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE LOW 45 MIN- 95,960,1 ,$323.00 ,$232.56 ,$90.44 ,$323.00 , N/A ,$258.40 , N/A ,$90.44 ,$281.98 ,$296.84 , N/A ,$267.12 , N/A , N/A ,$297.16 , N/A , N/A , N/A ,$269.38 ,$269.38 ,$269.38 , N/A ,$269.38 ,$276.49 ,$276.49 ,$290.70 , N/A ,$274.55 , N/A , N/A ,$181.20 , N/A ,$185.32 ,$98.35 ,$93.88 , N/A ,$274.55 ,$267.12 ,$90.44 ,$290.70 ,$253.56 , N/A , N/A ,$209.95 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000108,99235,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE MODERATE 70 MIN-95,960,1 ,$505.00 ,$363.60 ,$93.88 ,$505.00 , N/A ,$404.00 , N/A ,$141.40 ,$440.87 ,$464.10 , N/A ,$417.64 , N/A , N/A ,$464.60 , N/A , N/A , N/A ,$421.17 ,$421.17 ,$421.17 , N/A ,$421.17 ,$432.28 ,$432.28 ,$454.50 , N/A ,$429.25 , N/A , N/A ,$283.31 , N/A ,$233.98 ,$98.35 ,$93.88 , N/A ,$429.25 ,$417.64 ,$141.40 ,$454.50 ,$396.43 , N/A , N/A ,$328.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000109,99236,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE HIGH 85 MIN-95,960,1 ,$565.00 ,$406.80 ,$93.88 ,$565.00 , N/A ,$452.00 , N/A ,$158.20 ,$493.25 ,$519.24 , N/A ,$467.26 , N/A , N/A ,$519.80 , N/A , N/A , N/A ,$471.21 ,$471.21 ,$471.21 , N/A ,$471.21 ,$483.64 ,$483.64 ,$508.50 , N/A ,$480.25 , N/A , N/A ,$316.97 , N/A ,$301.36 ,$98.35 ,$93.88 , N/A ,$480.25 ,$467.26 ,$158.20 ,$508.50 ,$443.53 , N/A , N/A ,$367.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000110,99238,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY <31MIN- 95,960,1 ,$218.00 ,$156.96 ,$61.04 ,$218.00 , N/A ,$174.40 , N/A ,$61.04 ,$190.31 ,$200.34 , N/A ,$180.29 , N/A , N/A ,$200.56 , N/A , N/A , N/A ,$181.81 ,$181.81 ,$181.81 , N/A ,$181.81 ,$186.61 ,$186.61 ,$196.20 , N/A ,$185.30 , N/A , N/A ,$122.30 , N/A ,$100.42 , N/A , N/A , N/A ,$185.30 ,$180.29 ,$61.04 ,$196.20 ,$171.13 , N/A , N/A ,$141.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000111,99239,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY >30MIN- 95,960,1 ,$265.00 ,$190.80 ,$74.20 ,$265.00 , N/A ,$212.00 , N/A ,$74.20 ,$231.35 ,$243.54 , N/A ,$219.16 , N/A , N/A ,$243.80 , N/A , N/A , N/A ,$221.01 ,$221.01 ,$221.01 , N/A ,$221.01 ,$226.84 ,$226.84 ,$238.50 , N/A ,$225.25 , N/A , N/A ,$148.67 , N/A ,$147.15 , N/A , N/A , N/A ,$225.25 ,$219.16 ,$74.20 ,$238.50 ,$208.03 , N/A , N/A ,$172.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000176,G0425,PC TELEHEALTH ED/IP CONSULT 30 MIN - 95,960,1 ,$350.00 ,$252.00 ,$93.88 ,$350.00 , N/A ,$280.00 , N/A ,$98.00 ,$305.55 ,$321.65 , N/A ,$289.45 , N/A , N/A ,$322.00 , N/A , N/A , N/A ,$291.90 ,$291.90 ,$291.90 , N/A ,$291.90 ,$299.60 ,$299.60 ,$315.00 , N/A ,$297.50 , N/A , N/A ,$196.35 , N/A ,$198.87 ,$98.35 ,$93.88 , N/A ,$297.50 ,$289.45 ,$98.00 ,$315.00 ,$274.75 , N/A , N/A ,$227.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000177,G0426,PC TELEHEALTH ED/IP CONSULT 50 MIN - 95,960,1 ,$450.00 ,$324.00 ,$93.88 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$269.77 ,$98.35 ,$93.88 , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 , N/A , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000178,G0427,PC TELEHEALTH ED/IP CONSULT 70 MIN - 95,960,1 ,$550.00 ,$396.00 ,$93.88 ,$550.00 , N/A ,$440.00 , N/A ,$154.00 ,$480.15 ,$505.45 , N/A ,$454.85 , N/A , N/A ,$506.00 , N/A , N/A , N/A ,$458.70 ,$458.70 ,$458.70 , N/A ,$458.70 ,$470.80 ,$470.80 ,$495.00 , N/A ,$467.50 , N/A , N/A ,$308.55 , N/A ,$400.27 ,$98.35 ,$93.88 , N/A ,$467.50 ,$454.85 ,$154.00 ,$495.00 ,$431.75 , N/A , N/A ,$357.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000191,G0508,PC TELEHEALTH CRITICAL CARE CONSULT 60 MIN - 95,960,1 ,$650.00 ,$468.00 ,$93.88 ,$650.00 , N/A ,$520.00 , N/A ,$182.00 ,$567.45 ,$597.35 , N/A ,$537.55 , N/A , N/A ,$598.00 , N/A , N/A , N/A ,$542.10 ,$542.10 ,$542.10 , N/A ,$542.10 ,$556.40 ,$556.40 ,$585.00 , N/A ,$552.50 , N/A , N/A ,$364.65 , N/A ,$419.54 ,$98.35 ,$93.88 , N/A ,$552.50 ,$537.55 ,$182.00 ,$585.00 ,$510.25 , N/A , N/A ,$422.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000192,G0509,PC TELEHEALTH CRITICAL CARE CONSULT 50 MIN - 95,960,1 ,$650.00 ,$468.00 ,$93.88 ,$650.00 , N/A ,$520.00 , N/A ,$182.00 ,$567.45 ,$597.35 , N/A ,$537.55 , N/A , N/A ,$598.00 , N/A , N/A , N/A ,$542.10 ,$542.10 ,$542.10 , N/A ,$542.10 ,$556.40 ,$556.40 ,$585.00 , N/A ,$552.50 , N/A , N/A ,$364.65 , N/A ,$388.37 ,$98.35 ,$93.88 , N/A ,$552.50 ,$537.55 ,$182.00 ,$585.00 ,$510.25 , N/A , N/A ,$422.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000224,G0425,PC TELEHEALTH STROKE ED/IP CONSULT 30 MIN - G0,960,1 ,$350.00 ,$252.00 ,$93.88 ,$350.00 , N/A ,$280.00 , N/A ,$98.00 ,$305.55 ,$321.65 , N/A ,$289.45 , N/A , N/A ,$322.00 , N/A , N/A , N/A ,$291.90 ,$291.90 ,$291.90 , N/A ,$291.90 ,$299.60 ,$299.60 ,$315.00 , N/A ,$297.50 , N/A , N/A ,$196.35 , N/A ,$198.87 ,$98.35 ,$93.88 , N/A ,$297.50 ,$289.45 ,$98.00 ,$315.00 ,$274.75 , N/A , N/A ,$227.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000225,G0426,PC TELEHEALTH STROKE ED/IP CONSULT 50 MIN - G0,960,1 ,$450.00 ,$324.00 ,$93.88 ,$450.00 , N/A ,$360.00 , N/A ,$126.00 ,$392.85 ,$413.55 , N/A ,$372.15 , N/A , N/A ,$414.00 , N/A , N/A , N/A ,$375.30 ,$375.30 ,$375.30 , N/A ,$375.30 ,$385.20 ,$385.20 ,$405.00 , N/A ,$382.50 , N/A , N/A ,$252.45 , N/A ,$269.77 ,$98.35 ,$93.88 , N/A ,$382.50 ,$372.15 ,$126.00 ,$405.00 ,$353.25 , N/A , N/A ,$292.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000226,G0427,PC TELEHEALTH STROKE ED/IP CONSULT 70 MIN - G0,960,1 ,$550.00 ,$396.00 ,$93.88 ,$550.00 , N/A ,$440.00 , N/A ,$154.00 ,$480.15 ,$505.45 , N/A ,$454.85 , N/A , N/A ,$506.00 , N/A , N/A , N/A ,$458.70 ,$458.70 ,$458.70 , N/A ,$458.70 ,$470.80 ,$470.80 ,$495.00 , N/A ,$467.50 , N/A , N/A ,$308.55 , N/A ,$400.27 ,$98.35 ,$93.88 , N/A ,$467.50 ,$454.85 ,$154.00 ,$495.00 ,$431.75 , N/A , N/A ,$357.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000227,G0508,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 60 MIN - G0,960,1 ,$650.00 ,$468.00 ,$93.88 ,$650.00 , N/A ,$520.00 , N/A ,$182.00 ,$567.45 ,$597.35 , N/A ,$537.55 , N/A , N/A ,$598.00 , N/A , N/A , N/A ,$542.10 ,$542.10 ,$542.10 , N/A ,$542.10 ,$556.40 ,$556.40 ,$585.00 , N/A ,$552.50 , N/A , N/A ,$364.65 , N/A ,$419.54 ,$98.35 ,$93.88 , N/A ,$552.50 ,$537.55 ,$182.00 ,$585.00 ,$510.25 , N/A , N/A ,$422.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),78000228,G0509,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 50 MIN -G0,960,1 ,$650.00 ,$468.00 ,$93.88 ,$650.00 , N/A ,$520.00 , N/A ,$182.00 ,$567.45 ,$597.35 , N/A ,$537.55 , N/A , N/A ,$598.00 , N/A , N/A , N/A ,$542.10 ,$542.10 ,$542.10 , N/A ,$542.10 ,$556.40 ,$556.40 ,$585.00 , N/A ,$552.50 , N/A , N/A ,$364.65 , N/A ,$388.37 ,$98.35 ,$93.88 , N/A ,$552.50 ,$537.55 ,$182.00 ,$585.00 ,$510.25 , N/A , N/A ,$422.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),90000002,90791,HC EVAL PSYCH DIAG,900,1 ,$56.00 ,$40.32 ,$15.68 ,$354.03 ,$354.03 ,$44.80 ,$54.88 ,$15.68 ,$48.89 ,$51.46 ,$54.88 ,$46.31 ,$54.88 ,$56.00 ,$51.52 ,$54.88 ,$138.78 ,$55.98 ,$46.70 ,$46.70 ,$46.70 ,$54.88 ,$46.70 ,$47.94 ,$47.94 ,$50.40 ,$56.00 ,$47.60 ,$54.88 ,$54.88 ,$31.42 ,$138.78 ,$23.18 ,$56.00 ,$56.00 ,$54.88 ,$47.60 ,$46.31 ,$15.68 ,$50.40 ,$43.96 ,$46.26 ,$138.78 ,$36.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92000006,96111,HC COMP DEVELOPMNT BAYLEY EVAL EP,920,1 ,$345.00 ,$248.40 ,$96.60 ,$345.00 , N/A ,$276.00 , N/A ,$96.60 ,$301.19 ,$317.06 , N/A ,$285.32 , N/A , N/A ,$317.40 , N/A , N/A , N/A ,$287.73 ,$287.73 ,$287.73 , N/A ,$287.73 ,$295.32 ,$295.32 ,$310.50 , N/A ,$293.25 , N/A , N/A ,$193.55 , N/A ,$142.83 , N/A , N/A , N/A ,$293.25 ,$285.32 ,$96.60 ,$310.50 ,$270.83 ,$284.97 , N/A ,$224.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,121.00 ",$807.12 ,$101.58 ,"$1,121.00 ",$567.40 ,$896.80 ,$222.42 ,$313.88 ,$978.63 ,"$1,030.20 ",$207.67 ,$927.07 ,$222.42 ,$458.46 ,"$1,031.32 ",$556.05 ,$222.42 ,$226.87 ,$934.91 ,$934.91 ,$934.91 ,$222.42 ,$934.91 ,$959.58 ,$959.58 ,"$1,008.90 ",$529.79 ,$952.85 ,$222.42 ,$222.42 ,$628.88 ,$222.42 ,$464.09 ,$106.41 ,$101.58 ,$233.55 ,$952.85 ,$927.07 ,$313.88 ,"$1,008.90 ",$879.99 ,$925.95 ,$222.42 ,$728.65 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,"$1,291.00 ",$929.52 ,$95.05 ,"$1,291.00 ",$259.70 ,"$1,032.80 ",$101.80 ,$361.48 ,"$1,127.04 ","$1,186.43 ",$95.05 ,"$1,067.66 ",$101.80 ,$209.83 ,"$1,187.72 ",$254.51 ,$101.80 ,$103.84 ,"$1,076.69 ","$1,076.69 ","$1,076.69 ",$101.80 ,"$1,076.69 ","$1,105.10 ","$1,105.10 ","$1,161.90 ",$242.48 ,"$1,097.35 ",$101.80 ,$101.80 ,$724.25 ,$101.80 ,$534.47 ,$106.41 ,$101.58 ,$106.90 ,"$1,097.35 ","$1,067.66 ",$361.48 ,"$1,161.90 ","$1,013.44 ","$1,066.37 ",$101.80 ,$839.15 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$299.00 ,$215.28 ,$83.72 ,$299.00 ,$282.13 ,$239.20 ,$110.59 ,$83.72 ,$261.03 ,$274.78 ,$103.26 ,$247.27 ,$110.59 ,$227.95 ,$275.08 ,$276.49 ,$110.59 ,$112.81 ,$249.37 ,$249.37 ,$249.37 ,$110.59 ,$249.37 ,$255.94 ,$255.94 ,$269.10 ,$263.42 ,$254.15 ,$110.59 ,$110.59 ,$167.74 ,$110.59 ,$123.79 ,$99.22 ,$94.71 ,$116.13 ,$254.15 ,$247.27 ,$83.72 ,$269.10 ,$234.72 ,$246.97 ,$110.59 ,$194.35 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$2,014.00 ","$1,450.08 ",$133.70 ,"$2,014.00 ",$567.40 ,"$1,611.20 ",$222.42 ,$563.92 ,"$1,758.22 ","$1,850.87 ",$207.67 ,"$1,665.58 ",$222.42 ,$458.46 ,"$1,852.88 ",$556.05 ,$222.42 ,$226.87 ,"$1,679.68 ","$1,679.68 ","$1,679.68 ",$222.42 ,"$1,679.68 ","$1,723.98 ","$1,723.98 ","$1,812.60 ",$529.79 ,"$1,711.90 ",$222.42 ,$222.42 ,"$1,129.85 ",$222.42 ,$833.80 ,$140.06 ,$133.70 ,$233.55 ,"$1,711.90 ","$1,665.58 ",$563.92 ,"$1,812.60 ","$1,580.99 ","$1,663.56 ",$222.42 ,"$1,309.10 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,"$1,253.00 ",$902.16 ,$95.05 ,"$1,253.00 ",$259.70 ,"$1,002.40 ",$101.80 ,$350.84 ,"$1,093.87 ","$1,151.51 ",$95.05 ,"$1,036.23 ",$101.80 ,$209.83 ,"$1,152.76 ",$254.51 ,$101.80 ,$103.84 ,"$1,045.00 ","$1,045.00 ","$1,045.00 ",$101.80 ,"$1,045.00 ","$1,072.57 ","$1,072.57 ","$1,127.70 ",$242.48 ,"$1,065.05 ",$101.80 ,$101.80 ,$702.93 ,$101.80 ,$518.74 ,$140.06 ,$133.70 ,$106.90 ,"$1,065.05 ","$1,036.23 ",$350.84 ,"$1,127.70 ",$983.61 ,"$1,034.98 ",$101.80 ,$814.45 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,618.00 ","$1,164.96 ",$101.58 ,"$1,618.00 ",$567.40 ,"$1,294.40 ",$222.42 ,$453.04 ,"$1,412.51 ","$1,486.94 ",$207.67 ,"$1,338.09 ",$222.42 ,$458.46 ,"$1,488.56 ",$556.05 ,$222.42 ,$226.87 ,"$1,349.41 ","$1,349.41 ","$1,349.41 ",$222.42 ,"$1,349.41 ","$1,385.01 ","$1,385.01 ","$1,456.20 ",$529.79 ,"$1,375.30 ",$222.42 ,$222.42 ,$907.70 ,$222.42 ,$669.85 ,$106.41 ,$101.58 ,$233.55 ,"$1,375.30 ","$1,338.09 ",$453.04 ,"$1,456.20 ","$1,270.13 ","$1,336.47 ",$222.42 ,"$1,051.70 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,"$1,098.00 ",$790.56 ,$95.05 ,"$1,098.00 ",$259.70 ,$878.40 ,$101.80 ,$307.44 ,$958.55 ,"$1,009.06 ",$95.05 ,$908.05 ,$101.80 ,$209.83 ,"$1,010.16 ",$254.51 ,$101.80 ,$103.84 ,$915.73 ,$915.73 ,$915.73 ,$101.80 ,$915.73 ,$939.89 ,$939.89 ,$988.20 ,$242.48 ,$933.30 ,$101.80 ,$101.80 ,$615.98 ,$101.80 ,$454.57 ,$106.41 ,$101.58 ,$106.90 ,$933.30 ,$908.05 ,$307.44 ,$988.20 ,$861.93 ,$906.95 ,$101.80 ,$713.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100039,93931,HC DUPLEX ARTRL UPR EXT PSEUD ONLY,921,1 ,"$1,098.00 ",$790.56 ,$95.05 ,"$1,098.00 ",$259.70 ,$878.40 ,$101.80 ,$307.44 ,$958.55 ,"$1,009.06 ",$95.05 ,$908.05 ,$101.80 ,$209.83 ,"$1,010.16 ",$254.51 ,$101.80 ,$103.84 ,$915.73 ,$915.73 ,$915.73 ,$101.80 ,$915.73 ,$939.89 ,$939.89 ,$988.20 ,$242.48 ,$933.30 ,$101.80 ,$101.80 ,$615.98 ,$101.80 ,$454.57 ,$106.41 ,$101.58 ,$106.90 ,$933.30 ,$908.05 ,$307.44 ,$988.20 ,$861.93 ,$906.95 ,$101.80 ,$713.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$1,767.00 ","$1,272.24 ",$133.70 ,"$1,767.00 ",$567.40 ,"$1,413.60 ",$222.42 ,$494.76 ,"$1,542.59 ","$1,623.87 ",$207.67 ,"$1,461.31 ",$222.42 ,$458.46 ,"$1,625.64 ",$556.05 ,$222.42 ,$226.87 ,"$1,473.68 ","$1,473.68 ","$1,473.68 ",$222.42 ,"$1,473.68 ","$1,512.55 ","$1,512.55 ","$1,590.30 ",$529.79 ,"$1,501.95 ",$222.42 ,$222.42 ,$991.29 ,$222.42 ,$731.54 ,$140.06 ,$133.70 ,$233.55 ,"$1,501.95 ","$1,461.31 ",$494.76 ,"$1,590.30 ","$1,387.10 ","$1,459.54 ",$222.42 ,"$1,148.55 "
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,$927.00 ,$667.44 ,$95.05 ,$927.00 ,$259.70 ,$741.60 ,$101.80 ,$259.56 ,$809.27 ,$851.91 ,$95.05 ,$766.63 ,$101.80 ,$209.83 ,$852.84 ,$254.51 ,$101.80 ,$103.84 ,$773.12 ,$773.12 ,$773.12 ,$101.80 ,$773.12 ,$793.51 ,$793.51 ,$834.30 ,$242.48 ,$787.95 ,$101.80 ,$101.80 ,$520.05 ,$101.80 ,$383.78 ,$140.06 ,$133.70 ,$106.90 ,$787.95 ,$766.63 ,$259.56 ,$834.30 ,$727.70 ,$765.70 ,$101.80 ,$602.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92100046,93990,HC DUPLEX HEMODIALYSIS ACCESS,921,1 ,$305.00 ,$219.60 ,$85.40 ,$305.00 ,$259.70 ,$244.00 ,$101.80 ,$85.40 ,$266.27 ,$280.30 ,$95.05 ,$252.24 ,$101.80 ,$209.83 ,$280.60 ,$254.51 ,$101.80 ,$103.84 ,$254.37 ,$254.37 ,$254.37 ,$101.80 ,$254.37 ,$261.08 ,$261.08 ,$274.50 ,$242.48 ,$259.25 ,$101.80 ,$101.80 ,$171.11 ,$101.80 ,$126.27 ,$106.41 ,$101.58 ,$106.90 ,$259.25 ,$252.24 ,$85.40 ,$274.50 ,$239.43 ,$251.93 ,$101.80 ,$198.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200000,95860,HC EMG ONE EXTREMITY,922,1 ,$297.00 ,$213.84 ,$83.16 ,$297.00 ,$282.13 ,$237.60 ,$110.59 ,$83.16 ,$259.28 ,$272.94 ,$103.26 ,$245.62 ,$110.59 ,$227.95 ,$273.24 ,$276.49 ,$110.59 ,$112.81 ,$247.70 ,$247.70 ,$247.70 ,$110.59 ,$247.70 ,$254.23 ,$254.23 ,$267.30 ,$263.42 ,$252.45 ,$110.59 ,$110.59 ,$166.62 ,$110.59 ,$122.96 ,$229.71 ,$219.27 ,$116.13 ,$252.45 ,$245.62 ,$83.16 ,$267.30 ,$233.15 ,$245.32 ,$110.59 ,$193.05 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200001,95861,HC EMG TWO EXTREMITIES,922,1 ,$316.00 ,$227.52 ,$88.48 ,$316.00 ,$282.13 ,$252.80 ,$110.59 ,$88.48 ,$275.87 ,$290.40 ,$103.26 ,$261.33 ,$110.59 ,$227.95 ,$290.72 ,$276.49 ,$110.59 ,$112.81 ,$263.54 ,$263.54 ,$263.54 ,$110.59 ,$263.54 ,$270.50 ,$270.50 ,$284.40 ,$263.42 ,$268.60 ,$110.59 ,$110.59 ,$177.28 ,$110.59 ,$130.82 ,$229.71 ,$219.27 ,$116.13 ,$268.60 ,$261.33 ,$88.48 ,$284.40 ,$248.06 ,$261.02 ,$110.59 ,$205.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200002,95863,HC EMG THREE EXTREMITIES,922,1 ,$396.00 ,$285.12 ,$110.88 ,$396.00 ,$353.38 ,$316.80 ,$138.52 ,$110.88 ,$345.71 ,$363.92 ,$129.33 ,$327.49 ,$138.52 ,$285.51 ,$364.32 ,$346.31 ,$138.52 ,$141.30 ,$330.26 ,$330.26 ,$330.26 ,$138.52 ,$330.26 ,$338.98 ,$338.98 ,$356.40 ,$329.94 ,$336.60 ,$138.52 ,$138.52 ,$222.16 ,$138.52 ,$163.94 ,$229.71 ,$219.27 ,$145.45 ,$336.60 ,$327.49 ,$110.88 ,$356.40 ,$310.86 ,$327.10 ,$138.52 ,$257.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200011,95886,HC EMG ADD ON >5 MUSCLES,922,1 ,$318.00 ,$228.96 ,$89.04 ,$318.00 , N/A ,$254.40 , N/A ,$89.04 ,$277.61 ,$292.24 , N/A ,$262.99 , N/A , N/A ,$292.56 , N/A , N/A , N/A ,$265.21 ,$265.21 ,$265.21 , N/A ,$265.21 ,$272.21 ,$272.21 ,$286.20 , N/A ,$270.30 , N/A , N/A ,$178.40 , N/A ,$131.65 ,$229.71 ,$219.27 , N/A ,$270.30 ,$262.99 ,$89.04 ,$286.20 ,$249.63 ,$262.67 , N/A ,$206.70 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200012,95864,HC EMG 4 EXTREMITIES,922,1 ,$435.00 ,$313.20 ,$121.80 ,$435.00 ,$353.38 ,$348.00 ,$138.52 ,$121.80 ,$379.76 ,$399.77 ,$129.33 ,$359.75 ,$138.52 ,$285.51 ,$400.20 ,$346.31 ,$138.52 ,$141.30 ,$362.79 ,$362.79 ,$362.79 ,$138.52 ,$362.79 ,$372.36 ,$372.36 ,$391.50 ,$329.94 ,$369.75 ,$138.52 ,$138.52 ,$244.04 ,$138.52 ,$180.09 ,$229.71 ,$219.27 ,$145.45 ,$369.75 ,$359.75 ,$121.80 ,$391.50 ,$341.48 ,$359.31 ,$138.52 ,$282.75 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200023,95909,HC NVR CNDJ TST 5-6 STUDIES,922,1 ,$762.00 ,$548.64 ,$213.36 ,$762.00 ,$680.48 ,$609.60 ,$266.75 ,$213.36 ,$665.23 ,$700.28 ,$249.07 ,$630.17 ,$266.75 ,$549.83 ,$701.04 ,$666.87 ,$266.75 ,$272.08 ,$635.51 ,$635.51 ,$635.51 ,$266.75 ,$635.51 ,$652.27 ,$652.27 ,$685.80 ,$635.37 ,$647.70 ,$266.75 ,$266.75 ,$427.48 ,$266.75 ,$315.47 ,$229.71 ,$219.27 ,$280.10 ,$647.70 ,$630.17 ,$213.36 ,$685.80 ,$598.17 ,$629.41 ,$266.75 ,$495.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200024,95910,HC NVR CNDJ TST 7-8 STUDIES,922,1 ,$762.00 ,$548.64 ,$213.36 ,$762.00 ,$680.48 ,$609.60 ,$266.75 ,$213.36 ,$665.23 ,$700.28 ,$249.07 ,$630.17 ,$266.75 ,$549.83 ,$701.04 ,$666.87 ,$266.75 ,$272.08 ,$635.51 ,$635.51 ,$635.51 ,$266.75 ,$635.51 ,$652.27 ,$652.27 ,$685.80 ,$635.37 ,$647.70 ,$266.75 ,$266.75 ,$427.48 ,$266.75 ,$315.47 ,$229.71 ,$219.27 ,$280.10 ,$647.70 ,$630.17 ,$213.36 ,$685.80 ,$598.17 ,$629.41 ,$266.75 ,$495.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200025,95911,HC NVR CNDJ TST 9-10 STUDIES,922,1 ,"$1,316.00 ",$947.52 ,$219.27 ,"$1,316.00 ","$1,174.63 ","$1,052.80 ",$460.45 ,$368.48 ,"$1,148.87 ","$1,209.40 ",$429.93 ,"$1,088.33 ",$460.45 ,$949.09 ,"$1,210.72 ","$1,151.14 ",$460.45 ,$469.66 ,"$1,097.54 ","$1,097.54 ","$1,097.54 ",$460.45 ,"$1,097.54 ","$1,126.50 ","$1,126.50 ","$1,184.40 ","$1,096.76 ","$1,118.60 ",$460.45 ,$460.45 ,$738.28 ,$460.45 ,$544.82 ,$229.71 ,$219.27 ,$483.50 ,"$1,118.60 ","$1,088.33 ",$368.48 ,"$1,184.40 ","$1,033.06 ","$1,087.02 ",$460.45 ,$855.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200026,95912,HC NVR CNDJ TST 11-12 STUDIES,922,1 ,"$1,316.00 ",$947.52 ,$219.27 ,"$1,316.00 ","$1,174.63 ","$1,052.80 ",$460.45 ,$368.48 ,"$1,148.87 ","$1,209.40 ",$429.93 ,"$1,088.33 ",$460.45 ,$949.09 ,"$1,210.72 ","$1,151.14 ",$460.45 ,$469.66 ,"$1,097.54 ","$1,097.54 ","$1,097.54 ",$460.45 ,"$1,097.54 ","$1,126.50 ","$1,126.50 ","$1,184.40 ","$1,096.76 ","$1,118.60 ",$460.45 ,$460.45 ,$738.28 ,$460.45 ,$544.82 ,$229.71 ,$219.27 ,$483.50 ,"$1,118.60 ","$1,088.33 ",$368.48 ,"$1,184.40 ","$1,033.06 ","$1,087.02 ",$460.45 ,$855.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),92200027,95913,HC NVR CNDJ TST 13 AND > STUDIES,922,1 ,"$1,316.00 ",$947.52 ,$219.27 ,"$1,316.00 ","$1,174.63 ","$1,052.80 ",$460.45 ,$368.48 ,"$1,148.87 ","$1,209.40 ",$429.93 ,"$1,088.33 ",$460.45 ,$949.09 ,"$1,210.72 ","$1,151.14 ",$460.45 ,$469.66 ,"$1,097.54 ","$1,097.54 ","$1,097.54 ",$460.45 ,"$1,097.54 ","$1,126.50 ","$1,126.50 ","$1,184.40 ","$1,096.76 ","$1,118.60 ",$460.45 ,$460.45 ,$738.28 ,$460.45 ,$544.82 ,$229.71 ,$219.27 ,$483.50 ,"$1,118.60 ","$1,088.33 ",$368.48 ,"$1,184.40 ","$1,033.06 ","$1,087.02 ",$460.45 ,$855.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94000104,96372,HC INJECTION IM/SUBQ,940,1 ,$160.00 ,$115.20 ,$44.80 ,$163.93 ,$163.93 ,$128.00 ,$64.26 ,$44.80 ,$139.68 ,$147.04 ,$60.01 ,$132.32 ,$64.26 ,$132.46 , N/A ,$156.80 ,$64.26 ,$65.54 ,$133.44 ,$133.44 ,$133.44 ,$64.26 ,$133.44 ,$136.96 ,$136.96 ,$144.00 ,$153.07 ,$136.00 ,$64.26 ,$64.26 ,$89.76 ,$64.26 ,$66.24 , N/A , N/A ,$67.48 ,$136.00 ,$132.32 ,$44.80 ,$144.00 ,$125.60 ,$132.16 ,$64.26 ,$104.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94000110,99195,HC THERAPEUTIC PHLEBOTOMY,940,1 ,$214.00 ,$154.08 ,$59.16 ,$282.13 ,$282.13 ,$171.20 ,$110.59 ,$59.92 ,$186.82 ,$196.67 ,$103.26 ,$176.98 ,$110.59 ,$214.00 ,$196.88 ,$209.72 ,$110.59 ,$112.81 ,$178.48 ,$178.48 ,$178.48 ,$110.59 ,$178.48 ,$183.18 ,$183.18 ,$192.60 ,$214.00 ,$181.90 ,$110.59 ,$110.59 ,$120.05 ,$110.59 ,$88.60 ,$61.97 ,$59.16 ,$116.13 ,$181.90 ,$176.98 ,$59.92 ,$192.60 ,$167.99 ,$176.76 ,$110.59 ,$139.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$90.00 ,$64.80 ,$25.20 ,$90.00 ,$75.20 ,$72.00 ,$29.48 ,$25.20 ,$78.57 ,$82.71 ,$29.48 ,$74.43 ,$29.48 ,$60.76 ,$82.80 ,$73.70 ,$29.48 ,$30.07 ,$75.06 ,$75.06 ,$75.06 ,$29.48 ,$75.06 ,$77.04 ,$77.04 ,$81.00 ,$30.08 ,$76.50 ,$29.48 ,$29.48 ,$50.49 ,$29.48 ,$37.26 , N/A , N/A ,$30.96 ,$76.50 ,$74.43 ,$25.20 ,$81.00 ,$70.65 ,$74.34 ,$29.48 ,$58.50 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$127.00 ,$91.44 ,$35.56 ,$291.75 ,$291.75 ,$101.60 ,$114.37 ,$35.56 ,$110.87 ,$116.71 ,$106.78 ,$105.03 ,$114.37 ,$127.00 ,$116.84 ,$124.46 ,$114.37 ,$116.65 ,$105.92 ,$105.92 ,$105.92 ,$114.37 ,$105.92 ,$108.71 ,$108.71 ,$114.30 ,$127.00 ,$107.95 ,$114.37 ,$114.37 ,$71.25 ,$114.37 ,$52.58 , N/A , N/A ,$120.09 ,$107.95 ,$105.03 ,$35.56 ,$114.30 ,$99.70 ,$104.90 ,$114.37 ,$82.55 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$56.00 ,$40.32 ,$15.68 ,$56.00 , N/A ,$44.80 , N/A ,$15.68 ,$48.89 ,$51.46 , N/A ,$46.31 , N/A , N/A ,$51.52 , N/A , N/A , N/A ,$46.70 ,$46.70 ,$46.70 , N/A ,$46.70 ,$47.94 ,$47.94 ,$50.40 , N/A ,$47.60 , N/A , N/A ,$31.42 , N/A ,$23.18 , N/A , N/A , N/A ,$47.60 ,$46.31 ,$15.68 ,$50.40 ,$43.96 ,$46.26 , N/A ,$36.40 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94300020,N/A,HC CARDIAC REHAB PHASE 3 HALF MONTH,943,1 ,$28.00 ,$20.16 ,$7.84 ,$28.00 , N/A ,$22.40 , N/A ,$7.84 ,$24.44 ,$25.73 , N/A ,$23.16 , N/A , N/A ,$25.76 , N/A , N/A , N/A ,$23.35 ,$23.35 ,$23.35 , N/A ,$23.35 ,$23.97 ,$23.97 ,$25.20 , N/A ,$23.80 , N/A , N/A ,$15.71 , N/A ,$11.59 , N/A , N/A , N/A ,$23.80 ,$23.16 ,$7.84 ,$25.20 ,$21.98 ,$23.13 , N/A ,$18.20 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94300023,N/A,HC CARDIAC REHAB 4 EXERCISE SPOUSE MONTHLY,943,1 ,$42.00 ,$30.24 ,$11.76 ,$42.00 , N/A ,$33.60 , N/A ,$11.76 ,$36.67 ,$38.60 , N/A ,$34.73 , N/A , N/A ,$38.64 , N/A , N/A , N/A ,$35.03 ,$35.03 ,$35.03 , N/A ,$35.03 ,$35.95 ,$35.95 ,$37.80 , N/A ,$35.70 , N/A , N/A ,$23.56 , N/A ,$17.39 , N/A , N/A , N/A ,$35.70 ,$34.73 ,$11.76 ,$37.80 ,$32.97 ,$34.69 , N/A ,$27.30 
HSHS GOOD SHEPHERD HOSPITAL (ACU),94300029,N/A,HC CARDIAC REHAB PHASE III 1 WEEK,943,1 ,$14.00 ,$10.08 ,$3.92 ,$14.00 , N/A ,$11.20 , N/A ,$3.92 ,$12.22 ,$12.87 , N/A ,$11.58 , N/A , N/A ,$12.88 , N/A , N/A , N/A ,$11.68 ,$11.68 ,$11.68 , N/A ,$11.68 ,$11.98 ,$11.98 ,$12.60 , N/A ,$11.90 , N/A , N/A ,$7.85 , N/A ,$5.80 , N/A , N/A , N/A ,$11.90 ,$11.58 ,$3.92 ,$12.60 ,$10.99 ,$11.56 , N/A ,$9.10 
HSHS GOOD SHEPHERD HOSPITAL (ACU),96000048,99422,PC ONLINE DIG E/M SVC 11-20 MIN-95,960,1 ,$45.00 ,$32.40 ,$12.60 ,$45.00 , N/A ,$36.00 , N/A ,$12.60 ,$39.29 ,$41.36 , N/A ,$37.22 , N/A , N/A ,$41.40 , N/A , N/A , N/A ,$37.53 ,$37.53 ,$37.53 , N/A ,$37.53 ,$38.52 ,$38.52 ,$40.50 , N/A ,$38.25 , N/A , N/A ,$25.25 , N/A ,$37.40 ,$45.00 ,$45.00 , N/A ,$38.25 ,$37.22 ,$12.60 ,$40.50 ,$35.33 , N/A , N/A ,$29.25 
HSHS GOOD SHEPHERD HOSPITAL (ACU),98180094,20610,PC DRAIN/INJECT LARGE JOINT/BURSA,981,1 ,$384.00 ,$276.48 ,$87.06 ,$660.63 ,$660.63 ,$307.20 ,$258.96 ,$107.52 ,$335.23 ,$352.90 ,$241.80 ,$317.57 ,$258.96 ,$384.00 ,$353.28 ,$376.32 ,$258.96 ,$264.15 ,$320.26 ,$320.26 ,$320.26 ,$258.96 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$384.00 ,$326.40 ,$258.96 ,$258.96 ,$215.42 ,$258.96 ,$87.06 ,$226.47 ,$216.17 ,$271.93 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 , N/A , N/A ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),98180625,20610,PC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,981,1 ,$384.00 ,$276.48 ,$87.06 ,$660.63 ,$660.63 ,$307.20 ,$258.96 ,$107.52 ,$335.23 ,$352.90 ,$241.80 ,$317.57 ,$258.96 ,$384.00 ,$353.28 ,$376.32 ,$258.96 ,$264.15 ,$320.26 ,$320.26 ,$320.26 ,$258.96 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$384.00 ,$326.40 ,$258.96 ,$258.96 ,$215.42 ,$258.96 ,$87.06 ,$226.47 ,$216.17 ,$271.93 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 , N/A , N/A ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),98180626,20610,PC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,981,1 ,$384.00 ,$276.48 ,$87.06 ,$660.63 ,$660.63 ,$307.20 ,$258.96 ,$107.52 ,$335.23 ,$352.90 ,$241.80 ,$317.57 ,$258.96 ,$384.00 ,$353.28 ,$376.32 ,$258.96 ,$264.15 ,$320.26 ,$320.26 ,$320.26 ,$258.96 ,$320.26 ,$328.70 ,$328.70 ,$345.60 ,$384.00 ,$326.40 ,$258.96 ,$258.96 ,$215.42 ,$258.96 ,$87.06 ,$226.47 ,$216.17 ,$271.93 ,$326.40 ,$317.57 ,$107.52 ,$345.60 ,$301.44 , N/A , N/A ,$249.60 
HSHS GOOD SHEPHERD HOSPITAL (ACU),98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$60.00 ,$43.20 ,$16.80 ,$60.00 , N/A ,$48.00 , N/A ,$16.80 ,$52.38 ,$55.14 , N/A ,$49.62 , N/A , N/A ,$55.20 , N/A , N/A , N/A ,$50.04 ,$50.04 ,$50.04 , N/A ,$50.04 ,$51.36 ,$51.36 ,$54.00 , N/A ,$51.00 , N/A , N/A ,$33.66 , N/A ,$16.94 ,$18.02 ,$17.20 , N/A ,$51.00 ,$49.62 ,$16.80 ,$54.00 ,$47.10 , N/A , N/A ,$39.00 
HSHS GOOD SHEPHERD HOSPITAL (ACU),98500002,93016,PC CARDIAC STRESS TEST SUPERVISION,985,1 ,$109.00 ,$78.48 ,$30.52 ,$109.00 , N/A ,$87.20 , N/A ,$30.52 ,$95.16 ,$100.17 , N/A ,$90.14 , N/A , N/A ,$100.28 , N/A , N/A , N/A ,$90.91 ,$90.91 ,$90.91 , N/A ,$90.91 ,$93.30 ,$93.30 ,$98.10 , N/A ,$92.65 , N/A , N/A ,$61.15 , N/A ,$44.37 ,$109.00 ,$109.00 , N/A ,$92.65 ,$90.14 ,$30.52 ,$98.10 ,$85.57 , N/A , N/A ,$70.85 
HSHS GOOD SHEPHERD HOSPITAL (ACU),98500003,93018,PC CARDIOVASCULAR STRESS TEST,985,1 ,$100.00 ,$72.00 ,$28.00 ,$100.00 , N/A ,$80.00 , N/A ,$28.00 ,$87.30 ,$91.90 , N/A ,$82.70 , N/A , N/A ,$92.00 , N/A , N/A , N/A ,$83.40 ,$83.40 ,$83.40 , N/A ,$83.40 ,$85.60 ,$85.60 ,$90.00 , N/A ,$85.00 , N/A , N/A ,$56.10 , N/A ,$29.52 ,$100.00 ,$100.00 , N/A ,$85.00 ,$82.70 ,$28.00 ,$90.00 ,$78.50 , N/A , N/A ,$65.00